Results of the study of the frequency of new cases of non-psychotic mental disorders in students of higher education institutions

Abstract

Topicality. The trend of increasing mental disorders, especially due to borderline disorders, which has been observed in recent years, requires the search for new approaches to maintaining mental health, prevention and, in particular, early diagnosis of non-psychotic mental disorders (NPD). The aim of the study. Investigate the frequency and structure of new cases of non-psychotic mental disorders in students of higher education institutions. Materials and methods. During 2015-2017, we conducted a continuous comprehensive survey of 1,235 students in compliance with the principles of bioethics and deontology. Applied methods: clinical, clinical-psychopathological, clinical-epidemiological, clinicalanamnestic, experimental-psychological and statistical. The sample did not have signifi cant diff erences in gender and age, place of residence, form of education. The survey was conducted in the intersessional period. Results. Evaluation of primary cases of NPD, which were detected during re-examination, was performed among practically healthy students based on the results of the fi rst examination and compared the data with the structure of NPD, which we diagnosed in the entire cohort of subjects studied in the fi rst cross section. The majority of students in whom the initial examination revealed no mental pathology remained virtually healthy after a year (858 people, 93.46%). Analyzing the structure of NPD, which arose during this period in this contingent, was narrower in comparison with the identifi ed patients at the initial examination. Mainly, NPD were represented by aff ective disorders (F30.0, F32.0, F34.0) and neurotic, stress-related and somatoform disorders (F40.1, F41.2, F42.0, F43.20, F43 .21, F43.22). An interesting fact was that in the structure of the NPD detected during the re-examination there were no other, than previously diagnosed during the initial examination, the category of mental pathology according to ICD-10. Conclusions. Thus, mainly NPD of aff ective (1.2%) represents the structure of new cases of NPR diagnosed during the year of study and neurotic registers (5.34%) (In the ratio ≈ 1/5, respectively), so other forms of mental pathology occur more quickly in period before the beginning of training or at long training. Therefore, it is advisable to focus on psychoprophylactic measures to increase the stress resistance of students and their adaptive capabilities.