Psychological Test Results Research Articles

Features of pain sensitivity during premedication with xenon in patients before outpatient dental interventions

BACKGROUND: Premedication in outpatient dental interventions normalizes pain sensitivity and emotional state of patients. Inhalation of xenon-oxygen mixture can be an effective means for it. AIM: To study the effect of xenon premedication on pain sensitivity in patients with outpatient dental interventions. MATERIALS AND METHODS: Twenty patients were studied. Emotional and personal characteristics of patients were determined using the Eysenck test, Spielberger–Khanin personal anxiety scale, and hospital scale of anxiety and depression. Pain sensitivity was assessed using pain thresholds and somatosensory evoked potentials of the brain before and after inhalation of xenon-oxygen mixture at a concentration of 30/70 for 3 minutes. RESULTS: According to the results of psychological testing, all examined patients were characterized by a stable psychological sphere and predominantly lowered anxiety and constituted a group with insignificantly different emotional and personal characteristics. Before inhalation, pain sensitivity in patients varied significantly. After inhalation, multidirectional changes in pain sensitivity occurred, which were expressed in a decrease and an increase in pain sensitivity thresholds and the degree of activation of brain structures. CONCLUSION: Preoperative stress can both exacerbate and reduce pain sensitivity in patients. The use of inhalation of a xenon-oxygen mixture at a concentration of 30/70 for 3 minutes as a premedication causes multidirectional changes in the sensitivity of tissues and organs in the maxillofacial region in patients before outpatient dental interventions, which may be caused by a change in the activity of endogenous antinociceptive (analgesic) system.

Diagnosis of ADHD using virtual reality and artificial intelligence: an exploratory study of clinical applications.

Diagnosis of Attention Deficit/Hyperactivity Disorder (ADHD) is based on clinical evaluation of symptoms by a psychiatrist, referencing results of psychological tests. When diagnosing ADHD, the child's behavior and functionality in real-life situations are critical components. However, direct observation by a clinician is often not feasible in practice. Therefore, such information is typically gathered from primary caregivers or teachers, which can introduce subjective elements. To overcome these limitations, we developed AttnKare-D, an innovative digital diagnostic tool that could analyze children's behavioral data in Virtual Reality using Artificial Intelligence. The purpose of this study was to explore the utility and safety of AttnKare-D for clinical application. A total of 21 children aged between 6 and 12 years were recruited for this study. Among them, 15 were children diagnosed with ADHD, 5 were part of a normal control group, and 1 child was excluded due to withdrawal of consent. Psychological assessments, including K-WISC, Conners CPT, K-ARS, and K-CBCL, were conducted for participants and their primary caregivers. Diagnoses of ADHD were confirmed by child and adolescent psychiatrists based on comprehensive face-to-face evaluations and results of psychological assessments. Participants underwent VR diagnostic assessment by performing various cognitive and behavioral tasks in a VR environment. Collected data were analyzed using an AI model to assess ADHD diagnosis and the severity of symptoms. AttnKare-D demonstrated diagnostic performance with an AUC of 0.893 when compared to diagnoses made by child and adolescent psychiatrist, showing a sensitivity of 0.8 and a specificity of 1.0 at a cut-off score of 18.44. AttnKare-D scores showed a high correlation with K-ARS scores rated by parents and experts, although the correlation was relatively low for inattention scores. Results of this study suggest that AttnKare-D can be a useful tool for diagnosing ADHD in children. This approach has potential to overcome limitations of current diagnostic methods, enhancing the accuracy and objectivity of ADHD diagnoses. This study lays the groundwork for further improvement and research on diagnostic tools integrating VR and AI technologies. For future clinical applications, it is necessary to conduct clinical trials involving a sufficient number of participants to ensure reliable use.

C4.5 Decision Tree Algorithm and Linear Regression in Guidance and Counseling Decision Support System

This study employs a combination of quantitative and experimental approaches to explore the relationship between family dynamics, psychological test results, and academic performance among students in specific courses. Quantitative data collection was conducted using existing student profiles from the guidance office, while an experimental research method utilized the C4.5 algorithm to determine these relationships. The participants were students enrolled in various courses over a specific academic year. The decision tree generated by the C4.5 algorithm was used to predict academic performance based on family dynamics and psychological test results. The study also employed Simple Linear Regression to identify the predictors of academic performance. The accuracy of the predictive model was tested using a confusion matrix, which yielded an accuracy rate of 97%. Additionally, a correlation matrix and regression analysis were performed to identify significant correlates and predictors of academic performance. The findings of this study suggest the potential for positive changes in guidance services, particularly in identifying predictors of academic performance and informing decision-making processes. These findings contribute to our understanding of schooling outcomes in relation to family dynamics and parental migration status.

