Structural-dynamic features of states of mental exhaustion in medical students

Abstract

The analysis of relevant literary sources makes it possible to form the idea that, despite the significant representation of states of mental exhaustion, there is a lack of representative evidence-based information about the structural and dynamic features of the studied phenomena in the contingent of medical students. Purpose. By means of clinical-psychopathological analysis of the manifestations of mental exhaustion in medical students, to establish the structural and dynamic features of these conditions. Methods that were used: clinical-psychopathological, psychodiagnostics and clinical-statistical. According to the results of the study, it was found that the phenomena of mental exhaustion in the formed contingent were characterized by: a wide prevalence, reaching 54.0 %, clinical polymorphism and intragroup heterogeneity, a significant representation of interpersonal sensitivity disorders (61 (34.8 %) students) and psychotism (73 (41.7 %) students), manifestations of obsessive-compulsive (47 (26.8 %) students) and depressive (49 (28.0 %) students) spectra. Five variants of the most common compilations of psychopathological phenomena of various spectra were established: depressive and obsessive-compulsive (46 (26.3 %) students), hostility and psychotism (41 (23.4 %) students), psychotism and manifestations of interpersonal sensitivity (30 (17.1 %) of students), manifestations of interpersonal sensitivity and anxiety (29 (16.6 %) students), somatic anxiety and phobic manifestations (21 (12.0 %) students). The representation and structural-dynamic features of states of mental exhaustion in medical students have been established, which gives a better understanding of the pathogenesis of these conditions and forms the basis for their systematization. Key words: mental exhaustion, emotional burnout, maladaptation, students, psychotherapy