Emotional-volitional Sphere Research Articles

Критерии оценки качества жизни в проектах поддержки подростков и молодых взрослых с ментальными особенностями и тяжелыми множественными нарушениями развития

<p>Criteria for assessing the quality of life of adolescents and young adults with mental disabilities and severe multiple developmental disabilities should take into account their needs, limitations and individual characteristics. This article describes the experience of evaluating the effectiveness of support programs through the analysis of changes in indicators of spatial and temporal orientation, social, communicative, craft skills and emotional-volitional sphere, based on systematic supervision of specialists and keeping a development diary. It is shown that such an approach to assessing the well-being of wards allows you to identify support targets in time and thereby contribute to the development of their independence skills and successful socialization.</p>

PSYCHOLOGICAL AND PEDAGOGICAL CONDITIONS FOR THE FORMATION OF THE EMOTIONAL-VOLITIONAL SPHERE IN JUNIOR SCHOOLCHILDREN DEPRIVED OF PARENTAL PROTECTION

The scientific article examines psychological assistance, especially in the psychological aspect, in the logical and pedagogical aspect of the formation of the emotional-volitional sphere in younger schoolchildren. The article argues that the formation of the emotional-volitional sphere of a primary school student thanks to supervision is a complex system of relationships when, on the one hand, the child needs emotional support and comfort. On the other hand, the requirement to follow rules and norms limits the choice of behavior.

Особенности волевой регуляции поведения у осужденных женщин, имеющих наркотическую зависимость

The article presents a study of the features of volitional self-regulation of convicted women with drug addiction in conditions of social isolation. The purpose of the study was to study the characteristics of volitional regulation of convicted women with drug addiction. The subject of the study is the peculiarities of volitional regulation of convicted women with drug addiction. The hypothesis of the study is the assumption that the volitional regulation of convicted women with drug addiction differs from the volitional regulation of convicted women who do not have drug addiction. The study was carried out using the following diagnostic tools:
 – a methodology for studying stylistic self-regulation of behavior (SSP) aimed at the emotional-volitional sphere;
 – the methodology for studying volitional regulation (VVR) is aimed at studying the emotional-volitional and motivational-need spheres of the individual;
 – the “Volitional Personality Qualities Questionnaire” (VQL) technique designed to assess the volitional qualities of an individual.
 60 respondents took part in the study. The subjects were divided into two groups. 30 convicted women with drug addiction were selected for the experimental group. The control group consisted of 30 convicted women who did not have drug addiction.
 The results obtained during the study indicate that convicted women with drug addiction are extremely dependent on the opinions and assessments of others, are unable to independently develop plans and programs of action, and often and uncritically follow other people’s advice. In the absence of outside help, they inevitably experience regulatory failures. The stylistic features of self-regulation of activity reveal uncertainty in a rapidly changing environment; they have great difficulty getting used to changes in life and are extremely dependent on the opinions and assessments of others. They also have a reduced ability to consciously overcome obstacles on the path to their goals and conflict-free behavior; they are characterized by low initiative, independence, suggestibility, and dependence on the opinions of groups.

DYNAMICS ASSESSMENT OF PSYCHOPATHOLOGICAL CHARACTERISTICS OF NEGATIVE SYMPTOMS IN SCHIZOPHRENIA

The aim of the study. To determine the dynamics of the psychopathological structure and severity of negative symptoms depending on the stage of the disease in patients with negative symptoms in schizophrenia in order to improve the diagnosis and treatment of patients with schizophrenia.
 Materials and methods: 252 patients with negative symptoms of schizophrenia took part in the study: 83 patients with the first episode of schizophrenia, 88 patients with schizophrenia in a state of exacerbation, and 81 patients with schizophrenia in a state of remission. A comprehensive approach, which consisted from clinical-psychopathological, psychometric (Scale for Evaluating Negative Disorders, G.V. Logvinovych, 1990) and statistical research methods, were used in the study.
 Results. Features of the dynamics of negative symptoms in patients with negative symptoms in schizophrenia at different stages of the disease were established: patients with the first episode of schizophrenia were characterized by mild quantitative and qualitative impairments in the emotional sphere, slight quantitative and qualitative changes in the associative sphere, and mild quantitative impairments in the volitional sphere in combination with moderate qualitative changes in the volitional sphere. Patients with schizophrenia in a state of exacerbation were characterized by moderate quantitative impairments of the emotional sphere and manifested distortion of the emotional sphere, manifested quantitative and qualitative impairments in the associative sphere and minor quantitative and qualitative impairments of the volitional sphere. Patients with schizophrenia in a state of remission were characterized by moderate and manifested quantitative and qualitative impairments in the emotional-volitional sphere and moderate quantitative and qualitative impairments in the associative sphere.
 Conclusions. The obtained data can be used to establish diagnostic criteria for patients with negative symptoms in schizophrenia, depending on the dynamics of the disease.

