Level Of Personal Anxiety Research Articles

Обґрунтування удосконалення діагностики сексуальних розладів у хворих соматичного профілю на прикладі виразкової хвороби шлунка та дванадцятипалої кишки

The objective: The study and improvement of diagnosis of sexual disorders in patients of somatic profile, with ulcerative disease of the stomach (UDS) and peptic ulcer disease duodenal ulcer (DU). Patients and methods. For 3 years carried out a comprehensive examination and treatment of 130 patients with DU in remission and UDS in remission, which is observed sexual disorders; the first was 76 (58.5±4.3%) patients, second – 54 (41.5±4.3%); p<0.05. They represented the main group. The comparison group included 100 male patients with DU and UDS, which were also in remission, but did not complain of sexual disorders; accordingly, they were of 66.0±4.7% and 34.0±3.3%; p<0.05. Also was used a reference group (control) of 20 healthy men. All groups were matched for age (average age in the major groups – 34.0±1.7 years in the control to 32.0±4.0 years), and the first two – and duration of ulcer (average period in the history of 6.9±0.7 years). Results. The frequency of manifestations of depression in patients with DU and UDS with sexual disorders identified parameters, among which reliably allocated to mental anxiety (85.4±3.1%), depressive mood (73.1±3.8%), somatic anxiety (66.1±4.3%), reduced efficiency and activity (64.6±4.1 percent). Their combination in various embodiments burdened the situation. Exclusively in patients with peptic ulcer disease was most prevalent somatic anxiety (32.0±4.6%), depressive mood (28.0±4.5%), capacity and activity (24.0±4.2%). The majority of patients with DU and UDS with sexual disorders (60,8±4,2%) recorded a high level of personal anxiety and almost equally often low to moderate (19,2±3,4% and 20.0±3.4%, respectively). However, 93.0% of patients only with peptic ulcer were also noted its low level of expression. At the same time, among the first significantly more often observed the average level of situational anxiety (62.3±4.2%), every third - low (28.5±3.9%) and others (10.0 per cent), whereas among second - frequency dominated low level (63.0±4.9% vs 31.0±4.9% of the average and 6.0±2.3% - high). Conclusion. Justified the principle of improving the early identification of sexual disorders in men with chronic somatic diseases, for example peptic ulcer disease, the essence of which is to be included in the anamnestic and diagnostic method of two key issues, namely: the satisfaction of sexual intercourse and satisfaction with sexual life in General. Key words: gastric ulcer and duodenal ulcer, sexual dysfunction, diagnosis.

Features of Depressed State of Men with Sexual Disorders Based on Gastric Ulcer and Duodenal Ulcer

The aim of the research: evaluation of the peculiarities of anxiety in male patients with gastric ulcer and duodenal ulcer, which are sexual disorders.
 Materials and methods. The research is based on the generalization of the results of complex examination and treatment of 130 patients with peptic ulcer of duodenum and stomach in remission who have sexual disorders. The patients were divided into three groups: basic, comparative and referential. Was used C. Spielberger’s self-evaluation scale of situational and personal anxiety and M. Kurgan’s methodology.
 Results. It has been proven that the level of personal anxiety has a close correlation with the duration of peptic ulcer disease.
 Conclusion. The presence of peptic ulcer disease creates a certain basis for further psychological stress, similar to negative effect with the development of sexual disorders. Among the examined patients prevailed the somatized nature of depression.

Особливості депресивного стану чоловіків з виразковою хворобою шлунка та дванадцятипалої кишки, які мають сексуальні розлади

