The article considered the social, psychological and clinical aspects of domestic violence. Analyzed the main types of violent behavior (economic, psychological, physical, sexual) and the components of the causes of cruel behavior in the family: aggressive behavior, violence, violent behavior. The results of sociological research are presented, the prevalence, causes, aims and types of this phenomenon in Ukraine and in the world are determined. The sociological and cultural concepts of the features of the spread of the phenomenon of violence in families are considered. The stages of the formation of violent behavior in families are analyzed. The features of neurotic disorders and their prevalence among people who have experienced domestic violence are considered.
Background. Depression is one of the most common mental illnesses in patients with brain tumors. The use of modern pharmacotherapy, providing appropriate psychotherapeutic care to cancer patients can prevent the development of psychopathological disorders, especially depressive states (due to the risk of suicidal behavior), and help shape behavioral strategies that will optimize the treatment and rehabilitation of patients. Aim of the research. To investigate the effectiveness of psychotherapeutic correction of depressive disorders in patients with brain tumors. Materials and methods. 250 patients with primary brain tumors were examined. A comprehensive clinical and psychodiagnostic examination of patients was conducted, which included objective data from available medical records and voluntary consent of patients. The following psychodiagnostic techniques were used as assessment tools: the psychopathological symptom severity questionnaire (SCL-90-R) and the Bekhter Institute personal questionnaire. Results and discussion. The revealed symptom complexes of psychopathological and pathopsychological characteristics of the patients' condition became the clinical substantiation of the choice of methods of psychotherapeutic correction. Adjuvant psychological therapy, individual, rational and family psychotherapy were used as the basic method of psychotherapeutic influence. Positive dynamics of changes in the structure of psychopathological symptoms was found in 130 patients (97.0%) as a result of psychotherapeutic effects. It was found that in most patients there was a decrease in melancholic-depressive and anxiety-depressive states, in 48 cases it was possible to achieve regression of phobic, hypochondriac, senestopathic and hypochondriac components; 29 patients showed positive dynamics of reduction of depressive disorders, which were combined with somatoform symptom complexes. Conclusion. The principles of organization of psychotherapeutic care for neurooncological patients should include not only an individual-personal approach, but also a family one. Adjuvant psychological therapy and other psychotherapeutic interventions in combination with psychopharmacotherapy can reduce the development of depressive disorders by 25-30%.
The article studys the psychological characteristics in patients with brain tumors of different localization which allows to reduce the diagnostic period and, as a result, minimize the time of early detection and the consequences of the surgical treatment of this pathology, and to cause a positive effect on preventing the development of psychopathological disorders at the hospital stage. Analysis of the clinical manifestations of depressive disorders of the subclinical level revealed their polymorphism: depression was accompanied by various variants of asthenic (prevalence of dyssomnias, psychalgia, adynamia and anxiety component) and anxiety (prevalence of senestopathies, hypochondria, phobia) states. The revealed symptom complexes of psychopathological and pathopsychological characteristics of the patient's condition were the clinical justification for the choice of methods of psychotherapeutic correction. Adjuvant psychological therapy, individual rational and family psychotherapy were used as the basic method of psychotherapeutic influence. Pharmacological correction included: anxiolytics, antidepressants, atypical mild antipsychotics in low doses. The results of the SCL-90-R test demonstrate the effectiveness of the comprehensive treatment aimed at preventing and reducing the manifestations of psychopathological symptoms. Comparison of the mean values of the SCL-90-R test revealed significant differences in such indicators as somatization (p<0.05), depressiveness (p<0.01), anxiety (p<0.05); high statistical significance is noted in the “index of symptom severity” integral indicator (p<0.01). Obtained results of psychological and psychiatric research became the basis for the development of differential diagnostic criteria for the diagnosis and prevention of the development of mental disorders.
A comprehensive clinical and psychodiagnostic examination of 114 HIVinfected patients with non-psychotic mental disorders was carried out, including a clinical diagnostic interview using an independently developed patient research map, pathological and experimental psychological methods, in particular (SCL-90-R and the Schmiszek questionnaire). The age of the examined ranged from 21 to 62 years, the average age of which was 39.77 years. Among the examined, there were 49.12 % of men and 50.88 % of women with secon dary specialized education (50 %), with physical work (67.54 %), single people (69.3 %) heterosexual orientation (89.47 %), unemployed — 24.78 %. The duration of HIV infection in them ranged from 1 month to 24 years and averaged 5.0 years. 48.25 % of patients took HAART regularly, 31.58 % took HAART irregularly, 20.18 % did not take HAART. The leading psychosocial factors in the emergence of maladaptive behavior among HIV patients were the absence of close relationships (80.39 %; p < 0.05). Highlighting the characteristics of HIV patients in the team: isolation (78.07 %), confl ict (77.19 %), selfl essness (71.05 %), selfi shness (64.04 %), vulnerability (61.4 %). Characteristic features of HIV patients: hyperimmunity, emotivism, anxiety, cyclotimism, exaltation and demonstrativeness. Among HIV-infected people with deviant behavior, indicators of anxiety and dysthymia are violated. Socio-demographic factors of maladaptive behavior among HIV-infected people are included: low level of education, the predominance of physical labor, lack of social support, a complex diagnostic and treatment route. The above factors, combined with the psychosocial characteristics of this group of patients, can aff ect the development and progression of deviant behavior, which in turn leads to a complication of the course of the disease and mental disorders. Keywords. HIV-infected, socio-demographic factors, psychosocial factors, non-psychotic mental disorders, disadaptation, deviant behavior
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