Specifics of anticipatory competence of adolescents with speech pathology

IntroductionAdolescents with speech pathology experience disturbances in sound pronunciation, phonemic processes, poor vocabulary, insufficiently formed grammatical structure, and disturbances in coherent speech. The specifics of the emotional-volitional sphere of adolescents in this group are anxiety, isolation and negativism prevent the establishment of full social contacts with peers and adults and complicate the formation of their anticipatory competence.ObjectivesStudying the specifics of the anticipatory competence of adolescents with speech pathology.Methods The study involved 56 adolescent children aged 11-15, attending an educational institution for children with disabilities, diagnosed with general speech impairment level 2. The study was carried out using the following methods: “Achenbach Questionnaire”, “Test of Anticipatory Consistency” by V.D. Mendelevich, “Anticipation of the outcome of a situation with a violation of the norm” by V.P. Ulyanova and the author’s methodology “Studying the anticipatory competence of adolescents” by Akhmetzyanova A.I., Artemyeva T.V.Results It was revealed that adolescents with speech pathology experience difficulties in mastering the material, it is difficult for them to concentrate their attention on the task and bring the work they have started to the end. Adolescents of this nosological group face difficulties in predicting the outcome of situations and the consequences of their own behavior in a situation of social interaction, find it difficult to control time in the process of doing homework and organizing leisure time, make a forecast of various situations that may arise at school and family, make new acquaintances, and communicate freely with parents, teachers and peers.Conclusions The level of speech development influences the formation of personal-situational, speech-communicative anticipatory competence of adolescents, and the ability to predict speech situations. Teenagers with speech pathology need help from adults This paper has been supported by the Kazan Federal University Strategic Academic Leadership Program.Disclosure of InterestNone Declared

Development of social competence of specialists of helping professions to carry out comprehensive prevention of suicidal behavior of adolescents

Introduction. The relevance of the research problem is due to the increase in maladaptive forms of adolescents' response to various kinds of crisis situations. The importance of preventing teenage suicides has increased dramatically in the context of the socio-cultural crisis of recent decades. Despite the fact that various sciences are developing and putting into practice more and more new methods and technologies for suicide prevention, alarming trends do not disappear. A real problem of training specialists of helping professions to organize complex, specifically filled activities for diagnostic, preventive, advisory, correctional and developmental work with adolescents is being formed. The purpose of this article is to consider the possibilities of supporting the activities of specialists in helping professions to work with adolescents in the prevention of suicidal behavior. Materials and methods. The study involved 133 students and 20 teachers of general education organizations (schools of the Krasnodar Territory, Russian Federation). To carry out diagnostics on the research topic, we used theoretical and empirical methods (in particular, analysis of psychological and pedagogical literature on the research problem, testing, conversation, the method of expert assessments, the method of content analysis), as well as methods of mathematical statistics. In the course of the study, we examined the manifestations of individual characteristics of self-esteem in children, the perception of loneliness, value orientations, and features of the emotional-volitional sphere. Also, within the framework of the study, we determined the content characteristics of the construction of a comprehensive work of specialists of accompanying professions with adolescents of the "risk group". The results of the study. As a result of the diagnosis of students in grades 8-9 (133 people), a "risk group" of 14 people was identified. To confirm the criteria for inclusion of adolescents in the group of suicidal risk – anxiety, frustration, a set of diagnostic techniques was used. It was determined that 43 subjects had an average or low level of anxiety, 90 respondents (67.66%) showed an increased level of anxiety. 57.14% of respondents revealed low self-esteem, while adolescents with adequate self-esteem accounted for only 34.58%. Teenagers who were assigned to the "risk group" demonstrated a fairly high level of loneliness: 7 of 14. The results of the study allowed us to identify areas in the prevention of suicidal activity of adolescent schoolchildren, for which it is necessary to prepare specialists of accompanying professions working in an educational organization. Conclusion. Based on the data of the conducted research, it is possible to note the multifactorial etiology of suicidal manifestations, which implies the need for a comprehensive psychological and pedagogical impact on all components of this phenomenon. The age peculiarity of a teenager determines the features of his suicidal behavior, which determine the specificity and uniqueness of prevention. Preventive work on suicide prevention should be built as an integral system that includes all levels of prevention, as well as a set of measures aimed at preventing repeated attempts. At the same time, the preventive activity of suicidal behavior should integrate several areas, such as: work with family, teachers, and adolescents themselves.