Hormonal and psychological influences on performance anxiety in adolescent female volleyball players: a multi-approach study.

The neuroendocrine system has important implications for affiliation behavior among humans and can be used to assess the correlation between social relationships, stress, and health. This can be influenced by social closeness; this aspect is the closeness towards another individual or a group of individuals such as a sports team. Sports performance anxiety is considered an unpleasant emotional reaction composed of physiological, cognitive, affective, and behavioral components. This motivates us to learn about the process that can influence the outcome of competition. Hormones and genetics would seem to influence outcome and performance. In this regard, many studies have focused on the exercise response as a function of ovarian hormones and it has been observed that progesterone is a hormone that plays a key role in reducing anxiety, and thus stress, in humans and other animals. On the other hand, high cortisol concentrations are known to contribute to increased anxiety levels. However, the salivary alpha-amylase (sAA) enzyme has been suggested as marker of acute stress than cortisol. Genetics also seem to influence anxiety and stress management as in the case of brain-derived neurotrophic factor (BDNF) and striatal dopamine transporter (DAT). Therefore, the study aims to investigate social closeness, as a measure of sports team cohesion that can influence athletes' performance results, and its ability to influence the secretion of hormones, such as progesterone and cortisol, that affect the management of sports anxiety while also taking into account genetic background during a volleyball match. Twenty-six female volleyball players who volunteered participated in this study (mean ± SD: age, 12.07 ± 0.7 years), and played in the final of the provincial volleyball championship in Palermo. All girls were during the ovarian cycle, in detail between the follicular and early ovulatory phases. The results showed a significant decrease in salivary cortisol only in the winning group (p < 0.039). In fact, whilst in the latter the pre-match level was 7.7 ng/ml and then decreased to 4.5 ng/ml after the match, in the losers group change was not statistically significant (7.8 ng/ml vs 6.6 ng/ml pre- and post-match). As to the sAA concentration, the winning team showed a statistically significant variation between pre- and post-match than the losers (166.01 ± 250 U/ml vs 291.59 ± 241 U/ml) (p = 0.01). Analyzing the results of the SAS-2 psychological test it is highlighted that, on average, the loser group was more anxious than the winning group, and this contributed to the final result. In conclusion, there is strong evidence supporting the state of the art that many factors can affect performance anxiety and thus the performance itself.

Analysis of Beginning Reading Difficulties of Dyslexic Students

Reading skills are not something that can develop naturally like language development. However, in the development of reading which starts from the beginning of the development of this skill, it is necessary to carry out a systematic planning process, unlike language development. The systematic development in question is a planned development like a lesson. The purpose of this study was to analyze the factors that cause dyslexia students' early reading difficulties and efforts to overcome them. This research method uses a qualitative research method with a case study approach. Difficulty reading at the beginning of dyslexic students is the factor of students who have limitations and experience slow learning which can be called dyslexia, namely a person's ability to recognize letters with evidence from the results of psychological tests. reading difficulties caused by a person's ability to recognize letters.

Prediction of Recidivism and Detection of Risk Factors Under Different Time Windows Using Machine Learning Techniques

Following a comprehensive analysis of the initial three generations of prisoner risk assessment tools, the field has observed a notable prominence in the integration of fourth-generation tools and machine learning techniques. However, limited efforts have been made to address the explainability of data-driven prediction models and their connection with treatment recommendations. Our primary objective was to develop predictive models for assessing the likelihood of recidivism among prisoners released from their index incarceration within 1-year, 2-year, and 5-year timeframes. We aimed to enhance interpretability using SHapley Additive exPlanations (SHAP). We collected data from 20,457 in-prison records from February 10, 2005, to August 25, 2021, sourced from a Southwestern China prison’s data management system. Recidivism records were officially determined through data mining from an official website and combined identification data from neighboring prisons. We employed five machine learning algorithms, considering sociodemographic, physical health, psychological assessments, criminological characteristics, crime history, social support, and in-prison behaviors as factors. For interpretability, SHAP was applied to reveal feature contributions. Findings indicated that young prisoners accused of larceny, previous convictions, lower fines, and limited family support faced higher reoffending risk. Conversely, middle-aged and senior prisoners with no prior convictions, lower monthly supermarket expenses, and positive psychological test results had lower reoffending risk. We also explored interactions between significant predictive features, such as prisoner age at incarceration initiation and primary accusation, and the duration of current incarceration and cumulative prior incarcerations. Notably, our models consistently exhibited high performance, as shown by AUC on the test dataset across time windows. Interpretability results provided insights into evolving risk factors over time, valuable for intervention with high-risk individuals. These insights, with additional validation, could offer dynamic prisoner information for stakeholders. Moreover, interpretability results can be seamlessly integrated into prison and court management systems as a valuable risk assessment tool.

