Pirmą psichozę išgyvenusiųjų artimieji: situacijos sunkumo įvertinimo ir psichologinės kančios ryšys laikui bėgant

The aim of the study was to assess relationships bet­ween the assessment of the situation’s difficulty and psychological distress over time by the relatives of the first episode psychosis patients.The sample of the study comprised 30 relatives (parents 63%, siblings 26%, and partners 10%) of the first episode psychosis patients. Participants of the study were interviewed during the first 10 days after the patient’s admission to the hospital, and then 3 months and 9 months after the first interview. Criteria of the participation in the study: an adult family member of a first-time hospitalized patient; the patient’s diagnosis – psychotic disorder (F20 or F30 with psychosis, ICD-10); a patient no older than 40. The study proceeded at psychiatric hospitals in Vilnius. Relatives: age M = 42.3, SD = 13.24); gender: men 37%, women 63%. Patients: age M = 24.07, SD = 4.87, gender: men 70%, women 30%. The following variables were investigated: demo­graphics, assessment of the situation’s difficulty (perceived psychological trauma subscale (Lewis, 2005)), psychological distress (Hospital Anxiety and Depression Scale (Zigmond and Snaith, 1983)). Data were analyzed by the repeated Anova and testing by the cross-lagged panel design model.The results showed that the relatives’ assessment of the situation’s difficulty and distress improved significantly during the first three months. The prognostic value of distress and the assessment of the situation’s difficulty at Time 1 were different: assessment of the situation’s difficulty overtime was predicted by assessment at Time 1, but the distress overtime was not predicted by the distress at Time 1. Cross-lagged analysis revealed that dis­tress over-time was predicted by the assessment of the situation’s difficulty at Time 1. The results of this study suggest that professionals working with families should pay more attention to diminishing relatives’ negative assessment of the situation from the beginning, because it predicts significantly the later distress.Šio tyrimo tikslas – nustatyti situacijos sunkumo įvertinimo ir psichologinės kančios ryšį laikui bėgant. Gauti rezultatai rodo, kad pirmą psichozę išgyvenusių pacientų artimųjų situacijos sunkumo įvertinimas ir psichologinė kančia reikšmingai pasikeičia jau po trijų mėnesių. Pirmą kartą psichoze sergančių pacientų artimųjų pradinio situacijos sunkumo įvertinimas prognostiškai reikšmingas tolesniam situacijos sunkumo įvertinimui, o psichologinės kančios iš jos pradinio įvertinimo prognozuoti negalime. Iš pradinio situacijos sunkumo įvertinimo galime prognozuoti vėlesnę psichologinę kančią

Lietuvos gyventojų reprezentatyvios imties psichologinės gerovės struktūra

Some studies focusing on well-being were unable to distinguish two – hedonic and eudaimonic – components of well-being (Vitterso et al., 2010; Kashdan et al., 2008; Šarakauskienė, 2012). Previous comparatively smaller sample researches, conducted by the authors of this article, also yielded a single psychological well-being phenomenon (Bagdonas et al., 2012; 2013). Although a slightly different structure was established, studies could not isolate two traditional – hedonic and eudaimonic – components. The aim of this study was to verify the structure of psychological well-being in a representative Lithuanian sample using the original Lithuanian Psychological Well-being Scale.Methods. 1202 Lithuanian citizens aged 16–89 were enrolled in the research (M = 45.5 years, SD = 18.7 years). The study sample was representative of the Lithuanian population aged from 16 to 89 years according to gender, age, educational level, nationality, type of settlement, and region. The Lithuanian Psychological Well-being Scale, which consists of seven subscales (optimism / control, satisfaction with living standards, negative affectivity, satisfaction with relatives, satisfaction with interpersonal relations, satisfaction with physical health, satisfaction with work) was used in this study. Two items that depict satisfaction with living in Lithuania were not included in the factor analysis. The analysis of the data was conducted using the SPSS 20 and structural equation modelling AMOS software.Results. The data obtained from the Lithuanian representative sample supports the same factor structure of the Lithuanian Psychological Well-being Scale (χ2 = 4851.0; df = 1487; p < 0.0001; RMSEA = 0.043; CFI = 0.9; TLI = 0.889) that was established by previous studies. The scale consists of optimism / control, satisfaction with living standards, negative affectivity, satisfaction with relatives, satisfaction with interpersonal relations, satisfaction with physical health, and satisfaction with work subscales. All the mentioned subscales have a high internal consistency (Cronbach α is no less than 0.8).The testing of the second-order factor models has shown that psychological well-being is a coherent and unanimous phenomenon; even when two second-order factors representing the hedonic and eudaimonic aspects of well-being are omitted in the model, the correlation between those two is very high (>0.8). The obtained results do not support the idea that the construct of well-being consists of two different foci; it seems like there is no hedonic or eudaimonic well-being, but just a person’s psychological well-being.Straipsnyje pristatomos 16–89 metų Lietuvos gyventojų reprezentatyvios imties asmens psichologinės gerovės struktūros paieškos, naudojant Lietuviškąją psichologinės gerovės skalę (LPGS). Atlikus patvirtinamąją faktorių analizę išryškėjo vieno faktoriaus psichologinės gerovės modelis, apimantis abu gerovės aspektus – hedoninį ir eudaimoninį. Išskirti septyni gerovės komponentai: optimizmas / kontrolė; pasitenkinimas pragyvenimo lygiu; negatyvus emocingumas; pasitenkinimas šeima ir artimaisiais; pasitenkinimas tarpasmeniniais santykiais; pasitenkinimas fizine sveikata; pasitenkinimas darbu. Du teiginiai, matuojantys pasitenkinimą gyvenimu Lietuvoje, į faktorių analizę nebuvo įtraukti. Skalei ir subskalėms būdingas labai geras vidinis suderintumas