ЕМОЦІЙНО-ВОЛЬОВА СФЕРА ОСОБИСТОСТІ МЕНЕДЖЕРА В ПРОЦЕСІ УПРАВЛІННЯ КОЛЕКТИВОМ

The article is devoted to topical issues of determining the emotional-volitional sphere of the manager's personality in the process of team management. The integration of personal and psychological characteristics of the manager into management processes is analyzed. The specifics of the manager's activities in modern conditions are indicated. The main qualities of the manager include: internal beliefs and willingness to manage; the ability to lead; the ability to manage, the desire for leadership; developed volitional qualities and self-regulation; analytical skills and critical thinking; the ability to work in a team and the ability to take responsibility. The specificity of the emotional-volitional sphere of the manager's personality is substantiated and its importance in the process of team management is described. Emotions and feelings belong to the same substructure of personality. The study noted that emotions and feelings can be differentiated into the following groups: in the form of manifestation (moods, affects, passions); by direction (positive and negative). The emotional sphere is interdependent with other cognitive processes: sensation, perception, memory, thinking, etc. The volitional qualities of the individual include: endurance, initiative, perseverance, organization, determination, self-control, independence, purposefulness, etc. The following characteristics indicate the formation of stable volitional qualities of the manager: the ability to carry out an adequate assessment of the situation, the optimal choice of ways for future action, the rational selection of means and tools, managerial decision-making, etc. The principles of regulation of the emotional-volitional sphere of the manager's personality in the context of the implementation of management activities by the team are determined. It is determined that the emotional-volitional sphere of the manager's personality is an integral component of the manager's personality, which reflects the situational attitude of a person to individual objects and volitional qualities and affects the communicative function of management.

Relationship Between Types of Family Education and Emotional-volitional Sphere in Student Age

Intra-family relations are the main component of the educational potential of the family. In our society, they are conditioned by state and domestic relations. Their significance in the formation and development of the individual is due to the fact that they are the central link in social relations in which the individual enters into the process of his personal growth.The family is the main phenomenon that accompanies a person throughout his life. Its influence on the personality, its complexity and versatility give rise to many approaches to the study of the family and definitions that can be found in the scientific literature. The object of study is the family as a social institution, a small group or a system of relationships.The purpose of the presented pilot psychological study was to study the influence of types of family education on the formation and development of the emotional-volitional component in student age.The paper studies such characteristics as student age, emotional-volitional sphere, types of family education, family, emotions and will.In the work, a bibliometric analysis of the research problem was carried out, an experiment was carried out. Thanks to the psychological experiment, the types of family education and their influence on the development of the emotional-volitional sphere of such a category as students were determined.The results of the study are based on a systemic, axiological, humanistically oriented methodological component. The methods of pilot psychological research were experiment, observation, survey, method of statistical processing of results.

