The assessment of links between traumatic events of sexual nature recollected from the past and p... more The assessment of links between traumatic events of sexual nature recollected from the past and patients' later functioning in sexual life and relationships. Materials and methods: Comorbidity of memories of traumatic sexual events from childhood and adolescence in patients with the features of their current partner relationships was analysed on the basis of Live Inventory completed by 2,582 women and 1,347 men, undergoing treatment between the years 1980-2002, before they were admitted to a day ward of neurotic disorder department. Results: The existence of numerous significant links was observed e.g. the information regarding incest or incest attempt experience was related with a significant risk of a sexual life assessment as completely dissatisfying in women (OR=2.71) and almost completely dissatisfying in men (OR=2.38). Sexual initiation by rape was related with women's more frequent incidence of getting married as a result of social pressure (OR=3.77) and a feeling of hatred towards a partner (OR=5.41). Men and women who considered themselves completely sexually uneducated (before the age of 18) assessed their sexual life as completely dissatisfying (OR=2.48 and OR=2.07), which was similar to men who would get punished for masturbation or sexual plays by their guardians (OR=2.68). Conclusions: Traumatic events and circumstances relating to sexuality, indicated in the questionnaire interview, turned out to be connected with the risk of dysfunctions in a sexual life and relationship. The traumas included, among others, rape during initiation, early initiation, incest, but also unfavourable circumstances of less traumatic nature such as a lack of sexual education, punishment for masturbation, "mostly undesired initiation". Their likely effects were rooted in relationship dysfunctions: reasons for their formation, power division, instability, problems with resolving conflicts and, most of all, sexual life dysfunctions. The results were Jerzy A. Sobański i wsp. 574 obtained on the basis of simple questionnaire questions, which allows for the recommendation that they be used in a routine interview.
Aim. Analysis of prevalence of symptoms and problems connected with sexuality in patients admitte... more Aim. Analysis of prevalence of symptoms and problems connected with sexuality in patients admitted to a day hospital for neurotic and behavioral disorders' treatment. Method. The results of diagnostics of 2582 women and 1347 men, admitted for psycho therapy in a day hospital, because of neurotic, behavioral and personality disorders. Results. Symptoms from the sexuality area revealed themselves to be frequent in the population of patients entering psychotherapy in a day hospital for neurotic disorders, and they were not directly linked to sexological treatment. Also traumatic events potentially disturbing psychosexual development were reported by patients, however with a different frequency, this being higher for self-assessed lack of sexual education in childhood or forced sexual debut, and low for incest or very early commencement, and for being punished for masturbation. Conclusions. Psychotherapists as well as other professionals treating neurotics, should expect-besides numerous typical symptoms: anxiety, somatization etc.-complaints from area of sexual dysfunctions.
Aim. The assessment of links of accumulated traumatic events of a sexual nature, recollected from... more Aim. The assessment of links of accumulated traumatic events of a sexual nature, recollected from the past, with the current functioning of the patients in the area of sexual life and relationship. Material and methods. Comorbidity of memories of traumatic sexual events from childhood and puberty in patients with the features of their current partner relationships and sexual life were analyzed on the basis of Live Inventory completed by 2,582 women and 1,347 men, before treatment in day hospital (years 1980-2002). The accumulation was evaluated for a combination of two or three selected events. Results. The presence of relatively numerous traumatic events in the field of sexualityearly initiation or enforced initiation, incest or its attempt, sub-optimal sexual education and punishment for masturbation was indicated. In some patients, these events occurred simultaneously. Especially in women, the presence in the same person of two or three aggravating circumstances of life was associated with a higher risk of among others fleeting, casual sexual contacts, marriage under the influence of environment pressures, reluctance to partner. Conclusions. Increased accumulation-the presence in the same patient of more than one adverse circumstances associated with sexual development-leads to a higher incidence of interference in relationship with a partner including the elements of sexual dysfunction. The obtained results are generally consistent with clinical observations and literature despite different, simplified methodology of the study based on the analysis of single variables from questionnaire interviews. Finding fewer links in the group of men can be explained by their much lower number in the study group and less frequent burdening with certain traumatic events or different experiencing.