The objective: the evaluation of depressive state in men with peptic ulcer of stomach and duodenum, which have sexual disorders. Patients and methods. The study is based on the generalization of the results of complex examination and treatment of 130 patients with peptic ulcer disease duodenal ulcer in remission and gastric ulcer in remission who have sexual disorders; the first were 76 (58.5±4.3%) patients, the second – 54 (41.5±4.3%); p<0.05. They entered the main group. The comparison group consisted of 100 men with peptic ulcer disease duodenal ulcer and gastric ulcer that also in remission who did not complain of sexual disorders; accordingly, they were of 66.0±4.7% and 34.0±3.3%; p<0.05. The creation of this group are motivated by the need to determine the characteristics of changes in the quality of life, psychological status between patients with these somatic diseases, but if not combined with sexual disorders. For this purpose was used the referential group consisted of 20 healthy men, the survey results of which complements the existing normalized values most approximate to this population. All groups were matched for age, and the first two – for the duration of peptic ulcer disease. Results. It is determined that the frequency of manifestations of depression in patients with peptic ulcer disease duodenal ulcer and gastric ulcer with sexual disorders identified parameters, among which stood out significantly mental anxiety (85.4±3.1%), depressive mood (73.1±3.8%), somatic anxiety (66.1±4.3%), reduced efficiency and activity (64.6±4.1 percent). Their combination in various embodiments burdened the situation. Exclusively in patients with peptic ulcer disease were most prevalent somatic anxiety (32.0±4.6%), depressive mood (28,0±4,5%), capacity and activity (24.0±4.2%). It is revealed that most duodenal ulcer and gastric ulcer with sexual disorders (60.8±4.2%) characterized by a high level of personal anxiety and almost equally often low to moderate (19.2±3.4% and 20.0±3.4%, respectively). However, 93.0% of patients only with peptic ulcer were also noted its low level of expression. At the same time, among the first significantly more often observed the average level of situational anxiety (62.3±4.2%), every third – low (28.5±3.9%) and others (10.0 %) – high, whereas among second – frequency dominated low level (63.0±4.9% vs 31.0±4.9% of the average and 6.0±2.3% – high). Conclusion. It was confirmed the hypothesis of dependence between the presence of in patients with peptic ulcer disease various intensities of depression, mental tension, mainly situational anxiety and the development of sexual dysfunctions, as evidenced by the discovery in 14% of cases of erectile dysfunction. It was proven the principle of improving the early identification of sexual disorders in men with chronic somatic diseases, for example peptic ulcer disease, the essence of which – a mandatory inclusion in the medical history, as diagnostic method of two key parameters: the satisfaction of sexual intercourse and satisfaction with sexual life in General. Key words: gastric ulcer and duodenal ulcers, sexual function disorders, psychological disorders, and depression.

Stress infertility

In order to optimize the treatment of the primary stress-induced infertility the authors evaluated the effectiveness of complex therapy aimed at correcting the mental and emotional state, and the secondary hyperprolactinemia in 72 patients aged 24 to 40 years old with reproductive plans (38 women from the main group and 34 – the comparison group). The control group consisted of 30 healthy women.Research of hormonal homeostasis of patients before treatment was showed a decrease in the average level of the pituitary hormones, low average concentrations of estradiol and progesterone, moderately elevated level of prolactin, and reduced indicators of endometrial thickness. The vast majority of women were in a heightened state of reactive and personal anxiety.All of study participants received anti-stress therapy (phenibut + mebicar). In addition, the main group on the background of anti-stress treatment received the drug Cyclodynon, which has a mild dopaminergic action, contributing to inhibition of prolactin secretion and normalize the function of the hypothalamic-pituitary-ovarian system.Within 3 months after the start of a complex anti-stress therapy in both groups the level of reactive anxiety was reduced, and the level of personal anxiety was reduced a lesser extent.Dynamic control of hormones showed a significant decrease in the average concentrations of prolactin and increase of the synthesis of follicle-stimulating, luteinizing hormone, estradiol and progesterone in the blood serum of a group of women receiving Cyclodynon. In that group also was observed a significantly reduction the average concentration of prolactin and increased endometrial thickness. In the comparison group, which applied only anti-stress therapy, a similar trend was observed, but the full normalization not happened.Within three years after treatment the pregnancy occurred in 32 (94.11%) women of the main group, and only 17 (50%) – of the comparison group.The conclusion of research results: the combination of anti-stress and dopaminergic therapies is very effective. Consequently, it is possible to recommend assignment dopaminergic phytodrugs (in particular Cyclodynon) on background of anti-stress therapy for patients with stress-induced infertility with a view to correction of psychosomatic disorders and improvement of clinical pregnancy rates.

