Level Of Personal Anxiety Research Articles

Quality of life prognosis in patients with somatoform disorders with sleep disorders

In recent years, the impact of psychotraumatic factors has been increasing, leading to an increased prevalence of psychogenic disorders. Patients with somatoform disorders place a significant burden on the healthcare system. Depending on the diagnostic approach, the prevalence of somatoform disorders ranges from 0.8% to 34%, with nearly half of the patients experiencing sleep disorders. The study aimed to determine the quality of life in patients with somatoform disorders combined with sleep disorders and to identify factors influencing its formation. A total of 120 individuals with somatoform disorders combined with sleep disorders were examined. A comprehensive assessment of the patient’s condition was conducted, including clinical-anamnestic, clinical-psychopathological, and psychodiagnostic examinations, supplemented by the use of psychometric scales (Pittsburgh Sleep Quality Index, Beck Depression Inventory, Insomnia Severity Index, Toronto Alexithymia Scale-20, Integrative Quality of Life Questionnaire, and Spielberger Anxiety Scale). It was found that only 51 out of 120 patients who completed the study had a sufficient level of quality of life. Patients with sufficient quality of life demonstrated lower levels of depression, insomnia severity, and quality of life and its components, but higher levels of personal anxiety. Analyzing categorical indicators, significant differences were also identified in the presence of depression, anxiety, alexithymia, and severe insomnia. As a result of the study, it was established that predictors of quality of life are the severity of sleep disorders and the presence of alexithymia and severe insomnia before the start of treatment. The multiple logistic regression model demonstrated the highest discriminatory ability (AUC 0.872 (95% CI 0.799–0.926)), with predictors of insufficient quality of life including sleep latency, personal anxiety, and depression before the intervention, as well as the presence of severe insomnia after intervention. The combination of these predictors increases the chances of having a low quality of life level by 17.6 times. The study’s results served as the basis for developing individualized therapeutic and corrective strategies in sleep disorders treatment in patients with somatoform disorders and sleep disturbances.

Personalized assessment of the risk of hypertension when exposed to noise and vibration

Introduction. The relevance of the study is due to the medical and social significance of the problem of prevention of cardiovascular diseases in workers in harmful and (or) dangerous working conditions. The aim is to develop an algorithm for a personalized assessment of the risk of arterial hypertension (AH) when exposed to noise and vibration. Materials and methods. Two groups were examined: group 1 (four hundred twenty people) consisted of workers of processing plants exposed to noise; group 2 (355 people) – underground miners exposed to combined noise and vibrations. To identify risk factors for hypertension, subgroups are allocated in each group, depending on the presence of hypertension – the “AH+” subgroup and the “AH–” subgroup. Occupational and non-occupational risk factors of hypertension were assessed. For each of the risk factors of hypertension, for which a significant difference was established in the compared subgroups, the prognostic coefficient was calculated using the Wald method of sequential mathematical analysis. Results. A high prevalence of hypertension was found in workers exposed to noise (43%) and combined effects of noise and vibration (47%) with an average degree of occupational conditioning (RR=1.5–1.57, EF=33.0–34.0%). Prognostically significant risk factors for hypertension were identified: the age of an employee over 50 years, work experience under the influence of noise and vibration for more than 20 years, a smoking index of more than 20, a high level of personal anxiety, a violation of carbohydrate metabolism, a state of maladaptation (index of functional changes IFC>3.1), an imbalance of the autonomic nervous system with a predominance of sympathicotonia (LF/HF>1.5). Based on the results obtained, a personalized algorithm for assessing the total risk of hypertension has been developed. Limitations. The data obtained was specific to workers exposed to noise and vibration, the methodological approach of this study can be used to assess the risk of hypertension in workers in other occupational groups. Conclusion. The application of the algorithm will make it possible to identify workers predisposed to hypertension at the early stages of the disease, form groups of dispensary supervision, and carry out preventive measures to prevent the progression of hypertension.