Особенности социально-психологической адаптации подростков с задержкой психического развития

To date, the problem of studying the emotional-volitional sphere and behavior of adolescents with mental re-tardation remains relevant and is not only fundamental, but more applied in the field of correctional psychology and pedagogy. The aim of the work is to study the features of the emotional-volitional sphere as a factor of so-cio-psychological adaptation of adolescents with mental retardation in order to further develop recommenda-tions for providing them with psychological and pedagogical assistance on the basis of the identified patterns. As a result, it was ascertained that adolescents with mental retardation are characterized by a higher level of socio-psychological adaptation compared to adolescents with a normal type of mental development. At the same time, the high level of adaptation of adolescents with mental retardation is determined by such features of the emotional and personal sphere as external locus of control, a low degree of neuropsychic stability and low personal anxiety. In adolescents with a normal type of mental development, with a high level of socio-psychological adaptation, there is an internal locus of control, high indicators of the level of neuropsychic stabil-ity, as well as low personal anxiety.

Comparative analysis of the effectiveness of isotherapy in the rehabilitation of children with intellectual disabilities

Art therapy technologies are widely used in educational, rehabilitation and social institutions. It is believed that the use of various methods of art therapy helps children and adolescents with disabilities to integrate into educational and rehabilitation processes. In the special and psychological-pedagogical literature, a wealth of material has been accumulated about the adaptive, corrective and therapeutic effects of art-therapeutic technologies, where the creative nature of the process of interaction between the psychologist and the wards serves as the basis. One of the most common and available methods of art therapy can be called isotherapy. The special literature emphasizes the effectiveness of isotherapy in the correction of the perceptual and emotional-volitional sphere, promotes the development of higher mental functions. This article presents the experience of monitoring the dynamics of mental activity of children with varying degrees of intellectual disability during rehabilitation, where one of the psychological and pedagogical influences was isotherapy. Research methods: observation maps for children with disabilities during isotherapy classes. The questions of the observation map are compiled on the basis of a three-level rehabilitation program using the method of isotherapy. To identify the links between the indicators of mental activity of the subjects, the r-Pearson correlation coefficient was used. In order to determine the effectiveness of isotherapy, Wilcoxon’s W-test is used. Results of the study a comparative analysis of the effectiveness of isotherapy in three different groups of children with disabilities is presented. The most noticeable positive changes are observed in the samples of children with moderate and mild mental retardation. For a group of children with severe intellectual and psychophysical disabilities, isotherapy classes help to pull some children up to an average level. The lack of positive dynamics in children of this group lies in the peculiarities of sensorimotor activity disorders, weak or almost absent differentiation of mental processes. Imagination deserves special attention in isotherapy classes, the study of which in children with intellectual disabilities is relevant in modern correctional psychology.

НАУКОВІ ПІДХОДИ ВИВЧЕННЯ ПСИХІЧНИХ СТАНІВ У ФАХОВІЙ ЛІТЕРАТУРІ

Increased interest in the study of individual mental properties and the course of mental processes is associated with an increase in the frequency of negative mental states and even borderline neuropsychiatric disorders. According to many experts, the prevalence of such conditions in the world is from 20 to 40 percent of the population. Negative mental states significantly affect interpersonal relationships, increase conflict, are manifested in undesirable changes in behavior, including antisocial acts, and also cause deterioration or loss of work capacity. The obtained scientific results indicate that the common scientific views of various scientists regarding the problem of determining mental states is that their study and mechanisms are considered as a holistic phenomenon of the mental activity of an individual. Mental activity is carried out in connection with internal and external factors that determine it. On the one hand, these are individual psychological features of a person, and on the other hand, they are the result of a peculiar reflection and peculiarities of the conditions of professional activity. It is the subjective attitude to objective reality that determines the specificity of the course of mental processes and determines the mental states of a specialist in accordance with mental cognitive processes, properties and personality formations. The purpose of the article: to reveal scientific approaches to the study and interpretation of negative mental states, the peculiarities of its psychological characteristics and determinants in professional literature. Analysis of scientific sources shows that mental states depend on a certain unity and at the same time opposites. On the one hand, there is a significant influence of the external environment (activity in conditions of war, pandemic, social environment), and on the other, a subjective attitude to objective reality depending on individual psychological properties, mental cognitive processes, motivation, temperament, emotional volitional sphere, experience. Regarding the current special socio-psychological conditions and living conditions of entrepreneurs, most of them, according to surveys, experience negative mental states (fear of losing business, anxiety for relatives, depressive states and worries about the fate of the country). At the same time, about 30 percent in these harsh conditions have not lost their optimism, find ways for effective entrepreneurial activity, immerse themselves in work and enjoy it. The prospects of further research are that based on scientific approaches to the study of mental states in the scientific literature, the psychodiagnostic toolkit of their negative manifestations will be substantiated and a psychological program for the prevention and overcoming of negative mental states in entrepreneurs will be developed.

