Darko Marcinko

Darko Marcinko
University Hospital Centre Zagreb | KBCZ · Department of Psychiatry and Psychological Medicine

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137
Publications
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Publications

Publications (137)
Article
Love is a delicate experience that delves into the foundations of the psyche, and many sources of the emotional experience of love remain unconscious. The nature of love is twofold and contradictory, regressive and progressive, constructive and destructive, connecting and separating, directed toward the object and the self. The ability to idealize...
Article
Previous research has demonstrated relations between lower level of personality organization (PO) and multiple indices of mental health disturbances. The goal of this research was to examine whether experience of shame would mediate the relationship between PO and depressive symptoms in a sample of 321 Croatian psychiatric outpatients (64% female;...
Article
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Due to endothelial impairment, high-dose lithium may produce an occlusive-like syndrome, comparable to permanent occlusion of major vessel-induced syndromes in rats; intracranial, portal, and caval hypertension, and aortal hypotension; multi-organ dysfunction syndrome; brain, heart, lung, liver, kidney, and gastrointestinal lesions; arterial and ve...
Article
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Introduction: There are few published empirical data on the effects of COVID‐19 on mental health, and until now, there is no large international study. Material and Methods: During the COVID-19 pandemic, an online questionnaire gathered data from 55,589 participants from 40 countries (64.85% females aged 35.80 ±13.61; 34.05% males aged 34.90±13.29...
Article
Purpose of review: The aim of this study was to review the recent literature on contemporary psychological perspectives of personality disorders, including novel psychotherapeutic interventions aimed at these vulnerable individuals. Recent findings: Among the various psychological theories and models of personality disorders, still the most popu...
Article
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Optimal psychic response during the COVID-19 pandemic is the result of many different factors. One of the main factors is the psychodynamic understanding of essential emotions such as shame. Despite the immense effort by health workers to address stress- and trauma-related disorders in the course of the COVID-19 pandemic, a large proportion of the...
Article
Introduction Obesity is one of the leading problems of today’s society. According to WHO, 650 million people worldwide are obese, which is 13% of total population (in Croatia 21.5%). There are various psychodynamic theories that interpret the psychological aspects of obesity. Objectives The aim of this paper is to present psychodynamic and contemp...
Article
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Background: Pathological narcissism has previously been investigated with regard to negative parenting and interpersonal forgiveness, but inconsistent findings have been obtained in relation to its two phenotypic forms - grandiosity and vulnerability. Moreover, the role of negative parenting in the lack of forgiveness within narcissistic pathology...
Article
Narcissism is a growing issue in modern society. Society values external, objective successfulness, overindulgence in hedonism, and superficiality more than inner emotional life. Individuals in modern society are faced with an inner emptiness, resulting in narcissistic, grandiose fantasies sometimes being the last defensive mechanism against that p...
Book
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The Republic of Croatia holds the Presidency of the Council of the European Union from 1st January 2020 to 30rd June 2020. During its presidency, Croatia set its health priorities, in accordance with the health policies advocated by the EU. (Taking forward the Strategic Agenda - 18-month Program of the Council (January 1st 2019 - June 30th 2020 Ava...
Article
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The coronavirus (COVID-19) outbreak was labeled a global pandemic by the WHO in March of 2020. Understanding how crisis influence an individual's reactions to stressful events (and vice versa) is important in order to create meaningful and effective interventions. Our literature search have revealed lack of the papers related to psychodynamic appro...
Poster
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Cancer diagnosed in the working-age population is increasing. Improvements in screening, early diagnosis and advances in treatment have resulted in the improved prognosis of breast cancer. An increasing number of working-age woman with breast cancer is facing many difficulties during the return to work (RTW) process and have reduced workability com...
Article
People with major depressive disorder (MDD) have an increased burden of chronic physical illnesses (CPI).However, information about the effect of CPIs on recurrent MDD treatment outcome is limited. The objective of this study was to explore whether the number of CPIs in patients with recurrent MDD was associated with higher rate of psychiatric admi...
