[The effectiveness of complex medical and psychological rehabilitation of women in the menopausal period]. / Effektivnost' metodov kompleksnoi mediko-psikhologicheskoi reabilitatsii zhenshchin v menopauzal'nom periode.

Methods enhancing of women health restoration in the menopausal period is constrained by insufficient knowledge and, therefore, poor consideration of psychological factors in rehabilitation programs. The role of psychophysiological and psychotherapeutic methods for building a personalized program of health improvement for women in the climacteric period and increasing the effectiveness of rehabilitation treatment remains underestimated. OBJECTIVE: Study of the complex medical methods' effectiveness and psychological rehabilitation of patients during menopause with the use of psychophysiological programs and certain psychotherapy techniques. MATERIAL AND METHODS: The study included 90 women in menopause. The average age of the patients was 55.0±7.4 years. All patients were divided into 3 groups. In the 1st (30 menopause patients, average age 53.0±4.4 years) and 2nd (30 menopause patients with cancer or osteoporosis, average age 57.0±5.15 years) complex medical and psychological rehabilitation, including, in addition to drug therapy, physiotherapy procedures, manual therapy, psychophysiological and psychotherapeutic procedures were used. In the 3rd control group (30 patients, mean age 56.0±9.6 years), drug therapy, physiotherapy procedures and manual therapy were used. RESULTS: The analysis of the obtained data revealed the emotional disorders in patients of the 1st and 2nd groups before rehabilitation. There were low and decreased values of the subjective comfort index, SCI (31.4±5.12-40.7±5.21 points); high degree of fatigue reflecting a pronounced and strong degree of chronic fatigue, CF (27.00±3.53-41.40±6.12 points), high values of the personal anxiety indicator, PA (47.6±3.52-55, 1±5.91 points).After a complex medical and psychological care in patients of the 1st and 2nd groups the indicators characterizing the emotional and personal sphere improved significantly (p<0.05). CONCLUSION: The trial aimed to study the effectiveness of the complex medical and psychological rehabilitation of women during menopause showed a change in the indicators of the emotional and personal sphere after psychophysiological and psychotherapeutic influence, an improvement in the emotional state of patients and the life quality.

Experience of the implementation of felt therapy classes (using of non-spun wool in the art therapy process) while working with the emotional state of patients of the FSBSI "National Medical Research Center for Rehabilitation and Balneology".

ABSTRACT: The article describes some psychological peculiarities of the work with the emotional state of patients and one of the possible ways to correct it using art therapy - felt therapy, (the use of non-spun wool in an art therapy process). In the article are described the possibilities of this material and the effects of its use. The main tasks of the work are the formation of a conscious attitude to the disease, the recognition of the "secondary benefits" of having a "symptom", the actualization, awareness and replenishment of the spectrum of internal resources, the evolution of the ability to gain the access to them, as well as the integration, acceptance of the "symptom" and the suffering part of the personality, the acceptance of the diversity of one's own "I". The art therapeutic exercise described in the article also aims to reinforce a new positively colored creative experience, the formation of positive thinking. All of these helps the patient to feel a holistic personality, more harmonious and happy.