Pub Date : 2021-04-21DOI: 10.26565/2312-5675-2021-16-06
O. Maruta
The aim of this study was to research emotional intelligence and its relationship with the level of "happiness" in patients with various forms of mental disorders. The study involved 210 patients with mental disorders (70 with organic mental disorders, 70 with endogenous disorders and 70 with neurotic disorders) and 105 healthy people. Patients with mental disorders were characterized by a lower level of emotional intelligence (EQ), which is equal to medium-low normative gradations, which defined patients as less able to adequately understand, guide and express their own emotions and experiences, as well as understand and adequately respond to the emotions of others, compared with individuals. without mental pathology. Patients with endogenous disorders were characterized by a low level of EQ. According to the data obtained, the least satisfied with life, and, accordingly, having a low level of happiness, were patients with neurotic disorders, in which the degree of satisfaction with life (the difference between needs and their realizability) had low values (0.90 ± 0.39), which defined them as less lucky. The level of happiness and, accordingly, the least low indicators of the degree of satisfaction with life among the forms of mental disorders were determined by organic disorders (1.22 ± 0.46), the indicators of which were as close as possible to the results of healthy individuals. The level of dissatisfaction with life in people with endogenous disorders was higher (1.57 ± 0.39) than in healthy people, at p ≤ 0.05, which determined them as less successful. The level of happiness of patients was directly correlate to the severity of emotional intelligence (the higher the level of EQ, the higher the level of happiness is), motivational focus on development and social activity, as well as sthenism in emotional experiences. These emotional and motivational features cause an increase in the level of subjective perception of happiness.
{"title":"Emotional intelligence and its relationship with subjective perception of happiness in patients with mental disorders","authors":"O. Maruta","doi":"10.26565/2312-5675-2021-16-06","DOIUrl":"https://doi.org/10.26565/2312-5675-2021-16-06","url":null,"abstract":"The aim of this study was to research emotional intelligence and its relationship with the level of \"happiness\" in patients with various forms of mental disorders.\u0000\u0000The study involved 210 patients with mental disorders (70 with organic mental disorders, 70 with endogenous disorders and 70 with neurotic disorders) and 105 healthy people.\u0000\u0000Patients with mental disorders were characterized by a lower level of emotional intelligence (EQ), which is equal to medium-low normative gradations, which defined patients as less able to adequately understand, guide and express their own emotions and experiences, as well as understand and adequately respond to the emotions of others, compared with individuals. without mental pathology. Patients with endogenous disorders were characterized by a low level of EQ.\u0000\u0000According to the data obtained, the least satisfied with life, and, accordingly, having a low level of happiness, were patients with neurotic disorders, in which the degree of satisfaction with life (the difference between needs and their realizability) had low values (0.90 ± 0.39), which defined them as less lucky.\u0000\u0000The level of happiness and, accordingly, the least low indicators of the degree of satisfaction with life among the forms of mental disorders were determined by organic disorders (1.22 ± 0.46), the indicators of which were as close as possible to the results of healthy individuals. The level of dissatisfaction with life in people with endogenous disorders was higher (1.57 ± 0.39) than in healthy people, at p ≤ 0.05, which determined them as less successful.\u0000\u0000The level of happiness of patients was directly correlate to the severity of emotional intelligence (the higher the level of EQ, the higher the level of happiness is), motivational focus on development and social activity, as well as sthenism in emotional experiences. These emotional and motivational features cause an increase in the level of subjective perception of happiness.","PeriodicalId":33688,"journal":{"name":"Psikhiatriia nevrologiia ta medichna psikhologiia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47198606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.26565/2312-5675-2021-16-02
Relevance. In today's world, the first cause of death is pathology of the cardiovascular system. Vascular disease is influenced by many factors: lack of sleep, physical inertia, poorly balanced diet, obesity, heart disease. The fast pace of life forces a person to be in permanent stress, so as not to miss anything and have time for all the goals. This is why there is a demand for excipients and substances that could improve the peak of human cognitive abilities, maintain psychological stability. Today, the pharmaceutical market offers drugs that, according to pharmaceutical marketers, have solutions to the problems outlined above. These substances are classified to group of nootropic drugs (racetams). Objective. Review of high quality research on the effectiveness of nootropic drugs. Materials and methods. The literature review was performed using such scientometric databases as: PubMed, Cochrane Library, Scopus, BMJ Evidence-Based Medicine, Ingecta, Web of Science, UpToDate. The review included studies of randomized trials, placebo-controlled randomized trials, meta-analyzes, and systematic reviews. Data meet criteria A and B of evidence-based medicine. In the absence of high quality studies, studies with a lower level of evidence were selected. The search was made by topics: improving of cognitive functions, improving ability to work, improving sleep, improving mood, treatment of mental and psychiatric pathologies (Alzheimer's disease, dementia with various etiologies, depression), application in pediatrics. Results. The literature review included more than 40 high quality studies, but no conclusive evidence was found on the effectiveness of any drug. Conclusions. Data on the undeniable efficacy in relation to the cognitive functions of any of these nootropic drugs were not found in any study. In the treatment of Alzheimer's disease, some (Cerebrolysin, Nicergoline) drugs show controversial results of efficacy and safety. They require continued clinical research and they need to be approved by the FDA.
