Psychological Adaptation Of Patients Research Articles

Нейрофиброматоз 1 типа и ассоциированные заболевания: педиатрические аспекты диагностики, наблюдения, терапии

Neurofibromatosis type 1 (NF1) is a genetically determined disease characterized by damage to all organs and systems with dominant involvement of the skin and peripheral nervous system. One of the main NF1 features is the age-dependent representation of its clinical symptoms, which is the reason for untimely diagnosis verification and inadequate medical care which in its turn entails the risks for severe disability and reduced life expectancy. Obviously, the key factors in improving the prognosis for life and its quality are the improvement of screening, diagnostics, therapy and rehabilitation programs, both in childhood and in adult patients. The issues of social and psychological adaptation of patients and their families are highly relevant, this therefore requires the availability of information sources and the involvement of a multidisciplinary team of medical specialists at all stages of medical care. The purpose for publication of this bibliographical review was to highlight the features of diagnosis and observation of children with NF1 as well as existing treatment options for associated diseases.

Immunoinflammatory rheumatic diseases: the role of the perception of the disease and coping with it in the psychological adaptation of the patient

Objective: to analyze the subjective perception of the disease, coping behavior and adherence to treatment as parameters of psychological adaptation of patients with immunoinflammatory rheumatic diseases (IIRD).Patients and methods. 163 women with IIRD who were on inpatient treatment were examined: 63 with systemic lupus erythematosus, 50 with rheumatoid arthritis, and 50 with systemic scleroderma. The mean age of the patients was 34.00±17.46 years.Results and discussion. Groups of patients with different types of perception of the disease were identified: "Unformed perception of the disease" (group 1), "Positive perception of disease control" (group 2), "Negative perception of disease threat" (group 3). When comparing the three groups, it was found that in the group with an unformed perception of the disease, negative emotional experiences were less pronounced than in the other two groups. At the same time, the coping strategies "Self-control" and "Problem solving planning" were significantly higher in the group of patients who positively perceived the control of their disease.Conclusion. Psychological adaptation of patients with IIRD depends on the type of perception of the disease. The identification of two basic profiles (“Disease threat perception” and “Disease and treatment control perception”) and three types of disease perception (“Unformed type of disease perception”, “Positive perception of disease control”, “Negative perception of the disease threat”) made it possible to obtain new, more differentiated ideas about the perception of the disease, which is the target of correctional psychological work with patients suffering from IIRD.

Assessment of psychological defense mechanisms in women with somatoform disorder using Thematic Apperception Test-Based Measure

IntroductionMaladaptive defense mechanisms can play a role in maintaining the inadequate social and psychological adaptation of patients.ObjectivesThis study aims to establish if denial is one of the central psychological defense mechanisms in patients with somatoform disorder.Methods10 female patients at Moscow Clinical hospital №33 with somatoform disorder and panic attacks (aged 20 to 43) and 20 female participants of the control group (aged 19 to 35) were presented with 10 pictures of the Thematic Apperception Test. Pictures were previously annotated into 4 groups: neutral stimuli (2, 6GF), provoking self-blame / depression ideation stimuli (3GF,14, 15, 17GF), provoking aggression ideation stimuli (8ВМ, 18 GF, 9GF), provoking aggression/self-blame ideation stimuli (13 MF). We conducted content analyses of stories. Mann-Whitney U-test was used.Results Table 1 presents analyses categories, examples of stories, and group differences.Table 1CategoryExamplePatients,% of storiesControl group,% of storiesMann-Whitney U-testDenial of interpersonal/internal conflict«It is a beautiful day. The girl is enjoying the sunlight. Her life is going well» (17GF).90%47%*р<0,01Denial of aggressive ideation«She won`t smother her, she just wants to scare her a little» (18 GF).70%30%р<0,05Denial of depressive /self-blame ideation«Is she dead or not? I think, no. They were having sex and now they are sleepy» (13MF).*Several patients told more than 1 story to a picture.ConclusionsPatients with the somatoform disorder tended to use descriptions without interpersonal or internal conflicts and/or to deny any characters‘ negative intentions or the negative consequences of their actions.DisclosureNo significant relationships.

