Psychoemotional State Of Women Research Articles

Pregnancy and psychoemotional state of women after in vitro fertilization

Aim. To study the psycho-emotional state of pregnant women after IVF and to identify the factors influencing it.Materials and methods. A total of 104 pregnant women were included in a comparative study. They were divided into two groups: one group consisted of women whose pregnancy occurred after IVF (main group), and the other group consisted of women whose pregnancy occurred naturally (comparison group). Psychodiagnostic questionnaires were used to assess the psycho-emotional state of the pregnant women. Statistical processing was performed using the STATISTICA 10.0 program, and differences were considered significant at a significance level of p=0.05.Results and discussion. The results of the analysis showed that the mean age of pregnant women after IVF was 30.8±1.3 years, which was significantly higher than that of women with natural pregnancy (mean age 22.38±4.6 years). In the group of women who became pregnant after IVF, there were more women with a complicated obstetric and gynaecological history and with extragenital pathology. The results of psychodiagnostic studies showed that women in the IVF group had a high level of anxiety. Factors such as the age of the pregnant woman, history of infertility, longterm and unsuccessful infertility treatment, and the presence of somatic pathology negatively affect the mental health of pregnant women.Conclusion. Thus, a high level of anxiety, fear about the course of the pregnancy and the health of the unborn child is characteristic of women whose pregnancy occurred after IVF. Psycho-emotional reactions are associated with the nature of the pathology of the pregnancy, the duration of infertility treatment and a burdened obstetric and gynaecological history. It is important to create special consultation rooms for psychological support. The help of a perinatal psychologist is necessary. Collaboration between the psychologist and the attending physician can achieve the best results.

Psychological aspects of female infertility of unclear etiology: a review of foreign studies

The purpose of the article is to review foreign studies of the psychological aspects of female infertility of unclear etiology. The article is part of the author's dissertation research on the psychological characteristics of women with infertility of unclear etiology. A search was conducted for data on the topic under study in international databases: PubMed, Researchgate. The review includes studies of female infertility, which assessed the psychological component of infertility. The article considers the relevance of the study of infertility of unclear etiology, the most common causes of infertility, the impact on personality and family relationships, as well as the relationship between the psycho-emotional state of women and their psychophysiological characteristics in infertility. The incidence and etiology of infertility in developed and developing countries differ. The etiology of infertility in developed and developing countries differs. Infertility of unclear etiology accounts for 15 % to 30 % of all infertility cases. To identify the causes of infertility, it is necessary to carry out complex and physically painful procedures. The causes of infertility have a connection with the psychoemotional state of women. Infertility is classified as an unresolved life crisis that poses a threat to parenthood as one of the most important life goals. Women with infertility have a wide range of emotional disorders. The ambiguity of the causes of the diagnosis leads to prolonged stress, depression, anger, frustration, and guilt, which leads to special mental and physical health complications. Fertility problems increase tension and stress in families. Women with infertility prefer to be isolated from their close environment. Increasing restraint between spouses can lead to adverse consequences in marital relations.

Effect of Art Therapy on Changes in Psycho-Emotional State for Women Who Have Attempted Suicide