Biofeedback neurotraining in the correction of emotional changes in early cerebral small vessel disease

Cerebral small vessel disease (CSVD) associated with age and vascular risk factors has a high prevalence and social significance. Psychoemotional changes are an early manifestation of CSVD that require methods for their correction. Objective: to evaluate and compare the efficacy of biofeedback (BF) at infra-low frequencies and alpha waves frequencies in correcting emotional changes in patients with early CSVD. Material and methods. The study included 71 patients (85% women; mean age 52.8±6.3 years) with early CSVD and 21 healthy volunteers (71% women; mean age 53.2±4.8 years). Patients were randomized into three groups using the envelope method with double-blind placebo control: BF-neurotraining at infra-low frequencies (n=25), alpha waves (n=22) and imitation of BF based on electroencephalography parameters (placebo; n=24). Fifteen 30-minute individual sessions were conducted 2–5 times per week. Clinical symptoms, brain MRI data and psychoemotional status were assessed in all participants before and immediately after the BF course and 6–8 weeks later. Results. Patients with early-stage CSVD were characterized by an medium level of situational and a high level of personal anxiety, mild symptoms of depression and an medium level of alexithymia. Infra-low frequencies and alpha waves BF-neurotrainings were comparable in terms of their efficacy in reducing personal anxiety. Alpha waves training also showed an effect in reducing situational anxiety in the long term. Infralow frequencies training also reduced the level of depression. Placebo training had no effect on the parameters studied. Conclusion. In patients with early CSVD, BF-neurotraining at infra-low frequencies and alpha waves may be one of the methods for correcting the emotional changes associated with CSVD.

Prognostic assessment of “psychiatrist-avoidant behavior” in patients with somatization disorders who applied to primary health care institutions

The purpose of this study is to develop a predictive model of the relationship between the duration of “psychiatrist-avoidant behavior” and clinical and psychological parameters in patients with somatization disorders. The objectives were to designate the clinical characteristics of somatization disorders, study the level of alexithymia, personal anxiety and self-stigmatization in patients with somatization disorders with different durations of the period before contacting a psychiatrist, and develop a predictive equation that allows, based on the relationship of the studied parameters, to predict the duration of “psychiatrist-avoidant behavior.” Materials and methods. In 2019-2022, on the basis of the Kursk Clinical Psychiatric Hospital named after. Holy Great Martyr and Healer Panteleimon» (day psychiatric hospital of the dispensary department), 274 patients with somatization disorders (F 45.0) who applied for psychiatric help for the first time were examined. The main research group included 176 patients with somatization disorders who had not consulted a psychiatrist for a long time (from 2 to 6 years). The control group consisted of 108 patients with somatization disorders who came for an appointment in a relatively short period (within 1 year). Methods: clinicalpsychopathological, clinical-dynamic, psychological (D. Taylor’s personal anxiety questionnaire, alexithymia scale, I.O. Mikhailova’s method for studying self-stigma), statistical method (Fisher’s angular transformation test, Mann-Whitney U test, Pearson’s χ2 test, multiple linear regression, Forward Stepwise method). As a result of the discovered relationships, taking into account the level of personal anxiety, alexithymia and selfstigmatization, as well as the clinical variety and type of somatization disorder, a prognostic equation was developed to determine the duration of non-core visits to psychiatric help. Conclusion. The introduction of this forecasting method in primary health care institutions will contribute to early diagnosis and timely routing of patients with somatization disorders.

Factors of mental stress in the situation of assessing the knowledge of senior school children

Identifying students with low adaptive capacity to academic workloads is a necessary condition for improving the psychophysiological safety of the educational environment. Identifying children at risk who are prone to developing psychosomatic disorders due to academic overload means preventing their possible development in time. The importance of the problem and its insufficient study in the psychological literature, especially in terms of studying the factors contributing to the formation of a high level of neuropsychic stress, determined the choice of the topic of the article. Objective. To determine the factors that determine the level of neuropsychic stress in the situation of assessing knowledge of senior schoolchildren. Results. A theoretical analysis of the scientific literature on the problem under study was carried out; factors influencing the level of neuropsychic stress of senior schoolchildren in the situation of assessing knowledge were identified and substantiated; psychodiagnostic tools were selected; an empirical study was conducted to test the hypothesis put forward. Conclusion. The mental states of senior schoolchildren of medical classes, in the situation of assessing knowledge, are influenced by motivation for success (avoidance of failure), the level of self-esteem and the level of personal anxiety.