的相关性。在当今世界，死亡的首要原因是心血管系统的病理。影响血管疾病的因素很多:睡眠不足、身体惰性、饮食不均衡、肥胖、心脏病。快节奏的生活迫使一个人永远处于压力之中，这样才不会错过任何事情，才有时间实现所有的目标。这就是为什么对能提高人类认知能力巅峰、保持心理稳定的辅料和物质有需求的原因。今天，药品市场提供的药品，根据药品营销人员，有解决上述问题的办法。这些物质被归为益智药(拉西坦)一类。益智药物有效性的高质量研究综述。材料和方法。文献综述使用如下科学计量数据库:PubMed、Cochrane Library、Scopus、BMJ循证医学、Ingecta、Web of Science、UpToDate。该综述包括随机试验、安慰剂对照随机试验、元分析和系统综述的研究。数据符合循证医学标准A和B。在缺乏高质量研究的情况下，选择了证据水平较低的研究。搜索的主题是:改善认知功能，提高工作能力，改善睡眠，改善情绪，治疗精神和精神疾病(阿尔茨海默病，各种病因的痴呆，抑郁症)，在儿科的应用。结果。文献综述包括40多个高质量的研究，但没有发现任何药物有效性的确凿证据。在任何研究中都没有发现任何这些益智药物与认知功能有关的不可否认的功效的数据。在阿尔茨海默病的治疗中，一些药物(脑溶血素、尼麦角林)的疗效和安全性存在争议。它们需要持续的临床研究，并且需要得到FDA的批准。
{"title":"Nootropic drugs for correction of cognitive functions through the focus of evidence-based medicine (literature review)","authors":"","doi":"10.26565/2312-5675-2021-16-02","DOIUrl":"https://doi.org/10.26565/2312-5675-2021-16-02","url":null,"abstract":"Relevance. In today's world, the first cause of death is pathology of the cardiovascular system. Vascular disease is influenced by many factors: lack of sleep, physical inertia, poorly balanced diet, obesity, heart disease. The fast pace of life forces a person to be in permanent stress, so as not to miss anything and have time for all the goals. This is why there is a demand for excipients and substances that could improve the peak of human cognitive abilities, maintain psychological stability. Today, the pharmaceutical market offers drugs that, according to pharmaceutical marketers, have solutions to the problems outlined above. These substances are classified to group of nootropic drugs (racetams). Objective. Review of high quality research on the effectiveness of nootropic drugs. Materials and methods. The literature review was performed using such scientometric databases as: PubMed, Cochrane Library, Scopus, BMJ Evidence-Based Medicine, Ingecta, Web of Science, UpToDate. The review included studies of randomized trials, placebo-controlled randomized trials, meta-analyzes, and systematic reviews. Data meet criteria A and B of evidence-based medicine. In the absence of high quality studies, studies with a lower level of evidence were selected. The search was made by topics: improving of cognitive functions, improving ability to work, improving sleep, improving mood, treatment of mental and psychiatric pathologies (Alzheimer's disease, dementia with various etiologies, depression), application in pediatrics. Results. The literature review included more than 40 high quality studies, but no conclusive evidence was found on the effectiveness of any drug. Conclusions. Data on the undeniable efficacy in relation to the cognitive functions of any of these nootropic drugs were not found in any study. In the treatment of Alzheimer's disease, some (Cerebrolysin, Nicergoline) drugs show controversial results of efficacy and safety. They require continued clinical research and they need to be approved by the FDA.","PeriodicalId":33688,"journal":{"name":"Psikhiatriia nevrologiia ta medichna psikhologiia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69006982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.26565/2312-5675-2021-16-09
В. Хрол, Майдан Свободи
The article in the historical aspect considers the problems of formation of medical psychology. The work contains the results of the analysis of the history of the formation of medical psychology in Ukraine, the development of its most promising directions in solving specific problems of medical practice. On the way to the formation of Ukrainian psychology as a science, there were different schools, directions and concepts. They were different in nature, often contradicting each other. Thus, in Soviet psychological science, based on the communist idea, the task was to develop a single, monistic approach to the study and explanation of mental phenomena. It is emphasized that when the connection with practice is lost, the subject of psychology is eroded, the scientific status of this knowledge is lost. On the way to overcoming the crisis of modern medical psychology, it is necessary to theoretically comprehend the practical experience for the development of technologies for solving urgent practical problems of psychological care. Comprehension and generalization of the invaluable experience of the first practical psychologists of our country can serve modern researchers and practitioners, as psychological practice now faces the same problems that arose at the beginning of the last century before the then scientists and practitioners. Traditional in the history of psychology is the general idea that the allocation of medical psychology as an applied field was due to the closure of experimental research to address current issues and practical problems in psychiatry and neurology in the late XX - early XXI century. The methodological basis for the study of the psyche was to be a dialectical-materialist orientation. However, despite ideological pressure, a single approach to the study of the psyche could not be developed. In specific studies of the Soviet period, sometimes directly, and in most cases, the positions of psychologists of various fields and schools were used in disguise, which was evidence of the creative use of the achievements of world psychological science.
