PSYCHOSOCIAL MALADAPTATION OF WOMEN WITH PSYCHOGENIC DEPRESSIVE DISORDERS

Skrypnikov A. M., Isakov R. I., Fysun Y. O.

CLINICAL AND EXPERIMENTAL MEDICINE

Scentific article

The great research interest is the problem of psychosocial maladaptation of patients with psychogenic depressive disorders, in particular, the gender aspects of this phenomenon in relation to women. The aim of the work is to investigate the features of psychosocial disadaptation in women with psychogenic depressive disorders of different genesis to determine in the future narrow-specific targets of differentiated psychosocial rehabilitation of this group of patients. We examined 52 women who were diagnosed with depressive disorder of psychogenic genesis (F43.21). “Scale for psychosocial maladjustment after LO Herasymenko, AM Skripnikov were used to identify and measure the severity of psychosocial maladjustment. The value orientations were investigated by the methodology of M. Rokeach (modification by Fantalova OB., 1992). A socio-demographic survey of the women surveyed was also carried out. According to the level of psychosocial maladaptation, the examined women were divided into two groups. The first group (38 people) included women, who in one of the spheres of psychosocial functioning did not exceed 19 points, which corresponded to the absence of signs of clinically significant maladaptation. The second group (14 people) included women who had indicators of more than 20 points on at least one of the scales, which corresponds to the signs of clinically pronounced maladaptation. The indicator scale in the range of 20-29 points were regarded as signs of psychosocial maladjustment mild, than in 30-39 points as signs of disadaptation moderate degree, the index 40 points or more is signs of maladjustment severe degree. The analysis of the peculiarities of psychosocial maladaptation in the studied contingent revealed a number of important regularities. A mixed type of psychosocial maladaptation with predominance of elements of family and industrial (professional, service) maladaptation in the internal structure was determined in 76.9% of maladapted women. Socially adapted women also had the largest peaks in the risk of developing family and professional maladjustment. Family relationships were the most vulnerable area of psychosocial relationships for women with psychogenic depressive disorders. In addition to a large number of “pure” family maladjustment, violation of the harmony of family relations was observed in most cases of mixed variants of psychosocial maladjustment. The results of the study allow us to identify the “starting”, the most pathogenic factors that played a leading role in the development of psychosocial maladaptation, and therefore required priority overcoming (reducing the impact). Isolation of “starting” pathogenic factors helps to determine the group of primary stress factors that must be overcome in the first place. A selection of “supporting” pathogenic factors can diagnose secondary factors that do not independently lead to the formation of psychosocial maladaptation, but play an important pathoplastic role. The obtained information can be used as a basis for the development of a differentiated program of rehabilitation and psychoprophylaxis of psychosocial maladaptation in women with psychogenic depression.

depression, psychosocial maladaptation, women, adaptation.

1. Herasymenko LO. Psihosotsіal’na dezadaptatsіya (suchasnі kontseptual’nі modelі). Ukraїns’kii vіsnik psihonevrologіyi. 2018;1:62-5. [in Ukrainian].
2. Orban-Lembrik LE. Socialna psihologiya. Kyiv: Akademvidav; 2005. 448 s. [in Ukrainian].
3. Podkorytov VS, Chajka YY. Depressii. Sovremennaya terapiya. Kharkiv: Tornado; 2003. 352 s. [in Ukrainian].
4.  Skrypnikov AM, Herasymenko LO, Isakov RI. Psihosocialna dezadaptaciya pri posttravmatichnomu stresovomu rozladi u zhinok. Poltava: ASMI; 2016. 156 s. [in Ukrainian].
5. Skrypnikov AM, Herasymenko LO, Hryn KV. Vikovij patomorfoz rekurentnih depresivnih rozladiv. Svit medicini ta biologiyi. 2016 Dec;58(4):64- 6. [in Ukrainian].
6. Smulevich AB. Depressii pri somaticheskih i psihicheskih zabolevaniyah. Moscow: MIA; 2003. 432 s. [in Russian].
7. Chaban OS, Haustova OO. Dezadaptaciya lyudini v umovah suspilnoyi krizi: novi sindromi ta napryamki yih podolannya. Zhurnal psihiatrii i medicinskoj psihologii. 2009 Sep;23(3):13-21. [in Ukrainian].
8.  Breslau N, Kessler R, Howard D, Schultz L, Davis G, Andreski P. Trauma and posttraumatic stress disorder in the community. Archives of General Psychiatry. 1998 Jul;55(7):626-32.
9. Goldberger L, Breznitz S, editors. Handbook of stress. Theoretical and clinical aspects. New York: The Free Press; 2012. 969 p.
10. Maruta N, Pan’ko T, Fedchenko V, Kutikov O. The role of psychotraumatization factors in formation of anxious-phobic disorders. 2012 Oct;5:251.
11. Herasymenko LO. Nova metodika diagnostiki psihosocialnoyi dezadaptaciyi. Likarska sprava. 2018;1-2:82-8. [in Ukrainian].

«Bulletin of problems biology and medicine» Issue 2 Part 1 (150), 2019 year, 203-206 pages, index UDK 616.895.4+616.891+616.892:616.89-02-058

10.29254/2077-4214-2019-2-1-150-203-206