Prevention of meteoropathic reactions in children with bronchial asthma

Due to the increasing prevalence of bronchial asthma in children and a more severe course of the disease, prevention, treatment, and medical rehabilitation of such children becomes relevant. Reduced resistance of the organism to changing meteorological conditions is accompanied by the development of pathological meteotropic (meteoropathic) reactions. Meteoprophylaxis using the method of interval hypoxic training contributes to reducing the frequency and severity of meteoropathic reactions and improving the functional state of the respiratory system and psychological status. Materials and methods. 80 children with increased weather sensitivity were examined: the main group consisted of 40 children who received normobaric hypoxia therapy; the comparison group consisted of 40 children who did not receive normobaric hypoxia therapy. The study of the influence of normobaric hypoxia therapy in dynamics on the clinical course of bronchial asthma, indicators of the pulmonary function (computer flowmetry), and psychoemotional status was carried out. Results and discussion. The beneficial effect of normobaric hypoxia therapy on the clinical course (reduction of dry paroxysmal cough and dry wheezing) was revealed. A statistically significant increase in the indices of the pulmonary function was obtained (peak expiratory flow rate, MEF75 (p &lt; 0.05)). The data from the results of psychological testing revealed a decrease in irritability, emotional lability, and anxiety, normalization of activity levels, and increased performance in children under the influence of normobaric hypoxia therapy. In most children, the manifestations of weather sensitivity decreased, and the severity structure of weather-related exacerbations changed: reactions of moderate severity decreased, while severe manifestations of meteoropathology practically disappeared. Conclusions. Based on the conducted studies, the types and seasonal patterns in the formation of biotropic weather conditions in the Moscow metropolis, which are a risk factor in the development of weather-related exacerbations and manifestations of increased weather sensitivity in children with bronchial asthma, were identified, and the frequency of formation of increased meteorolability in such patients was determined.The effectiveness of normobaric hypoxia therapy as a method of preventing meteoropathic reactions in children with bronchial asthma has been established.

Analysis of Psychological Well-Being from a Compositional Data Analysis Perspective: A New Approach.

Well-being is a widely studied construct in psychology. In 1989, Carol Ryff proposed the "Scale of Psychological Well-Being (SPWB)", which has been validated in multiple languages. The instrument assesses six dimensions of psychological well-being: Self-acceptance, Positive Relationships with Others, Autonomy, Environmental Mastery, Purpose in Life, and Personal Growth. In this article, we propose to enrich the traditional approach of directly interpreting the raw scores in each dimension by incorporating Compositional Data Analysis. This new approach aims to identify "what proportion" of each dimension constitutes well-being, which will allow us to analyze the interactions between the different dimensions of well-being and balance among them. To achieve this, we introduce two position ratios (PR1 and PR2) and a general adjustment indicator called the General Indicator of Subjective Psychological Well-Being (GISPW), which characterizes individuals in a compositional manner, providing a fresh perspective in the interpretation of psychological test results, specifically those related to PWB. The proposal is illustrated with three cases taken from a study involving 628 university students who completed the psychological well-being scale questionnaire. The results show that the GISPW, PR1, and PR2 obtained offer relevant information about the overall balance of each case in the different dimensions.

Perkembangan Religiusitas Anak Berkebutuhan Khusus (Tunagrahita) di Sekolah Umum

This research was conducted to determine the development of religiosity of children with special needs (ABK), and also to find out what forms of special assistance are appropriate for children with special needs in public elementary schools that have inclusion services. The method used in this research is qualitative with case studies as the approach. In this research, the methods of observation, interviews and documentation on the subject and those closest to the subject were used as data collection techniques. The subject in this research was a 12-year-old child from the Sapen Muhammadiyah Elementary School, Kraton branch, who was detected to have mild mental retardation, with slow comprehension abilities (slow learner) based on the results of psychological tests. The research results show that the development of religiosity that occurs in subjects has certain characteristics based on the characteristics of their special needs. Optimizing the development of the religiosity of students with special needs in its application requires a long, slow and repetitive process based on habituation and example from those closest to the subject, teachers and parents.