{"title":"History of formation of medical psychology of Ukraine","authors":"В. Хрол, Майдан Свободи","doi":"10.26565/2312-5675-2021-16-09","DOIUrl":"https://doi.org/10.26565/2312-5675-2021-16-09","url":null,"abstract":"The article in the historical aspect considers the problems of formation of medical psychology. The work contains the results of the analysis of the history of the formation of medical psychology in Ukraine, the development of its most promising directions in solving specific problems of medical practice. On the way to the formation of Ukrainian psychology as a science, there were different schools, directions and concepts. They were different in nature, often contradicting each other. Thus, in Soviet psychological science, based on the communist idea, the task was to develop a single, monistic approach to the study and explanation of mental phenomena. It is emphasized that when the connection with practice is lost, the subject of psychology is eroded, the scientific status of this knowledge is lost. On the way to overcoming the crisis of modern medical psychology, it is necessary to theoretically comprehend the practical experience for the development of technologies for solving urgent practical problems of psychological care. Comprehension and generalization of the invaluable experience of the first practical psychologists of our country can serve modern researchers and practitioners, as psychological practice now faces the same problems that arose at the beginning of the last century before the then scientists and practitioners. Traditional in the history of psychology is the general idea that the allocation of medical psychology as an applied field was due to the closure of experimental research to address current issues and practical problems in psychiatry and neurology in the late XX - early XXI century. The methodological basis for the study of the psyche was to be a dialectical-materialist orientation. However, despite ideological pressure, a single approach to the study of the psyche could not be developed. In specific studies of the Soviet period, sometimes directly, and in most cases, the positions of psychologists of various fields and schools were used in disguise, which was evidence of the creative use of the achievements of world psychological science.","PeriodicalId":33688,"journal":{"name":"Psikhiatriia nevrologiia ta medichna psikhologiia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69007148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.26565/2312-5675-2021-16-05
Much attention is paid worldwide to the development of interventions that affect veterans' resilience to reduce post-concussion and post-traumatic symptoms. However, today there are a few of them and they have insufficient evidence base for effectiveness in improving the mental state of veterans. This article presents a protocol and results of empirical evaluation of methodology of research aimed at improving the effectiveness of rehabilitation of war veterans with traumatic brain injury in remote period, based on the study of resilience cognitive and emotional components and its recovery by improving the complex of psychocorrection and prognosis. We plan to conduct the study on 2019-2023 with participation a total of 140 demobilized combatants in the ATO/OUF zone. For psychological assessment we plan to use the scale of neurobehavioral symptoms, the posttraumatic stress disorder checklist 5, hospital anxiety and depression scale, Montreal cognitive assessment scale, Chaban quality of life scale, Connor-Davidson resilience scale. To study the variability of dependent variables under the influence of psychocorrection, we plan to use analysis of variance. To study the prognostic value of changes in the cognitive and emotional components of resilience during the process of rehabilitation we plan to use a regression analysis. Based on the results of an empirical assessment, the selected methods make it possible to obtain a detailed characteristic of the resilience of war veterans with traumatic brain injury in remote period, to evaluate the effectiveness of the psychocorrection program and the prognostic value of changes in the cognitive and emotional components of resilience. Taking into account the methodology empirical assessment results, it can be expected that the main group and the comparison group socio-demographic and clinical indicators will be equivalent to each other, which will make it possible to assert their homogeneity and use for comparison. Methods of statistical processing of the data obtained correspond to the nature of the statistical data, make it possible to systematize the data, establish the degree of reliability and confirm the results obtained.
