Psycho-emotional Factors Research Articles

SEXUAL DYSFUNCTION IN PREGNANCY: PROBLEMS AND SOLUTIONS

Sexual dysfunction is a common problem affecting people around the world, and its manifestations can vary in type and severity. According to various studies, about 30-50% of men and up to 40% of women experience sexual dysfunction at different stages of their lives. In men, erectile dysfunction is the most common, especially among the elderly, while women often experience problems with libido, achieving orgasm, and other sexual dysfunctions. The impact of pregnancy on sexual function is an important topic, where studies show that 30-70% of women experience dysfunction during this period. Psycho-emotional factors such as stress and anxiety also play a significant role in causing sexual problems. Addressing these issues effectively requires open discussion and seeking help.

Patterns of Use and Withdrawal Syndrome in Dual Cannabis and Tobacco Users (DuCATA_GAM-CAT): Protocol for a Mixed Methods Study.

Approximately 1 in 6 cannabis users develop a cannabis use disorder (CUD) and the odds increase to 1 in 2 for daily users. The Dual use of Cannabis and Tobacco Monitoreing through a Gamified Web app (DuCATA_GAM-CaT) project aims to identify cannabis-tobacco patterns of use and withdrawal symptoms among individuals with CUD who are attending substance abuse programs. The project uses a mixed methods approach consisting of 3 studies. First, a participatory qualitative study involves focus groups comprising individuals with CUD, clinicians, project researchers, and an expert gamification company to co-design a gamified web app. Second, a longitudinal prospective study to follow up individuals over 6 weeks with CUD attending substance abuse programs . Participants report their cannabis-tobacco usage patterns, type and frequency of tobacco use, nicotine dependence, withdrawal symptoms, psychoemotional factors, and motivation to quit both substances. Predictive analysis techniques are used to analyze clinical, demographic, psychological, and environmental data to predict the probability of achieving abstinence. Third, homogeneous focus groups to explore participants' experiences during their CUD treatment. By June 2024, the project had completed the first study, defining eligible cannabis user profiles, developed the initial web app prototype, and initiated recruitment across 10 centers, with 74 participants enrolled, aiming to reach 150 participants in total. All participants are required to provide informed consent, and their information is kept confidential and anonymized following confidentiality rules. The research team is committed to disseminating the results obtained to professional and patient groups, as well as informing public health agents, to positively influence political and social decision makers and design programmers. Additionally, we aim to prioritize the publication of the results in high-impact journals specialized in drug abuse, public health, and health care services research. ClinicalTrials.gov NCT05512091; https://clinicaltrials.gov/study/NCT05512091. DERR1-10.2196/58335.

Psycho-emotional factors and craniomandibular disorder severity

Psycho-emotional factors and craniomandibular disorder severity

Stigma and related influencing factors in brain cancer patients: a cross-sectional study and parallel mediation analysis.

Patients with brain cancer and painful symptoms of the disease experience heavy pressure and negative inner experiences, leading to a sense of stigma. Therefore, this study assessed the level of stigma in patients with brain cancer and analyzed the risk factors for stigma to analyze the underlying relationships among depression, social support, low self-esteem, and stigma. Patients completed the Social Impact Scale, Self-rating Depression Scale, Rosenberg Self-Esteem Scale, Herth Hope Index, Social Support Rating Scale, and Self-Perceived Burden Scale. Multiple linear regression analysis was used to identify factors independently associated with stigma. Parallel mediation analysis was used to evaluate the mediating role of the relationship between psychoemotional factors and stigma. A multivariate linear regression analysis demonstrated significant associations between age (β = - 0.189, P = 0.002), treatment (β = 0.184, P = 0.003), self-esteem (β = - 0.128, P = 0.046), depression (β = 0.273, P < 0.001), hope (β = - 0.217, P = 0.003), and self-perceived burden (β = 0.260, P < 0.001) with brain cancer. It was observed that the social support received by brain cancer patients directly impacted their stigma (total effect, - 0.851, P = 0.001). Additionally, this relationship was influenced by depression and self-esteem through two distinct pathways. Increased stigma among brain cancer patients was found to be associated with severe depression, feelings of inferiority, diminished hope, and a heavy perceived burden. The structural equation modeling (SEM) revealed that social support negatively influenced stigma through depression and self-esteem. It is imperative to grasp patients' inner needs, implement psychological interventions, and cultivate a cancer-friendly social environment to prevent stigmatization and discrimination based on their patient status.

