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Abstract

Lithium was one of the first elements (besides hydrogen and helium) after the Big Bang. As a chemical element was identified in 1818. In the 19th century, Carl Lange treated periodic depression with lithium, based on the „uric acid diathesis” concept. In 1949, John Cade demonstrated the therapeutic effect of lithium in manic states. In 1963, Geoffrey Hartigan found that long-term lithium administration prevents recurrences in mood disorders, and lithium became a prototype of mood-stabilizing drugs. Currently, lithium is regarded as a first-line drug for preventing manic and depressive recurrences in mood disorders, and is useful for the treatment of manic and depressive episodes and the augmentation of antidepressants. Among mood-stabilizers, lithium exerts the strongest anti-suicidal activity. A negative correlation between lithium in drinking water and suicides was described. Lithium exerts immunomodulatory and antiviral actions, mostly against herpes viruses. The neuroprotective effect of lithium manifests by increasing the grey matter in the brain and reducing the risk of dementia. Lithium's mechanisms include influencing intracellular signaling and inhibition of glycogen synthase kinase-3. Using lithium in a greater number of patients with mood disorders has been recommended. Lithium’s introduction into contemporary psychiatry and therapeutic action has been reflected in literature and art.
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Authors and Affiliations

Janusz Rybakowski
1 2

  1. członek korespondent PAN
  2. Klinika Psychiatrii Dorosłych, Uniwersytet Medyczny w Poznaniu
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Abstract

Background: Integrity involves adherence to a set of moral principles and the courage to act on those principles. In clinical psychology and other health professions, consideration of integrity ensures that the upmost care and respect is given to all- regardless of individual background or mental health condition. However, despite the salience of integrity in clinical practice, it is frequently neglected in the literature. Thus, the main aim of the present study was to test a theoretical model and investigate the use of integrity assessments in clinical populations.
Subjects and Methods: Participants (N=80) were assessed using the Structured Interview of Personality Organization (STIPO), self-reports and simulated cheating task.
Results: Statistical analysis revealed that age, as well as agreeableness; conscientiousness, impression management, moral values and dark triad traits, accounted for 63% of the variance with age and impression management as significant predictors. Integrity was a predictor for cheating at work (Adj. R2 = 0.41), unethical work behavior (Adj. R2 = 0.27) and simulated cheating task (Adj. R2 = 0.07).
Conclusions: The results of the study suggest the possibility of using integrity tests in mood disorders with a moderate level of mood and anxiety impairments.
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Authors and Affiliations

Tereza Příhodová
1 2
Marek Preiss
1 3
Eva Straková
1
Veronika Juríčková
1
Radek Heissler
1

  1. National Institute of Mental Health, Klecany, Czech Republic
  2. Department of Psychiatry, 1st Faculty of Medicine, Charles University, Prague, Czech Republic
  3. University of New York in Prague, Praha, Czech Republic

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