Background. Research is directed towards female suicides and the solution of the postvention problems in Lithuania. Suicidal behavior of women is conditioned by their psychological sensitivity to different psycho-social factors. The-psycho-emotional state of women who have attempted suicide is worsened, different negative emotions prevail, they lack self-esteem and are disappointed. The methods used in the research aim to answer the same question: does art therapy have an effect on the psycho-emotional state of women who have attempted suicide? It uses different methods of data analysis, i.e. quantitative and qualitative analysis of a small sample.
 Research aim. The aim of the research is to present effects of art therapy on changes in the psycho-emotional state of women who have attempted suicide. The aim of the research is supported by the following tasks and questions. Tasks: 1) to determine changes of depression symptoms; 2) to determine change of anxiety symptoms. Questions: 1) how do visually dominant iconographic motifs in patients’ drawings change during art therapy? 2) how do visually dominant formal motifs in patients’ drawings change during art therapy? 3) does the change of iconographic and formal motifs relate to changes of the emotional state of a selected group of women? 4) how interrelated are results of quantitative and qualitative research methods?
 Methods. Mixed research was conducted using the HADS scale, with analysis of visually dominant iconographic and formal elements.
 Results. The art therapy intervention significantly reduced the level of depression in the subjects. Art therapy had no significant effect on subjects’ anxiety levels. Selected iconographic motifs in the subjectsʼ drawings during the process of art therapy changed: from visually unindentifiable to recognizable objects; from an abstract symbolic meaning to a more concrete and clearly defined meaning; from a smaller to a larger number of iconographic elements; from an iconographically blurred to a more explicit plot. Selected formal motifs in the patients’ drawings during the process of art therapy changed: from incomplete to more detailed depiction of the object; from closed to more open silhouette type; from an isolated object opposed to the surrounding space to an object increasingly infiltrating into that space; from a closed to a progressively more open composition; from linearity to pictoriality; from darker to lighter color scale; from poorer to richer color palettes. The change of iconographic and formal motifs is related to the change of the emotional state of the subjects: the reduced isolation of the depicted objects and the strict separation from the surrounding space show a reduced opposition of the subjects, and the beginning of the social and psychological connection with the surrounding world. The shift from an incomplete to a more detailed depiction of an object shows that the former uncontrollability of the subjects’ self, their feelings, and their connection with the environment turns into clear and rational controllability; more concrete and realistic drawings show the increased awareness of the subjects and better connection with the surrounding world.
 Conclusions. The change in depression levels after art therapy intervention is statistically significant (p<0.05). The change in anxiety levels after art therapy intervention is not statistically significant (p>0.05). The shift of the drawings is from abstract to specific iconography. The formal motifs of the drawings become more detailed and their type of representation become more varied; the depiction of the objects have become more integrated in the composite space, and the composition become more open; the paintings became more artistic, and the color range became wider. The psycho-emotional state of the subjects in the sessions varied from detachment, withdrawal, hiding, fear of looking at oneself, to opening up, trying to notice and make sense of all one’s own negativity, to manage negative emotions and to project one’s future.
 Keywords: art therapy, woman suicide, anxiety, depression.

Psycho-emotional state of women during the perimenopausal transition

A woman’s health during the perimenopausal transition is not irrelevant because of the risk zone in which this category of women falls. Mature patients often have complaints associated with the menopausal syndrome. The increase in life expectancy of women, their active lifestyle that they want to maintain, which is not always possible due to the presence of a number of adverse factors such as the environment, stress factors, the presence of chronic diseases that tend to frequent exacerbations, all this aggravates the overall condition of women and primarily has a negative impact on their psycho-emotional health. The menopausal syndrome, which can debut during the perimenopausal transition, further complicates the woman’s condition. The job of a specialist gynaecologist is to help and manage these patients. It would seem that there is no question: the clinical guidelines and protocols are clearly prescribed algorithms for the management and therapy of such patients, where it is stated in black and white about the prescription of menopausal hormone therapy, which is pathogenetic and justified in the development of the menopausal syndrome and the complaints associated with it. But the prescription of this therapy is associated with a set of risks and side effects. Non-hormonal therapy is a good alternative in the treatment of menopausal disorders, given that hormonal treatment is contraindicated in a number of women. This article presents a cross-section of the literature data on the results of prescribing a dietary supplement MENSE® (Aquion JSC, Russia) in women with psycho-emotional tension during menopause. MENSE® complex contains an impressive range of components (β-alanine, 5-hydroxytryptophan, phytoestrogens – soy isoflavones, B vitamins, folic acid, vitamins E and C) favorably affecting the female body and improves the quality of her life during perimenopause. This complex can be recommended for patients with menopausal syndrome as an effective therapeutic agent for the period of selection of menopausal hormonal therapy or the presence of contraindications to it. MENSE® is an effective complex for improving the quality of life of perimenopausal women against the background of psycho-emotional conditions.

THE EFFECT OF POSTPARTUM PHYSICAL THERAPY ON AUTONOMIC SYMPTOMS OF POST-COVID-19 SYNDROME IN WOMEN AFTER CAESAREAN SECTION WHO EXPERIENCED CORONAVIRUS DISEASE DURING PREGNANCY