{"title":"Resilience-oriented intervention for war veterans with traumatic brain injury in remote period: study protocol and empirical evaluation of methodology","authors":"","doi":"10.26565/2312-5675-2021-16-05","DOIUrl":"https://doi.org/10.26565/2312-5675-2021-16-05","url":null,"abstract":"Much attention is paid worldwide to the development of interventions that affect veterans' resilience to reduce post-concussion and post-traumatic symptoms. However, today there are a few of them and they have insufficient evidence base for effectiveness in improving the mental state of veterans. This article presents a protocol and results of empirical evaluation of methodology of research aimed at improving the effectiveness of rehabilitation of war veterans with traumatic brain injury in remote period, based on the study of resilience cognitive and emotional components and its recovery by improving the complex of psychocorrection and prognosis. We plan to conduct the study on 2019-2023 with participation a total of 140 demobilized combatants in the ATO/OUF zone. For psychological assessment we plan to use the scale of neurobehavioral symptoms, the posttraumatic stress disorder checklist 5, hospital anxiety and depression scale, Montreal cognitive assessment scale, Chaban quality of life scale, Connor-Davidson resilience scale. To study the variability of dependent variables under the influence of psychocorrection, we plan to use analysis of variance. To study the prognostic value of changes in the cognitive and emotional components of resilience during the process of rehabilitation we plan to use a regression analysis. Based on the results of an empirical assessment, the selected methods make it possible to obtain a detailed characteristic of the resilience of war veterans with traumatic brain injury in remote period, to evaluate the effectiveness of the psychocorrection program and the prognostic value of changes in the cognitive and emotional components of resilience. Taking into account the methodology empirical assessment results, it can be expected that the main group and the comparison group socio-demographic and clinical indicators will be equivalent to each other, which will make it possible to assert their homogeneity and use for comparison. Methods of statistical processing of the data obtained correspond to the nature of the statistical data, make it possible to systematize the data, establish the degree of reliability and confirm the results obtained.","PeriodicalId":33688,"journal":{"name":"Psikhiatriia nevrologiia ta medichna psikhologiia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69007037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.26565/2312-5675-2021-16-08
The article is devoted to the currently topical problem of modern medical psychology, namely the study of conscious and unconscious perceptual-information processes in patients with affective disorders. The aim of the work was to determine the thresholds and semantic components of visual perception in patients with various forms of affective disorders. The latest method of ultrafast (tachistoscopic) demonstration of visual verbal stimuli was used to examine 23 patients with depression and anxiety-depressive disorders. The obtained results are compared with similar indicants of the control group, which consisted of 15 mentally healthy individuals, and analyzed using Student's criterion, one-way and multifactor models of analysis of variance. It has been shown that in the presence of an affective disorder, the threshold exposure time required for reliable identification of visual verbal stimuli is on average more than three times higher, i.e. is much worse than a similar perceptual threshold in individuals without mental disorders. Thus, in affective disorders there is inhibition and suppression of not only emotional and psychomotor, but visual-perceptual processes as well. It is proved that the time thresholds of visual perception significantly depend not only on the presence of emotional disorders, but also on their psychopathological structure, as well as on the age factor. In depressed patients, visual-perceptual disorders are much more pronounced than in patients with anxiety-depressive disorders, namely: in depression, the minimal absolute sensory thresholds are significantly higher, more attempts are made to adapt the visual analyzer, and this deficit is significantly increased depending on age. In patients with depressive and anxiety-depressive disorders also revealed significant features of psychosemantic components of the mechanisms of recognition of verbal stimuli, which consists in a kind of unconscious filtering of the latter with a predominant perception of words with negative emotional loading. The obtained results might be meaningful in the process of developing the new diagnostic methods for affective disorders and in creating the personalized psycho-correctional programs based on the methodological principles of subsensory stimulation.
{"title":"The threshold and semantic characteristics of fast transient visual-perceptive processes in patients with affective disorders","authors":"","doi":"10.26565/2312-5675-2021-16-08","DOIUrl":"https://doi.org/10.26565/2312-5675-2021-16-08","url":null,"abstract":"The article is devoted to the currently topical problem of modern medical psychology, namely the study of conscious and unconscious perceptual-information processes in patients with affective disorders. The aim of the work was to determine the thresholds and semantic components of visual perception in patients with various forms of affective disorders. The latest method of ultrafast (tachistoscopic) demonstration of visual verbal stimuli was used to examine 23 patients with depression and anxiety-depressive disorders. The obtained results are compared with similar indicants of the control group, which consisted of 15 mentally healthy individuals, and analyzed using Student's criterion, one-way and multifactor models of analysis of variance. It has been shown that in the presence of an affective disorder, the threshold exposure time required for reliable identification of visual verbal stimuli is on average more than three times