Depressive disorders occupy a leading position among mental disorders in Ukrainians. The work of a physical therapist with patients with recurrent depressive disorder has its characteristics, which arise in connection with the somatic component in the clinical picture. The study aimed to analyze the polymorphism of complaints of patients with recurrent depressive disorder and to determine the correlation between them and the degree of the depressive disorder according to the results of the Patient Health Questionnaire - 9 (PHQ-9). The age of the patients was 45.37±12.01 years (min – 23 years; max – 69 years). The results showed that the most common complaints were: low mood (85.1%), headache (47.8%), apathy and insomnia (38.8%), changes in body weight (37.3%), loss of appetite and increased irritability (34.3%). The wide variety of complaints in the group of patients with recurrent depressive disorder is a confirmation of the work of scientists who claim that the most important diagnostic sign of a mental disorder is the phenomenon of "multiple somatic symptoms". This set of complaints required a more detailed study of their relationship. In fact, the determination of the correlation relationship by calculating Spearman's rank correlation coefficient revealed positive and negative relationships of different strengths. According to our study, a strong positive relationship was identified between impaired sexual function and loss of appetite (r = 0.72), a significant direct correlation was found between complaints such as decreased mood and loss of appetite (r = 0.52); between impaired sexual function, low mood (r = 0.53), fear of the evening (r = 0.5) and dizziness (r = 0.61). A strong negative correlation was observed between dizziness and loss of appetite (r= - 0.86). A significant inverse correlation was found between changes in body weight and low mood (r = - 0.53); between sensations of pain in the stomach and headache (r = - 0.64); between disorders of sexual function and changes in body weight (r = - 0.65), sensations of pain in the stomach (r = - 0.62); between tearfulness and apathy (r = - 0.5). Actually, a relationship with weak strength was noted between other complaints. While determining the degree of depressive disorder based on the results of the PHQ-9 survey, we found that a third of the respondents (34.4%) had a mild depressive disorder, a quarter (23.9%) had moderate depressive symptoms, and 14.9% of respondents had severe depressive disorders. When Although some correlation was found, no direct relationship was identified between the severity of depression and complaints during the calculation of the relationship between the degree of depressive disorder and existing complaints. According to the results of the PHQ-9, mild depressive disorder has a negative relationship with the change in body weight. Moderate depressive disorder is strongly correlated with loss of appetite. Severe depression disorder has a strong negative relationship with increased irritability and a significant negative relationship with headache. Therefore, further studies with larger cohorts of patients are needed to better understand this aspect of depression. To conclude, the data obtained would be important for physical therapists and other members of the multidisciplinary rehabilitation team, as the results indicated that patients with depression had multiple somatic symptoms that were not always associated with the health condition and the degree of depressive disorder.

Проаналізовані основні  показники соціального паспорта для формування «типової» пацієнтки з депресією. До дослідження було залучено 67 жінок, хворих на депресію, які були направлені на стаціонарне лікування. Дослідження проводилось з вересня 2021 р. по травень 2022 р.  Вік пацієнток 45,37±12,01 р. (min – 23 р.; max – 69 р.). «Типова» пацієнтка з депресією - це жінка 25-44 років, яка має диплом бакалавра, безробітна, проживає в селищі міського типу, незаміжня. При встановлені кореляції між отриманими даними встановили, що значної та сильної взаємозалежності між показниками не прослідковується, а натомість є лише прямий кореляційний зв'язок середньої сили (r=0,34) між місцем постійного проживання та сімейним станом.