Emotional characteristics of mothers bringing up children with arthrogryposis

Introduction. Arthrogryposis is a congenital disease that can cause feelings of deprivation in parents of affected children. Mothers of children with the disease may experience emotional trauma, manifested as post-traumatic stress disorder (PTSD) (a term coined by N.V. Tarabrina), anxiety and depressive manifestations. Mothers with such emotional problems may hinder the effective rehabilitation treatment of their children.Aims. To examine the emotional characteristics of mothers of children with arthrogryposis.Material and methods. In this study, the following methods were used: a scale that assesses the level of reactive and personal anxiety (C.D. Spielberg and J.L. Hanina); the Beck Depression Inventory; and the Gorovits Impact of Event Scale-R (N.V. Tarabrina). Case histories were also examined. Data were analyzed using Student's t-test. The study involved 58 mothers with children aged from 1 to 8 years old. Among these, 28 mothers had children suffering from arthrogryposis; the children of the remaining 30 mothers were apparently healthy.Results. There was no difference in level of personal anxiety between the mothers of children with arthrogryposis and those with healthy children. The mothers of children with arthrogryposis suffered from severe situational anxiety and PTSD (including symptoms of intrusive invasion, avoidance, and hyper-arousal); the mothers of healthy children did not experience such emotional trauma. Mothers with negative emotional states of this kind may hinder the effective rehabilitation of their children with arthrogryposis. In such situations, the participation of a clinical psychologist who can provide the necessary psychological assistance on the basis of individual psychological diagnosis is required.

Механизмы адаптации беременных с невынашиванием в динамике сохраняющей терапии

The aim of the study: to evaluate the impact of the saving therapy in the implementation of adaptive mechanisms in pregnant women with recurrent pregnancy loss based on the study of the psycho-emotional state, autonomic balance and hormonal profile. Materials and methods. There were surveyed 67 pregnant women at the gestational age of 7-14 weeks with singleton pregnancy. The main group consisted of 35 women with threatening abortion clinic who were treated in the gynecological Department of the hospital № 9 Zaporozhye city and received natural micronized PG Utrozhestan® (Besins Healthcare) vaginally 200 mg twice a day. The control group consisted of 32 women without clinical manifestations of threatened abortion. The inclusion criteria were complaints of pain in lower abdomen and poor or moderate bleeding from the genital tract on the background of intrauterine pregnancy. Exclusion criteria were: hyperandrogenism, polycystic ovarian syndrome, menstrual irregularities, anomalies development of genital organs, habitual miscarriage, presence of fetal malformations and pregnancy with a copious bloody discharge. Results. Found that in pregnant women with threatening abortion clinic there is an increase of reactive anxiety, which is caused by an emotional reaction to a stressful situation and evidence of psycho-emotional maladjustment. Given that more than half of pregnant women with the clinic of miscarriage have a high level of personal anxiety, which is stable individual characteristics and reflects the predisposition of a subject to anxiety, this fact should be considered as a risk factor for this disease. Violations of the hormonal balance in pregnant women with recurrent pregnancy loss, characterized by increasing levels of cortisol and cortisone-insulin index, which is a stress response in this population of pregnant women. Similar changes are characteristic for the system mother-placenta-fetus that are caused by the decreased levels of estriol. Conclusion. Saving therapy using vaginal micronized progesterone (Utrozhestan®), including in the group of pregnant women with a poor prognosis (the presence of retrohorial hematoma), has a positive impact on the normalization of psycho-emotional state, autonomic balance, hormonal profile, and is also characterized by a lack of androgenic activity, which gives grounds to recommend cough medicine® for inclusion in the scheme of treatment of miscarriage. Key words: surrogacy pregnancy, autonomic regulation, level of anxiety, the hormonal profile, stress, adaptation, treatment, Utrozhestan®.