Characteristics of the clinical course and psycho-emotional condition of women with uterine leiomyoma and adenomyosis affected by military intervention

On the one side, in the conditions of war, strong psychological stress leads to the disorders of the reproductive system of women, the increased number of inflammatory diseases and neoplasms of the reproductive system. On the other hand, pre-existing conditions such as leiomyoma and endometriosis of the uterus are the factor that deepens stress, causes distress and leads to a decrease in quality of life.The objective: to study the characteristics of the clinical course of uterine leiomyoma and adenomyosis in the context of psycho-emotional changes in women of reproductive age affected by military intervention.Materials and methods. The clinical course of diseases and the psycho-emotional state of 110 women of reproductive age with adenomyosis and uterine leiomyoma were evaluated.Depending on the severity of the influence of the factors of military aggression, the patients were divided into three groups: the 1st group – 37 women who were in the occupied territories (the examination of this group of patients was carried out after the deoccupation of the territories), the 2nd group – 35 patients who were under the influence factors of the armed conflict, but were not directly invaded by the occupiers, the 3d group – 38 female patients who were internally displaced during the armed conflict.The Spielberger–Khanin questionnaire and the Beck Depression Scale-2 were used to determine the psycho-emotional state.Results. Disorders of the menstrual cycle (75.5%) and pain syndrome (40.0%) prevailed among the complaints. Heavy menstrual bleeding (54.1%, 65.7%, and 65.8%, respectively, by group), perimenstrual bleeding (13.5%, 22.9%, and 26.3% of cases, respectively) were most often diagnosed in all groups. Abnormal uterine bleeding was detected significantly more often in women who were in the occupied territories (10.8% in the 1st group versus 2.9% in the 2nd and 2.6% in the 3d groups; p<0.05).The average score of situational anxiety, which is directly related to dangerous conditions, indicates a high anxiety level in women of the 1st (45.9±1.0 points) and 3d (45.2±1.2 points) groups. The average score of patients in the 2nd group corresponded to a moderate anxiety level (44.1±0.8 points).The level of personal anxiety was the highest in the 3d group (45.3±1.3 points), in the 2nd group women had moderate personal anxiety (43.7±1.0 points), and in the 1st group – low one (29.6±0.9 points).The lowest level of depression was found in women of the 3d group (8.9±0.8 points). In the 2nd group, the average score of depressive manifestations was 10.9±0.6 points, which corresponded to a normal emotional state. In the 1st group, the average depression score was 12.1±0.5 points.Conclusions. Negative outcomes of military aggression were found in patients with adenomyosis and uterine leiomyoma. In the first place in the frequency of reproductive health disorders was ranked by menstrual disorders (from 78.9% to 85.7%) without differences by group. Most often, heavy menstrual bleeding was detected (from 54.1% to 65.8%).Women who were in places of direct war invasion had a much harder time enduring stressful events, as evidenced by high levels of situational anxiety. Women who were under the influence of the factors of the armed conflict, but were not directly invaded by the occupiers, are more prone to experiences of a social nature. Temporarily displaced persons showed certain tendencies towards adaptation, they were more concerned about the existing illness and had the highest level of personal anxiety.

Clinical and psychoemotional characteristics of patients with medication overuse headache

The available data indicate the important role of personality profile, psychoemotional disorders and psychosocial aspects in the development and maintenance of medication overuse headache (MOH). It is therefore important to identify predictors for the development and factors that influence the course and prognosis of treatment for this disorder.Objective: to analyze the clinical and psychological profile of patients and to identify predictors of the course of MOH in order to develop a prognostic model.Material and methods. We performed a comparative analysis of the characteristics of 117 patients with MOH (group 1) and 23 patients with chronic migraine (CM) without MOH (group 2) using clinical data and questionnaire data to determine the neuropsychological profile (PCS, Spielberger-Khanin Anxiety Scale, PHQ-9, BIS-11, TAS-26, SAGE test, Leeds Dependence Questionnaire – LDQ) at the time of admission to hospital and 9 months after the start of treatment.Results. The study showed that 100% of patients with CM and MOH had various psychoemotional disorders. At the same time, the pre-therapy baseline indicators for the level of personal anxiety, pain catastrophizing scales, impulsive behavior, alexithymia and LDQ parameters were significantly higher in the group of patients with CM and MOH than in the group with CM without excessive analgesic use. Using multiple linear regression, it was found that an increase in the severity of depression by 1 point is significantly associated with an increase in the number of days with headache (HA) by 0.33 days per month. In addition, a significant direct correlation was found between the degree of addiction according to LDQ and the extent of pain catastrophizing and situational anxiety, as well as the level of cognitive functions (according to the SAGE questionnaire) in an inverse relationship. At the same time, the frequency of analgesics use per day in the group of patients with CM and MOH is significantly related to the level of pain catastrophizing, depression and personal anxiety.Conclusion. The results obtained confirm the biobehavioral concept of MOH development. Effective therapy of the primary form of HA (in our study – CM) is significantly associated with a decrease in the severity of anxiety, depression, catastrophizing and the frequency of taking analgesics. Personality traits, especially the tendency to impulsive behavior, remain unchanged against the background of chronic HA treatment. The presented results emphasize the need for complex treatment of patients with CM and MOH.