Influence of attachment on socio-psychological adaptation and its dynamics in the course of treatment in adolescent patients with schizotypal disorder

Summary. Purpose. Study of the influence of attachment quality (based on the analysis of its representation) on the results of treatment and socio-psychological adaptation of adolescent patients with schizotypal disorder.Materials and Methods. 41 adolescents with pseudoneurotic type of schizotypal disorder were surveyed [F 21.3]. All respondents were divided into two groups based on the type of early attachment to mother («reliable attachment» and «unreliable attachment»). A battery of 6 tests was used: a questionnaire for studying of coping-behavior ways (Lazarus R., Folkman С., WCQ, The Waysof Coping Questionnaire, 1988); test LSI, Life style index Plutchik R., Kellerman H., 1979 (in adapt.Wasserman L. I., etc., 1998), the modified questionnaire of attachment ( Yaremchuk M. V., 2005; in modific. Almazova O.V., Burmenskaya G.V., 2015), SCL-90R («Simptom Check List-90-Revised»; Derogatis, Rickels, Rock, 1976), integrative anxiety test (Bizyuk A.P, Wasserman L.I., Iovlev B.V., 2005), scale of assessment of social functioning of patients (Kotsyubinsky A.P., Sheinina N.S., etc. 2013). Studied were the features of protectively-adaptive behavior and the actual psychological symptomatic status, indicators of personal and situational anxiety, as well as features of contact with the doctor, and dynamics of indicators of social adaptation during treatment.Results. Confirmed the relationship of representation unreliable type of attachment to the mother, in patients with schizotypal disorder, and sustained violation in the sphere of relationships with parents, disorders of emotional regulation, reduce psychological adaption in general. In such patients, during the treatment process, lower compliance indicators, specific features of the protective-coping style of behavior, as well as slower rates of psychological and social recovery were revealed.Conclusion. According to the results of the study, data indicating the negative impact of unreliable attachment in adolescent patients with schizotypal disorder on psychological recovery during treatment and socio — psychological adaptation of patients in general were obtained. Psychotherapeutic recommendations are presented.

The role of the patient organization in socio-psychological adaptation of patients with celiac disease

Celiac disease is a lifelong disease, associated with lifestyle changes. After the diagnosis was made, patients are faced with a number of tasks: organizing a food system for the patient and his family members at home, in kindergartens, schools, health camps, sanatoriums, hospitals, in the army, while traveling; selection of gluten-free medicines; organization of psychological assistance. Support in the social and psychological sphere of life is provided by patient organizations, that create systems for the comfort life of celiac patients. This review focuses on the role of such organizations in the socio- psychological adaptation of patients with celiac disease. The tasks, methods and projects of systemic educational work, information resources, methods of psychological support for patients are presented; product expertise capabilities, legislative aspects in the field of social and legal protection of the interests of persons with celiac disease and a violation of gluten tolerance, the possibilities of material support for patients in various regions of Russia are highlighted. The article drew attention to the success of patient organizations in improving the quality of life, and those who have difficulties both: the problems of labeling of gluten-free products, the complexity of catering in public restaurants and institutions. The system of activities and projects, developed by the St. Petersburg Society of Celiac Diseases “Emilia” and the National Association “Gluten Free Life” allows to overcome the difficulties, associated with adhering to a strict lifelong diet, improves gluten free food at home.

State of social and psychological adaptation in patients with depressive disorders, taking into account the gender factor

The aim: to establish the features of socio-psychological adaptation in patients with depressive disorders, taking into account age and gender factor.
 Materials and methods. A clinical and psycho-diagnostic examination of 107 men and 138 women with depressive disorders using the method of diagnosis of socio-psychological adaptation of C. Rogers et R. F. Dymond was done.
 Results. A low level of socio-psychological adaptation in patients with depressive disorders has been established. There is a tendency to deteriorate socio-psychological adaptation with age, the most pronounced in level of adaptability, emotional comfort, payroll, integrated indicators of adaptation, self-acceptance and emotional comfort in all patients, and in men also in maladaptation, self-acceptance, external control, and women – regarding internality. The rates of lying, acceptance of others and dominance in men and women were highest in the middle age group (30-44 years), and lowest – in the older (over 45 years); this trend is also found in men for internal control and an integrated indicator of acceptance of others, and in women – for the desire for dominance. Differences in the comparison of the older age group with the average were more significant than in the comparison of the younger group (up to 30 years) with the average.
 Conclusions. Patients with depressive disorders are characterized by a low level of socio-psychological adaptation. In both men and women, the level of socio-psychological adaptation decreases with age, and in men this trend is more pronounced. The most significant deterioration in the state of socio-psychological adaptation in patients with depressive disorders occurs at the age of over 45 years; this trend is also more common in men