The predicting role of EFL/ESL teachers’ self-efficacy and grit in their professional development

Teacher professional development (TPD) has received a vast body of investigations in the past decades. Its features, dimensions, measures, and outcomes in English as a foreign language (EFL) context have been sufficiently studied. However, the role of psycho-affective factors in the TPD process has been neglected, especially in terms of demographic factors. To fill this gap, this quantitative study examined the predicting role of teacher self-efficacy and grit in Chinese EFL teachers’ professional development. Three online questionnaires were completed by a sample of 305 EFL teachers with different backgrounds in China. The results of structural equation modeling and standardized regression weights revealed a strong association between demographic factors (gender, education, experience) and TPD. In addition, it was found that self-efficacy and grit could collectively predict 78% and 43% of changes in Chinese EFL teachers’ professional development. Insights for future researchers and EFL teachers are provided at the end of the study to increase their understanding of TPD in light of psycho-emotional factors.

The influence of anxiety and depressive disorders on the development of resistant arterial hypertension

The problem of comorbidity of cardiovascular diseases (CVD) and anxiety-depressive disorders is actively discussed in modern scientific literature. Taking into account the widespread prevalence of anxiety and depressive disorders in the population, their negative impact on the quality of life and functioning of patients, prerequisites are accumulating for the diagnosis and treatment of these conditions by non-psychiatric doctors. The review presents current data on risk factors, relationships and principles for diagnosing resistant arterial hypertension (RAH) and anxiety-depressive disorders. The prevalence of resistant arterial hypertension is about 10–20 %, with a significant proportion of cases accounting for secondary arterial hypertension and pseudoresistance. The incidence of anxiety and depressive disorders in patients with arterial hypertension is 42 % and 52 %, respectively. The prevalence of anxiety and depressive disorders in RAH is 36.8 %. Such comorbidity contributes to the progression of PAH, worsens the patient’s prognosis, and reduces adherence to therapy. Given the close relationship between psychoemotional factors and CVD, patients with RAH are advised to undergo screening for anxiety and depression.

Assessment of sleep quality in patients with orofacial pain and headache complaints: A polysomnographic study.

Sleep is a physiological function essential for survival, recovery, tissue repair, memory consolidation, and brain function. Pain is also an indispensable aspect of human life. The coexistence of sleep disorders and pain is often described in the literature, yet it is critical to define sleep not only subjectively but also using objective instrumental methods, such as polysomnography, that provide data on sleep quality. The aim of the study was to determine the relationship between orofacial pain (OFP), headache (HA) and sleep quality using subjective and objective sleep quality assessment methods. Additionally, we aimed to explore whether poor sleep quality was related to OFP and HA alone or was influenced by the coexistence of psycho-emotional factors such as depression, anxiety and stress. A single-night video-polysomnography was performed on patients from the Outpatient Clinic for Temporomandibular Disorders at Wroclaw Medical University, Poland, who had been diagnosed with OFP and HA. Additionally, questionnaires were employed to assess sleep quality, pain, HA, and the psycho-emotional state. There was no statistically significant relationship between the severity of OFP and HA and polysomnographic sleep quality parameters. On the other hand, the quality of sleep as determined by questionnaire studies correlated markedly with the severity of experienced pain. The severity of pain was found to be significantly correlated with depression, anxiety and perceived stress scores. The psycho-emotional aspects are of critical importance in the perception of OFP and HA. They can be associated with worsened subjective sleep quality, insomnia or daytime sleepiness. Therefore, the treatment of such patients must be preceded by a comprehensive assessment of their psychoemotional state, as anxiety, stress and depression can significantly influence the course of the disease and the response to treatment procedures.