Purpose: to determine the effectiveness of restoring the state of women health with post-COVID-19 syndrome who underwent cesarean section, based on the dynamics of parameters of the autonomic nervous system.
 Methods. 44 women were examined at the beginning of the late postpartum period. The control group consisted of 15 women who gave birth vaginally and did not suffer from COVID-19 during pregnancy and observation. The comparison group consisted of 15 women after cesarean section who suffered from COVID-19 during pregnancy, recovered during pregnancy and the postpartum period according to general recommendations for the rehabilitation of patients with coronavirus infection. The main group consisted of 14 women after caesarean section, suffered from COVID-19 during pregnancy, performed a proven program of physical therapy for 2 months using breathing therapeutic exercises, therapeutic exercises with elements of yoga for the muscles of the back, abdomen, upper and lower limbs, taking into account movement limitations due to a scar of the anterior abdominal wall; massage of the chest, back, abdomen; aromatherapy sessions; autogenic training sessions. They tried to restore the state of women through a balance between the sympathetic and parasympathetic departments due to the normalizing effect of the applied agents on the hormonal background and psycho-emotional state, reducing the feeling of bodily discomfort, general strengthening of the body, accelerating the recovery of the organs of the abdominal cavity and pelvis, accelerating adaptation to changes in habitual activity due to a violation daily routine and childcare needs. The condition of the women was assessed by the results of the test with isometric load, the Kerdo index, the dynamics of 24-hour heart rate variability monitoring (power in the range of low LF frequencies and high HF frequencies, LF/HF ratio, Baevsky tension index).
 Research results. During the first examination, an imbalance between the activity of the sympathetic and parasympathetic links of the autonomic nervous system towards sympathicotonia was detected in all women, which was most pronounced in women with post-COVID-19 syndrome in all parameters. During re-examination, the best result in terms of all studied parameters was found by women of the control group, who demonstrated the dynamics of the normal course of the postpartum period after vaginal delivery and increased activity of the parasympathetic department against the background of suppression of the sympathetic department. The results of the women of the main group according to the Kerdo index, tests with isometric tension, the results of daily blood pressure monitoring, which were determined, were statistically significantly better than those of the women of the comparison group, testifying to the reduction of the imbalance of the links of the autonomic nervous system and the advantages of the rehabilitation program for the correction of the autonomic signs of post-COVID-19 syndrome, which was created taking into account the physical and psychoemotional state of women after cesarean section, in comparison with the general rehabilitation program.
 Conclusions. The use of physical therapy, taking into account the imbalance of the links of the autonomic nervous system (sympatheticotonia), is pathogenetically and practically justified in the process of physical therapy of women with post-COVID-19 syndrome in the postpartum period after abdominal delivery.

Psychoemotional state of women during pregnancy

The mental state of women changes during pregnancy, which has been proven by a number of scientific studies. In today's world, experts are increasingly linking health problems and the psychological state of a person. Indeed, the emotional background directly affects the hormonal background, and in the presence of stress hormones in the blood, no organ or organ system can function properly. There are two polar views: some believe that during pregnancy, women experience an emotional uplift, a sense of happiness, increased activity, while others, on the contrary, talk about an emotional decline, depressive symptoms, fatigue, anxiety. Both of these views are correct. If this is so, then the question arises about what factors affect the emotional state of a woman during this period. The article highlights the interrelationship of psychological processes that accompany physiological changes in the body of a pregnant woman. After all, pregnancy is a state of functional tension of all systems and organs of a woman. Undoubtedly, increased tension finds its mark in the psychological state of the pregnant woman. From the point of view of psychology, certain sequential psychological changes take place in a woman during pregnancy - the decision to maintain the pregnancy, the period of pregnancy before the movement of the fetus, the period after the beginning of movement, the prenatal period and childbirth.

Impact of COVID­19 on clinical symptoms in women with genital endometriosis

The objective: to evaluate the psycho-emotional state, lifestyle changes, clinical symptoms and treatment measures in women with genital endometriosis after COVID-19 disease. Materials and methods. The study involved 120 women with genital endometriosis. The main group included 62 women with genital endometriosis after COVID-19 disease, the control group consisted of 58 patients with genital endometriosis, no symptoms of COVID-19 and negative PCR test at the time of examination. Impact of Covid-19 on lifestyle changes, symptoms and treatment of endometriosis was measured with a questionnaire. Pain assessment was performed by a visually analog scale (VAS). The psychoemotional state of women was analyzed by a Peritraumatic Distress Inventory. Statistical analyses based on Microsoft Excel statistical analysis package and “Statistica 7.0”(StatSoft Inc., USA). Results. The scientific work demonstrated high level of peritraumatic stress, lifestyle changes (decreased physical activity, increased sleepiness), worsening of clinical manifestations (increased fatigue, severe menstrual bleeding, dysmenorrhea, increased pelvic pain) and changes in treatment measures (increased analgesics and non-steroidal anti-inflammatory drugs using, discontinuation of hormonal therapy) in women with genital endometriosis after COVID-19 disease compared with group of women with genital endometriosis and without symptoms of coronavirus infection. Conclusions. The obtained results are necessary to optimize the management of patients with genital endometriosis and COVID-19.

