Abstract
Abstract. The prevalence of anxiety disorders during life among residents of developed countries reaches 34 %. The low effectiveness of pharmacotherapy and psychotherapy determines the search for comprehensive technologies for the treatment of patients with nervous tension. The purpose of the study: to determine the prognosis of the effectiveness of medical and psychological rehabilitation (MPR) in patients with nervous tension and to identify its determinants. Methods: 254 patients aged 32 (19–50) years with nervous tension (ICD–X code R45.0) were studied. The complex of medical and psychological rehabilitation included physical exercises, courses of audiovisual polysensory relaxation, transcranial magnetic therapy, alpha massage, sodium chloride baths, climatotherapy, cognitive behavioral psychotherapy and therapeutic nutrition. The total duration of the MPR course is 10–20 days. To determine the relationship between integral health parameters and individual clinical and functional signs of nervous tension, correlation analysis was performed, canonical correlation analysis was used to select the most informative signs, and discriminant analysis was used to determine the prognosis of MPR and the dominants of its effectiveness. Results: A significant improvement in clinical and psychological status, physical health, increased physical performance, increased adaptive potential and autonomic regulation in patients was revealed. Significant high correlations of improvement of adaptive potential and physical performance with SAD (0.77), double product (0.81), Martin — Kushelevsky breakdown (0.74), average — with heart rate (0.58), DBP (0.69), level of physical health (0.54), weak — with BMI (0.47) were established. The effectiveness of MPR in patients with FA is 90 %. The determinants of effectiveness are indicators characterizing the heart rate, SAD, double product, BMI, age, Kerdo vegetative index, DAD, indicators of the Martinet — Kushelevsky test and physical performance PWC170–1. Conclusion: Various components of the pathogenesis of nervous tension determine the choice of rehabilitation technologies, the combination of mechanisms of therapeutic action of which determine the high effectiveness of MPR in patients with nervous tension.
Published Version
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