To assess the impact of the novel coronavirus infection on the mental health of the population, a search was performed in the PubMed electronic database, as well as in scientific electronic libraries, such as eLIBRARY.RU and «CyberLeninka». The mental manifestations of anxiety disorders include: irritability, impatience, a feeling of tension, inability to relax, inability to concentrate, memory impairment, fatigue, fears, obsessive thoughts, insecurity and anxiety. The increased level of anxiety may be the result of misinformation transmitted through social networks. People who follow the news about COVID-19 the most experience more anxiety. Health workers are at the greatest risk of negative psychological impact during pandemics, especially if they have direct contact with the infected. The most pronounced symptoms were observed in middle and junior medical staff, women and young people working in the «red zone». During the pandemic, the levels of anxiety, depression and stress are significantly higher in the age group of 21–40 years. Women are at a higher risk of depression. During the COVID-19 pandemic, people with higher levels of education had higher levels of anxiety, depression and stress. People who have had a history of health problems, as well as those who suffer from poor health, may feel more vulnerable to the new disease. Most adolescents reacted to the stressful situation with suicidal forms of behavior — auto-aggressive and autistic-depressive. Thus, the COVID-19 pandemic can affect the mental health of individuals, various communities and social groups. Therefore, in the current crisis, it is vital to identify people who are prone to psychological disorders in order to preserve and improve the mental health of the population as a whole with the help of appropriate psychological strategies, methods and interventions.
Relevance of problem. The new coronavirus infection COVID-19 was first reported in China in 2019 and began to spread very quickly around the world, causing the pandemic. COVID-19 has caused a wide range of psychological problems. Objective: to assess the level of depression, anxiety and stress in women of the reproductive and menopausal periods in the conditions of the pandemic of the novel coronavirus infection. Materials and methods. An anonymous questionnaire was conducted among the patients who were examined in September 2021 on the basis of the SHI SR Krasnoarmeyskaya Regional Hospital. The patients were divided into two groups. The first group included the patients of reproductive period aged from 23 to 44 years; the second group – of menopausal age, from 48 to 64 years. Results. The patients of the first group prevailed among those who were afraid of potential financial difficulties, severe social consequences, the lack of special COVID-19 therapy, the risk to the health and life of relatives and friends, and to their own lives, the high contagiousness of the virus, the lack of sales of protective equipment and the possible lack of medicines. The patients of the second group were more worried about the risk of prolonged isolation. The women of the reproductive period were more exposed to subclinically expressed anxiety, experienced an average level of stress and had a depressive disorder of moderate severity. The menopausal women were more characterized by low stress, mild depressive disorder and a normal level of anxiety. Conclusions. The women of reproductive age were more likely to worry about their own lives, as well as the health and lives of relatives and friends, the social consequences of the pandemic and the lack of medicines and special therapy COVID-19, and also suffered subclinically expressed anxiety to a greater extent. The women of menopausal period experienced low levels of stress and did not suffer from depression. The patients of menopausal age had a normal level of anxiety.
The article discusses the relevance of studying the variants of transformation of stories, plots, and themes of delusional ideas in the structure of mental disorders under the influence of sociocultural factors. Delusional ideas related to the KGB activities, the Internet use, a clinical case of «delusions of coronаvirus self-contempt», and delusional ideas that arose under the influence of religious motives are given as an example.
The purpose of the study was the development of treatment results complex assessment scale based on the indicators of the traditionally used scales for dynamic observation and prediction of treatment outcomes for patients with paranoid schizophrenia. A total of 420 patients with paranoid schizophrenia (F20.0) were examined. During the study, an analysis of patients’ outpatient and inpatient cards and psychodiagnostic scales were carried out. Such aspects of patients’ life as social, cognitive and clinical ones were examined. It has been proposed and tested the author’s treatment results complex assessment scale, which covers all aspects of mental disorder in patients with schizophrenia. The developed scale of treatment results complex assessment provides a personalized approach to the management of patients with paranoid schizophrenia. Such complex assessment of the patients’ mental state helps to optimize the analysis of the effects of various therapies, simplify diagnostic tactics and personalize the treatment algorithm.
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