The article deals with the contradiction between the recognition of gifted children in the theoretical discourse as a category of persons with special educational needs, on the one hand, and the low level of their involvement in the inclusive educational environment at school practice, on the other. The necessity of providing talented individuals the status of an important group of atypical children, whose capabilities disclosing is complicated by the disharmonious type of mental development, high level of claims, a number of social and psychological problems is grounded. The needs and problems of gifted children and the system of social and pedagogical work, aimed forming their subjectivity in terms of inclusive education are defined.
The article presents a review of the literature on the subject of non-suicidal self-injurious behavior (NSSI), the study of which attracts the attention of authors, both in the Russian Federation and around the world. Large meta-analyses of NSSP studies, proposed models, probable causes and mechanisms of occurrence, neurobiological factors, social factors, as well as the influence of modern means of communication and social networks are considered. Objective is to study, summarize and present data on the causes and risk factors of non-suicidal self-injurious behavior. Research method — articles in the “MEDLINE/PubMed”, “Scopus” databases in international medical journals were selected and analyzed. Articles were searched by keywords: “Self-Injurious Behavior”, “Non-Suicidal Self Injury”, “Deliberate Self-Harm”, “Self-Harm”, “Risk Factors”. Inclusion criteria: publication date from 2017 to 2022, clinical studies, meta-analyses and systematic reviews, randomized controlled trials, availability of the full text in the public domain or abstract. Exclusion criteria: abstracts; monographs, study guides; publication date until 2017, inconsistency with the research topic. A total of 94 publications were found. The review included 61 publications from 2017 to 2022 that corresponded to the topic and purpose of the study, and also added 19 sources older than 2017 that are significant for disclosing the subject of the study from references in the reference lists of the analyzed sources.
Вackground: Non-suicidal self-injury, as a type of auto-aggression, is a widespread behavioral problem among adolescents. Researchers have noted an increase in the number of self-harm in recent years.The aim of the work: to conduct a narrative review of the scientific literature on the epidemiology of auto-aggression and non-suicidal self-injurious behavior.Method:The article presents a narrative review of domestic and foreign literature on the epidemiology of non-suicidal self-injurious behavior (NSSI). Articles were selected and analyzed in the databases MEDLINE/PubMed, Elibrary.ru, Scopus. To obtain basic information, publications from 2015 to 2022 were used, in international medical journals, as well as relevant references in the reference lists of the analyzed sources. At the same time, early publications on the subject were included for general information, definitions, and historical hindsight. The search was conducted using various variations of the specified keywords.Results: NSSI is most common in adolescents and young adults, and the age of onset has been reported to be most common between 12 and 14 years of age. There is no unambiguously accurate estimate of the prevalence of NSSI, when studying the literature, the prevalence is estimated to be in a wide range from 7.5 to 46.5% among adolescents. According to foreign meta-analyses, at present the average percentage of adolescents who have resorted to self-harm is from 16.9% to 19.5% and tends to increase. The prevalence of the phenomenon has increased greatly with the onset of the Covid-19 pandemic.Conclusion: Auto-aggressive behavior, self-injurious behavior, and non-suicidal self-harm are now common among adolescents. It should be noted that the prevalence rates of this phenomenon remain insufficiently studied and are presented by studies for Western countries, there is still a lack of data in studies of the adolescent population of the Russian Federation due to the low level of knowledge of the phenomenon in the country.
Aim. Study of clinical and psychopathological characteristics in women with sexual dysfunctions and mental disorders of the psychotic level. Material and methods. Clinical-psychopathological and sexological methods were used in the work. The results were processed using the licensed program Statistica 10.0 for Windows. At the first stage, 134 women (mean age 43.115.3 years) were examined who had inpatient treatment in the department for persons with non-psychotic mental disorders. At the second stage, the study involved 89 women (mean age 35.212.2 years), who were diagnosed with sexual dysfunctions. Results. Clinical and psychopathological indicators were studied, clinical, psychopathological and sexological analysis of sexual dysfunctions in women with non-psychotic mental disorders was carried out, taking into account the diagnostic criteria of the International Classification of Diseases-10. Three groups of patients were identified: (1) a group of women with sexual dysfunctions caused by non-psychotic mental disorders; (2) a group of patients in whom non-psychotic mental disorders were formed against the background of primary sexual pathology; (3) a group of patients in whom non-psychotic mental disorders accompany sexual dysfunctions. Conclusions. Sexual disorders in the studied groups are characterized by the predominance of libido disorder in the first group and the second group, as well as the predominance of dyspareunia in the third. There were no significant differences in the duration of sexual dysfunctions in the groups, which must be taken into account when choosing therapeutic and rehabilitation measures.
За время проведения клинического исследования выполнена оценка коморбидности биполярного аффективного расстройства с зависимостью от алкоголя, развившейся на фоне биполярного расстройства и предшествовавшей биполярному расстройству, с целью определения особенностей течения заболевания. В исследование вошли 120 пациентов в возрасте от 18 до 65 лет (75 мужчин, 45 женщин) с биполярным аффективным расстройством первого типа, которые проходили стационарное лечение в ГБУЗ «СКПБ № 1» (Краснодар) в период с 2013 по 2018 г. During the course of the clinical study, the comorbidity of bipolar disorder (BD) with alcohol addiction following BD (BD-A) and preceding BD was assessed in order to determine the features of the course of the disorder. The study involved 120 patients aged from 18 to 65 years (75 men, 45 women) with bipolar disorder of the first type, who underwent inpatient treatment at State budgetary institution of health care “Specialized Clinical Psychiatric Hospital No. 1” (Krasnodar) in the period from 2013 to 2018.
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