The association between the serotonin receptor gene and anxiety as a factor in human adaptation to extreme conditions in Yakutia

This study investigates the genetic predisposition to anxiety and its impact on adaptation to the extreme conditions of the North-East region of Russia, particularly concerning the Yakut population. Special attention was given to the polymorphism of the serotonin receptor gene HTR2A (rs6311) and its association with levels of situational anxiety (SA) and personal anxiety (PA). The study involved 261 Yakuts (n = 261) who are permanently residing in Yakutia, do not exhibit any psychoneurological symptoms, and provided voluntary informed consent. Anxiety level was assessed using the Spielberger-Khanin scale. Genotyping was performed using PCR and RFLP, followed by detection through electrophoresis in an agarose gel. The findings indicate that the sample was characterized by a predominance of individuals with moderate levels of SA (60.9 %) and PA (57.5 %). However, in the group of women, individuals exhibited a high level of PA (53.8 %). The highest percentage of agreement in anxiety levels (69.7 %) was observed among individuals with moderate SA and PA. Given that the serotonergic system is involved in regulating behavior, emotions, and various physiological functions, and plays a crucial role in mitigating the negative behavioral consequences of stressors, a study on the polymorphism of the serotonin receptor gene HTR2A (rs6311) was conducted. The analysis of the distribution characteristics of the genotypes and alleles associated with the polymorphism of the serotonin receptor gene HTR2A (rs6311) in the Yakut population revealed a significant predominance of carriers with the homozygous genotype GG (60.2 %), and the G allele (0.782). Futhermore, when examining the distribution of allelic variants of the studied polymorphism based on the level and type of anxiety, it was observed that the AG and GG genotypes were more prevalent among individuals with high PA and low SA. These results confirm the significance of genetic factors in adaptation to the extreme conditions of the North.

Population regularities of the prevalence of coronary heart disease and psychosocial risk factors in men in a medium-urbanized city of Western Siberia

Purpose of the study: to determine associations of the prevalence of coronary heart disease and some psychosocial risk factors (negative affective states) among men 25–64 years old in the open population of a mid-urban city in Western Siberia.Material and methods. A cross-sectional study with a response rate of 85.0 % was conducted on a representative sample of men 25–64 years old in the city of Tyumen (n = 1000). To determine the levels of personal anxiety, depression, hostility, vital exhaustion, and sleep quality, the standard WHO MONICA-MOPSY questionnaire was used.Results. In the open population of a mid-urban city in Western Siberia, psychosocial risk factors for CVD are significantly common in men aged 25–64 years: personal anxiety (92.4 %), depression (23.6 %), sleep disturbance (50.9 %), hostility (70.0 %), vital exhaustion (54.5 %). Frequency of detection of high gradations of psychosocial risk factors for CVD – personal anxiety (36.6 %), depression (4.6 %), sleep disorders (9.5 %), hostility (46.4 %), vital exhaustion (15.9 %) – increases with age, reaching a maximum in the sixth decade of life. In men 25–64 years old in a mid-urban city in Western Siberia with the presence of IHD, high levels of PSF are more common than in persons without IHD – personal anxiety (OR 4.07), depression (OR 21.07), sleep disorders (OR 5.05) , hostility (OR 2.71), vital exhaustion (OR 6.02); with the presence of «definite» IHD – significantly more often – personal anxiety (OR 9.51), depression (OR 39.84), sleep disturbance (OR 5.28), hostility (OR 4.65), vital exhaustion (OR 14. eleven).Conclusions. Thus, analysis of the definition of psychosocial risk factors associated with the prevalence of coronary heart disease in men 25–64 years old seems necessary to use when developing a preventive program to reduce high cardiovascular risk in the open population of a mid-urban city in Western Siberia, focused primarily on regulation of psychological parameters.