higher, i.e. is much worse than a similar perceptual threshold in individuals without mental disorders. Thus, in affective disorders there is inhibition and suppression of not only emotional and psychomotor, but visual-perceptual processes as well. It is proved that the time thresholds of visual perception significantly depend not only on the presence of emotional disorders, but also on their psychopathological structure, as well as on the age factor. In depressed patients, visual-perceptual disorders are much more pronounced than in patients with anxiety-depressive disorders, namely: in depression, the minimal absolute sensory thresholds are significantly higher, more attempts are made to adapt the visual analyzer, and this deficit is significantly increased depending on age. In patients with depressive and anxiety-depressive disorders also revealed significant features of psychosemantic components of the mechanisms of recognition of verbal stimuli, which consists in a kind of unconscious filtering of the latter with a predominant perception of words with negative emotional loading. The obtained results might be meaningful in the process of developing the new diagnostic methods for affective disorders and in creating the personalized psycho-correctional programs based on the methodological principles of subsensory stimulation.","PeriodicalId":33688,"journal":{"name":"Psikhiatriia nevrologiia ta medichna psikhologiia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69007135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.26565/2312-5675-2021-17-01
In this article, we have presented the results of our own research concerning the state of psychoemotional disorders in the military personnel of the ATO/JFO. It is known that the state of mental health is infl uenced by various external factors, both socio-economic and physical, traumatic, environmental, etc. The professional activity of the ATO/JFO military personnel is carried out in extreme conditions associated with psychophysical overload, an increased level of responsibility, etc. Therefore, the psychoemotional state of this contingent requires signifi cant attention and correction. The aim of this study was to study the psychoemotional state of the ATO/JFO military personnel. The study involved 66 ATO/JFO combatants (31 men and 35 women) with signs of adjustment disorders who were in Clinic of Neurology, Psychiatry and Narcology of Military Medical Clinical Centre of the Northern region (Kharkov, Ukraine). The control group consisted of 29 people (14 men and 15 women) who did not take part in hostilities and also had signs of adjustment disorders. Using the clinicalanamnestic method in the main group, we identifi ed 32 people with prolonged depressive reaction caused by adaptation disorder (F43.21 according to ICD-10) and 34 people with mixed anxiety and depressive reactions (F43.22). In the control group, 15 people had F43.21 and 14 examined had F43.22. The use of the psychodiagnostic methodology «Tsung Scale for Self-Assessment of Depression» (adapted by T.I. Balashova, 2003) made it possible to reveal a subdepressive state in 12,1±1,9% of the surveyed combatants (men 4,5±1,2%, women 7,6±1,5%). Severe depression was diagnosed in 87,9±1,9% military personnel (men 42,4±2,8%, women 45,5±2,9%). In the control group, a state without depression was revealed in 79,3±5,2% of individuals (37,9±6,3% men, 41,4±6,4% women), and mild depression was also identifi ed (10,3±4,1% men, 10,3±4,1% women, there were 20,6±5,2% people in total). It was concluded that it is necessary to take into account the data obtained when developing an algorithm for psychocorrectional measures in this contingent of patients.
{"title":"Disorders of the psychoemotional sphere of the ATO/JFO military services","authors":"","doi":"10.26565/2312-5675-2021-17-01","DOIUrl":"https://doi.org/10.26565/2312-5675-2021-17-01","url":null,"abstract":"In this article, we have presented the results of our own research concerning the state of psychoemotional disorders in the military personnel of the ATO/JFO. It is known that the state of mental health is infl uenced by various external factors, both socio-economic and physical, traumatic, environmental, etc. The professional activity of the ATO/JFO military personnel is carried out in extreme conditions associated with psychophysical overload, an increased level of responsibility, etc. Therefore, the psychoemotional state of this contingent requires signifi cant attention and correction. The aim of this study was to study the psychoemotional state of the ATO/JFO military personnel. The study involved 66 ATO/JFO combatants (31 men and 35 women) with signs of adjustment disorders who were in Clinic of Neurology, Psychiatry and Narcology of Military Medical Clinical Centre of the Northern region (Kharkov, Ukraine). The control group consisted of 29 people (14 men and 15 women) who did not take part in hostilities and also had signs of adjustment disorders. Using the clinicalanamnestic method in the main group, we identifi ed 32 people with prolonged depressive reaction caused by adaptation disorder (F43.21 according to ICD-10) and 34 people with mixed anxiety and depressive reactions (F43.22). In the control group, 15 people had F43.21 and 14 examined had F43.22. The use of the psychodiagnostic methodology «Tsung Scale for Self-Assessment of Depression» (adapted by T.I. Balashova, 2003) made it possible to reveal a subdepressive state in 12,1±1,9% of the surveyed combatants (men 4,5±1,2%, women 7,6±1,5%). Severe depression was diagnosed in 87,9±1,9% military personnel (men 42,4±2,8%, women 45,5±2,9%). In the control group, a state without depression was revealed in 79,3±5,2% of individuals (37,9±6,3% men, 41,4±6,4% women), and mild depression was also identifi ed (10,3±4,1% men, 10,3±4,1% women, there were 20,6±5,2% people in total). It was concluded that it is necessary to take into account the data obtained when developing an algorithm for psychocorrectional measures in this contingent of patients.","PeriodicalId":33688,"journal":{"name":"Psikhiatriia nevrologiia ta medichna psikhologiia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69006702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.26565/2312-5675-2021-17-07