Application of intratissue electrostimulation in the treatment of chronic post-traumatic bone pain syndrome at stages II-III of medical rehabilitation

Objective: to improve the outcomes of medical rehabilitation of mature second-degree patients with spi¬nal cord injury complicated by emotional-volitional disorders in the long-term period of injury, by applying intrathecal electrostimulation. Material and methods. The results of intrathecal electrostimulation in the treatment of chronic bone pain syndrome complicated by the development of anxiety-depressive disorders in patients with mono- and bisegmental fractures of the A1 and A2 types of lumbar vertebrae (according to Magerl) were studied. Two groups of patients (n=36) comparable in gender, age, and degree of functional impairment in the age range from 45 to 65 years were the objects of the study. Intrathecal electrostimulation was used as monotherapy in the patients of the main group (n=17). Patients included in the comparison group (n=19) received treatment corresponding to stages II-III of medical rehabilitation. Pain intensity was assessed by measuring the electrical potential of the skin and using the VAS scale. The degree of anxiety-depressive disorder was determined by a specialized questionnaire, Simptom Check List-90-Revised. Quality of life was assessed using the Oswestry Disability Index. Results. Positive treatment outcomes in the form of reduced anxiety were achieved in 100% (n=17) of patients in the main group and 53% (n=9) in the comparison group (p=0.05). Pain syndrome was eliminated in more patients in the main group (n=17) compared to (n=11) in the com-parison group. There was a difference in a number of numerical measures of quality of life and patient satisfaction with the treatment received: the value (vector) of the level of rehabilitation potential and the value of the outcome level at p=0.01. Conclusion. An effective, pathogenetically grounded technique for rehabilitation of patients with spinal column injuries was proposed, and the tactics of applying intratissue stimulation to mature and elderly patients with disorders of the emotional-volitional sphere at the outpatient stage of rehabilitation treatment was developed.

THE STUDY OF THE PERSONAL TRAITSOF THE QUALITY ASSURANCE MANAGERS OF AN INDUSTRIAL ENTERPRISE

The article presents the results of a study devoted to the study of the totality of employers' requirements for the personal traits of applicants for the positions of the staff member of Quality Control Service and comparing them with the actual level of Quality Assurance Managers of an industrial enterprise. The analysis of job advertisements and employers’ needs for the position of Quality Assurance Managerhas made it possible to determine the list of the most common requirements of employers for future employees of the Quality Control Service. The study of the personal traits and skills of Quality Assurance Managers working in industrials corporations and other staff members has been undertaken based on the Questionnaire for the Diagnosis of the Emotional-Volitional sphere of the Personality developed by M.V. Chumakov. Carried out the research, the personal characteristics and traits of employees benefit to successful activities in the Quality Control Service of an industrial enterprise has been identified. The results obtained are usefulfor recruitment system to be improved. The study of the theoretical foundations of staff recruitment and the analysis of the proposed innovations to optimize the hiring policydemonstrates that thepersonal and professional traits, the intrinsic properties and skills of applicants are essential and indispensable to human resource management especially allowing for current unstable economic and epidemic situation both around the world and in our country and while active innovative development goes on. M.V. Chumakov's questionnaire in the recruitment of personnel as an additional method of evaluating candidates for the positions of supervisors in the Quality Control Service creates the core idea of the currently dominant personal traits of applicants, which, together with other recruitment methods, facilitates the decision to hire the most appropriate employee. The approach reduces the costs of training and retraining insufficiently suitable applicants for the position of Quality Assurance Managers.