Влияние эмоциональной сферы на актуализацию и интенсивность экзистенциальных страхов

Introduction. The article addresses the problem of increasing existential fears, their growing prevalence and intensity among the population due to changes in objective reality associated with the deterioration of the social, ecological, and political situation in the country and the world. Despite numerous studies devoted to fears, the age-related characteristics of experiencing existential fears and their connection with psycho-emotional states remain insufficiently studied.Methods. The sample included 317 respondents. The first group consisted of respondents aged 15–17, the second group of respondents aged 20–25, and the third group of respondents aged 30–45. We examined the prevalence and intensity of fears in three age groups, taking into account gender, using the authors' questionnaire, "Features of the Actualization of Existential Fears in Individuals". We also assessed the levels of personal anxiety and depression using the Beck Depression Inventory (BDI) and the State-Trait Anxiety Inventory (STAI). The Mann-Whitney U-test was used to confirm the reliability of differences between subgroups of respondents, and Spearman's rank correlation coefficient was used to confirm relationships between variables.Results. Fears were present in all participants, with intense fears being more common among women regardless of age group. The older age group showed a decrease in the frequency of high-intensity fears compared to the younger groups, regardless of gender. Additionally, direct significant correlations were found between the intensity of fears and the increase in anxiety and depression levels in all participants, regardless of age.Discussion. The data suggest that a person's psycho-emotional status influences how they experience fears, with an increase in their intensity, regardless of age and gender. Since high-intensity fears can lead to disruptions in normal adaptation and socialization, it seems necessary to create a program aimed at overcoming fears, taking into account certain psychological characteristics of the individual, including their emotional sphere (personal anxiety and depression).

Comparative analysis of parental attitude and the adaptive potential of adolescents with overweight and obesity

Introduction. Childhood obesity is a pressing public health problem worldwide. According to WHO, in 2022, there were 390 million overweight children and adolescents aged 5 to 19 years in the world. Experts consider this problem not only from a somatic point of view, but also from a psychological component.The objective was to identify the features of adaptive resource potential, personal anxiety and the specifics of parental attitudes of overweight and obese adolescents.Methods and materials. A total of 120 respondents took part in the study, including 30 overweight and obese adolescents and 30 their parents. The comparison group consisted of adolescents with a normal body mass index and their parents. Psychodiagnostic survey techniques were used aimed at studying adaptive resource potential, the level of personal anxiety and the specifics of parental attitudes.Results. It was revealed that overweight and obese adolescents highly value their external adaptive potential more than their internal individual psychological adaptive potential. The level of psychological stability is most based on the external system: support from the family, friendly relationships with peers. In assessing the level of manifestation of personal anxiety in adolescents, a low level of anxiety is observed, possibly as an external manifestation of a defense mechanism. In the system of child-parent relations among overweight and obese adolescents, there is a tendency to display negative feelings, low control, and perhaps a more permissive attitude towards the process of raising and educating the child.Conclusions. For overweight and obese adolescents, correctional and developmental classes should be conducted on self-regulation of their emotional state, increasing self-esteem, accepting their individual psychological qualities, as well as psychological work with the parents of adolescents, in general, with the family system.

#1396 Anxiety level in kidney transplant recipients with adverse cardiovascular events

Abstract Background and Aims Kidney transplantation is the most cardioprotective method of renal replacement therapy and it has a positive effect on the psycho-emotional state of patients. However, kidney transplant recipients have a higher cardiovascular risk and a higher prevalence of anxiety and depression than people in the general population. The aim of the study was assessment of anxiety levels and the quality of life of kidney transplant recipients preceding adverse cardiovascular events. Method The study included 154 kidney transplant recipients. 54 (35.1%) of them had adverse cardiovascular events (acute coronary syndrome, complicated hypertensive crisis or rhythm disturbance) for three years of observation. The comparison group was 100 (64.9%) recipients without cardiovascular complications during the observation period. The study groups were comparable by age, gender, graft function and traditional cardiovascular risk factors. Results The average level of situational anxiety of kidney transplant recipients was 39 ± 7, the level of personal anxiety—43 ± 8. The structure was dominated by recipients with moderate personal anxiety—55.2% (n = 85) and moderate situational anxiety—66.9% (n = 103). However, the proportion of persons with high personal anxiety was quite high—40.9% (n = 63). The structure of anxiety levels had no significant differences depending on subsequent cardiovascular complications. Nevertheless, kidney transplantation recipients with adverse cardiovascular events had higher previous level of situational anxiety than recipients without cardiovascular events—41 ± 7 versus 38 ± 7, p < 0.05. During the study kidney transplant recipients were asked to rate their quality of life on a scale of 1 to 10. Recipients with subsequent adverse cardiovascular events had a lower subjective quality of life than recipients without cardiovascular complications—7 (6-8) versus 8 (7-8), p < 0.01. Conclusion Based on the study it was found that recipients with adverse cardiovascular events in the late postoperative period are characterized by a higher level of situational anxiety and a lower quality of life before these complications.