The aim of the study was to study psychological health (PH) and its relationship with subjective perception of happiness in patients with various types of mental disorders (MD). The set of research methods included the methodology “Individual model of psychological health”, “Semantic diff erential of happiness” (SDH) and methods of statistical processing of the data obtained. The study involved 210 patients with MD (70 with organic disorders, 70 with depressive disorders and 70 with neurotic disorders). It was found that with all variants of MD, a signifi cantly lower level of realizability of the “Prosocial” vector was determined, which refl ects the presence of internal and social coherence of the individual. In neurotic disorders, apart from Prosocial, the “Strategic” and “Family” vectors were also signifi cantly less realizable, which refl ected signifi cantly lower levels of family well-being, the ability for strategic planning, purposeful functioning, and persistence of these patients. In depressive disorders, the “Strategic”, “Intellectual” and “I” vectors were also signifi cantly less realizable, determining the low realizability of patients in this group, primarily in the spheres “I”-Realization, — emotional, intellectual, social and physical. In organic disorders among the components of the PH, the “Intellectual” vector was also less realized in comparison with the healthy group; The data obtained indicate that the subjective perception of happiness by patients with MD is associated primarily with the “Strategic”, “Prosocial”, “Family”, “Intellectual” and “I” vectors of the PH. The “creative”, “Spiritual” and “Humanistic” components of PH did not fi nd a relationship with the level of subjective perception of happiness in patients with MD.
{"title":"Psychological health and subjective perception of happiness in mental disorders","authors":"","doi":"10.26565/2312-5675-2021-17-07","DOIUrl":"https://doi.org/10.26565/2312-5675-2021-17-07","url":null,"abstract":"The aim of the study was to study psychological health (PH) and its relationship with subjective perception of happiness in patients with various types of mental disorders (MD). The set of research methods included the methodology “Individual model of psychological health”, “Semantic diff erential of happiness” (SDH) and methods of statistical processing of the data obtained. The study involved 210 patients with MD (70 with organic disorders, 70 with depressive disorders and 70 with neurotic disorders). It was found that with all variants of MD, a signifi cantly lower level of realizability of the “Prosocial” vector was determined, which refl ects the presence of internal and social coherence of the individual. In neurotic disorders, apart from Prosocial, the “Strategic” and “Family” vectors were also signifi cantly less realizable, which refl ected signifi cantly lower levels of family well-being, the ability for strategic planning, purposeful functioning, and persistence of these patients. In depressive disorders, the “Strategic”, “Intellectual” and “I” vectors were also signifi cantly less realizable, determining the low realizability of patients in this group, primarily in the spheres “I”-Realization, — emotional, intellectual, social and physical. In organic disorders among the components of the PH, the “Intellectual” vector was also less realized in comparison with the healthy group; The data obtained indicate that the subjective perception of happiness by patients with MD is associated primarily with the “Strategic”, “Prosocial”, “Family”, “Intellectual” and “I” vectors of the PH. The “creative”, “Spiritual” and “Humanistic” components of PH did not fi nd a relationship with the level of subjective perception of happiness in patients with MD.","PeriodicalId":33688,"journal":{"name":"Psikhiatriia nevrologiia ta medichna psikhologiia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69006938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.26565/2312-5675-2021-16-04
The paper presents the results of ultrasound diagnostic of 76 patients with neurological forms of hepatocerebral degeneration (HCD) or Wilson’s disease (WD), who were examined and treated at the clinic of the Institute of Neurology, Psychiatry and Narcology of the National Academy of Medical Sciences of Ukraine. According to ultrasound diagnostic, all patients had pathological changes in the liver. In 58% of patients these changes corresponded to chronic hepatitis, in 42% - liver cirrhosis, and in 32% of patients were reported for portal hypertension. Background hepatic hemodynamics of patients was within normal limits, but in 82% of them the reaction to food load was negative. Doppler study showed that background hepatic hemodynamics in patients with neurological forms of hepatocerebral degeneration (GCD) was within normal limits. However, the food load showed that 82% of patients had impaired reciprocal autoregulation of liver microcirculation. This indicates a decrease in their compensatory-adaptive capacity of the liver. This position is confirmed by the fact that 70% of these patients have a decrease in vasoactive endothelial function. Our study of the functional state of the vascular endothelium showed that patients with GCD have a significant decrease in vasoactive endothelial function. In general, the group was only 8.12% at a rate of 10% or more. Despite the young average age of our patients (29.7 years), only 30% of patients had a normal vasoactive reaction. These were patients under the age of 25 from the group of chronic hepatitis. The degree of endothelial dysfunction was significantly higher in patients with liver cirrhosis compared with chronic hepatitis. According to ultrasound elastography, in the vast majority of examined patients with GCD (88%) there was increased stiffness of the liver parenchyma. On the average on group of patients it made 10,62 KPA with a range from 4,74 to 20,69 KPA (norm 0,4-6,0 KPA). Thus, patients with neurological forms of GCD, which are observed by a neurologist, it is necessary before each course of treatment, but at least 1-2 times a year, to conduct ultrasound of the abdominal cavity.