Diagnosis of post-traumatic syndrome: functional-vegetative analysis of sensory systems

Background. The article analyzes the relationship between emotional states and the psycho-vegetative status of the respondents using functional-vegetative diagnosis, which is important for medical practice. The study was based on the use of functional-vegetative diagnosis, including the analysis of the parameters of the autonomic nervous system, cardiovascular reactivity and other indicators characterizing the psycho-vegetative status of the individual. The purpose: to justify the functional-vegetative diagnosis of sensory systems in the context of the organization of the psychological health of the individual. Materials and methods. The following theoretical methods were used: comparison of existing psychophysiological concepts, structural and genetic analysis of sensory systems, synthesis of theoretical and methodological approaches of the fields of psychophysiology, inductive-deductive approach to the study of the problem. Empirical methods include: measurements according to the functional-vegetative method of V. Makats on the comparison by quantitative signs of the dynamics of each participant in the experiment and comparison of the relative optimal coefficient of vegetative balance and integrated generalization of data in groups with the same initial level of vegetative balance and surveys to determine emotional psychological background on the Izard’s Differential Emotions Scale, according to the results of which an increase in positive emotions and preservation of a moderate level of positive dynamics due to the influence of a psycho-emotional stimulus was recorded. Conclusions. It is noted that the influence of the psycho-emotional factor is a rehabilitation aspect that has a normalizing effect on the sympathetic and parasympathetic nervous systems and functional-vegetative homeostasis. The obtained results open perspectives for further research on diagnosis and correction of mental and physical health.

Effectiveness of bruxism treatment in young adults.

Aim: This study aimed to assess the effectiveness of the developed algorithm for treatment and prevention measures aimed at eliminating clinical manifestations of bruxism in young people. Materials and Methods: A cohort of 377 individuals aged 25 to 44 years underwent examination. Based on identified etiological factors, three distinct groups were delineated. Treatment and preventive strategies were then implemented and evaluated. Tailored treatment algorithms were devised for each group: Group one received selective grinding of supracontacts (up to 0.5-0.75 mm) and treatment for orthodontic issues utilizing removable and fixed orthodontic structures. Group two underwent finger self-massage of masticatory muscles, fabrication of biting dental splints, and anti-inflammatory drug therapy. Group three received sedative drug therapy in conjunction with psychiatric consultation, based on indications. Treatment efficacy was assessed 12 months post-initiation. Statistical analyses were conducted using Statistica 10.0 (StatSoft, Inc., USA) and Microsoft Office Excel 2010. Results: In cases where orthodontic pathology and supracontacts predominated (r=0.99, p<0.05), employing selective grinding and orthodontic treatment according to specific indications yielded significant efficacy. This approach resulted in a notable reduction in bruxism severity, corroborated by occludogram results 12 months post-treatment initiation. Notably, 90.0% of occludogram indicators fell within the 90-100% range, accompanied by a decrease in the BruxChecker abrasion facets area (p<0.05). Further, there was a substantial enhancement in occlusal contacts (Ck=0.68, Ck =0.71, Ck =0.93). In instances where TMJ pathology predominated with high reliability (r=0.98, p<0.05), effective normalization of masticatory muscle tone and alleviation of temporomandibular joint issues were observed. After 12 months, palpation revealed minimal tenderness in specific muscle areas and normalization of electromyography readings from initial indicators (p<0.05). Moreover, when the psycho-emotional factor primarily contributed to bruxism etiology (r=0.97, p<0.05), medical intervention proved effective. This approach led to bruxism disappearance and normalization of the psycho-emotional state within 12 months (p<0.05). Conclusions: The conducted studies provide high-confidence evidence of the effectiveness of bruxism treatment when diagnosing the prevailing etiological factor and targeting its specific impact, leading to the normalization of all other factors, a reduction in bruxism intensity, and its complete disappearance.

Mechanisms of development of postoperative pain syndrome in gynecological patients

