IntroductionUnder contemporary social circumstances, there is a tendency to increasing of amount of persons disposed to addictive behavior (AB) as a mean to remove psychoemotional tension and to solve their significant problems. This tendency raises in patients with neurotic disorders (ND) that influences on clinical manifestations of the pathology and impedes diagnosis and timely care for this category of patients.AimTo investigate AB in the structure of neurotic disorders (F44.7, F40.8, F48.0).MethodsAssessment of personal addictive status with AUDIT-like tests to detect disorders related to substance and non-substance abuse; 109 patients with ND (main group) and 52 persons without ND (control group) were examined.ResultsIt was revealed that patients with ND had significantly higher risk of AB formation (59.73% compared with 21.15% in healthy persons; P < 0.0001). According to the group comparison, in patients with ND levels of AB expression on parameters of “Job” (12.06 points), “Food” (11.98 points), “Internet” (11.10 points), “TV” (8.82 points), “Shopping” (6.59 points) were significantly higher than in healthy persons (9.73; 9.23; 9.00; 7.38; 4.25 points, respectively; P < 0.05). However, levels of keenness on computer were significantly higher in healthy persons (3.48 points) than in patients with ND (2.34 points; P < 0.05). AB connected with substance abuse was not registered in the groups.ConclusionsThe results suggest that the patients use AB in forms of food, Internet, job, TV, shopping dependencies as a subconscious mechanism substituting unsatisfied needs and decreasing motivation-emotional tension under conditions of a frustration conflict.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Background The high prevalence of recurrent depressive disorders and the severity of the medical and social consequences of the depression in the form of chronization, relapse, resistance, disorders of social functioning, quality of life and suicidal behavior place the problem in the rank of the most urgent, requiring study in terms of early diagnosis and assessment of the condition, depending on the duration of the disease. Methods An integrated approach was used including clinical-psychopathological, psychodiagnostic and statistical methods. 40 patients with recurrent depressive disorders were examined, 35 people without mental disorders were included in the comparison group. Results The structure of clinical-psychopathological manifestations of the depressive spectrum in patients with the recurrent depressive disorder was characterized by the presence of affective, motivational-will, cognitive, psychomotor and somatic disorders. Among the personality features, patients differed in a more actualization of the non-adaptive copy-strategy and low self-actualization. Conclusion Data which we received should be considered when conducting diagnostic and psychotherapeutic interventions for patients with the recurrent depressive disorder.

In order to study the spectrum of psychopathology in internally displaced persons (IDPs) who asked for help, 68 IDPs with three categories of diseases were examined: organic mental disorders (F06.3, F06.4); aff ective disorders (F32.1, F33.1, F34.0); neurotic disorders (F40—48). It was established that among the surveyed IDPs, young people of working age prevail (from 40 to 49 years old — 41.18 %, from 30 to 39 years old — 23.52 % and from 18 to 29 — 20.59 %); with the presence of signifi - cant unsolved problems in the sphere of employment (52.94 % of the surveyed did not work). The clinical picture of the disease, regardless of the disorder, was characterized by polymorphism of symptoms and included a violation of the emotional spectrum, vegetative-somatic and cognitive impairment. In the structure of psychopathological manifestations in all mental disorders, there were isolated symptoms of posttraumatic disorder in the form of obsessive anxious memories of past events, fear that the situation with military actions would repeat, with dreams, accompanied by pictures of experienced events. Personal characteristics were manifested in passivity, inertia, emotional lability, reduced life satisfaction and inadequate self-esteem. All of the above should be considered when making a diagnosis, identifying specifi c targets in the development of therapeutic and rehabilitation measures. Keywords: internally displaced persons, mental disorders, personality traits, diagnosis and treatment

213 internally displaced persons were examined, which were divided into 3 groups: 94 people (44.13 %) of the total number examined were included in group I, who did not have any manifestations of mental disorders, 68 people (31.92 %), in whom certain symptoms of mental disorders were identifi ed, made up the II group, and 51 people (23.94 %), included in the III group, who were diagnosed with mental disorders and who received specialized psychiatric care. As a result of the study, it was found that in group II the structure of the psychoemotional state of the examineds was characterized by the presence of separate symptoms that did not reach the level of clinical signifi cance, and in group III the emotional disturbances of the anxiety-depressive spectrum and disorders associated with psychogenic factors predominated. The features of the mental state of internally displaced persons are determined and it is proved that a decrease in the adequacy of the use of coping strategies negatively affects the mental state of internally displaced persons. Key words: internally displaced persons, mental health, adaptation mechanisms

Реферат. Клинико-психопатологическая характеристика и социальное функционирование пациентов с галлюцинаторно-параноидными расстройствами при сосудистой деменции средней степени тяжести. Марута Н.О., Шевченко-Битенський К.В., Каленская Г.Ю. Актуальность исследования определяется высокой распространенностью деменции, значительными экономическими затратами на ее лечение, негативными последствиями в виде инвалидизации и снижения качества социального функционирования. Целью исследования стало-изучить клинико-психопатологические особенности и специфику социального функционирования пациентов с галлюцинаторно-параноидными расстройствами (ГПР) при сосудистой деменции (СД) средней степени тяжести (ССТ). Для достижения поставленной цели был использован комплексный методологический подход, который реализовывался с помощью клинико-психопатологического метода, дополненного использованием психометрических шкал (нейропсихиатрический опросник (NPI), шкала глобального функционирования (GAF), шкала степени ограничения возможностей (WHO/DAS), Бристольская шкала активности в повседневной жизни (BADL)) и методов математической обработки данных. В исследовании клинико-психопатологических особенностей и социального функционирования пациентов с ГПР при СД ССТ приняло участие 75 пациентов. 41 больной с ГПР при СД ССТ и 34 больных без психотических расстройств вошли в контрольную группу. В структуре клинико-психопатологических проявлений у больных с ГПР при СД ССТ выявлено: преобладание частых бредовых идей материального ущерба, ограбления и ревности в умеренной степени выраженности; сочетание ГПР с частым бродяжничеством; периодической умеренной вербальной агрессией; частыми расстройствами ритма день / ночь, частым снижением настроения, проявляется в форме дисфории; страхом остаться одному; с частыми состояниями раздражительности. Установлено выраженное негативное влияние ГПР на функцию общения, качество и уровень участия в выполнении родительской роли, потребность и эффективность социальных контактов, эффективность поведения в нестандартных и сложных условиях. Определено влияние ГПР на формирование у больных этой группы ограничений их жизнедеятельности в коммуникации, умении пользоваться телефоном, делать покупки, распоряжаться финансами и пользоваться транспортом. Доказано, что величина общего социального функционирования пациентов соответствовала диапазону нарушений от серьезного ухудшения функционирования в социальной и профессиональной сферах-до неспособности функционирования в отдельных сферах жизнедеятельности.