A Case of Severe Somatized Depression in a Young Adult: Diagnostic Challenges

IntroductionDepressive disorders in adolescence and young adulthood have always been and remain an urgent problem due to their fairly high prevalence among the population, serious difficulties in diagnosis and untimely treatment. Timely diagnosis and adequate treatment can have a powerful impact on the future life of a person in a positive context. This process requires both standardized mechanisms, and an individual detailed study of each case, as the future of the individual depends on it.ObjectivesA young adult M., 20 years old, a university student, from a socially prosperous family, approached us.Main complaints: headaches that have been going on for almost 4 years. Pains did not depend on loads, both physical and mental, were of various characteristic and different localization. Non-steroidal anti-inflammatory drugs, as well as anti-migraine drugs, have little effect on the pathological experiences.MethodsOur main method of examination was clinical interview. In the complex assessment detailed neurological and ophtalmological examination included.ResultsThe parents referred patient for a medical examination about a year ago, because they noticed persistent mydriasis in him. During the year, the patient underwent a detailed examination (consultations of a therapist, endocrinologist, neurologist, ophthalmologist, MRI, EEG, dopplerography). Doctors expressed various assumptions about the diagnosis, because all the studies did not reveal any pathology that could explain the indicated complaints and mydriasis.During the initial interview, a high level of intelligence and knowledge was revealed, as well as a sufficient ability to learn. Examining the emotional-volitional sphere, a slight level of emotional instability, mild irritability, anhedonia and a slight degree of hypobulia (which can be explained by long-lasting and persistent pathological somatic experiences in the form of headaches) were found. Incomplete Protopopov’s triad was revealed.The patient was referred for repeated neurological and ophthalmological examination. Specialists with a high qualification level discovered the A. Athanassio symptom in him.He was diagnosed with recurrent depressive disorder, a current episode of severe depression with somatic symptoms, and appropriate treatment was prescribed.Conclusions1. Depressive disorders in adolescence and young adulthood require special attention from specialists of all medical specialties.2. The need for a detailed medical examination and modern neuroimaging methods is beyond doubt.3. Psychiatric examination cannot be limited to assessment of mental status only, and assessment of Protopopov’s triad should be part of psychiatric examination.4. Neurological and ophthalmological examination must necessarily include an assessment of neuro-ophthalmological symptoms.5. Individual selection of treatment should be carried out by a psychiatrist.Sorry to say, Professor Mykola Pityk died 27.12.2020Disclosure of InterestNone Declared

Дополнительная общеразвивающая программа социально-гуманитарной направленности «Я развиваюсь» для детей 4–5 лет

<p>The article is devoted to the description of the program “I am developing” for preschool children 4–5 years old. The implementation of the program is based on an interdisciplinary psychological and pedagogical approach and is aimed at revealing the internal resources of pupils (including those with disabilities), cognitive development, the development of regulatory functions, as well as the emotional, personal and communicative development of children. Classes are built in the stream of the neuropsychological approach and suggest an early start of corrective action in the created developmental environment. The basis of this developing psychological and pedagogical program is the theoretical provisions of L.S. Vygotsky, A.R. Luria about the patterns of development and the hierarchical structure of the brain organization of higher mental functions in ontogenesis (the theory of three functional blocks of the brain), as well as theoretical and applied research by A.V. Semenovich about neuropsychological correction according to the principle of “replacing ontogenesis method”. As a result of approbation of the program, results were obtained confirming an increase in the basic properties of voluntary attention, the development of basic cognitive functions (thinking, memory), the emotional-volitional sphere, communication skills, as well as the motor sphere (perseverance, impulsivity reduction, elimination of hyperkinetic and hypokinetic syndromes).</p>