Introduction. Despite all the advances in anesthesiology, postoperative pain syndrome remains a serious problem. The lowest satisfaction with postoperative pain relief was found among gynecological patients. For adequate anesthesia and relief of postoperative pain syndrome in gynecological patients, a clear understanding of the features of pain development is necessary. The purpose of the study: identification of mechanisms of development of postoperative pain syndrome in gynecological patients. Materials and methods. The search and analysis of literature sources in the databases Scholar Google, Cyberleninka, PubMed, by keywords: physiology of pain, postoperative pain in gynecology, pain syndrome after uterine surgery. Criteria for the inclusion of articles: compliance with the subject of the review and the relevance of the data. The search depth was 33 years. The review includes 59 literary sources. Results. The development of pain syndrome is influenced by pathophysiological mechanisms, such as: the formation of hyperalgesia zones, changes in estrogen levels, damage to nerve fibers and genetic factors. To assess the level of pain, specialized scales are used, such as YOURS, CRH, DN4 scale. Psychological factors have a great influence on the formation of postoperative pain. Namely, the level of anxiety and depression, the level of catastrophization of pain, coping strategies used, psychological stability. Conclusion. Postoperative pain syndrome in gynecological patients is associated not only with the physiological mechanisms of pain development, but also with psychoemotional factors. A multidisciplinary approach is needed to alleviate pain in gynecological patients, including not only adequate multimodal anesthesia and analgesia in the perioperative period, but also collaboration with clinical psychologists, psychotherapists, to evaluate and possible selection of psycho-social therapy.

The role of psycho-emotional factors in assessing the prognosis of different types of myocardial infarction

Aim. To study the features of psycho-emotional status and its clinical and prognostic significance in patients with type 1 and 2 myocardial infarction (MI).Material and methods. Of the 1293 patients hospitalized at the District Cardiology Dispensary "Center for Diagnostics and Cardiovascular Surgery" with a diagnosis of acute coronary syndrome, 277 (21,4%) patients with confirmed MI were consecutively included in the observational study. There were 194 (15,0%) patients with type 1 MI (MI1) and 83 (6,4%) with type 2 MI (MI2). MI types were determined based on the IV Universal Definition of Myocardial Infarction (UDMI). During the hospital period, type D personality was identified using the Russian version of the Type D scale-14 (DS-14), while the presence and severity of anxiety and depression was assessed using the Hospital Anxiety and Depression Scale (HADS). Follow-up was conducted through outpatient visits, telephone or email interviews for 12 months after discharge. Patients' adherence to drug therapy was assessed using 8-item Morisky Medication Adherence Scale, and quality of life (QoL) using Short Form Medical Outcomes Study (SF-36) questionnaire.Results. During the hospital period, in the group of patients with MI2, patients with type D personality were more often identified compared with MI1 (30 (36,1%) vs 55 (28,3%), p&lt;0,05). Patients with MI2 had a significantly higher subclinical level of anxiety (34 (41,0%) vs 43 (22,2%), p=0,002), expressed level of anxiety (10 (12,1%) vs 12 (6,2%), p=0,011), as well as a significant level of depression (13 (15,7%) vs 14 (7,2%), p=0,03). At the same time, in patients with type D, regardless of MI type, subclinical levels of anxiety and depression were significantly expressed (63 (74,1%) vs 14 (7,3%) (p&lt;0,001) and 58 (68,2%) vs 25 (13,0%) (p&lt;0,001)). There were no significant differences in inhospital complications between the MI1 and MI2 groups depending on type D personality. After 12-month follow-up, patients with the distressed personality type had higher rate of all-cause death (5 (7,2%) vs 5 (1,6%), p&lt;0,05 without type D), rehospitalization for decompensated heart failure (8 (11,5%) vs 9 (4,8%), p=0,04). Patients with type D were less adherent to drug therapy compared to patients without type D (30 (43,4%) vs 9 (4,8%) p=0,001, respectively), and they had lower QoL scores.Conclusion. Type D personality, the presence of anxiety and depression, high all-cause mortality and rehospitalization rate of decompensated heart failure were more often observed in MI2 compared to MI1, as well as in patients with type D, regardless of MI type. Low adherence to drug therapy and poor quality of life, regardless of MI type, were also associated with the type D personality.