Article
Optimal psychopharmacotherapy is based upon the results of many different factors. One of the main factors is therapeutic alliance. The role of psychodynamic is very important in the context of good therapeutic alliance. Lack of mentalizing capacity implies disturbed view of psychopharmacotherapy. Therapeutic relationship and optimal alliance offer...
Article
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Background: Patients with schizophrenia have the highest known rates of cigarette smoking, but less is known about their smoking behavior and the differences across geographical regions, including Croatia. The aim of this study was to compare patterns of nicotinedependence between patients with schizophrenia and healthy individuals, and to determin...
Article
Nonsuicidal self-injury (NSSI) is a significant mental health problem among adolescents. Problems in identity formation have been hypothesised to play an important role in the emergence of self-harming behaviours among adolescents. The aims of the study were to examine clinical characteristics of hospitalized adolescents with NSSI and differences i...
Article
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Background: Breast carcinoma is the most common malignant disease in women in the majority of developed countries. The development of depression as well as the quality of life (QoL) in these patients depends not only on the result of oncologic treatment, but on the cosmetic outcome as well. The primary aim of this prospective study was to investig...
Article
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Background: The rehabilitation of patients with cleft deformities is very complex and unique, and managed by a team of professionals. Quality of life depends on the health, and represents an instrument that examines the disease impact and treatment modalities on the health, integrating an objective assessment of the health status and its subjectiv...
Article
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This study aimed to examine the predictive utility of body shame on eating behaviors in adolescents, while controlling for age, sex and body mass index (BMI). Participants were 400 Croatian adolescent girls and boys who completed self-report questionnaires assessing body shame and eating behaviors. Results showed that the mean eating behaviors scor...
Article
Objective: Pathological narcissism, described by two dysfunctional phenotypic forms - grandiosity and vulnerability - has often been connected to suicidal tendencies in theoretical and clinical literatures. Furthermore, shame-proneness has been implicated as a key mechanism that links these two constructs. However, empirical evidence for the presum...
Article
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Background: War veterans with PTSD have a high chance of developing major depressive disorder (MDD) at some point, while they can also exhibit increased suicidal tendencies. The primary goal of this research was to investigate whether personality dimensions, including temperament, character, and trait impulsivity, were associated with comorbid MDD,...
Article
The article discusses the impact of contemporary culture on the individual's personality. We used the "psychocultural" approach whose key feature is the amalgamation of theories and methods belonging to psychodynamic and psychosocial studies, as well as those used in the field of media and cultural studies. The idea of a potentially therapeutic eff...
Article
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Background: The aim of this study was to define the level of patient exposure to stress in the previous 5 years before acute myocardial infarction (AMI), personality type A assessment, ways of coping with stressful situations, health locus of control and the grade of anxiety (as state and personality trait). Subjects and methods: 118 patients wh...
Article
The purpose of this paper is to present studies about violence from different perspectives with regard to psychodynamic, biological and social causes of violence in our society. In addition, this review article provides an overview of different definitions of violence as well as the relationship between violence and shame, psychodynamics of group v...
Article
Background: To investigate the possibility if alexithymia could be used as a predictor of attempted suicide among patients suffering from post-traumatic stress disorder. Subjects and methods: The study was based on 127 veterans from the 1991-1995 war in Croatia. All the patients involved in this study were previously diagnosed with PTSD. The que...
Article
The complex inter-relationship between external and internal reality, a source of interest and controversy in psychiatry, has come to the foreground more prominently in the context of more integrative understanding of psychopharmacotherapy. This paper discusses the meaning and clinical applications of the psychodynamic related to psychopharmacother...
Article
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Background: The occurrence of suicidal thoughts and behaviors is rather frequent among war veterans, particularly those suffering from posttraumatic stress disorder (PTSD). Understanding factors present within these individuals that increase suicide risk may inform prevention efforts. The present study aimed to determine whether the dimensions of t...