DEPRESSION AND ANXIETY IN HYPERTENSIVE PATIENTS UNDER THE CONDITIONS OF WAR IN UKRAINE: COHORT STUDY

Objective: The prevalence of hypertension in Ukraine is 29.6% among city residents and 36.3% in rural areas. Currently, the situation with hypertension in Ukraine has worsened due to the full-scale military aggression of the russian federation. Acute and chronic stress provoke a more frequent crisis course of hypertension, way more difficult control of elevated blood pressure (BP). Therefore, the aim of the study was to assess anxiety and depression value in the Ukrainian population before and during the war to establish the life quality changes in essential arterial hypertensive (EAH) patients. Design and method: 100 EAH patients with hypertensive-mediated organ damage (moderate-very high cardiovascular risks, aged 45-65 years) participated in the cohort study. All participant underwent a complex of clinical and laboratory examinations and determined the frequency of EAH exacerbations, crisis course, the Charlson comorbidity index, anxiety and depression level after GAD-7 and PHQ-9 tests, the Cumulative Illness Rating Scale CIRS, life quality (SF-36) compared to the pre-war period. Additionally, 191 respondents preferably from the western part of Ukraine, filled out an online questionnaire form that included tests for depression, anxiety and life quality. Results: The war significantly affected the life quality of Ukrainians with EAH: both the physical and mental health of patients according to the SF-36 test (by 19.65% and 23.01%), as well as social activity (by 19.71%) worsened. The frequency of EAH exacerbations and crises course against the background of military aggression increased 2.25 times (χ2=14.25; p<0.001 and χ2=4.42; p=0.035), as well as the reactive and personal anxiety levels – by 13.37% (p=0.002) and 19.80% (p=0.042), respectively; 29% of respondents show symptoms of moderate, severe and very severe depression (PHQ-9); 37% had generalized anxiety disorder (GAD-7). Conclusions: This study presents unique experience. The russian invasion in Ukraine greatly affected well-being of the general population: the frequency of persons with moderate and significant deterioration of health (according to SF-36) increased by 18%, as well as the number of those with moderate and severe depression and anxiety disorders symptoms; the frequency of the EAH crisis course increased by 10%.

Psychophysiological states of elite athletes after critical life events

Background and Study Aim. Military conflicts are a stress factor that provokes negative changes in the mental state of people. But, how susceptible are athletes to post-traumatic disorders at the level of psychophysiological functions? The purpose is to study the psychophysiological state of the elite athletes after critical life events related to the war in Ukraine. Material and Methods. Twelve elite female fencers, aged 18-23 years and members of the National Team of Ukraine, were examined. Their mental condition was assessed using the Lüscher color test, neurodynamic functions were evaluated with an anticipation test, cognitive characteristics through a decision-making test, and levels of anxiety were also measured. The psychophysiological state of the fencers was studied both before and after six months of the Russian military aggression against Ukraine. Results. The results indicated changes in the mental state of fencers under military conditions. Six months after the onset of the war, elite fencers exhibited signs of mental stress and a decreased resistance to stress. According to the obtained results, during the war, athletes showed a predominance of excitation processes over inhibition processes. The study revealed a deterioration in performance on decision-making tests and a decreased ability to perceive visual information in fencers six months into the war. As a compensatory mechanism for the reduced ability to process visual stimuli under conditions of information overload, a decrease in impulsivity among fencers was observed. Research on anxiety demonstrated that, over the six months of war compared to peacetime, trait anxiety among athletes significantly increased. Conclusions. Significant impacts of military actions on the psychophysiological state of elite athletes have been observed. This deterioration in mental state, along with decreases in neurodynamic and cognitive functions and an increase in personal anxiety levels, calls for the development and implementation of specialized psychological support programs. Such programs should aim to bolster athletes' resilience to stressful situations. The importance of accounting for psychophysiological aspects in the training of athletes within conflict zones is underscored, providing a basis for further research in this field.