Introduction. There is an ample evidence of the impact of severe traumatic events, such as sexual... more Introduction. There is an ample evidence of the impact of severe traumatic events, such as sexual abuse in childhood, on the formation of disorders - especially the non-psychotic ones: sexual, neurotic and personality. So far, an increase of the risk with the accumulation of traumatic factors has been indicated, but less attention has been paid to adverse events such as lack of sexual education, negative attitudes of the caregivers towards sexuality, etc. Aim. Assessment of the risk of such adverse events in childhood and adolescence, concerning the symptoms from the area of sexuality as well as other neurotic disorders areas. Method. The coexistence of the earlier life circumstances and currently present symptoms was examined on the basis of KO„0” Symptom Checklist and Life Inventory, completed prior to treatment in a day hospital for neurotic disorders Results. In the group of 2582 females and 1347 males, there was a significant prevalence of symptoms related to sexuality, as well as of other neurotic symptoms. Patients reported traumatic events of varying frequency (from a relatively rare incest, to much more frequent sense of lack of sex education). Regression analyses showed a significant relationship between the analyzed events and symptoms, for instance, lack of sexual satisfaction in adulthood co-occurred in women with punishing for childhood sexual plays or masturbation. The other analyzed symptoms – ‘non-sexual’, such as panic attacks, were not so clearly related to the burdensome circumstances. Conclusions. The presence of adverse life events concerning sexuality, not necessarily the most serious ones e.g. abuses, but such as inadequate sex education, child punishing for masturbation or sexual plays, unwanted sexual initiation, are associated with a higher occurrence of most of the analyzed symptoms in the sphere of sexuality. Weaker connection for other than sexual neurotic symptoms suggests that the impact of childhood sexual trauma is mainly focused on the area of sexual dysfunctions.
Aim: Symptom checklists enable clinicians and researchers to quickly estimate the probability of ... more Aim: Symptom checklists enable clinicians and researchers to quickly estimate the probability of neurotic disorder presence. To pursue this goal, they should include a possibly limited number of items, describing symptoms most prevalent in the disordered population. Fluctuations in that prevalence force researchers to prepare new variants of checklists every few years, therefore the next (current) version of the checklist "S" for screening has been prepared. Method: The Symptom checklist S-III includes items regarding occurrence and intensity of 82 symptoms, chosen according to their highest prevalence in 1872 patients diagnosed before admission to psychotherapy in the years 2004-2008, because of neurotic disorders. There is the "truthfulness scale" included in the checklist, which enables an estimation of reliability of answers. Norms are calculated in the groups of 301 non-patients and 508 patients before admission to psychotherapy in 2009-2010. Results: The cutoff point between Global Symptom Levels (OWK) in the nonclinical population and patients before admission to psychotherapy is estimated, and the value of 146 points for both men and women is suggested. Conclusions: Symptom checklist S-III has satisfactory psychometric properties and can be applied in a quick diagnosis of neurotic disorders occurrence.
Aim: Construction of a questionnaire describing personality traits connected to the occurrence an... more Aim: Construction of a questionnaire describing personality traits connected to the occurrence and persistence of neurotic disorders. Method: Responses of 794 patients (before treatment) and 520 persons from the control group on items of the constructed personality questionnaire and the symptom checklist "0". Analyses of subscales reliability and item-scale correlations, test-retest and split-half reliability. Factor analyses estimating internal reliability of the questionnaire. Cross-validation with the KO"0". symptom checklist Results: Psychometric properties of KON-2006 questionnaire indicate that it is consistent and reliable enough. Validity analyses indicate a large probability that the X-KON coefficient informs on personality dysfunctions related to neurotic disorders. Conclusions: The Neurotic Personality Questionnaire KON-2006 may serve to estimate personality traits connected to the occurrence and persistence of neurotic disorders as well as changes resulting from psychotherapy.
Tematem niniejszej pracy jest kliniczna użyteczność w psychiatrii technik kontrolowanego oddychan... more Tematem niniejszej pracy jest kliniczna użyteczność w psychiatrii technik kontrolowanego oddychania, opartych na tradycjach Wschodu, mających na celu przywrócenie równowagi układu autonomicznego. Choć techniki takie mają długą tradycję jako „metody relaksacyjne”, nabierają dodatkowego znaczenia w kontekście obecnej pandemii Covid-19 i wynikającego z niej długotrwałego stresu. Niniejszy przegląd koncentruje się na ustaleniach z ostatnich lat odnoszących się do populacji klinicznych, nie ograniczając się do kontekstu pandemii Covid-19. Zawarto w nim również podstawowe informacje dotyczące biologicznych mechanizmów oddychania i związanych z nimi markerów (częstotliwość oddychania – respiratory rate, RR i zmienność rytmu serca - heart rate variability, HRV) oraz ich zastosowania jako wskaźników efektów w badaniach odnoszących się do populacji pacjentów z zaburzeniami psychicznymi. Na podstawie dostępnych danych z badań empirycznych oraz poprzednich przeglądów systematycznych i narracyjn...