Pelvic pain and psycho­emotional status in women with ovarian endometrioma combined with pelvic inflammatory diseases: treatment options choice

The connection between chronic pelvic pain and the presence in the body of a pathological source of structural and morphological changes in tissue, e.g. in connection with uterine fibroids, endometriosis, chronic inflammatory processes of the pelvic organs remains a traditional opinion. Endometriosis, which is characterized by a chronic pelvic pain, affects about 10% of women of reproductive age, and the problem of studying of endometrioid cysts demonstrates its relevance by dominating in the structure of genital endometriosis up to 59%. Chronic pelvic pain causes inappropriate courses of antibacterial therapy and, as a consequence, dysbiosis, the development of ovarian insufficiency syndrome, and the surgical approach does not always show the desired results, often worsening the clinical picture and psycho-emotional status of the patient. The objective: of this study was to assess the severity of the pain syndrome and psychological status in patients with pelvic pain associated with ovarian endometrioma and to seek effective therapeutic options. Materials and methods. The study included 40 patients with ovarian endometriosis combined with pelvic inflammatory disease (main group) and 40 patients with isolated endometrioma (comparison group). The control group consisted of 30 patients without manifestations of genital endometriosis. Analysis of somatic and gynecological anamnesis was used, as well as the objective and gynecological examination, data from adapted Beck’s Depression Inventory and State-Trait Anxiety Inventory, pain assessment according to the visual-analog scale (VAS), sonographic examination of the pelvic organs, evaluation of magnetic resonance imaging, endoscopic and histological methods of examination. Results. Dyspareunia was noted in one third of patients of the main group; dysuric manifestations, intestinal disorders in one in four women, a combination with manifestations of asthenic-neurotic syndrome in a third of women, the intensity of pain was presented in a third as severe and unbearable. It should be noted that the percentage of secondary infertility increased by 2.6 times, in two thirds of cases there were menstrual disorders, which were dominated by manifestations of algodysmenorrhea and abnormal uterine bleeding. The analysis of psychological questionnaires noted equal percentage of moderate and mild depressive symptoms in the main group, as well as, along with a decrease in psychological and emotional adaptation, high rates of situational and personal anxiety. Proposed therapeutic options included the use of dienogest primarily in women with mild to moderate pain syndrome, the possibility of long-term use at risk of recurrence and taking into account the smaller percentage of probable side effects. Conclusions. The analysis of the obtained data allowed to indicate to more intense pain syndrome, high frequency of menstrual disorders, secondary infertility and manifestations of nonspecific clinical symptoms in patients with endometriomas combined with the pelvic inflammatory processes. The psycho-emotional state of women is characterized by high levels of depressive and anxiety disorders, as well as a pronounced intensity of pain syndrome in one third of cases. At weak and moderate degree of pelvic pain the drug of choice of the therapeutic program is dienogest, the use of which is expedient in the long run, in case of the expressed intensity of a pain syndrome it is expedient to give a preference to the gonadotropin-releasing hormone agonist.

The effect of essential oils of plants on the psychoemotional state of a person

Has been investigated impact of essential oils of Ocimum basilicum L., Eugenia caryophyllata Thumb., Hyssopus officinalis L., Coriandrum sativum L., Nepeta cataria L., Nepeta transcaucasica, Lavandula angustifolia Moench., Laurus nobilis L., Mentha longifólia L., 4 sorts of Mentha piperita L, Abies alba Mill., Artemisia taurica Willd., Rosa gallica L., Pinus silvestris L., Thymus vulgaris L., Satureja montana L., Satureja hortensis L. on psycho-emotional state of women at age from 50 to 85 years, who were divided into control and experimental groups. Control group - psych relax during 10, 20 or 30 minutes, experimental groups - the same psych relax + inhalation by essential oils at concentration in air 1 mg/m 3 . Before and after procedure was measured parameters of anxiety, depression and other parameters of psych emotional state using hospital scale of anxiety and depression and method of investigation of self-estimation by Dembo-Rubinstein in original modification. It is shown there are essential oils with anxiolytic, antidepressant activity and make better psych emotional state.

