Institute of Fundamental Technological Research
Polish Academy of Sciences

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P. Zegarow


Recent publications
1.  Olszewski R., Obiała J., Obiała K., Owoc J., Mańczak M., Ćwiklińska K., Jabłońska M., Zegarow P., Grygielska J., Jaciubek M., Majka K., Stelmach D., Krupienicz A., Rysz J., Jeziorski K., Lost in Communication: Do Family Physicians Provide Patients with Information on Preventing Diet-Related Diseases? Robert Olszewski, International Journal of Environmental Research and Public Health, ISSN: 1660-4601, DOI: 10.3390/ijerph191710990, Vol.19, pp.1-7, 2022

Abstract:
Abstract: BackgroundDiet-related diseases remain leading causes of death in most developed countries around the world. The aim of the study was to compare opinions of patients and family physicians on receiving and providing recommendations about physical activity, diet and use of medication. Methods: The questionnaire study was conducted among patients of 36 primary health care clinics in Poland between September 2018 and February 2019. Patients and physicians were interviewed separately by trained researchers. Data from 509 patients and 167 family doctors were analyzed. Results: The median age of patients was 44 years (interquartile range: 29–55) and 70% were women. The majority of physicians were women (59%) and the median age was 37 years (IQR: 31–50). There was a significant difference between physicians’ declarations on providing recommendations on diet (92% vs. 39%) and activity (90% vs. 37%) versus patients’ declarations on receiving them. Conclusions: The results indicate that there is significant room for improvement in providing patients with proper recommendations on diet and physical activity by their family physicians. Primary care physicians should put more emphasis on clear communication of recommendations on diet and physical activity.

Keywords:
diet

Affiliations:
Olszewski R. - IPPT PAN
Obiała J. - National Institute of Geriatrics Rheumatology and Rehabilitation (PL)
Obiała K. - National Institute of Geriatrics Rheumatology and Rehabilitation (PL)
Owoc J. - National Institute of Geriatrics Rheumatology and Rehabilitation (PL)
Mańczak M. - National Institute of Geriatrics Rheumatology and Rehabilitation (PL)
Ćwiklińska K. - other affiliation
Jabłońska M. - National Institute of Geriatrics Rheumatology and Rehabilitation (PL)
Zegarow P. - other affiliation
Grygielska J. - other affiliation
Jaciubek M. - Medical University of Warsaw (PL)
Majka K. - Military Medical Institute (PL)
Stelmach D. - other affiliation
Krupienicz A. - Medical University of Warsaw (PL)
Rysz J. - Medical University of Lodz (PL)
Jeziorski K. - National Institute of Geriatrics Rheumatology and Rehabilitation (PL)
2.  Zegarow P., Mańczak M., Rysz J., Olszewski R., The influence of cognitive-behavioral therapy on depression in dialysis patients - meta-analysis, Archives of Medical Science , ISSN: 1734-1922, DOI: 10.5114/aoms.2019.88019, Vol.16, No.6, pp.1271-1278, 2020

Abstract:
Introduction: Depressive disorders are the most common mental health problem among patients undergoing dialysis. Furthermore, depression is an independent factor increasing the mortality and frequency of hospitalization in this group of patients, yet psychological intervention programs aimed at improving the mental health of dialysis patients have still not been developed. This meta-analysis aimed to assess the effects of cognitive-behavioral therapy on depressive symptoms in dialysis patients. The main hypothesis of this study is that cognitive-behavioral therapy is an effective psychological method of reducing the severity of depression symptoms among patients undergoing dialysis. Material and methods: A systematic search was conducted using Medline, PubMed, Web of Science, Scopus and Google Scholar. Data extraction was carried out by two independent researchers. The severity of depression symptoms in the included studies was measured by the Beck Depression Inventory. A random-effects model was used to estimate the pooled mean difference of these values between patients undergoing CBT and the controls. Results: Four of the 1841 search results met the inclusion criteria with data from 226 patients who had undergone dialysis therapy due to renal disorders and psychological intervention based on cognitive-behavioral therapy. This therapy significantly reduced the level of depression symptoms in all studies included in the meta-analysis (mean difference = –5.3, p = 0.001; 95% CI: –7.95 to –2.66). Conclusions: The study showed that the use of psychological intervention based on cognitive-behavioral therapy was an effective method of decreasing the severity of depressive symptoms in hemodialyzed patients. For the sake of patient well-being, it seems reasonable to extend renal replacement therapy with psychological intervention such as cognitive-behavioral therapy.

Keywords:
depression, dialysis, cognitive-behavioral therapy, renal replacement

Affiliations:
Zegarow P. - other affiliation
Mańczak M. - National Institute of Geriatrics Rheumatology and Rehabilitation (PL)
Rysz J. - Medical University of Lodz (PL)
Olszewski R. - IPPT PAN

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