Показатели психологической адаптации у пациенток с сердечно-сосудистой патологией на фоне синдрома дисплазии соединительной ткани

The article presents the results of a study of psychological adaptation in patients with cardiac pathology against the background of connective tissue dysplasia, conducted at the Regional Clinical Center for Specialized Types of Medical Care in Vladivostok. It was hypothesized that patients with concomitant connective tissue dysplasia will have lower adaptive capacity than patients without this syndrome. The study involved 32 girls 16–18 years old (M=16.72; SD=0.41) with cardiovascular pathology on the background of connective tissue dysplasia and 32 girls of the same age (M=16.78; SD=0.40) with cardiovascular disease without connective tissue dysplasia. To assess the severity of adaptive capabilities, the following methods were used: the Questionnaire of socio-psychological adaptation (A.K. Osnitsky, 2004), the Multi-level Personality Questionnaire "Adaptability" developed by А.G. Maklakov and S.V. Chermyanin, the Communicative Tolerance Questionnaire (V.V. Boyko), K. Ryff's scale of Psychological Well-being adapted by N.N. Lepeshinsky, the Oxford Happiness Inventory adapted by A. Lisitsina (2003). The significant intergroup differences (p<0.05) were revealed in terms of neuropsychic and emotional stability, working capacity, self-esteem, need for communication, behavioral features, experiences of psychological well-being, feelings of happiness, socialization and adaptation, motivation for activity, tolerance to adverse factors environment, as well as indicators of the communicative capabilities of the individual. The results obtained indicate reduced indicators of psychological adaptation in adolescent patients with cardiac pathology against the background of connective tissue dysplasia. These results can be used in the development of individual psychocorrectional programs to improve the social adaptation of girls with connective tissue dysplasia syndrome.

Features of social and psychological adaptation in patients with depressive disorders

The problem of depressive disorders is one of the key problems of modern psychiatry due to the high prevalence, large-scale social losses and negative medical consequences of depression, as well as severe dysfunction of patients, which determines the relevance of the study of socio-psychological adaptation in depressive disorders. The aim of the study: to determine the features of socio-psychological adaptation in patients with depressive disorders, taking into account age and gender Objectives of the study: to define the structure and quantitative indicators of socio-psychological adaptation and analyze its features in patients with depressive disorders in different age groups and taking into account the gender factor. Methods: using diagnostic techniques for socio-psychological adaptation C. Rogers et R.F. Dymond clinically and psychologically examined 107 men and 138 women with depressive disorders. Results. It was found that patients with depressive disorders are characterized by a low level of socio-psychological adaptation, while men have indicators of socio-psychological adaptation are significantly lower than women in terms of adaptability, self-acceptance, acceptance of others, emotional comfort, adaptation, self-acceptance, acceptance of others, as well as on integrated indicators of emotional comfort and internality. Indicators of maladaptation are higher in men than in women: maladaptation, self-rejection, rejection of others, emotional discomfort and external control. There is a tendency to decline the state of socio-psychological adaptation with age, which is manifested by a decrease in older age groups of adaptability, self-acceptance, emotional comfort, adaptation, self-acceptance, and integrated indicators of emotional comfort and internality, and increasing indicators of maladaptation, self-rejection, rejection, external control, payroll and escapism. The most significant violation of socio-psychological adaptation occurs in the age group of 45 years and older.

Mental health and coping strategies in families of children and young adults with muscular dystrophies.