Conference Paper
Introduction: Pathological narcissism, described by two dysfunctional phenotypic forms - grandiosity and vulnerability - has often been connected to suicidal tendencies in theoretical and clinical literatures. Furthermore, shame-proneness has been implicated as a key mechanism that links these two constructs. However, empirical evidence for the pre...
Conference Paper
Introduction: The occurrence of both civilian- and war-related post-traumatic stress disorder (PTSD) is related to greater frequency of suicidal thoughts and behaviors. Understanding factors present within individuals with PTSD that increase suicide risk may inform prevention efforts. Objectives: The present study aimed to determine whether the di...
Article
Full-text available
Numerous studies are conducted to investigate factors influencing eating and weight-related problems, given the alarming prevalence of such behaviours among adolescents. The relationship between shame, especially body shame, and eating disorders has received increased attention in recent years. The current study contributes to this field by explori...
Article
Full-text available
The aim of the current study was to explore body satisfaction, peer pressure and body shame as predictors of drive for muscularity among adolescent males. A total of 213 adolescent males completed the questionnaires assessing body satisfaction, peer pressure, body shame and drive for muscularity. The results indicated that drive for muscularity was...
Conference Paper
Fonagy i suradnici od 1989. godine razvijaju koncept mentalizacije, s ciljem razumijevanja brojnih mentalnih poremećaja (osobito „borderline“ razine psihopatologije ličnosti). Mentalizaciju, ili mentaliziranje, definirali su kao proces kojim, implicitno ili eksplicitno, pridajemo značenje subjektivnim mentalnim stanjima i procesima drugih, kao i sv...
Conference Paper
Epidemiološka istraživanja pokazuju da od anoreksije nervoze (AN) obolijeva jedan muškarac na deset do dvadeset žena oboljelih od istog poremećaja. Ovakva rodna distribucija „jedna je od najekstremnijih u psihijatriji i medicini“. S obzirom na složenost poremećaja AN mnogi istraživači vjeruju da se etiologija temelji na interakcijama između predisp...
Article
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Background: Previous research has documented multiple chains of risk in the development of PTSD among war veterans. However, existing studies were mostly carried out in the West, while they also did not analyze specific symptom clusters of PTSD. The aim of this study was to examine the role of socio-demographic characteristics, war experiences and...
Article
The aim of this study was to examine the relationships between pathological narcissism (narcissistic grandiosity and narcissistic vulnerability), dysfunctional attitudes (perfectionism and dependency on other people), and depressive symptoms in psychiatric outpatients. A sample of 234 adult psychiatric outpatients (57.3% male; mean age 44.39 years)...
Article
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Depression has been associated with various cardiovascular risk factors such as hypertension, obesity, atherogenic dyslipidemia and hyperglycemia. In depressive disorder, hyperactivity of the hypothalamic-pituitary-adrenal (HPA) axis and changes in the immune system have been observed. On the other hand, somatic diseases such as obesity, hyperlipid...
Article
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Aim To investigate the association between depression, metabolic syndrome (MBS), somatic, particularly cardiovascular comorbidity, and low-grade chronic inflammation assessed using C-reactive protein (CRP). Methods This cross-sectional study included 76 patients with recurrent depressive disorder (RDD) and 72 non-depressed medical staff controls f...
Article
This article aims at testing of psychometric characteristics of the Beck Depression Inventory (BDI) and the Defense Style Questionnaire - 40 (DSQ-40) in a sample of Croatian professional fire-fighters, so as to justify their use in Occupational Health. A pioneer effort to interrelate mental states and psychological job demands, ranked using the WAI...
Article
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Contemporary psychiatry pays more and more attention to the patient's capacity regarding acceptance of psychiatric drugs. Understanding the basis of our treatment's effectiveness becomes more challenging. To understand psychiatric treatment psychiatrists must pay full attention to mentalizing and the conditions under which this basic human capacity...
