Peculiarities of personality adaption to psychological traumas in neurotic disorders.

Abstract

Background and aim: It is known that anticipatory processes play a leading role in the regulation of behavior. These processes act as a leading mechanism of the link in the mental regulation of behavior and activity. Violation of processes anticipates to a mismatch in the work of the adaption system, and, as a result, to maladaptive behavior. However, many issues related to the detection of anticipation disorders in various manifestations of diseases have been insufficiently studied. The features of individual prognosis depending on diseases are studied here.

Materials and methods: As part of the work, 29 people were examined, of which 25 (86.2%) were women and 4 (13.8%) were men with a diagnosis of "adaptive reaction disorder" from the ICD-10 section "Neurotic and stress-related disorders" (F43.2) at the age of 20-65 years. Clinical-psychopathological and experimental-psychological research methods were applied (V.D. Mendelevich's test of anticipation, L.A. Regush's "Ability to predict" test, Lazarus' coping test, clinical questionnaire for the identification and evaluation of neurotic states). Statistical analysis was carried out using the program "IBM SPSS Statistics 25." The Shapiro-Wilk criterion, Pearson's chi-squared test, Fisher's exact criterion, Student's t-criterion, Mann-Whitney U criterion, Kruskal-Wallis H criterion, Pearson correlation, Spearman's correlation, and diagrams (columnar and span) were used.

Results: The presence of solvency in general anticipation reduced the severity of coping strategies «distancing» (P = 0.048, r = -0.371) and «escape - avoiding» (P = 0.048, r = -0.370), also personal-situational anticipatory consistency reduced severity of «escape - avoiding» (P = 0.017, r = -0.438).

Conclusion: The anticipatory abilities and coping strategies in disorder of adaptive reactions were correlated. Patients with developed anticipation abilities are less likely to use no constructive coping strategies.