Состояние когнитивных функций в остром периоде ишемического инсульта

Aim: to assess the dynamics of the state of cognitive functions in the acute period of ischemic stroke. Design: prospective study. Material and methods. The study included a group of observation of patients in the acute period of ischemic stroke in the amount of 26 people. The cognitive sphere was assessed twice: on admission to the hospital on days 2-3, and on discharge on days 8-10. Scales used to assess the cognitive sphere: Mini Mental State Examination (MMSE) Montreal Cognitive Assessment (MoCA), Frontal Assessment Battery (FAB), The Clock-drawing Test (CDT). The emotional-volitional sphere was assessed using the Hospital Anxiety and Depression Scale (HADS). Data were considered statistically significant at p < 0.05. Results. In a dynamic assessment, cognitive disorders in the observed group were most pronounced upon admission to the hospital. By discharge on days 8-10, according to the MMSE test, there was a positive trend, the increase was by 2b, MoCA by 2b, FAB by 1b, respectively, the results were significant (p < 0.001, p < 0.001, p = 0.001). In the analysis of subscales according to the MMSE test, improvements to the extract were according to word reproduction (p = 0.005), speech functions (p = 0.04). According to MoCA, the improvement in total scores was due to subscales: memory (p = 0.01), attention (p = 0.05), speech (p = 0.04), abstraction (p = 0.005). Changes in the FAB test were driven by the conceptualization function (p = 0.04) and the simple choice response (p = 0.008). Anxiety and depression were not detected in the studied patients. Conclusion. During the acute period of ischemic stroke, the degree of cognitive impairment significantly decreases by 8-10 days against the background of ongoing treatment. Keywords: stroke, cognitive impairment, dementia, post-stroke cognitive impairment, mild cognitive impairment.

ОРГАНИЗАЦИЯ МЕДИЦИНСКОЙ ПОМОЩИ ДЕТЯМ С ПОСЛЕДСТВИЯМИ ПЕРИНАТАЛЬНОЙ ПАТОЛОГИИ: ПРОБЛЕМЫ И РЕГИОНАЛЬНЫЕ ОСОБЕННОСТИ

Significance. Consequences of perinatal conditions do not have a clear definition, with the exception of lesions of the nervous system, for which there are certain classifications (2003, 2009). At the same time, perinatal conditions in the future may become a predictor of cerebral asthenia (36.0-72.0%); speech disorders (30.0-50.5%), mental retardation (30.0%); disorders of the emotional-volitional sphere (29.2%), early childhood autism (12.3%), problems of behavior and attention (7.7%); disorders of visual perception (20.0-30.0%) or hearing (6.0-7.0%), and according to some data, cognitive problems in adulthood. However, despite the developed criteria for implementation and needs, target indicators, available best regional practices, there are still problems in organizing medical care delivery to children suffering from consequences of perinatal conditions. Purpose of the study: to analyze the existing problems related to the organization of medical care deliver to children with consequences of perinatal conditions at the regional level. Material and methods. Continuous single-stage study in medical organizations of the Arkhangelsk region. Respondents included parents of children with consequences of perinatal conditions with disabilities, aged 8-12 years (ntotal = 162, ntest = 62). Data processing was carried out in the STATISTICA 13 program using descriptive statistics (calculation of M, Me, SD, 95% CI), correlation analysis to identify the relationship between the considered characteristics at p ≥ 0.05, and Student's t-test to determine statistical significance of differences. Results. In the structure of perinatal conditions associated with disability in children, diseases of the nervous system dominated - 62.90% (n = 39), followed by mental disorders - 16.13% (n = 10), with congenital malformations ranking third (6.45%; n = 4). The greater the time lag between the time of the disease diagnosis associated with disability and the disability itself, the worse the physical and mental functioning of the child (11.80±6.60 and 11.52±6.72; p = 0.0001), and the less pronounced the psycho-emotional and social disorders (8.29±6.09 and 6.80±5.36; p = 0.0000001). Being under medical follow-up directly affected the child rehabilitation (t= 3.61; p = 0.0006; r = 0.40 at p ≤0.05). At the same time, only 55.84% of the children (n= 34) had an individual follow-up program or the program was developed prior to going to kindergarten and/or school. Conclusion. The analysis shows a number of problems related to medical care delivery to children with consequences of perinatal conditions: untimely registration for medical follow-up; disruption of the schedule of appointments with narrow specialists, envisaged by the current Procedure

The relationship of emotional burnout, personal anxiety and resilience of civil servants

