ABSTRACT
The RSCI and PubMed search databases have requested publications over the past 40 years on the search queries «fluvoxamine¼, «anxiety-depressive disorders¼, «anxiety¼, «depression¼, «comorbidity¼, devoted to the effectiveness of fluvoxamine in various variants of disorders of the anxiety-depressive spectrum, anxiety depressions. The data of the above studies indicate that fluvoxamine (Zovart San) in doses of 50-300 mg / day is a highly effective remedy for the treatment of not only anxiety depressions and genesis (psychogenic, organic, mixed, autochthonous-endogenous) and severity (up to psychotic), but also a wider range of anxiety-depressive disorders, including adaptation disorders, obsessive-compulsive disorder, somatized, dysmorphic, insomniac symptom complexes and eating disorders. A wide range of clinical effects of fluvoxamine is due to its main and additional mechanisms of action: blockade of serotonin reuptake, σ1-agonist activity and the effect on the metabolism of melatonin and neurosteroids catabolism.
Subject(s)
Anxiety Disorders , Depressive Disorder , Fluvoxamine , Fluvoxamine/therapeutic use , Humans , Anxiety Disorders/drug therapy , Depressive Disorder/drug therapy , Selective Serotonin Reuptake Inhibitors/therapeutic useABSTRACT
OBJECTIVE: To conduct the primary prevention of computer game addiction (PPCGA) in students of General education institutions (GEI), aimed at preventing the formation of CGA. MATERIAL AND METHODS: The study included 488 students in grades 7-10 of GEI aged 12-17 years (14.6±2.4 years), of which 393 adolescents, who made up the main group, received PPCGA and 95 - control, without PPCGA. RESULTS: Preventive measures were carried out without interrupting the educational process; they were carried out by addiction psychiatrists and medical psychologists. PPCGA was aimed at teaching students a healthy lifestyle, the development of their personal resources, the formation of skills to overcome problem situations, a change in the value attitude to computer games and the formation of alternative interests. In the main group, a decrease in the time interval spent by students at the computer was found (p<0.05). There was a decrease in the number of students (p<0.05), experiencing affective disorders when abstaining from the computer, including mild depression and subclinically expressed anxiety/depression, for whom computer games could lead to problems and negative consequences. An increase in the interval of time spent by students at the computer (p<0.05); an increase in the number of students experiencing affective disorders when abstaining from the computer (p<0.05); a trend towards the increase in the frequency of problems and delayed meetings and personal matters related to spending time at the computer; an increase in clearly uncommunicative (p<0.05) were found in the control group. CONCLUSIONS: Primary prevention of computer gaming increase the number of students who prefer a healthy lifestyle (physical education and sports, rational nutrition, sex education, family relationships) and reduce the number of people who prefer computer games as a form of leisure.
Subject(s)
Behavior, Addictive , Video Games , Adolescent , Humans , Video Games/psychology , Students , Behavior, Addictive/epidemiology , Behavior, Addictive/prevention & control , Behavior, Addictive/psychology , Primary PreventionABSTRACT
THE AIM OF THE STUDY: Is to study and compare models of out-of-hospital psychiatric care in different countries-Italy and England.In the Italian model of community-based psychiatric care, institutions have been created - homes for permanent residence with a security regime (REMS), the most common of which are intensive (or assertive) treatment in the community and mandatory outpatient treatment. The form of intensive treatment is an active and long-term maintenance and treatment of patients. The essence of the methodology is to provide assistance at home, which is carried out by specially trained multidisciplinary teams, including psychiatrists, nurses, psychologists, social workers. However, in the long term, there is a tendency to increase relapses and acute conditions. The English model of community psychiatric care is based on the practice of the method of «individual case management¼. After the acute attack is stopped, the main work program includes work with a psychologist and/or a psychotherapist in the form of a number of multidimensional group and family therapy activities, training of social skills and ways of independent living, development of communication, self-esteem and confident behavior, which is achieved through psychocorrective work, as well as drug therapy and didactic training on appropriate simulators.Special attention is paid to social recovery, work with the family, social and labor recovery and instrumental support.
Subject(s)
Ambulatory Care , Psychotherapy , England , Humans , Outpatients , Self ConceptABSTRACT
OBJECTIVE: To study the prevalence of computer game addiction in educational institutions and to develop additional diagnostics of computer game addiction using the vocabulary of colloquial speech of a computer gamer and the «portrait of a gamer student¼. MATERIAL AND METHODS: The study included 7-10 grade students, aged 12-17 years (14.6±2.4 years), their parents and teachers from educational institutions. Sociological, clinical, psychometric and statistical methods were used. RESULTS AND CONCLUSION: The study has established that the more time a student spend playing computer games, the more words in the test he/she defines as «familiar¼; the difference in the means for analyzing quantitative data between groups with different degrees of involvement in computer games is significant. The results indicate that the proposed «language vocabulary¼ testing is suitable for additional diagnosis of the degree of computer game dependence.
Subject(s)
Behavior, Addictive , Linguistics , Video Games , Adolescent , Behavior, Addictive/diagnosis , Child , Female , Humans , Male , Psychometrics , StudentsABSTRACT
AIM: To study personality characteristics in adolescents with computer game addiction. MATERIAL AND METHODS: The study included students of grades 7 to 10 at the age of 12-17 years (14.6±2.4 years), their parents and school teachers. RESULTS AND CONCLUSION: The results of a study showed the following combination in patients: 'genophilic' type of DPT with schizoid personality accentuation and 'projection' type of psychological protection, and 'dignitophilic' type of DPT with labile personality accentuation and 'denial' type of PP.
Subject(s)
Behavior, Addictive , Video Games , Adolescent , Child , Humans , Stress, Psychological , StudentsABSTRACT
The hemodynamic parameters (BP, HR, YO) were studied in 50 patients aged 9 to 77, ASA I-IV, subjected to endoscopic surgery on the tracheobronchial tree. Use of ketamine in these patients in schemes of anesthesia before induction with diprivan had a favorable effect on the hemodynamic stability and did not influence the recovery. Moreover, schemes including ketamine are advisable when prolonged artificial circulation is needed by surgical indications (dilatation or stenosis).