THE PDCA CYCLE IN THE CONTEXT OF REDUCING PSYCHO-EMOTIONAL TENSION IN THE WORKPLACE

The necessity to ensure work safety begins with an understanding of the risks that exist in the enterprise and can lead to injury, deterioration of the health of employees, and accidents. Such risks may include physical, chemical, biological, and psychosocial hazards. The negative consequences of the psycho-emotional tension of employees consist of a decrease in the level of concentration of attention, increased fatigue, deterioration in the perception and memorisation of information, and a decrease in work efficiency. Some serious consequences of the excessive psycho-emotional tension of the employee are an increasing risk of accidents during the performance of work tasks, an increased time absence at work due to illness, a decrease in the quality of the work performed, loss of motivation, and others. The article analyses the possibilities of using the PDCA Cycle methodology to eliminate psycho-emotional tension in the workplace. We revealed the dangerous psycho-emotional factors in the workplace and provided examples of using each stage of the PDCA Cycle to reduce their impact on employees and ensure safe indicators of working conditions. The PDCA cycle can be implemented as a mean of improving the management and normalisation of safe work conditions, using the main idea of the model—the continuous improvement of safety indicators, through a step-by-step cycle: planning, execution, inspection, and action. The Deming circle allows us to systematically identify, analyse and solve problems related to psycho-emotional tension in the workplace, as well as to constantly improve processes in order to prevent the emergence of new stress factors. The application of this approach will provide effective control over psycho-emotional risks, reduce their impact on the health and safety of employees, improve overall production productivity, and is also a valuable tool for evaluating the effectiveness of the safety management system at the enterprise and for making decisions on improving working conditions. Keywords: the PDCA Cycle, psycho-emotional tension, work conditions, planning, implementing, improvement.

Self-healing and healing of the body with the help of neural connections of the brain

Introduction: The need to maintain people’s health and extend the life span of the body stimulates finding new methods of maintaining it. Today, this question is quite important, because the consequences of serious diseases cannot always be corrected, but their formation can be prevented. Therefore, the need to study the issue of self-regeneration of the body is urgent. The purpose of the article is to analyse the main methods and aspects of neuroplasticity support, as well as to highlight the main principles of the formation of new synaptic connections. Materials and Methods: Methods of analysis, generalization, systematization, comparison, and survey were used to determine the features of self-regeneration of the organism through the formation of new neural networks. Results and Discussion: The article analysed ways of forming neural connections that help and methods of improvement. It was determined which factors of the external environment affect the self-recovery process and how to ensure the reduction of the influence of harmful factors. The data obtained during the survey of people were analysed and the main differences in the way of life, as well as its influence on the properties of the brain, were determined. The article identified the most effective methods of self-recovery of the body and the trend of their popularity among the population. The obtained data were compared and the main aspects of the effectiveness of the method of healing the body with the help of neural connections were summarized. During the study, the effectiveness of popular methods of obtaining a positive result of body recovery was analysed. The influence of psycho-emotional factors on the general condition of a person was determined. Conclusions: The results of the study can help psychologists and therapists formulate special programs to avoid brain overload.

New insight into the management of psychoemotional risk factors in patients with cardiovascular diseases in middle and young age

Affective spectrum disorders, such as depression and anxiety disorders, are important psychoemotional risk factors for the development and complicated course of many common chronic non-communicable diseases, including cardiovascular ones: arterial hypertension, coronary heart disease, chronic heart failure, atrial fibrillation, acute coronary syndrome, etc. A feature of this comorbidity is the significant impact of psychoemotional factors on the motivation and adherence of patients to a healthy lifestyle, as well as various drug treatment options, which involves an increased risk of complications and, as a consequence, increased healthcare costs. The topicality of the issues of screening and management of psychoemotional disorders in the internist practice arises from a variety of reasons. On the one hand, it is a high incidence of these disorders in patients with cardiovascular diseases, including young and middle-aged ones, which is associated with a deterioration in the quality of life and an increased risk of complications and adverse outcomes in the future. On the other hand, it is caused by insufficient level of awareness among doctors about new possibilities for the management of the psychoemotional state of such patients. This review presents data on the effectiveness and safety of therapy of psychoemotional disorders in patients with various CVDs with a drug containing D,L-hopanthenic acid (rat-hopanthenic acid) as an active substance of the nootranquilizer class, which has a wide range of clinical effects, including a beneficial effect not only on psychoemotional sphere, but also on cognitive functions. The prospects for prescribing a D,L-hopantenic acid drug to young and middle-aged patients with CVD, which reduces the drug burden on the patient and provides high quality of life for patients both in hospital and at subsequent stages of treatment, are discussed. The key point is availability of an option for prolonged use of D,L-hopanthenic acid drug without any risk of addiction, withdrawal syndrome or hyperstimulation, which is an important clinical aspect of drug therapy for patients with CVD, especially in young and middle age.