Ideological and political education in English courses of depression and anxiety students

BackgroundThe symptoms of depression and anxiety show a growing trend among college students, bringing serious negative effects on individuals and society. To explore the positive role of ideological and political education in relieving the symptoms of depression and anxiety in students.Subjects and MethodsSelect students from the same university as the research subjects and randomly assigned as observation group and control group. The experimental group added ideological and political education to the English course, while the control group only taught the regular English course. The study period was one semester, and Hamilton Depression Rating Scale (HAMD) and Profile of Mood States (POMS) measurements were conducted once a week, and students’ psychological test results were analyzed using SPSS23.0.ResultsAfter the intervention, the anxiety and depression symptoms scores were significantly decreased compared with the control group (P&lt;0.05). At the same time, the mental health level of the students in the experimental group has improved significantly (P&lt;0.05), showing a more positive attitude and better emotional control ability.ConclusionsThe integration of ideological and political education in college English courses has a positive effect on alleviating the symptoms of depression and anxiety. Combining ideological and political education with subject teaching is helpful to improve students’ mental health levels and help them better cope with psychological pressure. Therefore, college education departments should actively promote and implement this teaching mode to promote all-round development and mental health.AcknowledgementShanxi Provincial Education Department (No. J20220142).

Stress and Anxiety among High School Adolescents: Correlations between Physiological and Psychological Indicators in a Longitudinal Follow-Up Study.

Our aim is to understand the anxiety levels and associated factors among high school students and compare the results of psychological tests measuring anxiety with the cortisol levels obtained from biological sampling. In our longitudinal follow-up study, we involved 125 individuals in May 2019. Validated measurement tools were used during questionnaire data collection, including the State-Trait Anxiety Inventory, Clear Communication Scale, Multiple Social Perceived Support Scale, and related HBSC questions. As objective data, we collected hair samples for cortisol level measurement. At the end of the school year, the anxiety levels measured by psychological tests were significantly higher (p = 0.001) compared to the anxiety levels at the beginning of the next school year. Anxiety levels were higher among girls and were influenced by the type of school and parental expectations. Both state anxiety and trait anxiety showed a strong correlation with psychosomatic symptoms (p < 0.001) and anxiety arising from school expectations (p < 0.05). The changes in cortisol levels did not follow the changes in psychological tests. Cortisol level increased (p = 0.01) in the second sample.

Pandemic-induced increase in adjustment disorders among postpartum women in Germany

BackgroundThe current paper analyzed the effect of the pandemic-induced lockdown on maternal mental health during the first 12 postpartum weeks in Germany.MethodsIn this cohort study, we compared the participants’ anamnestic backgrounds and the results of psychological tests, measuring stress levels, depressive symptoms and attachment. The 327 participants were divided into two groups with one representing the “pre-COVID” sample and the other the “lockdown” sample. We performed multiple comparisons, investigating the distribution of diagnoses and the correlating risk profiles between the two cohorts.ResultsOur analysis showed a significant difference between the two cohorts, with a 13.2% increase in the prevalence of adjustment disorders (AD), but not postpartum depression (PPD), in the first 12 weeks postpartum. However, during the pandemic, women with AD had fewer risk factors compared to their pre-pandemic counterparts. In the “lockdown” cohort, a tendency toward higher stress and lower mother-child attachment was observed in AD.ConclusionsIn sum, we observed some negative impact of the pandemic on maternal mental health. The lockdown might have contributed to an increase in the number of cases involving AD in the postpartum period. The prevalence of PPD (ca. 6–10%), on the other hand, was not affected by the lockdown. Thus, the effect of COVID-19 on maternal mental health might not, after all, have been as severe as assumed at the beginning of the pandemic.

