Browsing by Author "Dedić, Gordana (6602127702)"

Background/Aim. Professional military personnel are exposed to a number of stressors during the war as well as in peacetime conditions that can cause some hidden or manifest disorders, especially anxiety and depression, but also the development of a burnout syndrome. The aim of our investigation was to determine the defense mechanisms and subjective assessment of quality of life and anxiety in professional military personnel of the Serbian Armed Forces with the burnout syndrome. Methods. The cross-sectional study included a total of 55 professional military personnel, from 25 to 55 years of age, without current mental problem. In the investigation, the Maslach Burnout Inventory (MBI), Defense Style Questionnaire (DSQ-40), World Health Organization Abbreviated Instrument for Quality of Life Assessment (WHOQOL-BREF) and Beck Anxiety Inventory were used. The statistical analysis included parametric and nonparametric descriptive statistics. Results. Emotional exhaustion and depersonalization were present in 10.9% of subjects and in 12.7% of subjects respectively, in moderate level, while personal accomplishment was present in 21.8% of subjects of high level. Humor was higher in the subjects with a moderate level of burnout on the personal accomplishment (PA) scale and altruism in the subjects with a low level of burnout on the depersonalization (DP) scale as well as acting-out and rationalization on the PA scale in the subjects with a moderate level of burnout. High level of anxiety was present in 14.5% of subjects. Conclusion. Professional military personnel with lower level of burnout were less anxious, use mature defense mechanisms and have a perception of better quality of life. When burnout is diagnosed, psychological interventions requires training through the adoption of mechanisms for overcoming everyday stress, which may affect the reduction of anxiety and the improvement of the quality of life. Professional assistance, including psychotherapy is required in severe cases. © 2019, Inst. Sci. inf., Univ. Defence in Belgrade. All rights reserved.

Background/Aim. Dialysis and kidney transplantation are treatments that can be applied to patients with the end-stage renal disease. There is a lack of information on the quality of life (QOL) among hemodialysis (HD) patients on the waiting list for a kidney transplant, a group that is increasing all over the world. The aim of this study was to investigate the quality of life of patients on HD waiting for a kidney transplant. Methods. In the clinical comparative 12-month study, QOL level was compared between consecutively recruited patients waiting for a kidney transplant (WT patients) (N = 24) and patients not waiting for a kidney transplant (non-WT patients) (N = 52). All patients were older than 18 years and were on HD at least three months. To measure QOL, the short Form Health Survey (SD-36) was used. Results. WT patients were younger (43.50 ± 12.64 vs 63.58 ± 13.88 years; p < 0.001), they had started dialysis in the younger age (32.38 ± 14.50 vs 57.12 ± 15.79 years; p < 0.001) and spent more time on dialysis (112.04 ± 82.48 vs 72.40 ± 81.31 months; p < 0.05) than non-WT patients. Non-WT patients had more comorbidities than WT patients (p < 0.01). In laboratory parameters, there were statistically significant differences in values of serum creatinine (p < 0.01), phosphorus (p < 0.05) and number used to quantyfy hemodialysis treatment adequacy (Kt/V index: K dialyzer clearance of urea; t dialysis time; V volume of distribution of urea approx equal to patients’ total body water) (p < 0.05). Mean scores were higher among WT patients compared to non-WT patients in four dimensions of QOL: Physical Function (PF) (83.33 ± 10.59 vs 66.53 ± 27.87; respectively p > 0.05), Role Physical (RP) (58.66 ± 21.39 vs 46.90 ± 23.73; respectively p > 0.05), General health (GH) (45.00 ± 14.81 vs 37.98 ± 12.88; respectively p > 0.05); Social Functioning (SF) (93.66 ± 16.10 vs 78.30 ± 29.80; respectively p > 0.05) including Physical Component Summary (PCS) scores (64.16 ± 13.77 vs 52.38 ± 19.53; respectively p > 0.05). Conclusion. Patients waiting for a kidney transplant were younger, had started dialysis in the younger age and spent longer on dialysis compared with patients not eligible for transplantation. Low comorbidity, better laboratory parameters interferes in all domains with higher values of QOL in patients waiting for a kidney transplant, especially in general health, physical conditions and social functioning. © 2017, Institut za Vojnomedicinske Naucne Informacije/Documentaciju. All rights reserved.

Background/Aim: There is a burgeoning literature on the association between childhood victimization and the risk of suicidal behavior in early adolescence, while there is significantly less research showing this association in adults. The aim of our study was to examine whether victimization in childhood increased the likelihood of suicide attempt in adults. Methods: The sample consisted of 90 patients, 71 females and 19 males, aged 37.92 ± 11.04 years on average, hospitalized in the Day Hospital of the Clinic of Psychiatry Military Medical Academy, Belgrade, Serbia. The Juvenile Victimization Questionnaire (JVQ), Defense Style Questionnaire (DSQ-40) and Beck Depression Inventory were used for 50 patients following suicide attempt and in 40 patients who were on psychotherapeutic treatment due to various life crises not resulting in suicide attempt. According to the indications, we excluded the patients with psychosis (F20-F29, F30-31 and F 32.3), substances abuse (F10-F19) and dementia (F00-F09), satisfying International Classification of Diseases-10 version (ICD-10) (the World Health Organization criteria). The examinees of both groups were matched by age, education and marital status. Comparison of the patient groups was done by the Students' t-test for the parametric features and Mann-Whitney U test for non-parametric data. Results: The suicide attempters had moderate depression (19.76 ± 10.52) and used immature defense mechanisms (p < 0.001). The JVQ established statistical differences in the Total score (p < 0.005) and in two modules: Peer and Sibling Victimization (p < 0.005) and Sexual victimization (p < 0.005). Conclusion: The adults who were more likely to attempt suicide during their lifetime were more often victims of peer and sexual abuse in their childhood. Data on victimization in early childhood provide opportunities for early detection of persons with suicide risk that could help in the psychotherapeutic work with these patients, but also in the suicide prevention in a wider population. © 2019 Inst. Sci. inf., Univ. Defence in Belgrade. All rights reserved.