Psycho-emotional status of fertile aged women with disorders of autonomic homeostasis, who had an artificial abortion

Changes in living conditions of the modern woman enhance its role in society life except the positive general public importance has a certain negative impact on her health. This is primarily due to the significant physical, psycho-emotional and stress impact on the female body. To these changes belong socio-economic conditions, population migration, and information overload in psychologically important areas of life, which is caused by political, social, economic, moral and ethical destabilization of society. All this leads to emotional stress, resulting in a risk of adverse changes in reproductive health, because women psycho-emotional state is her constituents. On the other hand, the vegetative regulation is one of the most important mechanisms of adaptation to stressful conditions in which the last two years are Ukrainian women. Worst of the recent history of our country events are rise to a high level of social tension affecting the health of women through stress action on the body.We have examined 120 women of childbearing age with impaired autonomic homeostasis in the form of autonomic dysfunction syndrome and somatoform dysfunction of the autonomic nervous system hypertonic, hypotonic and cardiac type who underwent artificial abortion. Study results have shown that the most of women, who detected high levels of emotional stress, has disorders of the vegetative homeostasis in the form of somatoform dysfunction of the autonomic nervous system on hypotonic type.Analysis of situational and personal anxiety in women showed almost the same number of patients with low, medium and high levels of psychological adaptation. The moderate level of personal anxiety was observed in the vast majority of women with hypotonic type of somatoform dysfunction of the autonomic nervous system.The main changes in the state of psychological adjustment in fertile age women that had an artificial abortion were disadaptation and stress.

Connection of students’ academic performance and cognitive abilities with their psychological characteristics

The contents of education must correspond not only to the level of knowledge and competencies, but also be directed to self-determination of the personality and creation of conditions for its self-development and self-realization. The aim of this study was to identify the psycho-physiological peculiarities of Biology students and to establish the connection between the students’ academic performance, their cognitive abilities and their psycho-physiological characteristics, which is essential for improving the academic process and bringing it to the high level of professional education necessary for graduates of higher educational establishments to compete successfully in the job market. It was established that the majority (46%) of Biology students are ambiverts, 34% of them are extroverts, and 18% – introverts. There is a statistically reliable connection between the academic grades and the personality type: the more successful students are ambiverts and introverts. Extroverts demonstrate lower academic results. According to different types of asymmetry manifestation among Biology students, the right-handed accounted for 35% of the tested, those with prevailing right hand – 51%, those with prevailing left hand – 1.2% and the left-handed – 12%. There is no dependence of academic performance on the asymmetry manifestation. Most Biology students have a sanguine-choleric temperament and slightly expressed or absent asymmetry, which testifies to the power of nervous processes and is a precondition for successful studying. The majority of students, irrespective of the academic performance level, have a low level of stress resistance and a medium level of personality anxiety. Students who score A and B points for academic performance, have a medium level of situational anxiety. Those who score C points have a high level of anxiety. There is no connection between the academic points and personality anxiety level, but there is significant connection between academic performance and situational anxiety. There has been established a significant dependence of academic performance on the level of situational anxiety: introverts and extroverts have a high level, ambiverts have a medium level of situational anxiety. Introverts and ambiverts with a low and medium anxiety level demonstrate higher academic performance. Extroverts with a high anxiety level find it more difficult to study. The majority of Biology students have a high level of visual-imaginative, object-active and creative thinking types. 83% of students have a high and a medium level of verbal-logical thinking type. Abstract-symbolic and intuitive thinking are developed in lesser degree. There has been established a reliable negative correlative connection between object-active thinking type and introversion, and a positive connection between intuitive thinking and introversion, irrespective of academic results. The more introversion is expressed, the more intuition is developed. Academically successful students demonstrated a positive correlation between the abstract-symbolic thinking type and introversion. Extroverts with low academic performance don’t have significant correlation connections with the thinking types, whereas it is characteristic for academically successful students to demonstrate a higher level of visual-imaginative, verbal-logical, abstract-symbolic and creative thinking along with an increase in demonstrating extroversion. Practically all thinking types (except for the object-active) are more fully expressed in successful ambiverts; the manifestation of a certain thinking type increases while ambiversion increases. Less academically successful students have a reliable correlative connection between ambiversion and visual-imaginative, abstract-symbolic and creative thinking. Performance of tasks connected with all thinking types irrespective of typological characteristics of students was accompanied by a reliable increase in saturation. More diversified reactions in the process of thinking activity were observed in the cardio-vascular system: introverts and ambiverts who demonstrated high results in the tests, showed significant decrease of heart beat rate in the process of intuitive and visual-imaginative thinking. Extroverts who demonstrated low results in the tests, by contrast, showed an increase in heart beat rate. When students of all typological groups were doing tasks connected with verbal-logical thinking, their heart beat rate significantly increased. Ambiverts and introverts were more successful. Thus, the whole range of psychological and physiological characteristics of a person defines his successful academic performance and real activity.