Living with a progressive disease as muscular dystrophy (MD) can be challenging for the patient and the entire family from both emotional and practical point of view. We aimed to extend our previously published data about mental health in patients with MDs, also investigating coping profiles of both themselves and their parents. Furthermore, we wanted to verify whether psychological adaptation of patients can be predicted by coping strategies, taking also into account physical impairment, cognitive level and socioeconomic status. 112 patients with MDs, aged 2-32 were included. Their emotional and behavioural features were assessed through parent- and self-report Achenbach System for Empirically Based Assessment questionnaires and Strength and Difficulties Questionnaires. Development and Well-Being Assessment or Autism Diagnostic Observation Schedule were administered to confirm suspected diagnoses. Coping profile of both parents and patients was assessed through the self-administered New Italian Version of the Coping Orientation to the Problems Experienced questionnaire and its relationship with emotional/behavioural outcome was examined in linear regression analyses. High prevalence of intellectual disability and autism spectrum disorders was confirmed in Duchenne MD. Despite the high rate of internalizing symptomatology, we did not report higher rate of psychopathological disorders compared to general population. Parents tend to rely more on positive reinterpretation and less on disengagement coping. Avoidance coping, whether used by parents or patients, and ID, predicted increased emotional/behavioural problems. Psychosocial interventions should address problems of anxiety and depression that people with MDs frequently experience, even through fostering parents' and childrens' engagement coping over disengagement coping.

Clinical and Functional Dynamics of Physical Working Capacity and Psychological Adaptation in Patients with Acute Coronary Syndrome at the Stages of Rehabilitation

The objective of the research was to analyze the effectiveness of using suggestive therapy in the patients with acute coronary syndrome by assessing the dynamics of the clinical condition and indicators of anxiety.
 Materials and Methods. There were examined 135 patients with non-ST-segment elevation myocardial infarction, 60 patients with the use of the conservative treatment and 75 patients who underwent percutaneous coronary intervention. The dynamics of objective indices, adaptation changes and anxiety indices in the groups of patients with traditional treatment and in the groups of patients with suggestive therapy in addition to the traditional rehabilitation measures, were analyzed.
 Results. Analyzing the dynamics of adaptive indices, it was determined that in the group of patients with non-ST-segment elevation myocardial infarction, who were performed conservative therapy, the dynamics was less significant, which is related to the general desadaptative syndrome. Changes in the group of patients undergoing percutaneous coronary intervention and suggestive therapy, with a decrease of blood pressure, heart rate, and a decrease in the index of functional changes from 3.78±0.15 points before the intervention up to 2.92±0.13 points after suggestive therapy (p<0.01) were more significant. In all groups of patients, high levels of reactive anxiety were observed at the beginning of treatment. As a result of treatment, a decrease in anxiety was noted, but more pronounced changes were seen in the group with the use of suggestive therapy (p<0.05).
 Conclusions. The use of suggestive therapy methods when treating the patients with acute coronary syndrome is an important intervention, that provides a comprehensive approach considering all the components, enhances the patients’ adaptive abilities in the rehabilitation phase, improves the quality and effectiveness of restorative treatment. The use of suggestive therapy at the rehabilitation stage improves the clinical course, reduces anginal manifestations, stabilizes blood pressure and increases exercise tolerance.

Web-Based Coping and Communication Skills Intervention in Improving Psychological Adaptation in Patients With Gynecological Cancer

Web-Based Coping and Communication Skills Intervention in Improving Psychological Adaptation in Patients With Gynecological Cancer

Psychological Adaptation of Patients with Ischemic Heart Disease at the Stages of Rehabilitation after Reperfusion Interventions