POSSIBILITIES OF THERAPY OF PAIN SYNDROME IN ENDOMETRIOSIS

Therapeutic tactics of endometriosis are aimed primarily at overcoming the pain syndrome, the absence of recurrence of the underlying disease, maintaining fertility and improving the psycho-emotional state of women. The objective to develop, pathogenetically substantiate treatment and rehabilitation measures taking into account pathogenetic preconditions in women with endometriosis in combination with pain. Materials and methods 85 patients with genital endometriosis with severe pelvic pain (VAS 7-10 points) (n = 44) - group I and moderate (VAS 4-6 points) (n = 41) - group II. The mean age of women in clinical trials I and II of the study was 37.71 ± 0.93 and 41.05 ± 1.08 (M ± m) years, respectively. The choice of treatment tactics was determined on the basis of immunohistochemical markers: estrogen receptors (ER), progesterone (PGR), proliferation index (Ki-67), vasculoendothelial growth factor (VEGF), cyclooxygenase-2 (COX-2) in eutopic acid., psychoemotional characteristics and intensity of pelvic pain. Rеsultes of treatment in the examined patients a significant (p <0.05) reduction of pelvic pain was determined, both in the short and long term. After 6 months, the level of personal anxiety decreased - by - 38.62%, after 12 months. – at - 48.15% (p <0.05). The rate of decrease in the level of depressive disorders on the Hamilton scale of all studied women was: - 32.2% after 6 months and -42.15% after 12 months (p <0.05). Conclusion our approach to treating endometriosis helped to overcome pain in 83.53% of women, improve psycho-emotional and general condition, normalize sleep - was determined in 88.3% of women, reduce reactive anxiety and depressive disorders in 84.7% of patients, indicates the effectiveness proposed therapy.

Priority motivations of women of the first period of mature age in the process of engaging in health-improving motor activity (on the example of bellydance-fitness)

The issue of the necessity of accounting for the motivational priorities of the women aged 21-35 years in the process of the physical culture and health activities and their significance for the design of the physical culture and health relatedsessions has been addressed in the article. The first period of mature age (21-35 years) of the women is characterized by the beginning of the involutionary processes in the body and a decrease in the motor abilities of the women, and the solution to this problem is possible by optimizing their motor activity. Bellydance-fitness classes today are one of the most important types of the physical activity for the women. They have a positive effect on the psycho-emotional state of women and their physical preparedness. We conducted a survey of women aged 21-35 who are engaged in bellydance-fitness in clubs and studios in Lviv and Ivano-Frankivsk. We compared the training motives of the women of different age groups (21-25 years old, 26-30 years old, 31-35 years old) and found out how the motivation of the women changes during the first period of adulthood. We found that the priority motives of their classes are mastering of the aesthetic dance movements, improving of the figure parameters and improving of the improving well-being and health.

THERAPEUTIC PROPHYLACTIC COMPLEX FOR PREVENTION OF OBSTETRIC AND PERINATAL COMPLICATIONS WITH INTRAHEPATIC CHOLESTASIS OF PREGNANCY AFTER ART

Purpose of the study: to test the effectiveness of the proposed treatment and prophylactic complex for the prevention of obstetric and perinatal complications in intrahepatic cholestasis of pregnancy (ICP) after ART.Materials and research methods. We examined 160 pregnant women after ART with a high risk of ICP: the main group - 80 patients who received the recommended treatment-and-prophylactic complex and the comparison group - 80 pregnant women, whose pregnancy was carried out according to the recommendations of the MoH protocols, and for ICP with severe symptoms, UDCA was prescribed.Research results. The recommended set of preventive measures made it possible to reduce the incidence of ICP by almost 1.5 times, to avoid its manifestations until 24 weeks of pregnancy, and almost 3 times to reduce the frequency of occurrence to 30 weeks of pregnancy (10.3 versus 28.6%). At the same time, the clinical manifestations of ICP were less pronounced. The positive effect of the recommended measures on the vegetative-vascular and psychoemotional state of women with ICP was noted (a decrease in the frequency of vegetative-vascular disorders, significant sleep disorders, increased situational anxiety and manifestations of depression). Against the background of the therapy, an increase in the concentration of vitamin D was observed, and the normalization of most laboratory parameters associated with ICP (a decrease in the level of bile acids, ALT, ALP) was noted. The incidence of threatened premature birth (34.5%) and fetal distress (27.63%), preeclampsia (24.1%) and IGR (20.7%), the incidence of delivery by caesarean section (44.9%) was significantly lower. and premature birth (27.6%), bleeding in childbirth (13.8%) and the postpartum period (6.9%). 69.0% of children were born without asphyxia; the frequency of early neonatal disorders is significantly lower (41.4% versus 70.7%).Conclusions. The proven effectiveness of a set of treatment and prophylactic measures for women involved in ART programs with a high risk of ICP, allows us to recommend it for widespread use in ART clinics, antenatal clinics and obstetric institutions.