Neurological and psychological status in acute stage of ischemic stroke

Aim. Assess the changes of neurological and psychological status in patients with acute stage of the first ischemic stroke.
 Methods. The study included 25 patients with ischemic stroke, the average age was 65.72±12.49 years. Neuropsychological examination was performed using a Mini-Mental State Examination (MMSE), Montreal Cognitive Assessment scale (MoCA), Beck Depression Inventory, Spielberger State-Trait Anxiety Inventory, Lazarus Ways of Coping Questionnaire. All studies were performed twice on day 1-3 and on day 19-21 after the stroke.
 Results. Mild motor dysfunction by National Institute of Health Stroke Scale (NIHHS) was registered at admission. By the end of the acute period, positive changes were registered: NIHSS score decreased by 66.4%, significant improvement in patient’s cognitive status was seen. The average depression score by Beck Depression Inventory was 15.6 points, with severe depression diagnosed in 2 patients. By the end of the acute period, depressive symptoms regressed to the average level of 11.1 points. Reactive anxiety at admission was low, personal anxiety - high. By the end of the acute period anxiety remained at the same level or slightly reduced. Direct correlations of the neurological deficit degree by NIHSS and depression score by Beck Depression Inventory, as well as the later with personal anxiety level were revealed. Inverse correlation between the MMSE cognitive status and depression levels was discovered.
 Conclusion. By the end of the acute period, the severity of emotional disorders decreases and cognitive function improves together with restoring motor activity.

Psychological Stability of Orphans in Crisis Situations

The article presents the results of the study of psychological stability of orphans who survived abuse and violence in the parental home (N = 120). The structure of psychological stability of children and adolescents in difficult situations (cognitive, emotional, behavioral, presentational) has been specified. According to the results of the study some groups of orphans have been identified by levels of psychological stability (psychologically stable, with an average degree of psychological stability, with a low degree of psychological stability, psychologically instable, with situational stability/ instability). There has been defined the relationship between personal characteristics and protective coping strategies used by orphans. The article shows the dependence of the psychological stability of orphans on the level of personal anxiety, inner tension, the level of sociability and self-presentation in the society. The features of the self-concept of orphans who survived abuse and violence in the parental home have been analyzed.

Association of anxiety level with polymorphic variants of serotonin transporter gene in Russians and Tuvinians

An association of the level of personal anxiety with polymorphic variants of the gene encoding serotonin transporter (5-HTT) in 57 Russian residents of Siberia and 62 Tuvinians was studied. The 5-HTT gene polymorphic variants were determined be means of allele-specific PCR with DNA isolated from the blood of subjects as a matrix. The level of explicit anxiety was established by means of Spielberger–Khanin questionnaire; implicit anxiety was established by means of associative test. Indices of aggressiveness, impulsiveness, behavioral activation and inhibition systems (BAS and BIS) were additionally determined in each subject. The 5-HTT gene S-allele was significantly more frequently found in the Tuvinians, while the L allele was more common in Russians. The implicit and explicit anxiety levels were lower in carriers of the LL genotype than in carriers of the SS genotype; LS heterozygotes demonstrated intermediate values of anxiety. The sex and ethnicity factors were associated with the level of explicit (but not implicit) anxiety. Tuvinian men with the SS genotype demonstrated a low explicit anxiety level, while Russian men with this genotype demonstrated high anxiety level. No intergroup differences were found in women with the SS genotype. An association of 5-HTT gene polymorphic variants with BAS indices and an inclination to verbal aggression was also detected. The data can be interpreted as an index of differences in the direction of anxiety in different cultures. Theoretically, genetically highly anxious Tuvinian men are afraid to show fear, since manifestation of fear is condemned in their social environment.

