According to the WHO, more than 350 million people suffer from depres- sive disorders. The etiology and pathogen- esis of depressive episodes and recurrent depressive disorders have not yet been definitively established. The formation of depressive disorders is due to a com- bination of such factors as biological (constitutional and genetic), psychological and social. Taking into account the level of prevalence of depressive disorders, the assessment of their clinical and psy- chopathological features and approaches to their therapy continues. In order to de- termine the targets of thera py for recur- rent depressive disorders, an examination of patients with recurrent depressive dis- orders was conducted. In the conditions of the Department of borderline psychiatry of the "Institute of Neurology, Psychiatry and Narcology of the NAMS of Ukraine" SI: 175 patients with recurrent depression were examined, among them 74.85 % were women and 25.15 % were men. The ave- rage age of the examinees was 46.79 years (women — 52.25, men — 41.32). Based on the assessment of clinical and psychological manifestations of recurrent depressive disorders and psychopatho- logical aspects, the targets of therapeutic influence are established: the severity of a depressive episode (mild, moderate, severe), the specificity of psychotraumatic experiences, parameters of anti-vitality and vitality, structural features of adaptation potential.

IntroductionThere are about 1.5 million internally displaced persons (IDPs) in Ukraine, which requires an assessment of their mental health.ObjectivesTo develop a psychoeducational program aimed at informing about the clinical manifestations (markers of symptoms) of mental disorders, the possibilities of preventing their formation and options for action in conditions of the formation or exacerbation of a mental state.Methods270 IDPs were examined. Methods: clinical-psychopathological, psychometric, statistical.ResultsEvaluation of the mental state of IDPs with symptoms of mental disorders (risk group (31.92%)) indicates the presence of various emotional disorders that formed individual syndromes – asthenic (41.18%), agrypnic (45.59%), somato-vegetative (30.88%), anxiety-depressive (20, 59%). The risk factors for the development of mental disorders in IDPs were identified - the older age is from 50 to 59 and the average age is from 40 to 49 years; lack of a complete family, lack of work, low level of social employment, lack of satisfactory living conditions, a significant decrease in the level of well-being, the preservation of the significance of factors of mental trauma, the presence of certain prenosological syndromes. The proposed psychoeducational program is built on the principle of thematic seminars with elements of social and psychological training.ConclusionsThe implementation of the program provides a comprehensive impact on the cognitive, emotional, psychophysiological, behavioral and social aspects of personality functioning.

A conception of a mental health is treated very ambiguous. Along with this an assessment of treatment efficacy for mentally ill persons includes a significant number of criteria which are changed continuously in time. Always there is a number of factors influencing on a development, course and outcome of disease. All of them might be considered as predictors of treatment efficacy and must be taken into account in a choice of criteria for therapeutic efficacy.At the “Institute of Neurology, Psychiatry, and Narcology of the AMS of Ukraine” State Institution an investigation of 184 patients with neurotic disorders had been performed with analysis of predictors of therapeutic efficacy and on the base of data obtained criteria for assessment of treatment efficacy were improved. 81 male and 103 female patients from 18 to 60 years old were examined.Clinical-psychopathological and pathopsychological predictors with a negative and positive influence on therapeutic efficacy were defined. The most significant of them were included into an integrative index of therapeutic efficacy for patients with neurotic disorders. It consists of such parameters as structure of psychopathological manifestations, level of psychotrauma generalization, level of compliance between the patient and his/her physician and surrounding, peculiarities of personality accentuations, level of a subjective self-control, patient's anxiety and rigidity, importance of a social and personal self-realization, type of attitude to the disease. These actual issues must be taken into account in a psychotherapeutic process. That will allow to increase its efficacy and to prevent recurrence of the disease.

Objectives: Individual ethnogenetic and psychophysiological characteristics influence on peculiarities of risk, incidence, diagnosis, and course of a number of diseases. Methods: An investigation of ethnogenetic characteristics (on phenotypic variants (PhV)) was performed in comparison with psychophysiological parameters (temper structure, personality anxiety, and parameters of strength, stability and mobility of the nervous system (NS)) of 123 patients with neurotic disorders and 105 persons without them. Results: Patients with neurasthenia represented more often Alpine PhV (30.56%); patients with anxious disorders represented more often Dinaric (18.64%), Armenoid (11.86%), and Paleo-European (11.86%) PhVs; patients with somatoform disorder more often represented Alpine (28.57%), Atlanto-Baltic (21.43%), and Uralic (10.71%) PhVs. Among patients with neurotic disorders presence of PhVs, which were nontypical for the general population (Atlanto-Baltic and Armenoid PhVs), was also determined. Patients of Alpine PhV demonstrated a high rigidity (91.66%), personality anxiety (80.00%), reaction pace (83.33%), a moderate NS stability (46.34%), and a low NS mobility (48.00%), which were a prerequisite for neurasthenia formation. Patients of Atlanto-Baltic, Uralic, and Alpine PhVs predominantly showed a high rigidity (94.11%), a moderate extraversion (52.94%) and reaction pace (64.70%), a low NS activeness (76.74%) and stability (47.05%), which were associated with somatoform disorders. Patients of Dinaric, Armenoid, and Uralic PhVs demonstrated a high personality anxiety (78.75%), emotional excitability (84.61%), extraversion (69.23%), passivity (76.47%) and inertness (42.85%) of nervous processes, and a moderate NS stability (54.17%), which were factors of anxious disorders formation. Conclusions: These data should be taking into account in diagnosis and treatment of neurotic disorders.

The problem of internally displaced persons (IDPs) in Ukraine is one of the pressing problems of the present. Displacement is a risk factor for mental health problems resulting from maladap tation. High-quality and timely diagnosis is a prerequisite for the eff ective assistance to IDPs. The purpose of the study is an analysis of mental health in internally displaced persons. Object of study — mental health of IDPs. 155 IDPs were examined, of which 86 (55.48 %) people previously lived in the city of Donetsk and Donetsk region and 69 (44.52 %) people in the city of Luhansk and the Luhansk region. At the time of the survey 114 (73.55 %) lived in Kharkov and the Kharkov region, 15 (9.68 %) in the Donetsk region, 26 (16.77 %) in the Luhansk region. During the examination of IDPs, Who need the medical care, discrepancies were established between the diagnoses with which the patients were referred for consultation and the diagnoses that were established during the examination at a specialized stage of medical care. To improve the timely diagnosis of psychopathological conditions at the primary care stage, the main psychopathological disorders were identified, which must be taken into account when examining patients. Keywords: internally displaced persons, mental health, diagnosis of adaptation disorders, emotional state