The assessment of links between traumatic events of sexual nature recollected from the past and p... more The assessment of links between traumatic events of sexual nature recollected from the past and patients' later functioning in sexual life and relationships. Materials and methods: Comorbidity of memories of traumatic sexual events from childhood and adolescence in patients with the features of their current partner relationships was analysed on the basis of Live Inventory completed by 2,582 women and 1,347 men, undergoing treatment between the years 1980-2002, before they were admitted to a day ward of neurotic disorder department. Results: The existence of numerous significant links was observed e.g. the information regarding incest or incest attempt experience was related with a significant risk of a sexual life assessment as completely dissatisfying in women (OR=2.71) and almost completely dissatisfying in men (OR=2.38). Sexual initiation by rape was related with women's more frequent incidence of getting married as a result of social pressure (OR=3.77) and a feeling of hatred towards a partner (OR=5.41). Men and women who considered themselves completely sexually uneducated (before the age of 18) assessed their sexual life as completely dissatisfying (OR=2.48 and OR=2.07), which was similar to men who would get punished for masturbation or sexual plays by their guardians (OR=2.68). Conclusions: Traumatic events and circumstances relating to sexuality, indicated in the questionnaire interview, turned out to be connected with the risk of dysfunctions in a sexual life and relationship. The traumas included, among others, rape during initiation, early initiation, incest, but also unfavourable circumstances of less traumatic nature such as a lack of sexual education, punishment for masturbation, "mostly undesired initiation". Their likely effects were rooted in relationship dysfunctions: reasons for their formation, power division, instability, problems with resolving conflicts and, most of all, sexual life dysfunctions. The results were Jerzy A. Sobański i wsp. 574 obtained on the basis of simple questionnaire questions, which allows for the recommendation that they be used in a routine interview.
Aim. Analysis of prevalence of symptoms and problems connected with sexuality in patients admitte... more Aim. Analysis of prevalence of symptoms and problems connected with sexuality in patients admitted to a day hospital for neurotic and behavioral disorders' treatment. Method. The results of diagnostics of 2582 women and 1347 men, admitted for psycho therapy in a day hospital, because of neurotic, behavioral and personality disorders. Results. Symptoms from the sexuality area revealed themselves to be frequent in the population of patients entering psychotherapy in a day hospital for neurotic disorders, and they were not directly linked to sexological treatment. Also traumatic events potentially disturbing psychosexual development were reported by patients, however with a different frequency, this being higher for self-assessed lack of sexual education in childhood or forced sexual debut, and low for incest or very early commencement, and for being punished for masturbation. Conclusions. Psychotherapists as well as other professionals treating neurotics, should expect-besides numerous typical symptoms: anxiety, somatization etc.-complaints from area of sexual dysfunctions.
Aim. The assessment of links of accumulated traumatic events of a sexual nature, recollected from... more Aim. The assessment of links of accumulated traumatic events of a sexual nature, recollected from the past, with the current functioning of the patients in the area of sexual life and relationship. Material and methods. Comorbidity of memories of traumatic sexual events from childhood and puberty in patients with the features of their current partner relationships and sexual life were analyzed on the basis of Live Inventory completed by 2,582 women and 1,347 men, before treatment in day hospital (years 1980-2002). The accumulation was evaluated for a combination of two or three selected events. Results. The presence of relatively numerous traumatic events in the field of sexualityearly initiation or enforced initiation, incest or its attempt, sub-optimal sexual education and punishment for masturbation was indicated. In some patients, these events occurred simultaneously. Especially in women, the presence in the same person of two or three aggravating circumstances of life was associated with a higher risk of among others fleeting, casual sexual contacts, marriage under the influence of environment pressures, reluctance to partner. Conclusions. Increased accumulation-the presence in the same patient of more than one adverse circumstances associated with sexual development-leads to a higher incidence of interference in relationship with a partner including the elements of sexual dysfunction. The obtained results are generally consistent with clinical observations and literature despite different, simplified methodology of the study based on the analysis of single variables from questionnaire interviews. Finding fewer links in the group of men can be explained by their much lower number in the study group and less frequent burdening with certain traumatic events or different experiencing.