The effect of bellydance fitness on the functionality of the torso muscles of women of the first period of adulthood

The first period of mature age (21-35 years) of women is characterized by the beginning of involutionary processes in the body and a decrease in the motor abilities of women, and the solution to this problem is possible by optimizing their motor activity. An important factor in training for mature women is to ensure a positive effect on the functional state of the muscles of the torso. Classes in dance types of health-improving motor activity (in particular, bellydance- fitness) have a positive effect on the psycho-emotional state of women and the state of their musculoskeletal system. The work is devoted to the research of the influence of the practice of bellydance-fitness (fitness with movements of oriental dance) on the functional state of the trunk muscles of women of the first period of mature age. Indicators of physical qualities such as static and dynamic strength endurance of torso muscles; spinal mobility in women engaged in bellydance-fitness were studied. Indicators of physical preparedness of women with less than 4 months of training and women with 2-3 years of training were compared. It was a positive effect of bellydance-fitness on the level of functional state of the torso muscles of women. Women with 2-3 years of training are characterized by a higher level of strength of the muscles of the torso and mobility of the spine than women with less than 4 months of training. The results of the research give grounds to recommend the use of bellydance-fitness as a means of improving the functional state of the torso muscles of women.

Anxiety and depression in relatives of patients with cancer

Life-threatening diseases to the family of cancer patient are psychotraumatic situation and present a difficult challenge.The aim of the study was to evaluate the psychopathological symptoms, namely the manifestations of anxiety and depression in relatives of cancer patients at different stages of the disease and depending on the level of adaptation of the family system.Contingent and research methods. The study involved 288 families with a cancer patient, with women in 174 families, and men in 144 ones. At the stage of primary contact with cancer, there were 78 families with women and 51 families with men, and 96 and 63 families, respectively, after the recurrence of the disease. Among the interviewed families, 55 families were classified as “adapted”, 127 were “borderline”, 106 were “disadapted”. HADS was used to assess the psychopathological symptoms of anxiety and depression.Results. The psycho-emotional state of relatives cancer patients was determined by the combination of the influence of a number of factors, which included the stage of the disease, the level of family adaptation, gender component. The increase in psychopathological symptoms, both depressive and anxious, led to the continuation of the disease as a result of the growing needs of the patient and the need for psychosocial support. Violation of family adaptation correlated with the severity of psychopathological manifestations. The psycho-emotional state of women was dominated by the anxiety state, while the men had relatively higher depressive manifestations.Conclusions. Psychocorrection of emotional state of cancer patient’s relatives and stabilization of the family system are important components of medical-psychological help in oncology practice

Psychosomatic problems of the relationship between obstetrician-gynecologist and patient in modern conditions

Modern socio-economic and political conditions in our country greatly affect the psycho-emotional state of fertile aged women and their partners. Unfortunately, the concept of psychological security is not widespread in Ukraine today. The radical approaches to the formation of public opinions and approaches by opinion leaders, which are covered in the media and social networks, unfortunately, reduce the credibility of the doctor as a person who fulfills state guarantees of quality free medical care. Such features of changing attitudes towards doctors greatly affect the efficiency of the doctor’s contact with the patient, which affects the effectiveness of treatment. In women of reproductive age with impaired reproductive health the strength of stressors that induce reproductive health disorders decreases in time to a certain level and goes into prolonged distress. Functioning of the central nervous system supports the formation of a negative internal dialogue in the patient because of interneuron interaction and passage of brain impulses by the shortest route and through areas of high vascularization.The article describes the main types of cognitive distortions that can interfere with the effective dialogue between doctor and patient. Cognitive distortions can be viewed as changes in the psycho-emotional state of women and as a result of the psycho-emotional pathology development, which is need parallel therapy or correction of the psycho-emotional state of such women addition to the treatment of reproductive disorders. The most common of cognitive distortions are mental filtering, positive deviations, maximization, minimization, dichotomous thinking, over-generalization, personalization, accusations, a sense of one’s own self-righteousness, emotional thinking. Timely detection of cognitive impairment in patients with reproductive health disorders allows establishing a trusting relationship between doctor and woman, increasing the effectiveness of treatment and reducing the time of conversation with patient.