Conference Paper
Full-text available
Nedavne konceptualizacije i empirijske studije provedene na studentskim uzorcima opisale su patološki narcizam kroz dva fenotipska oblika disfunkcija, narcističnu grandioznost i narcističnu vulnerabilnost. U sklopu ove studije pretpostavljeno je da će narcistična vulnerabilnost biti snažnije povezana s depresivnim simptomima, te da će disfunkcional...
Article
Lipids are essential components of the membranes of neurons and astrocytes and play an important role in the development and regulation of synaptic function and plasticity. Lipids regulate physical and electrical properties of neuronal cell membranes, including expression and function of membrane-associated proteins (transporters, receptors), which...
Article
Aims: Suicidal ideation and sleep-related problems are associated with many common psychopathological entities in early adolescence. This study examined possible association between suicidal ideation and sleep-related problems. Methods: A cross-sectional study was performed in classroom settings at 840 early adolescents 11-13 years of age. Of th...
Article
Creativity is a divine madness, a gift from the gods (Plato)…No great genius was without a mixture of insanity (Aristotle/Seneca)…The only difference between me and a madman is that I am not mad (Slvador Dali)…Imagination is more important than knowledge (Albert Einstein)…Creativity is a complex multidimensional concept still no defined and no clea...
Article
Differentiation of the psychiatric diagnosis in the clinical praxis sometimes could be difficult; particulary in cases of kindred/similar diagnoses like schizophrenia, schizoaffective disorder or personality disorder cluster A (or cluster I) - paranoid, schizoid and schizotipal. Relationship between schizophrenia and personality disorder cluster I...
Article
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To investigate the association between parental war involvement and different indicators of psychosocial distress in a community sample of early adolescents ten years after the war in Croatia 1991-1995. A total of 695 adolescents were screened with a self-report questionnaire assessing parental war involvement, sociodemographic characteristics, and...
Article
This paper provides a critical overview of the literature on the relationship between psychological/psychopathological factors and metabolic control in children and adolescents with insulin dependent diabetes mellitus (IDDM). We discuss studies on individual and family psychopathological factors, as well as reports on the effects of psychoeducation...
Article
Suicide is a major public health problem and the leading cause of premature death in patients with schizophrenia. Information about the patient's personality is helpful for assessing the risk of suicide attempts and suicidal ideation. The sample consisted of 120 outpatients with a diagnosis of schizophrenia, 29 of whom had previously attempted suic...
Article
The aim of the present study was to explore possible differences between serum C-reactive protein (CRP), interleukin-6 (IL-6), tumor necrosis factor alpha (TNF-α), and cortisol concentration in patients with major depressive disorder (MDD) with melancholic features, and MDD with atypical features. As secondary aim, we investigated possible associat...
Article
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Rationale Although antipsychotic drugs are prescribed for the treatment of schizophrenia and psychotic disorders, some of these drugs are also reported to possess antidepressant properties. Therefore, they are more frequently used either as a monotherapy or as an addition to antidepressant medication treatment in depression. Objectives The data on...
Article
The primary aim of this study was to assess the testosterone levels of soldiers with posttraumatic stress disorder (PTSD), without considering their comorbid conditions, compared with the ones in the control group with combat experience. The secondary aim was to determine whether there was a difference in testosterone levels when the same group of...
Article
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Rationale Atypical antipsychotics are frequently prescribed for psychotic and mood disorders in youth, and for symptoms of depression, aggression, irritability and suicidal tendencies, which are associated with subsequent development of borderline personality disorders (BPD). ----- Objectives This study evaluated the effects of 24-weeks of add-on t...
Article
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Suicidal ideations (SI) indicate and predict psychological distress. We examined the prevalence of SI among early adolescents and its association with parental war participation, personal, behavioral, and sociodemographic characteristics. We performed a cross-sectional questionnaire study on 803 12-year-old adolescents. Data were collected using a...