PSYCHOLOGICAL FEATURES OF REPRESENTATIVES OF THE CHECHEN YOUTH PROFESSING ISLAM AND EXPERIENCING MYTHOLOGICAL FEARS

The article described the study of the relevance of the role and place of religious contents among young people in the postconflict areas of the South of Russia, the rate of experiences of mythological fear had been explored with the help of the survey, as well as individual psychological characteristics of subjects had been studied by methods of Eysenck, Schmieschek, J. Rotter and Taylor. Those representatives of the surveyed youth sample experiencing a high level of mythological fear could fall into the danger zone of initiation in the group of non-traditional religious sects, as well as come under extremists’ influence, since manipulation of consciousness and human behavior, depending on individual psychological characteristics and by using of mythological content, such as fear of possession by jinni, is most effective. The study was attended by representatives of Islam at the age of 19-21, divided by gender: 100 young men and 100 girls. The study was aimed at identifying individual personality characteristics of temperament, character accentuations, locus of control, the level of personal anxiety and the results of a content analysis of the survey done by the author of the article were identified in accordance with five scales. Results of the study revealed that about 80% of subjects experiencing a high level of mythological fears had the same peculiar correlation indices. In connection with the results of research, we had worked out and suggested a complex of psycho-pedagogical support consisting of four modules for the purpose of education, preventive and corrective activities with young people experiencing a high level of mythological fear (fear of possession by jinni).

THE ANALYSIS OF PECULIARITIES OF PERSONAL ANXIETY EXPERIENCED BY PROFESSIONALS OF SOCIOEDUCATIONAL ACTIVITIES OF LITHUANIA

The article analyses the peculiarities of the anxiety state of professionals of socioeducational activities (social pedagogues and social workers). Employing Spielberger’s and Chanin’s personal anxiety scale, the level of personal anxiety was identified, and, using a semi-structured interview, situations provoking anxiety experienced by professionals of socioeducational activities were identified. Data of anxiety experienced by social pedagogues and social workers in 2011 were analysed employing the factor analysis method of multi-dimensional statistics, the data of the semi-structured interview were processed using the content analysis method. It was identified that about half of the respondents experienced a moderate level of personal anxiety, enabling to mobilise, look for innovative solutions in professional activities. Severe level of personal anxiety was identified for slightly less than half of respondents; it was perceived as dangerous and preventing professionals of socioeducational activities from successful development of professional activities and even warning about possible psychosomatic disorders.

The level of anxiety among medical students

The article is devoted to the study of the levels of personal anxiety and situational anxiety among students of higher educational institutions. Anxiety is a reaction to a danger that threatens a person, the real or imaginary, emotional state of diffuse fear is unknown, characterized by a vague sense of threat (as opposed to a fear of what is a reaction to a certain danger). Anxiety is an individual characteristic that is in a high propensity to experience anxiety in various situations, including objective characteristics that have not manifested itself before.