Influence of Physical Loads on Cognitive Functions and Bioelectric Activity of the Brain in Athletes of Various Specializations

Methods of psychophysiological testing and electroencephalography were used to study the effect of physical activity on cognitive functions (in particular, in the decision-making ability test) and brain bioelectrical activity (in particular, the power of the EEG amplitude in the beta and delta ranges) in athletes of various specializations. It is shown that when performing psychological tests before the load, athletes involved in cyclic types of load demonstrate better results than weightlifters – they have a higher learning rate, a higher percentage of correct answers, a shorter response time and a faster attention switching speed. The results of psychological tests before exercise in the control group were lower than in athletes, but higher than in weightlifters. The single-time physical load of a cyclic nature did not affect the results of the Iowa Gambling Task in untrained volunteers and weightlifters, but contributed to the improvement of test results in athletes training in cyclic sports – the learning rate and the percentage of correct answers increased. When performing a cognitive test, athletes noted an increase in the power of the spectra of the delta (and in weightlifters – and theta) range to a greater extent than in the control. In contrast to the control group, physical activity in athletes more often contributes to a decrease in the power of the EEG spectra, especially in the beta and delta ranges. The revealed differences in the results of psychophysiological tests in athletes of various specializations and untrained volunteers are largely determined by the features of the functional activity of various parts of the cortex, which is reflected in the characteristics of patterns of brain bioelectrical activity.

IMPLEMENTATION OF THE ELECTRE METHOD IN DETERMINING THE DIRECTOR OF THE SUMATERA BLIND FOUNDATION

A director is a position held by someone in an agency or institution. The head of an institution engaged in special education, namely the Extraordinary School, is responsible for managing the school, so many criteria must be met and selected. Determination of the director requires a method to be more efficient, and the results are more valid. This study aims to implement the ELECTRE method to elect administrators at blind education schools at the Sumatra Blind Education Foundation. The ELECTRE method can be used when alternatives that do not fit the criteria are removed and the appropriate alternative is selected. The criteria for being a director are having ability in visual impairment, ability as a leader, psychological test results, ability to speak English and the results of interviews with HBM Germany. Implementing the ELECTRE method provides a sequence of choices for each alternative; if the number of ecl = 1 is more significant, the alternative is better. The results showed that of the four alternatives as director candidates, alternative A1 was the better choice, while alternatives A2, A3 and A4 were eliminated.

The psychological impact of the COVID-19 pandemic on people with multiple sclerosis.

Multiple sclerosis (MS) is a demyelinating disease of the central nervous system that leads to neurological impairment and disability, mostly in young-aged people. Depression and anxiety are important associated mental disorders for people with MS (PwMS), which influence their life quality. During the COVID-19 pandemic, fear and stress levels enhanced dramatically for the general population, but mostly in progressive chronic pathologies such as MS. This study aimed to analyze the dynamic of psychological aspects in PwMS pre-pandemic and during pandemic, their connection with clinical outcomes, and with the coronavirus disease. We included 95 PwMS with relapsing-remitting MS (RRMS) and secondary progressive MS (SPMS), who were first evaluated 4 years before the pandemic outbreak and the second time 2 years after. They completed a series of psychological tests for depression, anxiety, negative automatic thoughts, and stress: Beck Depression Inventory-II (BDI-II), Beck Anxiety Inventory (BAI), Endler Multidimensional Anxiety Scales (EMAS), Automatic Thoughts Questionnaire (ATQ). A neurologist evaluated the Expanded Disability Status Scale (EDSS) and a COVID-19 survey was completed by 78 patients. During the pandemic, depression was encountered in 9.47% of PwMS, only 1.05% with a severe form, and 6.3% with suicidal thoughts, while anxiety was more frequent (39% of cases). Compared to the pre-pandemic period, depression levels remained stable over time (p=0.55), anxiety was reduced (p<0.001), and stress levels significantly increased (p=0.001). Some social aspects, such as having sufficient income, reduced the risk for psychological comorbidities. There was a mild correlation between emotional well-being and neurological disability. Of all patients who responded to the survey, 53.84% had previous COVID-19 infections, no patient was hospitalized and 69.23% were vaccinated. There was no relationship between the COVID-19 infection and psychological test results. During the pandemic, in the MS population depression remained stable, anxiety decreased, and stress levels were enhanced compared to the pre-pandemic period. Psychiatric comorbidities were not influenced by the coronavirus infection.

