New Developments on Classification and Diagnostic Systems

Mezzich, Juan E.

doi:10.1177/070674371005501101

Cited by 3 publications

(3 citation statements)

References 19 publications

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“…В ходе выполнения научной работы применены анамнестический, клинико-психопатологический и экспериментально-психологический методы. Качество жизни пациентов исследовали с помощью теста «Показатель качества жизни» [11]. Методика состоит из 10 шкал (номера и названия шкал представлены в табл.…”

Section:  материалы и методыunclassified

An Indicator of the Quality of Life in People with Alcohol Dependence during the Formation of Therapeutic Remission High Quality

Сквира,

Абрамов

2023

Психиатрия, Психотерапия И Клиническая Психология

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Введение. Субъективная картина мира – важнейшее понятие, определяющее показатель качества жизни (ПКЖ). В наркологии ПКЖ адекватно отражает динамику состояния пациентов в процессе терапии и успешность их адаптации в социуме. Считается, что у лиц с алкогольной зависимостью (АЗ) и при длительных ремиссиях ПКЖ не достигает уровня здоровых людей. Цель. На основе сравнительного изучения ПКЖ у лиц с алкогольной зависимостью и здоровых людей найти клинико-психологические особенности, способствующие становлению терапевтической ремиссии. Материалы и методы. Проведено комплексное (клиническое, экспериментально- психологическое, статистическое) сравнительное исследование 39 пациентов с АЗ на этапе становления терапевтической ремиссии и 48 практически здоровых лиц в возрасте от 27 до 55 (40,10±9,4) лет. ПКЖ исследовали с помощью известного теста Mezzich J.E. et al. (1999). Статистическая обработка полученных данных проводилась с использованием лицензионного программного обеспечения Microsoft Excel. Результаты. Установлено, что состояние пациентов с АЗ в ремиссии высокого качества отличалось от состояния здоровых лиц более высокими параметрами компонента ПКЖ «субъективное благополучие» (p<0,001) и значительным физическим и душевным подъемом (p<0,001), связанным с осознанием возможности победы над зависимостью и обретения свободы от наркологической болезни. Заключение. Для становления качественной и длительной терапевтической ремиссии у лиц с АЗ требуются не только специфические изменения с ослаблением проявлений болезни, но и более высокий, чем у здоровых лиц, уровень показателя качества жизни с чувством благополучия, душевного подъема, неспецифической адаптационной реакции организма (p<0,001), обеспечивающими энергетическое поддержание процесса выздоровления. Introduction. The subjective picture of the world is the most important concepts that determine the quality-of-life indicator (IQL). In narcology, IQL adequately reflects the dynamics of patients’ condition during therapy and the success of their adaptation in society. It is believed that in people with alcohol dependence (AD) and with long-term remissions, the IQL does not reach the level of healthy people. Purpose. Based on a comparative study of IQL in people with alcohol dependence and healthy people, to find clinical and psychological features that contribute to the formation of therapeutic remission. Materials and methods. A comprehensive (clinical, experimental, psychological, statistical) comparative study was conducted of 39 patients with AZ at the stage of therapeutic remission and 48 practically healthy individuals aged 27 to 55 (40.10±9.4) years. IQL was studied using the well-known Mezzich test J.E. et al. (1999). Statistical processing of the obtained data was carried out using licensed software Results. It was found that the condition of patients with AD in remission of high quality differed from the condition of healthy individuals by higher parameters of the component of the IQL "subjective well-being" (p<0.001) and significant physical and mental uplift (p<0.001) associated with the awareness of the possibility of victory over addiction and gaining freedom from drug addiction. Conclusion. For the formation of high-quality and long-term therapeutic remission in individuals with AD, not only specific changes with a weakening of the manifestations of the disease are required, but a higher level of IQL with a sense of well-being, spiritual uplift, and a nonspecific adaptive reaction of the body (p<0.001), providing energy support for the recovery process, than in healthy individuals.

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Section:  материалы и методыunclassified

An Indicator of the Quality of Life in People with Alcohol Dependence during the Formation of Therapeutic Remission High Quality

Сквира,

Абрамов

2023

Психиатрия, Психотерапия И Клиническая Психология

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“…Evidence of the multiaxial system’s overall usefulness was provided by field trials, surveys, case reports, hospitalization decisions, and prediction of service utilization; additional evidence was provided for the usefulness of other multiaxial systems in use internationally (Mezzich, 2010). The system’s low regular usage in the United States was also noted, rendering its potential unfulfilled and thus contributing to its undervaluation.…”

Section: History and Development Of Axis IVmentioning

confidence: 99%

“…Over the years, many authors have voiced concern about the inadequacy of a purely descriptive system for capturing the information needed for sound clinical care, favoring a more etiologically based system (e.g., First, 2010; Mezzich, 2010), although they acknowledge that such a system is not yet available and would be rife with problems including the near impossibility of isolating the causal influence of gender, culture, poverty, family dynamics, and so on. Interestingly, one stressor that has been addressed in the new DSM is trauma—an environmental event without a brain-based origin.…”

Section: History and Development Of Axis IVmentioning

confidence: 99%

The Life and Death of Axis IV

Probst

2013

Research on Social Work Practice

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Axis IV, one of the five dimensions of clinical description, has provided a way to report psychosocial and environmental problems that may affect the diagnosis, treatment, and/or prognosis of a psychiatric disorder. Originally conceived in DSM-III as a way to rate and rank the severity of particular environmental stressors, axis IV was simplified for DSM-IV to a more straightforward listing of psychosocial factors, given the reliability and validity problems with quantifying the etiologic contribution of specific stresses to mental disorder. In the newest manual, however (DSM-5), the entire multiaxial system has been quietly eliminated. How and why multiaxial assessment was abandoned, and what this implies for social work theory and practice, are addressed in a conceptual review that traces the history and empirical evidence, positive and negative, for incorporating a psychosocial dimension into the diagnosis of mental disorder.

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Person‐Centred Psychiatry Perspectives on Coercion and Cooperation

Mezzich¹

2011

Coercive Treatment in Psychiatry

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New Developments on Classification and Diagnostic Systems

Cited by 3 publications

References 19 publications

An Indicator of the Quality of Life in People with Alcohol Dependence during the Formation of Therapeutic Remission High Quality

An Indicator of the Quality of Life in People with Alcohol Dependence during the Formation of Therapeutic Remission High Quality

The Life and Death of Axis IV

Person‐Centred Psychiatry Perspectives on Coercion and Cooperation

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