Abstract
The aim: to establish the features of socio-psychological adaptation in patients with depressive disorders, taking into account age and gender factor.
 Materials and methods. A clinical and psycho-diagnostic examination of 107 men and 138 women with depressive disorders using the method of diagnosis of socio-psychological adaptation of C. Rogers et R. F. Dymond was done.
 Results. A low level of socio-psychological adaptation in patients with depressive disorders has been established. There is a tendency to deteriorate socio-psychological adaptation with age, the most pronounced in level of adaptability, emotional comfort, payroll, integrated indicators of adaptation, self-acceptance and emotional comfort in all patients, and in men also in maladaptation, self-acceptance, external control, and women – regarding internality. The rates of lying, acceptance of others and dominance in men and women were highest in the middle age group (30-44 years), and lowest – in the older (over 45 years); this trend is also found in men for internal control and an integrated indicator of acceptance of others, and in women – for the desire for dominance. Differences in the comparison of the older age group with the average were more significant than in the comparison of the younger group (up to 30 years) with the average.
 Conclusions. Patients with depressive disorders are characterized by a low level of socio-psychological adaptation. In both men and women, the level of socio-psychological adaptation decreases with age, and in men this trend is more pronounced. The most significant deterioration in the state of socio-psychological adaptation in patients with depressive disorders occurs at the age of over 45 years; this trend is also more common in men
Highlights
Depressive disorders are one of the most pressing problems in modern psychiatry
Significant manifestations of psychosocial maladaptation in the macrosocial, mesosocial and microsocial spheres have been reported in women with depressive disorders; the genesis of depression plays an important role in the severity of maladaptation [10,11,12]
Our study revealed important patterns of gender characteristics, relating to the general tendency to higher rates of socio-psychological maladaptation in men, and the characteristics of individual components of maladaptation, in particular, the presence of significantly worse indicators in men in terms of adaptability, self-acceptance, acceptance of others, adaptation, emotional comfort and internality, and higher rates of maladaptation, lying, self-rejection, rejection of others and external control
Summary
Depressive disorders are one of the most pressing problems in modern psychiatry. Their lifetime prevalence is estimated at 5–17 % (average 12 %), and the annual probability of developing depression is about 7 % [1]. Depression is a disease that is accompanied by severe socio-psychological maladaptation, significant deterioration of psychosocial functioning and reduced quality of life of patients [7, 8]. Depressive disorders are accompanied by a significant deterioration in the quality of life of patients, and during the active depressive phase there is a tendency for patients to be more pessimistic about their functioning and quality of life in all key areas compared to their assessment by a specialist [15]
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