Statistical indicators of the change in the amplitude of the EEG in the brain due to the effect of anxiety caused by the exam process in 17-year-old choleric students

Psycho-emotional factors play the main role among the factors that have a negative impact on health at a young age. Students have the concept of "exam stress", which occurs at various intervals before the exam. This process occurs over several days to several weeks, when anxiety develops during the post-exam exam. In this regard, the main goal of his work was to reveal the age characteristics of the changes in the bioelectrical activity of the brain, depending on the temperament type of the higher nervous activity, due to the effect of the emotional tension created in the examination process. The practical health of the participants and their voluntary participation in the research were considered important conditions. In order to study the impact of the exam process on emotional stress, students were divided into three groups: The first group included students who were on regular school days 2 months before the exam, the second group 30 minutes before the exam process, and the third group after the exam and 30 minutes after the exam process. These results show that the examination process has a different effect on the amplitude of EEG waves in the left and right frontal lobes of the brain before and after the examination. Therefore, both examination processes have both enhancing and depressing effects on the amplitude of EEG waves. It is very likely that at this age, it shows that the process of adaptation to the first exam process in students is not fully formed.

Identifying Types of Changes in Elementary School Students’ Perceived Academic Achievement Pressure and its Relation to Psycho-Emotional and Cognitive Characteristics

Objectives: This study identified the latent types of changes in academic pressure perceptions among elementary school students in fourth to sixth grade. Additionally, the study investigated the relation between these changes and psycho-emotional and cognitive characteristics.Methods: Data from the 11th-13th waves of the Panel Study of Korean Children (PSKC) were used for preliminary correlation and descriptive analyses in SPSS Windows software version 23. A three-step growth mixture model in Mplus was then employed to uncover differences in psycho-social characteristics associated with perceived academic pressure change types and variations in their cognitive characteristics.Results: Four types of perceived academic achievement pressure changes were identified among elementary school students: low-level steady increase, high-level steady decrease, low-level rapid increase, and high-level rapid decrease. These change types were associated with significant differences in psycho-emotional characteristics, such as academic stress, time use satisfaction, and self-esteem. Additionally, distinctive executive function difficulties were observed between the rapid increase and decrease of academic achievement pressure change types in elementary school students.Conclusion: The study confirmed distinct academic achievement pressure perceptions among elementary school students, emphasizing the roles of psycho-emotional factors (academic stress, time use satisfaction, and self-esteem) and cognitive factors (executive function difficulties) in understanding these variations. The study also discussed implications and proposed directions for future research.

DEVELOPMENT OF THE CONCEPT OF CARDIOVASCULAR RISK FACTORS FROM THE PERSPECTIVE OF TRANSLATIONAL MEDICINE

High cardiovascular mortality (CVD) determines the relevance of their effective primary and secondary preventive measures, based on the principles of a clinical-epideomyological approach and the isolation of risk factors (RFs). Until now, CVD have been the leading cause of deterioration in the demographic indicators of the population of all countries. According to WHO, they account for up to 31 % of deaths and up to 59 % of deaths. Adherence to the principles of a healthy lifestyle, a reduction of the main RFs at the population level can prevent up to 80 % of the premature CVD deaths. At the same time, clinical manifestations of atherosclerosis can arise in the absence of “classic” RFs. To improve CVD prediction results the possibility of using additional criteria, the so-called “new” RFs, is being studied. They include the accumulation of final products of glycation, insulin resistance, obesity and hyperhomocysteinemia. Insulin resistance and hyperhomocysteinemia are thougth to be of the most value for their integration in “classic” RFs of atherosclerosis and atherothrombosis in the diagnosis of CVD and assessing individual prognosis.Thus, the risk of CVD increases under the influence of a huge number of different genetic, anatomical, physiological,biochemical, psychoemotional factors, and the identification of markers for the development of CVD is an urgent problem of modern health care.

