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Bulletin of psychotherapy

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No 80 (2021)
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PSYCHIATRY AND NARCOLOGY

7-24 50
Abstract

The intention is to present medical and statistical indicators and dynamics of mental morbidity among officers of the Armed Forces of the Republic of Belarus in 2003–2020. We studied reports on the health status of the personnel and the activities of the medical service according to 3 / MED Form of military units, in which about 80 % of the total number of officers of the Armed Forces of the Republic of Belarus served in 2003–2020. We correlated the officers' mental morbidity with groups (blocks) of mental disorders and behavioral disorders presented in Chapter 5 of the International Classification of Diseases and Behavioral Disorders, the 10th revision (ICD-10). We calculated the generally accepted medical and statistical indicators of the mental morbidity per 10 thousand officers. The results were checked for the normal distribution. Arithmetic means and errors of the mean values (M - m) are presented. Indicators was studied over time using the analysis of time series and the calculation of the second order polynomial trends. Average annual level of general morbidity of officers with mental disorders in 2003–2020 amounted to (58.95 - 5.44) per 10 thousand officers, the share of mental disorders in the structure of the overall morbidity for all ICD-10 chapters was 0.43 %; primary morbidity (24.66 - 2.36) and 0.35 %, respectively; hospital admissions (13.89 - 1.50) and 0.1%, respectively; work days lost (315.9 - 47.1) and 0.7 %, respectively; dismissal (2.33 - 0.38) and 4.7 %, respectively. Polynomial trends in the levels of the above generalized types of morbidity showed a decrease with high coefficients of determination. Shares of mental disorders also decrease in morbidity structures for all ICD-10 chapters. As expected, in the structure of the military-epidemiological significance of diseases for officers, neurotic, stress-related and somatoform disorders (61.1 %; ICD-10 Chapter 5) ranked 1st; unspecified mental disorders (8.4 %; Chapter 11) ranked 2nd; personality and behavioral disorders in adulthood (6.6 %; Chapter 7) ranked 3rd; schizophrenia, schizotypal and delusional disorders (5.6 %; Chapter 3) ranked 4th; mood (affective) disorders (4.5 %; Chapter 4) ranked 5th. In total, these groups accounted for 91.2 % of the morbidity structure. Focusing on the prevention, early detection and treatment of mental disorders will improve officers' mental health and occupational performance.

25-38 164
Abstract

Diagnostics of maladaptive personality traits is important for the selection of military personnel and the determination of moral and psychological stability in the conditions of military service. The article presents studies on the relationship between anxiety-depressive symptoms and cognitive patterns in servicemen undergoing treatment with adaptive factors disorder. In the course of the study, a correlation was established between the level of depression and anxiety with the schemes of "Mistrust", "Vulnerability", "Suppression of emotions", "Social alienation" and "Emotional deprivation". This indicates interpersonal anxiety, sensitivity, lack of social and communication skills leading to the development of anxiety-depressive symptoms, maladjustment of a serviceman. The results of the study by the authors provide recommendations for the effective use of psychotherapeutic factors in the organization of care for this category of patients.

MEDICAL PSYCHOLOGY. CLINICAL PSYCHOLOGY

39-46 46
Abstract

The article describes the results of a study of self-assessment of students’ mental and functional state during the period of self-isolation and distance learning. The role of social characteristics influencing the quality of adaptation to changed living conditions has been analyzed. 199 students from different universities of the Russian Federation were interviewed, they were divided into groups depending on social factors. To study the mental and functional state there was used a standardized methodology and a questionnaire designed to identify various social factors. For statistical processing of the data the Student’s t-test was used.

The results of the study revealed that the conditions of self-isolation as unusual living conditions for most people are a significant factor that disrupts mental adaptation. These disorders are manifested by changes in the mental and functional state recorded in self-assessments. Among the psychogenic factors of the conditions of self-isolation which have a significant impact on the quality of adaptation one should point out such as gender, age, level of material well-being (external factors) as well as the nature of the microsocial environment.

47-53 63
Abstract

The article examines the results of a study of temporary disability of employees of internal affairs bodies and its dependence on the levels of their stress resistance and psychological stress. Criteria are defined and groups of employees with high, medium and low levels of stress resistance are identified. The temporary disability of employees with different levels of stress tolerance is analyzed, taking into account official and unofficial sick leave. The level of psychological stress among employees with different levels of stress tolerance is analyzed.

54-68 71
Abstract

In order to study the relationship between personal characteristics and professional stress among representatives of the acting profession, 29 male and female actors aged from 22 to 40 years old, who received a higher acting education, were examined. The comparison group consisted of 27 representatives of other specialties aged 21 to 46 years. The assessment of the personal characteristics of representatives of the acting profession and other specialties was carried out using specialized methods aimed at assessing the level of professional stress, reactions to social frustration, life-meaning orientations, coping strategies and psychological defenses.