Effectiveness of a Structured Educational Program for Type 2 Diabetic Patients in Outpatient Care

The objective of this study was to evaluate the effectiveness of structured education of patients with type 2 diabetes in the disease management within the scopeof endocrinological outpatient care. The study was performed among the adult cohort of patients with type 2 diabetes, that were monitored in outpatient servicein Astana.According to the study results 70% of patients with type 2 diabetes, who were observed in outpatient setting, were in a state of poor compensation. Intermediate HbA1clevel was 9,25±0,15%, average BMI was 29,3±0,5 kg/m2, average systolic blood pressure of 154±3,1mm.rt.art., averagediastolic blood pressure 88±1,4 mm.rt.art., total cholesterol 6,94±0,8 mmol/l, triglycerides 1,78±0,1 mmol/l. The study showed significant improvement in compensation of diabetes in patients that attended educational program in comparison with the control group: HbA1c decreased from 9,33±0,18% to 8,21±0,12%. One‐time training course does not lead to long‐term metabolic compensation: after 12 months there was an increase NbA1s with 8,21±0,12% to 8,5±0,12%. In the absence of post‐training self‐monitoring of the blood glucose level, the effectiveness of trainingdecreased: the indicator HbA1cin trained patients but without further self‐monitoring rose again up to 9,3±0,31%, and in patients without any training ‐ 9,33±0,18 p>0.05. According to the test results using a SpielbergerState‐Trait Anxiety questionnaire there was a high level of personal anxiety in 73.3% of patients, which indicatedthat patients were in a state of constant stress. After undergoing the educational program a positive correction of psychological condition of the patients was observed, through decreased level of anxiety: high level of situational anxiety during the training decreased from 24.5% to 8.9%, p<0.05.

Psychological and psycho-physical training as a factor of personal anxiety at students

Purpose : to test the hypothesis that the proposed content of the psychological and psycho-physical preparation of students of railway high schools in the physical education is effective in terms of reducing the high level of personal anxiety. Material : the study involved 120 students who had high levels of trait anxiety. Age of study participants was 17 - 19 years. Psychological diagnostics level of personal anxiety in students was conducted using a scale assessing the level of reactive and personal anxiety Ch.Spilberger. Results : the use in psychological and psycho-physical training in the classroom for physical education for men (significant sports - athletics and powerlifting) and girls (aerobics and Sahaja Yoga) significantly influenced the decline in their personal anxiety. Conclusions : It is recommended that training on physical education to carry out the following structure. Preparatory part of the class - 10 minutes. Basically - 75 minutes. Of these, 25 minutes - to solve the traditional problems of physical education students to build their motor skills and the development of physical qualities. 20 minutes - was given to the students to perform specific exercise. 30 minutes devoted to the main part of a busy professional significant sport. The final part - 5 minutes.

Psychotherapy Correction of Emotional Disturbances in Panic Disorder Patients

Today in Ukraine there are the considerable growth of anxiety disorders consists paroxysmal phenomena. According to epidemiological researches up to 80% of the population suffers from paroxysmal and permanent vegetative symptoms that clinically manifested as vegetative dysfunction syndromes. The panic disorder (PD) and agoraphobia (AF) the main in their structure. PA usually occurs on the background of psychogenic (highpoint of the conflict, under influence of severe stress) and biological (hormonal changes, onset of sexual activity). At the same time, in conjoint diagnostic criteria of PD had pointed that PA develops without any connection with current psychological factors. The research was: to investigate the state of the emotional sphere of patients with panic disorder. The emotional disturbances of 40 PD patients and 20 AF patients has been investigated with the clinic and pathopsychological methods. The high level of anxiety was shown. By pathopsychological investigation the high level of personality anxiety and low level of neurotism and depression were indentified. Clinical and psychopathological research of patients with PD showed that the paroxysmal clinical manifestations fit into the pattern of PA symptoms complex. The system of psychotherapy correction was established, with high efficacy in 68% cases. Complete reduction of PD symptoms had achieved in 68% of patients, a significant improvement – in 20% of cases, no significant changes had detected in 12% of patients. The system of psychotherapy correction was established, with high efficacy in 68% cases.

