Pathogenetic ally based psychotherapeutic targets of adjustment disorders in young internally displaced persons

Abstract

Pathogenetically substantiated psychotherapeutic targets of adjustment disorders were developed in young people of internally displaced persons. 105 patients with adjustment disorders aged 18-25 years were examined with studying their clinical-psychopathological and pathopsychological features. The main group consisted of 59 internally displaced persons from the Anti-Terrorist Operation Zone, the control group consisted of 46 permanent residents of Kharkiv. According to the leading strategy of overcoming stress, 3 variants of adjustment disorders were identified in the surveyed young people: avoidance (in 35.9 % persons from main group and in 27.3 % persons from the control group), obsession (in 29.8 % and 36.9 % persons), phobias (in 34.3 % and 35.8 % persons). There are three directions of psychotherapeutic influence on clinical and pathopsychological manifestations of adjustment disorders: I direction is to manifestations of distress, depression and anxiety with phobic avoidance; II direction is to manifestations of obsession and avoidance; III direction is to manifestations of disorientation in the surroundings. Targets of psychotherapy of adjustment disorders in young internally displaced persons have been developed: clinical-psychopathological (anxiety in unusual situations, disorganization in actions, high level of reactive anxiety, subdepressive state, anti-vital experiences) and personal (low activity, selective communication, short-term anxiety, inability to fully disconnect from troubles and everyday problems).