Assessment of the health status in pharmaceutical workers

Introduction. Pharmaceutical workers (PW) being exposed to adverse physical, chemical, and biological factors are responsible for the performance results and experience psycho-emotional stress. This contributes to the emergence of diseases associated with professional activity, and, therefore, it is necessary to find ways to prevent them. The purpose of the study: assessment of the state of health in the pharmaceutical workers; determination of factors affecting morbidity, search for ways to preserve and strengthen the health in specialists. Materials and methods. To study the health status in PW, data were collected by using the questionnaire method, which made it possible to identify symptoms of diseases of the nervous, respiratory, cardiovascular, digestive, musculoskeletal, immune, genitourinary, and reproductive systems. The level of anxiety in PW was determined by the method of CD Spielberger. Results. In PW there were found symptoms of diseases of all body systems, but the greatest number of complaints were about disorders of the nervous (25.3%), digestive (18.1%), and respiratory (16.0%) systems. The majority of respondents revealed medium and high levels of situational anxiety as much as 46.7% and 36.5%, respectively. Almost half of the respondents have a high level of personal anxiety. The influence of age and work experience on the health status in PW was noted. The highest level of personal anxiety is observed in women. Situational anxiety is expressed among workers who have bad habits. Employees with high situational anxiety have more symptoms of nervous system diseases. Research limitations. A total of 107 questionnaires were evaluated, when studying the health status of PW in pharmacy organizations. Conclusion. Most PW maintain a healthy lifestyle: they do not have bad habits, follow a healthy diet, have sufficient sleep, and an active lifestyle. However, 80% noted non-compliance with the work-rest balance when performing occupational activities (working). In this regard, it is important to pay attention to the labour optimization, ensuring a favourable socio-psychological climate at work, and the use of relief techniques.

EMOTIONAL WELL-BEING SHIELD: EXPLORING ANXIETY AMONG NURSING STUDENTS

Introduction. The work of a nurse in conditions of war or conflict imposes unique demands on her emotional state.
 The aim of the work – to study the level of anxiety in nursing students and to identify ways of its regulation.
 The main part. The paper analyzed the questionnaires of 19 students in the first year, nine in the second year, 10 in the third year, and 10 in the fourth year of the educational and Scientific Institute of Nursing of TNMU. The results showed that a third of future nurses have a high level of reactive anxiety, and half of them have an average level of personal anxiety. A decrease in anxiety was observed among fourth-year students compared to first-year students, which indicates the development of emotional stability during the learning process. Future nurses have a high level of anxiety associated with a sense of danger or failure in their studies and professional activities.
 Conclusions. The study confirms the high level of anxiety among nursing students, as well as the effectiveness of the training in reducing this anxiety. Psychological support and the development of anxiety management skills can improve these healthcare workers’ psychological well-being and professional performance.

LEVELS OF SITUATIONAL AND PERSONAL ANXIETY IN OLDER AGE GROUPS

The prevalence of anxiety disorders in older age groups is becoming a significant burden on public health. Compared with other age groups, elderly people suffering from mental illness, especially with anxiety disorders, often remain without proper diagnosis and treatment. Underestimation of anxiety disorder and its insufficient therapy can create difficulties in correcting general medical problems and be a factor in the progression of somatic disease. Purpose. To study age-related characteristics of levels of situational and personal anxiety in people of older age groups. Materials and methods. The present study involved patients with arterial hypertension aged 45 to 90 years. A total of 535 patients were examined of which 266 people. we made up an elderly group and 103 people – a group of senile age. Using the State-Trait Anxiety Inventory (STAI) questionnaire designed for self-assessment of various levels of anxiety, the severity of personal and situational anxiety was assessed. Results. The frequency of situational and personal anxiety varied in the range from 3.25% to 40.4% and was slightly lower in people of older age groups. Among men of older age groups, the frequency of increased and pronounced levels of personal anxiety was statistically significantly higher in comparison with women of the same age group. Both among women and among older men pronounced levels of situational anxiety were more common in comparison with persons of younger age groups. Conclusion. In people of older age groups, the severity of levels of personal and situational anxiety depended on the age and gender of the subjects.

Изменение показателей психоэмоционального состояния и уровней тревожности студентов НИ ТГУ, обучающихся по дисциплине "Физическая культура и спорт"