Клінічні аспекти асоційованих кандидозно-герпетичних вульвовагінітів

Inflammatory processes of the female genital organs account for 55-70% of cases in the structure of all gynecological diseases, of which 40-50% are vaginal infections. Despite a significant amount of scientific research and the latest antibacterial agents, the incidence of inflammatory diseases does not tend to decrease. Candidiasis and herpes are one of the most widespread infections of the person with the chronic nature of a current and a long persistence of the agent. It is important to consider psychological consequences of infection. The objective: of the study was to study the features of a clinical current and also psychoemotional state of women with a chronically candidiasis-herpetic vulvovaginitis. Materials and methods. A total of 138 women with the associated candida-herpetic infection of a vagina (the main group) and 20 gynecologic healthy women (control group). Everything surveyed carried out all-clinical, cytological, mycological and virological researches . The psychoemotional state is studied according to the method by L.I. Wasserman’s. Results. At all examined women clinical manifestations of the vulvovaginitis of the mixed etiology were observed. 92.4% of patients had long and heavy discharges’ from a vagina. Results of virological and mycological researches correlated with a frequency of a recurrence of a disease and weight of their clinical manifestations. The research of psychological state showed that most of women with a mixed-infection (76.6%) had an increased level of psycho-emotional pressure in comparison with women of control group. Conclusions. It was established that women at the age of 20-30 years (67.4%) are at risk of having a candidiasis-herpetic infection. In most patients, the elements of the lesion occupy several anatomical areas. In patients with candidiasis- herpetic infection of the vagina, immunological dysfunction has been established at the level of the humoral link. Particularities attention should be paid to the relationship of psycho-emotional state and state of somatic health. Key words: associated infection, vulvovaginitis, candidiasis, genital herpes, psycho-emotional state.

FEATURES OF THE CHRONIC CANDIDOSIS-HERPETIC VULVOVAGINITIS CLINICAL COURSE

Despite a significant amount of scientific research, the frequency of vulvovaginitis, being up to 50% in structure of inflammatory processes of female genitals. Candidiasis and herpes are one of the most widespread infections of the person with the chronic nature of a current and a long persistence of the agent. It is important to consider psychological consequences of infection.The aim of the study was to study the features of a clinical current and also psychoemotional state of women with a chronically candidiasis-herpetic vulvovaginitis.Materials and methods of research. A total of 138 women with the associated candida-herpetic infection of a vagina (the main group) and 20 gynecologic healthy women (control group). Everything surveyed carried out all-clinical, cytological, mycological and virological researches . The psychoemotional state is studied according to the method by L.I. Wasserman’s.Results of the research and their discussion. At all examined women clinical manifestations of the vulvovaginitis of the mixed etiology were observed. 92.4% of patients had long and heavy discharges’ from a vagina. Results of virological and mycological researches correlated with a frequency of a recurrence of a disease and weight of their clinical manifestations. The research of psychological state showed that most of women with a mixed-infection (76.6%) had an increased level of psycho-emotional pressure in comparison with women of control group.Conclusions. It was established that women at the age of 20-30 years (67.4%) are at risk of having a candidiasis-herpetic infection. In most patients, the elements of the lesion occupy several anatomical areas. In patients with candidiasis- herpetic infection of the vagina, immunological dysfunction has been established at the level of the humoral link. Particularities attention should be paid to the relationship of psycho-emotional state and state of somatic health.