Psychological adaptation is a necessary component of rehabilitation of patients with ischemic heart disease. Post-infarction period is a special adaptation period for the patient, which requires a holistic approach taking into account both medical, physical and psychological components. High levels of anxiety in patients, both before surgical interventions, and in the postoperative period, worsen the prognosis that requires to improve the methods of rehabilitation.
 The objective of the research was to study the peculiarities of psychological adaptation in patients with ischemic heart disease, depending on reperfusion approaches and applied methods of rehabilitation.
 Materials and methods. There were examined 450 patients with ischemic heart disease using different methods of reperfusion interventions. Depending on the methods of rehabilitation, the patients were divided into three subgroups. The determination of levels of reactive and personal anxiety was performed at the beginning of treatment, 1 week, 1 month and 6 months after treatment.
 Results. There were revealed high levels of reactive and personal anxiety in patients with ischemic heart disease, which differed depending on the applied reperfusion interventions. The use of psychological methods at the stage of rehabilitation contributed to a decrease in anxiety levels a week after using suggestive therapy methods, and the effect of learning was noted a month and 6 months after the observation.
 Conclusions. One of the constituents of a cardiologic patient is his psychological status, namely the level of anxiety. For the effective adaptation, it is important to use the suggestive methods of therapy and training of patients. In patients, who are scheduled for surgical operation due to ischemic heart disease, a pre-rehabilitation with an individual approach is necessary.

The Use of Biological Feedback in Complex Treatment of Patients with Rheumatoid Arthritis and Systemic Sclerosis

There are significant emotional problems in patients with systemic sclerosis (SS) and rheumatoid arthritis (RA), including most expressed symptoms of anxiety and depression that complicate the process of social and psychological adaptation of patients, reduce the level of subjective control as an attribute of personal responsibility for controlling their disease. The effectiveness of the biofeedback (BFB) training inthe treatment of patients with rheumatoid arthritis and systemic sclerosis is analyzed. Analysis of the effectiveness of treatment was conducted by studying the dynamics of a number of psychological indices (the level of subjective control, reactive and personal anxiety, depression) and their comparison in patients of the main and control groups before and after the treatment. Correction of the psycho-emotional state of patients with SS and RA was carried out using biofeedback (BFB), based on the principle of self-regulation of body functions using external feedback systems. There was a significant reduction in anxiety and depressive reactions in patients, during the process of BFB therapy, accompanied by a significant decrease of scoresby Spielberger–Khanin and Beck psychological tests, noted a significant effect of increasing the level of subjective control that can improve the effectiveness of therapy and long-term disease prognosis. Thus, the additional application of BFB training in complex treatment of SS and RA patients promoted the improvement of the efficiency of the treatment and rehabilitation carried out and the improvement of the patients’ quality of life.
 Keywords: BFB training, systemic sclerosis, rheumatoid arthritis, rheumatic diseases, reactive anxiety, personality anxiety, depression, level of subjective control

THE VIBRATION DISEASE IN WORKERS OF THE AIRCRAFT ENTERPRISE: FACTORS OF THE FORMATION, CLINICAL MANIFESTATIONS, SOCIAL-PSYCHOLOGICAL FEATURES (DYNAMIC FOLLOWING-UP)

Introduction. The vibration disease takes one of the leading places in the structure of the occupational morbidity in the Irkutsk region, its specific weight accounted of 21.1-35.9% of all newly revealed cases of occupational diseases in different years. The purpose of the study is to investigate the socio-psychological features and manifestations of the vibration disease clinical syndromes in local vibration-exposed employees in the dynamic of observation. Material and methods. The assessment of working conditions of employees in the aircraft enterprise, a coherent dynamic clinical and sociopsychological examination in employees with the occupational disease which continuing their work was carried out. Results. Working conditions have not been changed; the levels of the occupational and labor process factors have remained the same in the dynamic. Clinical manifestations of vibration disease and neurosensory hearing loss, which is the second (accompanying) occupational disease, were shown to be aggravated in patients continuing to work in contact with local vibration. A significant prevalence of diseases of the musculoskeletal system and the circulatory system has been revealed. High levels of the personal and situational anxiety, hypochondriacal traits, instability of emotional state, the rigid stereotype of behavior-oriented to caring about physical well-being are registered in patients. A reduction of health-related quality of life scores characterizing the role of physical and emotional functioning has been established, that indicates the limitations in the performance of daily work due to the deterioration of the emotional state. Discussion. The significant prevalence of diseases of the musculoskeletal and circulatory systems in vibration disease patients is associated with both the irritating effect of the actual vibration and the severity of the work process and significant physical overloads. The study results of the psycho-emotional status, the health-related quality of life in vibration disease patients allow assuming a significant effect of the pain syndrome on the emotional state, decrease of the health-related quality of life, which is consistent with the other authors’ studies. Conclusion. The study results show that it is necessary to remove workers from contact with vibration if the initial manifestations of vibration disease appear. Also, it is necessary to revise approaches to the secondary prevention of vibration disease, which should be aimed at preserving residual work capacity and medical and psychological adaptation of patients.