The study aims to examine the psycho-emotional states and anxiety levels of students studying physical culture and sports at the National Research Tomsk State Univeristy (NR TSU) in the departments of therapeutic physical culture and general physical training. The study involved first-, second; and third-year students of the Faculty of Philology and the Institute of Law of NR TSU aged 18 to 20, studying in the departments of general physical training (basic and preparatory medical group), (30 males and 30 females), and therapeutic physical culture (30 males and 30 females). The study was conducted at the Faculty of Physical Education of NR TSU during physical exercise classes according to the program of the academic discipline “Physical Culture and Sports”. The research included the study and assessment of the psycho-emotional state, as well as the level of anxiety of the subjects using the SAN and Spielberger-Hanin tests. The assessment of students psycho-emotional states using the SAN test was carried out twice, during one lesson (before the start and after its end) and throughout the year (in the first and second halves). After assessing the initial level of students psycho-emotional states using the SAN test before the start of classes, all subjects performed physical activity in accordance with the plans developed for students of the listed departments, after which re-testing was carried out and the data obtained were compared with subsequent analysis. In contrast to the SAN test, the assessment of the levels of anxiety of the subjects was carried out at the beginning and after the end of the school year only before the start of classes, in a state of relative rest. The results were compared using the method of mathematical statistics. The monitoring of the subjects psycho-emotional states allowed us to assume that certain patterns in changes in the indicators in both groups after the end of the school year are at the level of a weakly expressed positive trend with a plus sign, which shows that its average level with slight fluctuations in one direction or the other during the year is supported by the influence of physical exercise. Levels of personal anxiety among representatives of both groups turned out to be at a fairly high level. This problem indicates the need to introduce a whole complex of new means and methods for minimizing stress conditions of this contingent of students in the educational process in the discipline “Physical Culture and Sports”, taking into account their states of health and physical fitness.

ANALYSIS OF BEHAVIORAL FACTORS AND LEVEL OF ANXIETY OF SCHOOLCHILDREN IN THE CONDITIONS OF THE RUSSIAN-UKRAINIAN WAR

Background. The mental health of Ukrainian children is of great concern. The current study aims to investigate the behavioral factors and level of anxiety of schoolchildren aged 11-17 years old in Kremenchuk in the conditions of war. Method: A total of 114 children took part in the survey in 2022. In addition, a total of 156 children filled out questionnaires on behavioral factors in 2021, and 114 children filled out questionnaires on behavioral factors in 2022. Of note, children’s questionnaires were available to their parents, who were able to correct children’s answers on the state of health and lifestyle. The level of situational and personal anxiety, and the dynamics of behavioral factors of students were assessed. The scale of personal and situational anxiety by Spielberger and Khanina was used to assess situational and personal anxiety. Result. The mean age of the respondents in 2021 was 13.8±1.7 years (max = 17; min = 11), with 78 (68.4%) women and 36 (31.6%) men. In addition, 20 (17.5%) participants were internally displaced persons. Of note, internally displaced persons (IDPs) had a 5.4 times greater chance of situational anxiety than the local schoolchildren (odds ratio, OR=5.4, 95% confidence interval, CI: 1.66-9.39, p=0.045). Additionally, the level of personal anxiety in women is 6.6 times higher than in men (OR=6.66, 95% CI: 2.79-15.92, p =0.028). Furthermore, eating junk food was associated with higher odds of situational anxiety in war conditions (OR=3.11, 95% CI: 1.37-7.03, p=0.035). Conclusion. The mental health and sleep health among children living in Kremenchuk are worrisome. The current study indicates the high psychological burden on Ukrainian children, especially IDPs. Constant mental health care during the initial period of resettlement is urgently needed.

ИССЛЕДОВАНИЕ ВЗАИМОСВЯЗИ УРОВНЯ ТРЕВОЖНОСТИ И УЧЕБНОЙ МОТИВАЦИИ У ПОДРОСТКОВ

The influence of many external and internal factors, in particular psycho-emotional state, undoubtedly affects the cognitive, behavioral activity and the quality of learning of schoolchildren. Especially in adolescence, when the body undergoes great changes in both physiological and psychological development. The driving force in any behavioral activity is motivation. Studying and understanding the structure of schoolchildren's learning motivation makes it possible to develop new, scientifically based, effective pedagogical and psychological techniques for the correction and regulation of school performance. This paper studies the relationship between the properties of nervous processes, personality and situational anxiety with the structure of academic motivation of schoolchildren depending on gender identity. The study was conducted in secondary schools of Yakutsk among pupils of 7-8 grades aged 13.96±0.11 years in the number of 58 people (30 girls and 28 boys). The following methods were used in the study: determining the level of situational and personality anxiety C.D. Spielberger, the test "Diagnosis of the structure of schoolchildren's learning motivation by M.V. Matyukhina", measuring complex visual-motor reactions and tapping test in the APC "NS-Psychotest" (Ivanovo). The obtained results indicate that the largest number of schoolchildren is in a state of high level of anxiety. In this case, the properties of nervous processes correlate in girls with the level of situational anxiety, in boys - with the level of personal anxiety. The presence of gender differences in the dominance of educational motives has been revealed. Among girls the most significant are motivations not related to learning activities, among boys - related to the learning process itself. Also, the obtained results indicate the presence of reliable relationships between the level of anxiety and types of learning motivation. The greatest number of correlations was observed among boys.