PSYCHOEMOTIONAL CHARACTERISTICS OF PREGNANT WOMEN AS A RESULT OF THE ASSISTED REPRODUCTIVE TECHNOLOGIES APPLICATION


 The issue of preserving the reproductive health of the nation in Ukraine is very acute. The psycho-emotional state of a woman is of particular importance for the prolongation of pregnancy and the normal course of labor. Violation of adaptive mechanisms which are aimed at restructuring the functional systems of the body during pregnancy and on the eve of childbirth, as well as the state of chronic stress contribute to the increase in the of obstetric and perinatal complications frequency and have an adverse effect on the course of pregnancy. The aim of the reaserch was to study the dynamics of psycho-emotional state features in pregnant women after assisted reproductive technologies (ART) application in order to improve the tactics of antenatal surveillance. To achieve this goal, 299 pregnant women were comprehensively examined in the dynamics of prospective observation, which were distributed as follows – the main group included 249 women whose pregnancy occurred as a result of the ART application. The control group consisted of 50 pregnant women with spontaneous pregnancy and its physiological course, which were registered for pregnancy at 6-8 weeks. The women of main group whose pregnancy occurred as a result of ART application were divided into three groups, depending on the factor that caused infertility. The first group included 94 women with tubal-peritoneal factor of infertility, the second group was formed by 87 women with endocrine factor of infertility, the third group included 68 women whose infertility was caused by the male factor. Pregnant women of the study groups by age, marital and social status, place of residence were representative, which allowed further to judge the differences caused by etiological factors of infertility. In order to determine the psycho-emotional state of pregnant women in the study groups in the screening mode, a clinical interview was conducted by filling out questionnaires that contained the constituent questions of the STAI tests in the modification of Yu. L. Khanin and the "Pregnant Attitude Test" by the method of I. V. Dobryakov. The obtained test results indicate that the average score of reactive anxiety in pregnant women of the main group exceeded the same indicator of the control group and was: 49 - pregnant women with tubal-peritoneal type of infertility, 56 - pregnant women with endocrine type of infertility, 44 - pregnant women with male factor of infertility, 24 - control group. According to the results of testing, a significant difference was revealed in the indicators of personal anxiety. The values of indicators of personal anxiety were: 51 - pregnant women with tubal-peritoneal type of infertility, 54 - pregnant women with endocrine type of infertility, 31 -pregnant women with male factor of infertility, 31 - control group. Low level of personal anxiety was observed in 26 (27,6%) pregnant women of I group, 29 (33,3%) pregnant women of II group, which is significantly less in comparison with the indicator of pregnant women of the control group – 33 (66,0%) and III group - 33 (48,5%) (p < 0,05). Moderate type of personal anxiety was observed in 46 (48.9%) pregnant women of group and 40 (45.9%) pregnant women of II group compared to the indicator of the control group – 11 (22, 0%) (p < 0,05). Moderate type of personal anxiety was determined in 25 (36,7%) cases in pregnant women of III group and did not differ significantly from the indicators of I, II and control groups (p > 0,05). A high level of personal anxiety was observed in 22 (23,5%) pregnant women of group I, 18 (20,8%) pregnant women of group II, which is significantly higher in comparison with the indicator of pregnant women of the control group – 6 (12,0%) (p < 0,05). Thus, the study of the psycho-emotional state of pregnant women after the application of ART deviations in the level of personal and reactive anxiety and pathological types of gestational dominant, which are inherent in pregnant women of the main group. Taking into account the above, we consider it appropriate to involve a psychologist to work with the examined pregnant women in order to correct the identified abnormalities.

Modification of the Pre-conceptional Treatment Program at the Stage of Pregnancy Planning Regarding the Psychoemotional State of Women

The course of normal pregnancy is accompanied by significant changes in the functioning of almost all physiological systems and the tension of adaptive processes to new requirements, while the complicated period of pregnancy, is an extremely strong psycho-emotional factor.The objective: was to determine the structure and prevalence of the types of psychological component of gestational dominant (PCGD), taking into account psycho-emotional state in women, to assess its impact on reproductive loss and complicated pregnancy as well as to develop a modified complex of pre-conceptional treatment.Materials and methods. In order to solve the target tasks, we conducted an experimental psycho-diagnostic study and an in-depth clinical and laboratory-instrumental examination of 120 patients with a burdened reproductive history who underwent the preconceptional treatment on the basis of the Conscious Parenthood Center «Divia». The assessment of the psychological component of the gestational dominant was carried out by the method of «Pregnant woman attitude test» by I.V. Dobriakov, modified for pregnant patients, Spielberg’s and Beck’s tests were also used to assess the level of personal and reactive anxiety and signs of depression. The state of the vegetative nervous system was assessed on the basis of the main characteristics: vegetative tonus, vegetative index (SI) Kerdo), vegetative reactivity and vegetative maintenance of activity (orthostatic test). For the evaluation of the effectiveness of the proposed pre-bladder training from 120 women, where the type of PCGD was assessed, 70 patients with anxiety and depressive type of PCGD were identified, which formed two groups: the main (35 women) who received the proposed complex of psychological and medicamental correction, and the comparative group (35 patients), where the pre-conceptional treatment included traditional, in accordance with modern guidelines, – folate therapy.Results. Experimental and psychodiagnostic research allowed to establish a high percentage of unfavorable pregnancy types of PCGD, among which the most sufficient were anxiety and depression types. Most attention on the specifics of pregnancy course deserve differences in the incidence of preterm delivery, preeclampsia resistance to treatment and the proportion of labor activity anomalies and its medicamental correction, which 2.6 times prevailed in case of anxiety and depression types of psychological components of gestational dominant.Conclusion. The proposed pre-conceptional treatment, modified by a differentiated complex of psychological correction and a medicamental package with the inclusion of neuroprotectors and plant adapters, allowed not only to strengthen the adaptation mechanisms at the stage of pregnancy planning, but also to significantly reduce the proportion of gestational complications in the process of its monitoring.

Особенности психоэмоционального состояния женщин во время беременности, наступившей в результате применения вспомогательных репродуктивных технологий

Особенности психоэмоционального состояния женщин во время беременности, наступившей в результате применения вспомогательных репродуктивных технологий