ALGORITHM OF PSYCHOLOGICAL AND PSYCHOTHERAPEUTIC SUPPORT OF PATIENTS WITH CHRONIC CEREBRAL ISCHEMIA

Introduction. Nowadays, it is important to study the mechanisms of psychological adaptation in patients with early stage of chronic cerebral ischemia (ES CCI) from the standpoint of biopsychosocial approach. The objective of the study was to develop the algorithm for identifying psychosocial characteristics of patients with ES CCI and providing them with psychotherapeutic care. Material and methods. 280 patients with ES CCI developed against a background of arterial hypertension and/or cerebral atherosclerosis (middle age 53.9±8.1 years (from 30 to 72 years) gender index 1:1) were selected for the study. The control group included healthy individuals comparable to those in the main group according to gender and age characteristics (n=32, middle age 52.4±6.5 years (31–65 years), gender index 1:1, p>0.05 ). The panel of psychological methods was used to identify the individual psychological and socio-environmental factors in patients with ES CCI.Results and conclusions. A three-stage algorithm of psychological and psychotherapeutic support of patients with early stage of chronic cerebral ischemia (ES CCI) was developed and tested by the multidisciplinary team of specialists. At the stage of opportunistic screening, the neurologist used express methods for diagnosing cognitive (Mini-test of mental state), emotional (Hospital scale of anxiety and depression), vegetative disorders (the Wayne test) among the studied persons. At the stage of selective screening, the medical psychologist performed systemic psychodiagnostics of the ES CCI. At the stage of treatment, a correction was made: psychovegetative disorders by progressive muscular relaxation; anxiety-depressive manifestations – cognitive re-attribution according to A. Beck; obsessive-phobic disorders – direct motivated suggestion in reality with elements of clarification and persuasion. The indicators of the effectiveness of psychological and psychotherapeutic correction in patients with ES CCI were: positive dynamics of the Scale of quality of life SF-36 and regression of integrative indicators of the Scale of psychopathological manifestations of SCL-90-R – «Index of overall severity of symptoms» and «Total number of affirmative answers». Thus, the algorithm described above is suitable for use in practical healthcare for optimizing individual therapeutic strategies.

The course and predictors of perceived unsupportive responses by family and friends among women newly diagnosed with gynecological cancers.

Perceived unsupportive responses from close others play an important role in psychological adaptation of patients with cancer. Little is known about whether these negative responses change after someone experiences a serious life event, and even less is known about the individual characteristics and related factors that might contribute to both the levels of and changes in perceived unsupportive responses over the course of adaptation to an experience. This longitudinal study aimed to evaluate changes in perceived unsupportive behavior from family and friends among women newly with gynecologic cancer as well as initial demographic, disease, and psychological factors that predict the course of perceived unsupportive behavior over time. Women (N = 125) assigned to the usual care arm of a randomized clinical trial comparing a coping and communication intervention with a supportive counseling intervention to usual care completed six surveys over an 18 month period. Growth models using multilevel modeling were used to predict unsupportive responses over time. Average levels of perceived unsupportive responses from family and friends were low. Unsupportive responses varied from patient to patient, but patients did not report a systematic change in perceived unsupportive responses over time. Cultivating meaning and peace and coping efficacy were associated with fewer perceived unsupportive responses as well as reductions in perceived unsupportive responses over time. Emotional distress, cancer concerns, functional impairment, holding back sharing concerns, and cognitive and behavioral avoidance predicted higher perceived unsupportive responses over time. The findings are discussed in terms of the self-presentation theory and social network responses to persons undergoing difficult life events.