Introduction. There is an ample evidence of the impact of severe traumatic events, such as sexual... more Introduction. There is an ample evidence of the impact of severe traumatic events, such as sexual abuse in childhood, on the formation of disorders - especially the non-psychotic ones: sexual, neurotic and personality. So far, an increase of the risk with the accumulation of traumatic factors has been indicated, but less attention has been paid to adverse events such as lack of sexual education, negative attitudes of the caregivers towards sexuality, etc. Aim. Assessment of the risk of such adverse events in childhood and adolescence, concerning the symptoms from the area of sexuality as well as other neurotic disorders areas. Method. The coexistence of the earlier life circumstances and currently present symptoms was examined on the basis of KO„0” Symptom Checklist and Life Inventory, completed prior to treatment in a day hospital for neurotic disorders Results. In the group of 2582 females and 1347 males, there was a significant prevalence of symptoms related to sexuality, as well as of other neurotic symptoms. Patients reported traumatic events of varying frequency (from a relatively rare incest, to much more frequent sense of lack of sex education). Regression analyses showed a significant relationship between the analyzed events and symptoms, for instance, lack of sexual satisfaction in adulthood co-occurred in women with punishing for childhood sexual plays or masturbation. The other analyzed symptoms – ‘non-sexual’, such as panic attacks, were not so clearly related to the burdensome circumstances. Conclusions. The presence of adverse life events concerning sexuality, not necessarily the most serious ones e.g. abuses, but such as inadequate sex education, child punishing for masturbation or sexual plays, unwanted sexual initiation, are associated with a higher occurrence of most of the analyzed symptoms in the sphere of sexuality. Weaker connection for other than sexual neurotic symptoms suggests that the impact of childhood sexual trauma is mainly focused on the area of sexual dysfunctions.
Aim: Symptom checklists enable clinicians and researchers to quickly estimate the probability of ... more Aim: Symptom checklists enable clinicians and researchers to quickly estimate the probability of neurotic disorder presence. To pursue this goal, they should include a possibly limited number of items, describing symptoms most prevalent in the disordered population. Fluctuations in that prevalence force researchers to prepare new variants of checklists every few years, therefore the next (current) version of the checklist "S" for screening has been prepared. Method: The Symptom checklist S-III includes items regarding occurrence and intensity of 82 symptoms, chosen according to their highest prevalence in 1872 patients diagnosed before admission to psychotherapy in the years 2004-2008, because of neurotic disorders. There is the "truthfulness scale" included in the checklist, which enables an estimation of reliability of answers. Norms are calculated in the groups of 301 non-patients and 508 patients before admission to psychotherapy in 2009-2010. Results: The cutoff point between Global Symptom Levels (OWK) in the nonclinical population and patients before admission to psychotherapy is estimated, and the value of 146 points for both men and women is suggested. Conclusions: Symptom checklist S-III has satisfactory psychometric properties and can be applied in a quick diagnosis of neurotic disorders occurrence.
Aim: Construction of a questionnaire describing personality traits connected to the occurrence an... more Aim: Construction of a questionnaire describing personality traits connected to the occurrence and persistence of neurotic disorders. Method: Responses of 794 patients (before treatment) and 520 persons from the control group on items of the constructed personality questionnaire and the symptom checklist "0". Analyses of subscales reliability and item-scale correlations, test-retest and split-half reliability. Factor analyses estimating internal reliability of the questionnaire. Cross-validation with the KO"0". symptom checklist Results: Psychometric properties of KON-2006 questionnaire indicate that it is consistent and reliable enough. Validity analyses indicate a large probability that the X-KON coefficient informs on personality dysfunctions related to neurotic disorders. Conclusions: The Neurotic Personality Questionnaire KON-2006 may serve to estimate personality traits connected to the occurrence and persistence of neurotic disorders as well as changes resulting from psychotherapy.
Tematem niniejszej pracy jest kliniczna użyteczność w psychiatrii technik kontrolowanego oddychan... more Tematem niniejszej pracy jest kliniczna użyteczność w psychiatrii technik kontrolowanego oddychania, opartych na tradycjach Wschodu, mających na celu przywrócenie równowagi układu autonomicznego. Choć techniki takie mają długą tradycję jako „metody relaksacyjne”, nabierają dodatkowego znaczenia w kontekście obecnej pandemii Covid-19 i wynikającego z niej długotrwałego stresu. Niniejszy przegląd koncentruje się na ustaleniach z ostatnich lat odnoszących się do populacji klinicznych, nie ograniczając się do kontekstu pandemii Covid-19. Zawarto w nim również podstawowe informacje dotyczące biologicznych mechanizmów oddychania i związanych z nimi markerów (częstotliwość oddychania – respiratory rate, RR i zmienność rytmu serca - heart rate variability, HRV) oraz ich zastosowania jako wskaźników efektów w badaniach odnoszących się do populacji pacjentów z zaburzeniami psychicznymi. Na podstawie dostępnych danych z badań empirycznych oraz poprzednich przeglądów systematycznych i narracyjn...