{"title":"Structural and functional changes of abdominal organs in patients with hepatocerebral degeneration","authors":"","doi":"10.26565/2312-5675-2021-16-04","DOIUrl":"https://doi.org/10.26565/2312-5675-2021-16-04","url":null,"abstract":"The paper presents the results of ultrasound diagnostic of 76 patients with neurological forms of hepatocerebral degeneration (HCD) or Wilson’s disease (WD), who were examined and treated at the clinic of the Institute of Neurology, Psychiatry and Narcology of the National Academy of Medical Sciences of Ukraine. According to ultrasound diagnostic, all patients had pathological changes in the liver. In 58% of patients these changes corresponded to chronic hepatitis, in 42% - liver cirrhosis, and in 32% of patients were reported for portal hypertension. Background hepatic hemodynamics of patients was within normal limits, but in 82% of them the reaction to food load was negative. Doppler study showed that background hepatic hemodynamics in patients with neurological forms of hepatocerebral degeneration (GCD) was within normal limits. However, the food load showed that 82% of patients had impaired reciprocal autoregulation of liver microcirculation. This indicates a decrease in their compensatory-adaptive capacity of the liver. This position is confirmed by the fact that 70% of these patients have a decrease in vasoactive endothelial function. Our study of the functional state of the vascular endothelium showed that patients with GCD have a significant decrease in vasoactive endothelial function. In general, the group was only 8.12% at a rate of 10% or more. Despite the young average age of our patients (29.7 years), only 30% of patients had a normal vasoactive reaction. These were patients under the age of 25 from the group of chronic hepatitis. The degree of endothelial dysfunction was significantly higher in patients with liver cirrhosis compared with chronic hepatitis. According to ultrasound elastography, in the vast majority of examined patients with GCD (88%) there was increased stiffness of the liver parenchyma. On the average on group of patients it made 10,62 KPA with a range from 4,74 to 20,69 KPA (norm 0,4-6,0 KPA). Thus, patients with neurological forms of GCD, which are observed by a neurologist, it is necessary before each course of treatment, but at least 1-2 times a year, to conduct ultrasound of the abdominal cavity.","PeriodicalId":33688,"journal":{"name":"Psikhiatriia nevrologiia ta medichna psikhologiia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69007022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.26565/2312-5675-2021-17-04
The article consideres the issue of restoring lost motor function through comprehensive physical rehabilitation. The results of a study of 84 patients with cerebral ischemic stroke (CIS) are presented. The study of patients was conducted in the recovery period (from 3 to 6 months after the vascular accident). The average age of patients was 64.2±1.7 years. During the study all patients were divided into two groups depending on the type of rehabilitation treatment. The main group consisted of 43 patients who received standard medicines therapy aimed at secondary prevention (antihypertensive, hypocholesterolemic, hypoglycemic and other medicines), as well as therapy aimed at the correction and prevention of neurocognitive and dyscirculatory disorders (medicines with metabolic and vasoactive action) during the entire period of supervision. All patients of the main group underwent a course of comprehensive physical rehabilitation treatment. The latter included classes in kinesiotherapy, occupational therapy, speech therapy classes and, if necessary, patients received psycho-correctional and psychotherapeutic methods of treatment. The second (comparison) group consisted of 41 patients who received only drug treatment: standard basic therapy in the framework of secondary prevention of CIS and therapy aimed at the correction and prevention of neurocognitive, dyscirculatory disorders. The results of our study showed that the use of a comprehensive rehabilitation treatment program consisting of physical and medical methods are signifi cantly more eff ective for patients with motor disorders who have suff ered an ischemic stroke compared with the use of only drug therapy in these patients.