It was found that for representatives of the acting profession with a high level of professional stress, low involvement in activities and dissatisfaction with selfrealization, the presence of aggressive tendencies, the predominance of non-adaptive psychological defenses and copping strategies, as well as the severity of paranoid, impulsive, borderline and alarming pathocharacterological traits come to the fore. In general, representatives of the acting profession, in comparison with representatives of other professions, are distinguished by the severity of pathocharacterological features, the predominance of coping associated with increased confrontation and avoidance of problem situations, as well as a tendency towards introspection and reflection. The age specificity of overcoming problem situations and the presence of aggressive tendencies was revealed. The younger representatives of the acting profession were distinguished by low aggressiveness, the predominance of adaptive psychological defenses, greater responsibility, a tendency towards introspection and reflection, while in problem situations they demonstrated confrontational behavior and evasion from problem solving. The gender specificity of the formation of professional stress and preferences for coping strategies is also highlighted. It was found that women more often needed social support in a stressful situation and avoided solving problems, and their level of physical aggression was significantly lower. It was found that representatives of the acting profession - women are more at risk of forming professional stress than men.

69-81 127
Abstract

The article presents the results of studying premorbid personality traits and their dynamics during the formation of Adjustment disorders in servicemen serving on conscription in the Armed Forces of the Russian Federation. The data obtained indicate that pathopsychological markers of the formation of Adjustment disorders in a conscript serviceman are accentuation of personality-typological traits, decompensation of adaptive capabilities, and a tendency to deviant behavior, including antivital reactions. These premorbid personality and behavior features are manifested already at the initial stage of military service, as separate maladaptive manifestations, gradually forming the pathopsychological symptom complex of Adjustment disorders.

82-96 79
Abstract

The article is devoted to the new drama-oriented program of psychological correction of patients with schizophrenia who are on compulsory treatment developed by the authors. The structure of the program is presented, the results of the study of its effectiveness are presented. The results of the study showed that the program proposed by the author forms the motivation of patients for prolonged drug and psychotherapeutic treatment, reduces emotional tension, aggressiveness, helps to adapt to society, realize the vital needs of patients and their families.

97-105 80
Abstract

Recently, there have been studies devoted to problems related to the adaptation of students with autonomic dysfunction syndrome to university conditions. Studies have revealed difficulties in adapting undergraduate students to new university conditions for them. Undoubtedly, it is influenced by the presence of a number of diseases in students. The purpose of our work is to study the peculiarities of university education of students with autonomic dysfunction syndrome and to develop recommendations for the correction of psychovegetative disorders. A study of psychophysiological studies affecting the stress reactions of students was conducted. Data were obtained that early diagnosis of autonomic dysfunction syndrome and timely identification of persons with a predisposition to the development of psychovegetative disorders, their timely correction affects the success of prevention and treatment of psychovegetative disorders and improvement of academic performance of students with autonomic dysfunction syndrome.

106-127 71
Abstract

The article presents the results of studying the characteristics of coping behavior and professional burnout in young people who have undergone COVID-19 infection. We examined 183 convalescents who had had COVID-19 infection 6-8 months ago. The main clinical forms of COVID-19 in this study were inapparent form (79 people – 43.17 %), acute respiratory viral infection (67 people – 36.61 %), pneumonia without respiratory failure (37 people – 20.22 %). Diagnostics of all clinical cases of COVID-19, examination, treatment and discharge of patients from the hospital were carried out in accordance with regulatory documents. The study showed a high constructiveness of coping strategies for various clinical forms of COVID-19 infections in men and women. It was found that the main coping models in both groups are entering into social contact, seeking social support, cautious actions, assertive actions presented in a different hierarchical sequence for different clinical forms of COVID-19 infection. In the course of studying the indicators of professional burnout in men and women who have undergone COVID-19 infection, attention was drawn to the high level of depersonalization in all clinical forms of the disease. This can affect the preservation of the health of the convalescent and such people, according to indications, need careful medical and psychological support.

128-144 52
Abstract

This article considers a conceptual approach to the development of the problem of rehabilitation commitment of the individual, including the justification of its relevance, methodological foundations for the construction of the concept, with the introduction of principles, structural and functional model. This model systematically generalizes the multicomponent structure, functions, properties and mechanisms of formation of rehabilitation commitment of the individual. The model has a predictive and diagnostic property that is of practical importance for the purposes of medical and social expertise and the effective implementation of the rehabilitation process of patients and the disabled during which it is necessary to take into account the specifics of personal mechanisms affecting the formation of the patient's rehabilitation commitment, timely identify personal risks of maladaptation for their subsequent correction.



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ISSN 0132-182X (Print)
ISSN 2782-652X (Online)