PSYCHIATRY AND PSYCHOTHERAPY
A sample of 406 patients with confirmed and suspected coronavirus infection was considered in the study of features of mental disorders in patients admitted to a hospital specialized in the aftercare of patients with coronavirus infection. Of this number of patients, 16,9 % (69 people) had signs of a mental disorder.The structure of mental disorders was dominated by asthenia (92,7 %), affective disorders (52,1 %) and dementia (53,6 %). At the same time, asthenia was typical for all age groups of patients, anxiety disorders were more common in young and middle-aged patients, and dementia in elderly and senile patients. The most common mental disorders were recorded in the elderly and senile.In some patients, increased asthenic manifestations preceded a drop in blood oxygen saturation and deterioration of the condition. In some cases, anxiety and panic were preceded by a drop in blood oxygen saturation.In most patients with dementia, coronavirus infection contributed to the deterioration of the mental state of the patients. The percentage of disorders of consciousness was quite high (8,7 % of all consulted patients). Psychogenic factors play a significant role in the condition of patients, contributing to the formation of anxiety, panic response and psychological maladaptation. Among the hospitalized patients, there are patients who require psychiatric, psychotherapy and remote psychological support. It is also necessary to solve the problems of ensuring the safety of staff and patients in cases of developing conditions that are dangerous.
MEDICAL PSYCHOLOGY
Measures have been developed to reduce the severity of autoaggressiveness patterns in adolescents, based on the phased use of the cognitive therapy method in the form of development of cognitive skills in order to overcome autoaggressive patterns, as an integral part of a comprehensive model of psychocorrectional therapy of auto-aggressive behavior in adolescence. As a result of the use of a comprehensive rehabilitation model using psychocorrectional measures aimed at preventing auto-aggressive behavior, a positive dynamics of clinical and psychopathological characteristics in adolescents was revealed.
The article provides an overview of primary, secondary and tertiary programs for the prevention of suicidal and self-harming behavior of adolescents used in secondary schools. Examples of domestic and foreign programs that use different theoretical and practical approaches-cognitive behavioral, existential, and Logotherapy-are given. The article considers the specifics of using prevention programs for primary, secondary and high schools. The content of the «bottom-up» approach to prevention is revealed. The article describes programs aimed at working with the staff of secondary schools, with students of different age groups, and with the parents of students. There are programs for secondary prevention of suicidal behavior that take into account comorbid disorders of adolescence that develop against the background of autoaggressive manifestations.
The purpose of this work is to study the role of adherence to treatment in achieving maximum efficiency of using the software and hardware complex of acoustic vibrations (PRAK) in the rehabilitation of patients with with movement disorders. On a representative sample of patients with movement disorders of various etiologies (n = 56), the dynamics of the emotional state in the process of psychocorrection measures was analyzed. The expediency of including PRAK in the psychological rehabilitation plan to reduce the level of somatization, fear of movement, and improve overall well-being is justified, while the optimal level of emotional compliance is designated as a predictor of achieving maximum effectiveness. As the main point of application of preventive efforts of a medical psychologist, work on excessive anxiety of patients is indicated.
The article presents the results of a research aimed at studying the dimensions of alexithymia and aggression as risk factors for the development of distress, depressive and anxiety symptoms. The study included 90 women aged 19-34 years. It was found that about 65 % of the participants are at risk of developing severe mental disorders. A key psychopathological alexithymic dimension associated with these disorders is difficulties with identifying emotional states. Persons with a high level of depressive symptoms are characterized by a higher level of this alexithymic trait. Hostility is more common in individuals with a high level of depressive symptoms than in people with a low level of depressive symptoms. Hostility is a risk factor for distress and anxiety. Difficulties with identifying emotional states is a risk factor for depression and distress. Hostility is a better predictor of distress in young women than difficulties with identifying emotional states. Difficulties with identifying emotional states have a partial indirect effect on the relationship between hostility and distress. Difficulties with identifying emotional states and hostility are significant risk factors for psycho-emotional disorders in young women.
Based on a comparative analysis, the features of stress tolerance, personal and situational anxiety in psychosomatic patients (with hypertension 2 and 3 stages) are revealed in conjunction with strategies for protective-coping behavior. Based on the results of the analysis, it is concluded that it is advisable to concentrate the efforts of medical psychologists during psycho-correctional work to reduce the frequency of use by the category of patients with passive and active maladaptive strategies of protective-coping behavior in conflict situations.
In work data on influence of pathogenic factors are provided in formation of objective differences in functioning of the blood circulatory system at patients with kardialny pathology in comparison with healthy faces that can be used in diagnostics, at identification of risk groups and also in search of the possible methods of treatment directed to normalization of regulation of functioning of a cardiovascular system.
The substantiation of the five psychological components of the protective-coping behavior of extreme (fire-rescue) specialists and the results of their one-dimensional and multidimensional assessment in relation to the success of professional activity, its experience and age, as well as the severity of psychosomatic diseases (hypertension, vegetative-vascular dystonia, chronic gastritis, etc.).
The results of the development of a regression model of the psychological forecast of the conflict behavior of patients with hypertension are presented. A program for the correction of conflict behavior of patients with hypertension is described, aimed at increasing stress resistance, reducing anxiety and teaching the skills of constructive and adaptive behavior in various life situations, including conflict, and reducing psychological discomfort.
One of possible key points of application of efforts of the teacher is diagnostics, and, if necessary, and modification of individual hierarchy of needs of the pupil. The system of requirements and values which is formed including in the course of study in higher education institution is one of the main vital reference points of the expert, in many respects defining strategy and tactics of his further vital and professional behavior in society.
The Postulatsionny hierarchy is rather adequately described by a pyramid of needs of A. Maslou. As basic, or biological, mark out physiological requirements and the need for safety. Social requirements are intermediate (in accessory and love, respect and honoring). Spiritual needs are the highest level of hierarchy (informative, esthetic, the needs for self-updating). We carried out the assessment of compliance of hierarchy of needs of students/cadets of a final year of a medical higher educational institution to classical representations and quality of working off of competences of the graduate.
ISSN 2782-652X (Online)