DISORDERS OF ADAPTATION OF COMBATANTS AND THEIR MEDICAL AND PSYCHOLOGICAL REHABILITATION AT THE SANATORIUM STAGE OF TREATMENT.

OBJECTIVE: The aim of the study was on the basis of the study of clinical manifestations and mechanisms of the formation of disorders of psychological adaptation among the combatants, to develop the principles and program of their medical and psychological rehabilitation. PATIENTS AND METHODS: Materials and methods: The study was attended by 153 people at the sanatorium and resort stage of treatment, of which 98 people were combatants and 55 people were civilians. The study used a set of methods aimed at the study of emotional disorders (HDRS, BDI, Spielberger Scale, "Asthenic state scale"), individual psychological features (Multilevel personal questionnaire "Adaptability," Test questionnaire G. Shmishek, K. Leonhard), features of psychosocial functioning (Mississippian scale of PTSD-military version) and quality of life (WHOQOL-BREF). RESULTS: Results: At the stage of sanatorium treatment of combatants is important readaptation to peaceful living conditions. A clinical and psychological analysis of combatants showed that the presence of experienced state of subjective distress and emotional disorder leads to a decrease in the productivity of adaptation to a stressful event. The stress factor disrupted the integrity of the micro-social network of combatants and their system of social support and social values, with the prevailing sense of inability to overcome problems and build plans. A detailed analysis of the nature of depressive and anxiety manifestations was carried out, which allowed to determine the predictors of the violation of adaptation in combatants. Thus, on the basis of the study of clinical manifestations and mechanisms of the formation of disorders of psychological adaptation among the participants of hostilities, the principles of their medical and psychological rehabilitation at the sanatorium and resort stage of treatment are developed. CONCLUSION: Conclusions: The peculiarities of stress response in combatants as a component of personal potential play a role in the formation of predictors of psychological adaptation disorders among combatants. Psychological intervention at the tertiary stage of rehabilitation (sanatorium-resort) should be targeted, taking into account individual-psychological characteristics (preventors) and psychosocial factors (predictors).

PSYCHOLOGICAL FACTORS AND CONSEQUENCES OF PSYCHOSOCIAL STRESS DURING THE PANDEMIC.

OBJECTIVE: The aim: Study of psychological factors and consequences of psychosocial stress which is formed during the COVID-19 pandemic. PATIENTS AND METHODS: Materials and methods: In the research, we used methods: developed a common, assessment of psychosocial stress L. Reeder scale, assessment of distress R.Kessler, assessment of the presence of manifestations of anxiety-depressive response GAD-7, depression self-assessment scale PHQ-9, method of assessing neuropsychological adaptation I. Gurvich, assessment of psychosocial support D. Ziemet, the scale of assessment of family anxiety E. Eidemiller, W. Justickis, strategies for stress-coping behavior E. Heim, methods of assessing the quality of life A.A. Pushkarev, N.G. Arinchina (2000). The current factors of the impact of coronavirus on the mental state of the population have been investigated. The study involved 823 citizens of Ukraine, who filled out the developed Google form. RESULTS: Results: Threats of coronavirus disease, violation of the usual life stereotype, restriction of leisure activity, harmful interest in news about the pandemic, usage of tobacco plays an important role in the mechanisms of distress formation. These conditions raise the risk of increased stress, anxiety and depression. CONCLUSION: Conclusions: The investigations carried out suggested that the quarantine restrictions could be predisposing factors for mental health impairments. Under these conditions, risks of increased stress pressure, anxiety, and depression are rising. Measures on psycho-prevention should be performed on the base of the regularities identified.

Medical and psychological consequences of using on-screen technologies of informational and psychological influence: analysis of the problem

Introduction: The continuous informatization of modern life dictates the need to identify the consequences of using technologies of informational and psychological influence on the psyche and behavior of the users. The aim is to analyze the presence of the neurobiological basis of the mechanisms that underlie the pathogenic effect of informational and psychological influence on the state of mental health of the population. Material and methods: In the MEDLINE, Index Citation Index Expanded and Social Sciences Citation Index, EMBASE, Cochrane Library databases, content analysis was carried out in three languages on the verification of interconnections between the use of TV and Internet resources and the various characteristics of the mental state of users. Conclusions: The presence and mechanisms of the formation of harmful effects of watching television or using the Internet (social networks), for the state of mental health and psychological well-being of persons of all ages, both children and adults, is proved not only by empirical but also instrumental researches. The way to prevent the negative effects of the use of on-screen technologies of informational and psychological influence is intellectual and physical activity, the capacity for critical reflection of information, the skills of positive thinking, and communication with nature and oneself without any additional means of informational influence.

Phenomenon of self-destructive behavior in female sex workers: discriptors, predictors, typology, psychological correction.

OBJECTIVE: Introduction: Engaging in sex, which is obligatory associated with the extraordinary risks of harm to their own safety and physical health, can be considered as one of the variants of self-destruction. The aim is to analyze the leading descriptors and predictors of self-destructive behavior among female sex workers, on the basis of which to propose measures for their psycho-correction. PATIENTS AND METHODS: Materials and methods: The main group of the study was 135 women - female sex workers, a comparative group of 50 women who had no relation to such activities. The research methods were clinical-psychological, socio-demographic, psycho diagnostic, mathematical-statistical. RESULTS: Results: Suicidal mood was investigated as a descriptor of self-destructive behavior in female sex workers. Features of suicidal ideas and the basis of committing suicide are revealed. The motivating emotions of a suicidal act are shame, anger and resentment. Psychological protection as a mechanism for maintaining risky sexual behavior has been studied. Identified destructive forms of primitive level mechanisms of psychological defense. It was revealed that in women engaged in prostitution the overall viability is not sufficiently formed, mainly due to the low level of inclusion. The presence of sacrifice in the form of increased propensity to active victim behavior has been established. An increased tendency toward an active type of victim behavior has been established. Leading individual psychological and behavioral patterns in the genesis of self-destructive behavior in female sex workers have been identified and its clinical and psychological options have been singled out. Based on the data obtained, a program of measures for differentiated psycho-correction of self-destructive behavior among female sex workers was developed. CONCLUSION: Conclusions: As a result of work, the conceptualization of occupation of prostitution as a self-destructive behavior is grounded. The isolation of its specific pathognomonic psycho-emotional, individual psychological and behavioral features, made it possible to propose effective measures of its psycho-correction and of psycho-processing.

Addictive behavior among young people in Ukraine: a pilot study.

The AUDIT-like tests system was created for complex assessment and evaluation of the addictive status of adolescents in a Ukrainian population. The AUDIT-like tests system has been created from the Alcohol Use Disorders Identification Test (AUDIT) developed by the World Health Organization. The AUDIT-like tests were minimally modified from the original AUDIT. Attention was brought to similarities between stages of different addictions (TV, computer games, the Internet, etc.) and alcohol addiction. Seventeen AUDIT-like tests were created to detect the different types of chemical and non-chemical addictions.