EPA-1025 - Integrative psychotherapy model of anxiety disorders

At the present time in Ukraine the special priority has the problem of anxiety and somatoform disorders. A prevalence of clinical anxiety and phenomena of somatization neurotic disturbances in general and necessity of differential diagnostics with somatic diseases were the precondition for studying this area. At the same time, in Ukrainethe diagnosis 'Vegetative-vascular dystonia' which is ciphered G 90.8, according to ICD-10 instead of 'Neurotic stress-induced and Somatoform disorders'F40-F48 is used. It leads unreasonable treatment significant contingents of neurotic patients in neurological departments. The 60 agoraphobia (F 40.0)patients, 40 panic disorder (PD) and 40 somatoform vegetative dysfunction of cardiovascular system integrative (SVDCS) (F45.30) patients were examined. The emotional disturbances of all thease patients were investigated with the clinicand pathopsychological methods. The high level of anxiety was shown. Pathopsychologically the high level of personality anxiety and low level of neurotism and depression were indentified. The system of psychotherapy correction was established, based on integrative principles, with the suggestive, cognitive-behavioral, autogenic training techniques correspondence. Our experience showed the necessity of the integrative models of psychotherapy provided, parted on stage. On the first stage - sedative-adapting the receptions of cognitive and suggestive psychotherapy are used. There is groupe therapy on second-main-stage. On the third stage-pesupportive elements of the autogenic training mastered. Clinical approbation integrative psychotherapy system shown the 82% high, 12%-middle, 6%- low efficacy.

EPA-0197 – Relation of social support with other psychosocial factors in female population aged 25–64 years in russia: who epidemiological program monica-psychosocial

To study the prevalence of social support (SS) and it's relation with other psychosocial factors in female population of 25–64 years in Russia. Under the third screening of the WHO’MONICA-psychosocial’ program random representative sample of women aged 25–64 years (n=870) were surveyed in Novosibirsk in 1994. SS were measured by Berkman-Sym test (indices of close contacts (ICC) and social network (SNI)). SPSS 11.5 was used for statistical evaluation (X 2 ). The prevalence of low levels of ICC and SNI in women aged 25-64 was 57.1% and 77.7%, respectively. More than 80% of women with low ICC (p<0.001) and SNI had high level of personal anxiety. Women with low ICC and SNI more likely had major depression (17.4% and 19.4%, respectively; p for all <0.01). It's necessary to notice women with high SS have no major depression. Rates of high vital exhaustion level increased in 3-times with decline of SS grade (p<0.05). There were tendencies of higher prevalence of hostility and sleep disorders (only for low ICC) in women with low SS. There was significant reduction in the work capacity within the last year in women with low SNI (p<0.05). But there was increasing of conflicts in family up to 67.9% with growth of ICC levels (p<0.05). The prevalence of low ICC and SNI in female population 25–64 years in Russia is large. Women with low SS more likely have high anxiety, major depression, high hostility and vital exhaustion, poor sleep and high job stress.

PSYCHOLOGICAL RESPONSE TO HOSPITALIZATION STRESS IN PATINTS IN ORTHOPEDIC-TRAUMATOLOGICAL HOSPITAL

The objective - to study the psychological characteristics of response to the stress associated with hospitalization in patients with injuries admitted to the emergency or the purpose of perform routine reconstructive plastic surgery for the consequences of injuries. Material and methods. The assessment of emotional response to the hospitalization stress was performed in 60 patients with injuries and its consequences. The study was carried out using Spielberger - Hanin scale, Luscher eight-color test, the scales of Covey and Tsung. The levels of personal and reactive anxiety, and the presence of somatoform disorders were determined. Results. When emergency and planned hospital admissions for injuries and its consequences the level of personality anxiety was corresponded to parameters of the «moderate anxiety», but the definition of the level of reactive anxiety showed a statistically significant increase in the index in the study group - 44,4 ± 6,5 in comparison with 39,9 ± 4,0 (p = 0.034). There was a significant number of patients in the main group with somatic diseases (headaches, dizziness, tachycardia, extremity tremor, etc.). Conclusions. It is advisable to take into account the significant influence of psychogenic factors and psychosomatic disorders on treatment outcomes and to consider the psycho-emotional profile of patients with trauma and orthopedic diseases. If necessary, the methods of psychological correction should be applied.