Purpose: to study the relationship between awareness and commitment to modifying risk factors for recurrent myocardial infarction in a long period of the disease. Material & Methods: to study the awareness of risk factors and adherence to secondary prevention of myocardial infarction (MI), a representative sample was created. Of 912 patients treated for myocardial infarction, 333 patients were randomized, taking into account proportional distribution in the population by age (under 65 and over 65 years) and gender. The average age of patients was 62.5±9.8 years: 70,27% of men and 29,73% of women. Patients' awareness of risk factors, the use of preventive measures and adherence to treatment were assessed on the basis of a questionnaire. Statistical processing of the obtained material was carried out using the statistical program STATISTICA 12.5 (StatSoft.Inc). Results are presented as mean and standard deviation (M±s), number of options (n). To compare the qualitative characteristics (frequency tables), the χ2 test and Fisher's exact test were used. All participants were informed about the aims of the study and gave written consent to participate in the study. Results: low awareness (Aw) and commitment (Cm) to the modification of such risk factors for recurrent infarction in a long period of the disease as: reduced fat intake Aw 16,52%, Cm 19,4%; regular consumption of vegetables and fruits Aw 11,41%, Cm 9,7%; smoking cessation Aw 15,92%, Cm 11,04%; decrease in alcohol consumption Aw 16,52%, Cm 10,70%; increased physical activity Aw 14,41%, Cm 12,37%; weight loss with its excess Aw 3,0%, Cm 2,34%; avoidance of stress Aw 28,53%, Cm 18,06%. Although the vast majority of patients received appropriate recommendations from the doctor. Conclusions: low awareness of the possibility of modifying heart disease risk factors is associated with the failure to implement such non-pharmacological measures in secondary prevention after MI: decrease in fat intake (χ2=65,12; p=0,000) and regular consumption of vegetables and fruits (F p=0,000), unwillingness to quit smoking (F p=0,000) and decrease in alcohol consumption (F p=0,000), unwillingness to increase physical activity (χ2=17,61; p=0,000) and reduce weight in case of its excess (F p=0,015), avoiding stress (χ2=27,42; p=0,000).

Стаття присвячена управлінню якістю освіти у закладі післядипломної педагогічної освіти. Акцентовано увагу на дослідженні факторів впливу на ефективність управління якістю освіти. Розглядається психологічна готовність педагогічних працівників до реалізації Концепції “Нова українська школа”. Охарактеризовано зміст та структуру мотиваційного компонента психологічної готовності педагогічних працівників закладів загальної середньої освіти до реалізації Концепції “Нова українська школа”.

Aim of the research: The aim of the research was to express knowledge of the role of ties (relations) between mental factors such as trust in one's own possibilities of coping with pain and availing of the active strategies of coping with stress, while also the degree of readiness to limit stress with the aid of the use of alcohol. Material and methods: The research covered a group of 38 demobilized anti-terrorist operation (ATO) participants (men, 21-56 years) undergoing treatment and rehabilitation in the hospital. A measurement was conducted with the aid of certified psychological questionnaires and from medical documentation. Results: A correlation was found between the active strategy of coping with the stress felt and the strategy of coping with pain of the internal control of pain (ICS) type-internal control of pain (r = 0.71; p < 0.05), as well as a negative correlation between the readiness to utilize stimulants with the aim of easing stress and the strategy of coping with pain of the ICS type (r =-0.58; p < 0.05). Conclusions: The ways of coping with stress and pain by the hospitalized participants of combat action may be significant factors (of a psychological nature) that have an impact on their readiness to undertake behaviour that is significant for their health (such as alcohol and others) with the aim of reducing the symptoms of nervous tension felt. Streszczenie Cel pracy: Zwiększenie wiedzy na temat roli powiązań (relacji) między czynnikami psychologicznymi, takimi jak zaufanie do własnych możliwości radzenia sobie z bólem i korzystanie z aktywnych strategii radzenia sobie ze stresem, a stopniem gotowości do ograniczania skutków odczuwanego stresu za pomocą spożywania alkoholu. Materiał i metody: Badaniami objęto grupę 38 zdemobilizowanych uczestników operacji antyterrorystycznej (ATO) (mężczyźni: 21-56 lat) poddawanych leczeniu i rehabilitacji w szpitalu. Pomiar przeprowadzono za pomocą certyfikowanego kwestionariusza psychologicznego i danych pochodzących z dokumentacji medycznej. Wyniki: Stwierdzono, że występuje korelacja między aktywną strategią radzenia sobie z odczuwanym stresem a strategią radzenia sobie z bólem opartą na wewnętrznej kontroli bólu (ICS) (r = 0,71; p < 0,05), a także zaobserwowano ujemną korelację między gotowością do użycia stymulantów w celu złagodzenia odczuwanego stresu a strategią radzenia sobie z bólem typu ICS (r =-0,58; p < 0,05). Wnioski: Sposoby radzenia sobie ze stresem i bólem przez hospitalizowanych uczestników akcji bojowej mogą odgrywać znaczącą rolę jako czynniki (o charakterze psychologicznym) potencjalnie wpływające na gotowość do podjęcia istotnych dla zdrowia zachowań (takich jak spożywanie alkoholu i innych) w celu zmniejszenia objawów odczuwanego napięcia nerwowego.