Factors affecting the life satisfaction of injured workers according to the type of return to work

ABSTRACT This study aimed to investigate the demographic, industrial and health-related, economic, and psycho-emotional factors that affect the life satisfaction of injured workers, and compare them according to the type of return to work. Regression analysis was used to analyse data on 2,025 injured workers. Marital status (B = .967, p < .001), disability grade (B = -.129, p < .01), health status (B = 1.287, p < .001), socioeconomic status (B = 1.977, p < .001), ownership status (B = .585, p < .05), self-esteem (B = .246, p < .001), and self-efficacy (B = .049, p < .01) significantly affected the life satisfaction of injured workers who returned to their original workplace; and marital status (B = .991, p < .001), performance ability (B = .224, p < .001), health status (B = 1.066, p < .001), socioeconomic status (B = 2.025, p < .001), ownership status (B = .589, p < .01), self-esteem (B = .295, p < .001), and self-efficacy (B = .053, p < .001) significantly affected the life satisfaction of injured workers re-employed at other workplaces; ownership status (B = 1.853, p < .01) significantly affected the life satisfaction of injured workers who is self-employed. Implications are discussed.

Assessment of daily blood pressure parameters in patients after injury

ABSTRACT. Many studies have highlighted the impact of various significant risk factors on the occurrence of arterial hypertension. However, few papers have examined the effect of psychoemotional factors as important contributors to the risk of arterial hypertension for such a specific population group as contracted servicemen performing military service under conditions of performing special tasks. Furthermore, there is a lack of data on the daily profile of blood pressure in this particular group of individuals. This thesis aims to substantiate the claim that injury, as a risk factor, greatly influences changes in the daily profile of blood pressure. The study examined 118 patients, divided into an experimental group (65 people) and a control group (53 people). The daily profile of blood pressure was assessed using continuous ambulatory blood pressure monitoring. Questionnaires were used to evaluate the quality of sleep, anxiety, and depression. The findings indicated that the patients of the experimental group, following trauma, exhibited a higher index of systolic and diastolic blood pressure duration, while the mean values remained within the normal range. Additionally, these patients more frequently exhibited a blood pressure profile characterized by an insufficient nocturnal decrease in blood pressure, known as non-dipping. This could be attributed to impaired sleep quality, as well as subclinically significant manifestations of anxiety and depression caused by stress. The early detection of changes in the index of systolic and diastolic blood pressure duration, along with deviations in the daily blood pressure profile observed through continuous ambulatory blood pressure monitoring, would enable specialists to promptly address alterations in the hemodynamics of these patients and prescribe appropriate therapy. Therefore, psychoemotional stress in people who have experienced trauma is one of the trigger mechanisms for increased blood pressure. If left unaddressed, this can progress to persistent arterial hypertension.

FACTORS OF ELECTORAL (NON) PARTICIPATION OF CITIZENS IN THE CONTEXT OF RATIONAL CHOICE THEORY

The article is devoted to the study of the factors of electoral (non)participation of citizens in the context of the theory of rational choice. The author pays the main attention to the variables that make it possible to calculate the potential effectiveness of voting for a particular citizen, including the probability of the decisive vote, benefits from voting, and losses from voting. The author emphasizes that, according to the theory of rational choice, citizens make simple calculations to determine whether it is appropriate to vote, taking into account the abovementioned variables. According to the model of rational choice, for the vast majority of citizens, voting is completely irrational, since the weight of one vote is insignificant, the benefits of voting are negligible, and the costs are quite significant. However, most voters spend the resources to show up at the polling station on polling day and cast their own single vote for their preferred candidate. In this case, the paradox of voting arises and the limitations of the theory of rational choice are revealed. The author highlights that several additions or variations of the theory have been presented by the scientific community. In particular, among them, the positive decision to vote is explained by the desire to support the functioning of democratic processes; a sense of civic duty; a desire to minimize maximum losses; faith in the decisive vote; mobilization efforts of politicians; minimal expenses for the voter; a conviction that calculations are impractical. Each amendment is characterized by both advantages for understanding electoral behavior in the context of the theory, and disadvantages, which often come down to ignoring the fundamental variables of the theory and giving the psycho-emotional factor an exceptionally prominent place. The author points out that a reassessment of the initial values of the theory, namely the probability that the single vote will become decisive and the cost of the spent voter`s resources, can lead to a completely new interpretation of the theory and scientific results.