THE APPLICATION OF ART THERAPY TO REDUCE THE LEVEL OF DEPRESSION IN PATIENTS WITH HEMODIALYSIS

Background: Depression can occur in patients with chronic kidney disease undergoing hemodialysis and can lead to decreased quality of life, and will have a two-fold risk for the occurrence of death and hospitalization.
 Objective: The purpose of this study was to identify the effects of art therapy on the level of depression patients with hemodialysis.
 Methods: This study used a quasi-experimental method with pretest posttest with control group design. Collecting data using questionnaires of Beck Depression Inventory (BDI-II) versions of Indonesia, which was done twice, before and after art therapy intervention. Data were analyzed using paired t-test and unpaired t-test.
 Results: The results showed that after given intervention of art therapy there were differences in the average scores of depression in the intervention group (t = 0.764; p-value = 0.000). Art therapy is a medium to expose and express the feelings, fears or perceived problem, so it can be used as an adaptive coping method in patients with chronic kidney disease undergoing hemodialysis.
 Conclusion: It is concluded that art therapy could reduce depression in patients with chronic kidney disease undergoing hemodialysis. Nurses can act as a facilitator to provide art-based therapy in order to improve the ability of psychological adaptation in patients with chronic kidney disease undergoing hemodialysis.

The use of neipilept in treatment of asthenic syndrome

To assess the efficacy of neipilept in treatment of asthenic syndrome. Two groups of patients, aged from 30 to 40 years, with functional asthenia were examined. Patients were divided into main (n=40) and control (n=15) groups. In 22% men and 56% women, the disease was precipitated by emotional stress, in 46 and 38% by physical and stressful work conditions. Both groups received standard treatment. Patients of the main group received additionally neipilept in solution (500 mg daily) during 30 days. General physical and neurological examinations and psychometric assessment were performed. A significant reduction of asthenic symptoms, an increase in self-rated physical and mental functioning, a decrease in symptoms of cognitive dysfunction, anxiety and depression were observed in the main group compared to the control one. The positive changes in neuropsychological status improved quality of life and psychological adaptation in patients with functional asthenia exposed to chronic stress, physical and psychoemotional overstrain.

THE EFFECTIVENESS OF ACCEPTANCE AND COMMITMENT THERAPY ON PSYCHOLOGICAL ADAPTATION IN WOMEN WITH MS

Introduction: Multiple sclerosis is disease of central nervous system that causes major psychological challenging in patients all over world. The purpose of this study was to investigate the effectiveness of acceptance and commitment therapy (ACT) on psychological adaptation in women with MS. Method : In this study which was a Quasi-Experimental with pre-test, post-test and control group, the sample group was selected by available sampling method from patients referred to the Kermanshah MS association. Therefore, 30 female subjects were chosen randomly and assigned to two control & experimental groups (each with 15 subjects). To assess the severity of psychological adaptation, psychological adaptation Lowell E- white was used respectively in pre-test. The experimental group experienced the treatment based on acceptance and commitment therapy in eight; two hours sessions and the control group did not receive any treatment. These questionnaires again conducted on both group in post-test. Results : The findings indicated that acceptance and commitment therapy has been effective on the improvement of patient’s psychological adaptation. Conclusion : According to the findings, acceptance and commitment therapy is efficacious on increase of psychological adaptation of multiple sclerosis patients. So it can be applied as useful method of intervention for improving psychological adaptation in patients with Multiple Sclerosis.

PSYCHOLOGICAL ADAPTATION IN PATIENTS WITH PERIPHERAL ARTERIAL DISEASE, UNDERGOING SURGICAL TREATMENT

In this a rticle the theoretical analysis of Russian and foreign literature on the problem of psychological adaptation of patients with peripheral arterial disease, undergoing vascular and endovascular surgery is carried out. Most studies are dedicated to assessing quality of life of patients before and after reconstructive intervention. Improvement of quality of life, mainly in physical parameters is often found. Though, parameters of quality of life in the long-term period after surgery tend to decrease steadily. Psychological aspects of surgical treatment of patients with peripheral arterial disease are poorly investigated. The article stresses, that such aspects as the patients’ emotional response to illness and treatment, influence of personal cha-racteristics on the medical and social prognosis, personal attitudes of patients with periphe ral arterial disease, in particular, the attitude to illness and treatment, psychological factors of treatment adherence are not well investigated. In the article problems of further research for the purpose of improvement of the medical and psychological prognosis are outlined.