Article
We present our preliminary results of work that aims to observe the relationship between the cortisol level, the level of spiritual well-being, and suicidal tendencies in Croatian war veterans suffering from PTSD. The survey was conducted on 17 PTSD veterans who completed the Spiritual Well-Being Scale and the Beck Hopelessness Scale. The plasma co...
Article
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The aim of this paper is to show the current subjective assessment of the quality of life of persons whose fathers had died in war, and compare it with regard to some of their socio-demographic characteristics. The study included 494 participants who had come for a physical and psychiatric examination to one of the health institutions in Zagreb, Ri...
Article
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In this paper, we explored the super-ego ofpatients with coronary artery disease. Research results have confirmed the initial hypothesis that a significant number of patients with coronary artery disease has rigorous super-ego. Among patients with coronary artery disease (N=50), and control group (N=50), we have found significant differences in the...
Article
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Findings from numerous studies suggest an association between low cholesterol levels and suicidal behavior in patients with different psychiatric diagnoses. The aims of this case-control study were to test whether cholesterol levels in male suicidal patients (N=20) with borderline personality disorder (BPD) are lower than in male non-suicidal patie...
Article
Spontaneous abortion is the most common adverse pregnancy outcome, and stress has been suggested to be important factor. We hypothesized that those female pregnant women with previous spontaneous abortion will have higher anxiety and depression than female pregnant women without previous spontaneous abortion and controls (healthy non-pregnant women...
Article
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Exposure to war trauma with its consequences such as post traumatic stress disorder (PTSD) and disability due to combat injuries poses a significant problem for modern Croatian society. However, this is also a public health problem requiring continuous study of effective treatment strategies to achieve an increase in quality of life of most war-aff...
Article
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PTSD is a complex psychobiological disorder that causes disfunctionality in many areas. In treating PTSD different models have been applied, however, no general consensus on the method of treatment has yet been achieved. At the Clinic for Psychological Medicine we have developed the model of combined treatment for PTSD patients that involves outpat...
Article
Full-text available
This paper describes a patient who is suffering from PTSD with elements of hypochondria, panic attacks and episodes of depression in comorbidity with kidney stones. Kidney stones provoked egzacerbation of psychiatric symptoms. Kidney stones and frustration about them have taken part of provoking factor, the last drop, which led to regression of oth...
Article
The treatment of patients with BPDs is more hopeful than it was in the past. During the past period, psychiatrists have become overly dependent on pharmacological treatments, neglecting psychotherapies even when they are evidence-based. There is much stronger evidence for the effectiveness of psychotherapy in BPD than for any pharmacological interv...
Article
Full-text available
PTSD is a complex psychobiological disorder that couses disfunctionality in many areas. In treating PTSD different models have been applied, however, no general consensus on the method of treatment has yet been achieved. At the Clinic for Psychol.ogical Medicine we have developed the model of combined treatment for PTSD patients that involves outpa...
Article
Full-text available
Persons with schizophrenia and post-traumatic stress disorder (PTSD) tend to have higher psychiatric and somatic morbidity. They typically have higher rates of substances abuse (including smoking), more prevalent obesity, diabetes mellitus, and cardiovascular disease (CVD). This is especially well seen in case of the metabolic syndrome, with a numb...
Article
Psychopathological factors associated with metabolic control in juvenile insulin-dependent diabetes mellitus (IDDM) deserve further investigation. This study assessed the relationship among specific psychopathological dimensions, coping mechanisms, and metabolic control in a Croatian clinical sample of adolescents with IDDM. One-hundred and one ado...
Article
Full-text available
The heart and mind are intimately linked. Patients with severe mental disorders have increased mortality rates compared with the general population and the leading cause of premature death is cardiovascular disease (CVD). Despite their high prevalence and substantial medical impact, comorbidity between cardiac conditions and psychiatric illnesses f...