{"title":"Influence of comprehensive physical rehabilitation on the restoration of motor deficiency in patients suffered ischemic stroke","authors":"","doi":"10.26565/2312-5675-2021-17-04","DOIUrl":"https://doi.org/10.26565/2312-5675-2021-17-04","url":null,"abstract":"The article consideres the issue of restoring lost motor function through comprehensive physical rehabilitation. The results of a study of 84 patients with cerebral ischemic stroke (CIS) are presented. The study of patients was conducted in the recovery period (from 3 to 6 months after the vascular accident). The average age of patients was 64.2±1.7 years. During the study all patients were divided into two groups depending on the type of rehabilitation treatment. The main group consisted of 43 patients who received standard medicines therapy aimed at secondary prevention (antihypertensive, hypocholesterolemic, hypoglycemic and other medicines), as well as therapy aimed at the correction and prevention of neurocognitive and dyscirculatory disorders (medicines with metabolic and vasoactive action) during the entire period of supervision. All patients of the main group underwent a course of comprehensive physical rehabilitation treatment. The latter included classes in kinesiotherapy, occupational therapy, speech therapy classes and, if necessary, patients received psycho-correctional and psychotherapeutic methods of treatment. The second (comparison) group consisted of 41 patients who received only drug treatment: standard basic therapy in the framework of secondary prevention of CIS and therapy aimed at the correction and prevention of neurocognitive, dyscirculatory disorders. The results of our study showed that the use of a comprehensive rehabilitation treatment program consisting of physical and medical methods are signifi cantly more eff ective for patients with motor disorders who have suff ered an ischemic stroke compared with the use of only drug therapy in these patients.","PeriodicalId":33688,"journal":{"name":"Psikhiatriia nevrologiia ta medichna psikhologiia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69006821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.26565/2312-5675-2021-17-05
The article presents literature data numerous studies of patients with COVID-19. The available information helps to explain the nature and structure of the virus, the ways of penetration and its distribution in the human body, its interaction with the immune, nervous, endocrine, vascular, muscular systems, as well as the pathogenesis, clinic, diagnosis and treatment of this contingent of patients. Due to tropisms SARS-CoV-2 to the human cells specifi c S glycoprotein this virus can bind receptor human angiotensin-converting enzyme 2 (ACE-2), fuse with host cells and disseminate in the organism. Renin-angiotensin-aldosteron system (RAAS) plays an important role in regulation of blood vessels, heart, kidneys functions. ACE-2 has an infl uence on the infl ammatory, fi brotic and immunomodulatory mechanisms. Inhibition of these protection functions due to spread SARS-CoV-2 in human body leads to the progression of cardiovascular, renal and pulmonary diseases. Some authors describe indirectly the viral entry into the brain parenchyma by infecting the T-lymphocytes, that usually is accompanied by infl ammatory reactions with an increase in the specifi c cytokines such as interleukins (IL) — 6, IL-8, tumor necrosis factor, monocyte chemoattractant protein-1 (MCP-1). The peculiarities of the binding of the virus to the human cells are the presence of neurotropic properties and the ability to change the permeability of blood brain barier (BBB). Other authors note that the virus crosses the BBB directly through the olfactory neurons and also the brain’s circumventricular organs structures, surrounding the third and fourth ventricles, and promote the infection of nervous system. It can also cause intravascular coagulation and blood clotting, which may lead to various diseases of the nervous system. In this regard, an important task for neurologists is to further study the eff ect of the COVID-19 virus on the nervous system and prevent the occurrence of its complications.
{"title":"Review of the pathogenesis, clinical manifestations and peculiarities of neuropsychic disorders caused by COVID-19","authors":"","doi":"10.26565/2312-5675-2021-17-05","DOIUrl":"https://doi.org/10.26565/2312-5675-2021-17-05","url":null,"abstract":"The article presents literature data numerous studies of patients with COVID-19. The available information helps to explain the nature and structure of the virus, the ways of penetration and its distribution in the human body, its interaction with the immune, nervous, endocrine, vascular, muscular systems, as well as the pathogenesis, clinic, diagnosis and treatment of this contingent of patients. Due to tropisms SARS-CoV-2 to the human cells specifi c S glycoprotein this virus can bind receptor human angiotensin-converting enzyme 2 (ACE-2), fuse with host cells and disseminate in the organism. Renin-angiotensin-aldosteron system (RAAS) plays an important role in regulation of blood vessels, heart, kidneys functions. ACE-2 has an infl uence on the infl ammatory, fi brotic and immunomodulatory mechanisms. Inhibition of these protection functions due to spread SARS-CoV-2 in human body leads to the progression of cardiovascular, renal and pulmonary diseases. Some authors describe indirectly the viral entry into the brain parenchyma by infecting the T-lymphocytes, that usually is accompanied by infl ammatory reactions with an increase in the specifi c cytokines such as interleukins (IL) — 6, IL-8, tumor necrosis factor, monocyte chemoattractant protein-1 (MCP-1). The peculiarities of the binding of the virus to the human cells are the presence of neurotropic properties and the ability to change the permeability of blood brain barier (BBB). Other authors note that the virus crosses the BBB directly through the olfactory neurons and also the brain’s circumventricular organs structures, surrounding the third and fourth ventricles, and promote the infection of nervous system. It can also cause intravascular coagulation and blood clotting, which may lead to various diseases of the nervous system. In this regard, an important task for neurologists is to further study the eff ect of the COVID-19 virus on the nervous system and prevent the occurrence of its complications.","PeriodicalId":33688,"journal":{"name":"Psikhiatriia nevrologiia ta medichna psikhologiia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69006871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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