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Papers by Jerzy Sobański
Method. The results of diagnostics of 2582 women and 1347 men, admitted for psycho therapy in a day hospital, because of neurotic, behavioral and personality disorders.
Results. Symptoms from the sexuality area revealed themselves to be frequent in the population of patients entering psychotherapy in a day hospital for neurotic disorders, and they were not directly linked to sexological treatment. Also traumatic events potentially disturbing psychosexual development were reported by patients, however with a different frequency, this being higher for self-assessed lack of sexual education in childhood or forced sexual debut, and low for incest or very early commencement, and for being punished for masturbation.
Conclusions. Psychotherapists as well as other professionals treating neurotics, should expect-besides numerous typical symptoms: anxiety, somatization etc.-complaints from area of sexual dysfunctions.
lack of sexual education, negative attitudes of the caregivers towards sexuality, etc.
Aim. Assessment of the risk of such adverse events in childhood and adolescence, concerning the symptoms from the area of sexuality as well as other neurotic disorders areas.
Method. The coexistence of the earlier life circumstances and currently present symptoms was examined on the basis of KO„0” Symptom Checklist and Life Inventory, completed prior to treatment in a day hospital for neurotic disorders
Results. In the group of 2582 females and 1347 males, there was a significant prevalence of symptoms related to sexuality, as well as of other neurotic symptoms. Patients reported traumatic events of varying frequency (from a relatively rare incest, to much more frequent sense of lack of sex education). Regression analyses showed a significant relationship between
the analyzed events and symptoms, for instance, lack of sexual satisfaction in adulthood co-occurred in women with punishing for childhood sexual plays or masturbation. The other analyzed symptoms – ‘non-sexual’, such as panic attacks, were not so clearly related to the burdensome circumstances.
Conclusions. The presence of adverse life events concerning sexuality, not necessarily the most serious ones e.g. abuses, but such as inadequate sex education, child punishing for masturbation or sexual plays, unwanted sexual initiation, are associated with a higher occurrence of most of the analyzed symptoms in the sphere of sexuality. Weaker connection for other than sexual neurotic symptoms suggests that the impact of childhood sexual trauma is mainly focused on the area of sexual dysfunctions.
Method. The results of diagnostics of 2582 women and 1347 men, admitted for psycho therapy in a day hospital, because of neurotic, behavioral and personality disorders.
Results. Symptoms from the sexuality area revealed themselves to be frequent in the population of patients entering psychotherapy in a day hospital for neurotic disorders, and they were not directly linked to sexological treatment. Also traumatic events potentially disturbing psychosexual development were reported by patients, however with a different frequency, this being higher for self-assessed lack of sexual education in childhood or forced sexual debut, and low for incest or very early commencement, and for being punished for masturbation.
Conclusions. Psychotherapists as well as other professionals treating neurotics, should expect-besides numerous typical symptoms: anxiety, somatization etc.-complaints from area of sexual dysfunctions.
lack of sexual education, negative attitudes of the caregivers towards sexuality, etc.
Aim. Assessment of the risk of such adverse events in childhood and adolescence, concerning the symptoms from the area of sexuality as well as other neurotic disorders areas.
Method. The coexistence of the earlier life circumstances and currently present symptoms was examined on the basis of KO„0” Symptom Checklist and Life Inventory, completed prior to treatment in a day hospital for neurotic disorders
Results. In the group of 2582 females and 1347 males, there was a significant prevalence of symptoms related to sexuality, as well as of other neurotic symptoms. Patients reported traumatic events of varying frequency (from a relatively rare incest, to much more frequent sense of lack of sex education). Regression analyses showed a significant relationship between
the analyzed events and symptoms, for instance, lack of sexual satisfaction in adulthood co-occurred in women with punishing for childhood sexual plays or masturbation. The other analyzed symptoms – ‘non-sexual’, such as panic attacks, were not so clearly related to the burdensome circumstances.
Conclusions. The presence of adverse life events concerning sexuality, not necessarily the most serious ones e.g. abuses, but such as inadequate sex education, child punishing for masturbation or sexual plays, unwanted sexual initiation, are associated with a higher occurrence of most of the analyzed symptoms in the sphere of sexuality. Weaker connection for other than sexual neurotic symptoms suggests that the impact of childhood sexual trauma is mainly focused on the area of sexual dysfunctions.