Psychodiagnostic features of young agents with disorders of adaptation

Abstract

Aim of the work: To study psychodiagnostic features of medical students with adaptive disorders.Materials and methods of the research: A total clinical and anamnestic, clinical and psychopathological and psychodiagnostic examination of 412 students of both sexes (216 women and 196 men) of Kharkiv National Medical University with an average age of 18.0 ± 2.0 years was conducted to achieve the goal, in compliance with the principles of bioethics and deontology. Among the surveyed, 215 students were residents of eastern Ukraine; 87 students - residents of Luhansk and Donetsk regions, who entered the study at the KhNMU before the ATO and 110 students - settlers from the ATO zone.Methods of the research: clinico-psychopathological, psychodiagnostic, statistical.Results. According to the results of the study, 27±1.7% of students of eastern Ukraine, 36.4±1.9% of students living in Luhansk and Donetsk regions who enrolled in the KhNMU before the ATO and 92.2±3.1% of immigrant students from the zone of ATO detected deadaptive states. In the course of work it was established that deadaptive states of medical students are manifested by anxiety-depressive disorders with a predominance of moderate and anxious and depressive episodes on Hamilton's depression scale, high levels of reactive anxiety and personal anxiety (according to the Spielberger-Khanin scale) and excessive neuropsychiatric stresses for the Nemchin scale.In the structure of adaptation disorders, light cognitive impairments were observed, which were manifested by lower volumes of verbal memory, reduced speed of counting operations, slight difficulty of orientation and decreased perceptive-gnostic spherical indices, decreased concentration of attention and memory of the received information, expressed reaction of mental fatigueConclusions. In the surveyed students with adaptive disorders - on average in the group of surveyed, the general indicator on the scale ММSE was (28.2±0.2) points out of 30 possible. There was a decrease in volumes of verbal memory, the speed of counting operations, reducing the concentration of attention, memorizing received information, deterioration of "memory", increased fatigue, reduced tolerance to stress. In the structure of adaptation disorders, the prevalence of a moderate and severe anxiety and depression episode high levels of reactive anxiety and personality anxiety and excessive neuro-psychic tension