Introduction. The effectiveness of the professional activity of civil servants depends on many factors. At the internal level, we are talking about competencies and professionally (psychologically) important qualities of a person. A significant role in this is played by personality qualities that affect the performance, psychological health of a specialist. In this series, the properties of the emotional-volitional sphere of the individual are particularly distinguished, since the profession of a civil servant is part of the "man – man" system, which is characterized by the phenomenon of emotional burnout.Purpose setting. Hence, the study of internal predictors of emotional burnout of civil servants is quite an urgent problem.Methods and methodology of the study. The methodological basis of the study was the provisions on the biosocial essence of a person, his development and self-development, professional growth, as well as stress resistance. The study was based on the axiological and activity approaches. Theoretical and methodological analysis of literary sources, generalization, analysis, comparison, and systematization of the obtained empirical and theoretical data were used as the leading research methods. A testing method was used to collect empirical data. As specific methods, the method for determining the personal anxiety of C. D. Spielberger in the adaptation of Y. L. Khanin, the questionnaire for the study of emotional burnout of K. Maslach, S. Jackson in the adaptation of N. E. Vodopyanova, the method of studying the vitality of S. Maddi in the adaptation of D. A. Leontiev were used. Results. The article provides data on the relationship of personal anxiety, resilience and susceptibility of civil servants to emotional burnout.Conclusion. Conclusions are drawn about the need for preventive measures to prevent unfavorable emotional states in civil servants and to ensure the effectiveness and efficiency of their professional activities.

Psychological well-being of children with special educational needs under martial law

Purpose is to examine psychological features of the impact of military actions on the emotional-volitional sphere of children with special educational needs; obtain scientific facts which will allow developing a system of support for parents and professionals working with such children. Two significant correlations were established: psychological well-being (PWB) with emotional state and mood (ES&M) (rs=-.289; р≤.01) and with the measurement “unchangeable” (U) (rs=.084; р≤.05). The study explains that significant differences in the emotional-volitional sphere have a negative effect on children’s psychological well-being. The second correlation signalizes the protection of children with special educational needs from psychological traumatic experience and creation of a favorable inclusive space. The research substantiates that psychological aid for sufferers of the war aggression is a permanent resource support, that can be provided for a long time. It has its favorable period and is capable of preventing serious complications.

ОСНОВНІ НАПРЯМИ КОРЕКЦІЇ ЕМОЦІЙНО-ВОЛЬОВОЇ СФЕРИ ДІТЕЙ З ПОРУШЕННЯМИ ОПОРНО-РУХОВОГО АПАРАТУ ЗАСОБАМИ ПЛАВАННЯ

The article deals with the main directions of correction of emotional and volitional sphere of children of senior preschool and primary school age with disorders of the musculoskeletal system by means of swimming. Emotional and volitional sphere of a child with musculoskeletal disorders has its own peculiarities and requires a specific approach in the correction of disorders and development. It should be noted that the intellectual development of children with musculoskeletal disorders is directly related to the child's ability to experience complex emotions at different age stages. In this regard, it is appropriate to consider the phenomenon of emotions and the human psyche in general. Disorders of the musculoskeletal system is a complex disease of the central nervous system, which leads not only to motor disorders, but also often leads to mental retardation or pathology, speech impairment, emotional and volitional disorders. The use of water environment for correction of emotional and volitional sphere of children can be based on two methodological bases. Firstly, the acquaintance with a relatively new environment (water), being in it, motor and game activities with adults, peers and toys is a kind of return of the child to its primary natural environment both in the phylogenetic sense (evolution of fish, amphibians, reptiles) and in the ontogenetic aspect (the child's presence in the uterus in the amniotic fluid before birth). This process, reinforced by the method of the atricalization (dosed dramatization) of swimming lessons always fills the child with a capacious spectrum of emotions with the dominance of positive ones (satisfaction, joy, pleasure, elation, interest, etc.). Secondly, being in the water, learning to swim involves the systematic overcoming by the child through his volitional manifestations of various psychologically and physically uncomfortable situations for him: the unknown, anxiety, doubts, uncertainty, fears, fatigue, tactile and muscle discomfort, natural physiological reflexes, etc. This will allow the teacher to form the volitional component of the mental development of children of this contingent. The prospects of research in this direction lie in the search for new opportunities to use swimming equipment in the correction of the emotional and volitional sphere of this category of children. Key words: correction, children, disorders, musculoskeletal system, swimming, emotional-volitional sphere.