Establishment and Management of an Educational Outcome Cohort at the Keimyung University School of Medicine

An educational outcome cohort has been established at Keimyung University School of Medicine to help make educational policy decisions and improve educational programs based on data. The purpose of the educational outcome cohort is to support educational policy decisions for achieving graduation outcomes smoothly and to accomplish the intended human resources development of the university through objective analyses and regular monitoring, providing continuous feedback. The data collected for the educational outcome cohort include the student identifications of freshmen, entrance exam scores, premedical and medical school grades, titles and forms of student academic research, the results of psychological testing, scholarship recipient lists, volunteer clubs, and so forth. The data are collected using an information utilization agreement approved by the Institutional Review Board, and the collected data are encrypted and stored on a dedicated computer for enhanced personal information security. Proposals to access and utilize the educational outcome cohort data must be discussed and approved by the Educational Outcome Cohort Committee, which decides on the scope and method of utilization. The collected and managed educational outcome cohort data have been used to develop comparative programs to improve students’ competency and to support admission policy decisions through an analysis of the characteristics and performance of medical school students. The establishment and utilization of the educational outcome cohort will play an important role in determining the School of Medicine’s educational policies and suggesting new directions for educational policies in the future.

Development and Maintenance of Cohort Data at Chonnam National University Medical School

The aim of this study was to systematically collect data for evaluating short- and long-term outcomes using Kirkpatrick’s four-level evaluation model, Chonnam National Medical School has established plans for developing and managing a database of student and graduate cohorts. The Education Evaluation Committee, with assistance from the Medical Education Office, manages the development and maintenance of cohort data. Data collection began in the 2022 academic year with first- through fourth-year medical students and graduates of the year 2022. The collected data include sociodemographic characteristics, admission information, psychological test results, academic performance data, extracurricular activity data, scholarship records, national medical licensing exam results, and post-graduation career paths. The Education Evaluation Committee and the Medical Education Office analyze the annually updated student and graduate cohort data and report the results to the dean and relevant committees. These results are used for admissions processes, curriculum improvement, and the development of educational programs. Applicants interested in using the student and graduate cohort data to evaluate the curriculum or conduct academic research must undergo review by the Educational Evaluation Committee before being granted access to the data. It is expected that the collected data from student and graduate cohorts will provide a sound and scientific basis for evaluating short- and long-term achievements based on student, school, and other characteristics, thereby supporting medical education policies, innovation, and implementation.

ПСИХОЛОГИЧЕСКИЙ СТАТУС ГИПЕРТЕНЗИВНЫХ ЛИЦ ПРИЗЫВНОГО ВОЗРАСТА И ВЗАИМОСВЯЗЬ ОТДЕЛЬНЫХ СТРЕССОГЕННЫХ ФАКТОРОВ С ПАРАМЕТРАМИ СУТОЧНОГО МОНИТОРИНГА АРТЕРИАЛЬНОГО ДАВЛЕНИЯ

The aim of the research was to study the psychological status of young men of military age with hypertension (AH) and to identify relationships with clinical data and the results of 24-hour blood pressure monitoring (DBPM). Materials and methods: 181 young men aged 18 to 27 years inclusive (average 21.3±0.2 years) with a confirmed diagnosis of primary AH were examined. Comprehensive psychological testing was carried out among 26 volunteers using questionnaires recommended by the Ministry of Defense of the Russian Federation for psychological testing of persons called up for military service (Khanin-Spielberg scale (situational (ST) and personal anxiety (LT), “Prognosis” scale (nervous-psychic resistance (NPR), PSM-25 (experience of stress) and the HADS scale (anxiety and depression), studied the relationship between test results among themselves and with DBPM parameters, the value of the level of statistical significance was taken equal to 0.05. Results. A simple interpretation of a complex of psychological tests showed the psychological well-being of the examined hypertensive individuals. A correlation analysis of scores scored on various psychological scales among themselves confirmed the validity and informativeness of the selected methods. A statistically significant moderate negative correlation was found between the number of points assessing the NS of an individual with the duration of AH, estimated in years, which indicates the protective nature of psychological discharge in relation to AH. Thus, our data showed that NS is the main psychological resource of conscripts and determines the development of AH among military personnel. As one of the methods of safe psychological relaxation, the method of serial drawing was proposed (Sysoeva, Korneeva, 2018). In addition, moderate positive correlations were found between the scores scored on the scales assessing the experience of stress (PSM-25) and the level of depression (HADS) with the average daily and daily DBP values and the average daily heart rate. Conclusions. 1. Among the persons of military age with primary hypertension, there was revealed the predominance of low levels of situational, personal anxiety and stress, normal indicators of anxiety and depression, a high degree of neuropsychic stability, which negatively correlated with the duration of hypertensive anamnesis. 2. The results of psychological tests positively correlate with the DBPM parameters that characterize DBP, which allows us to consider the methods of psychological correction among young men of military age as additional non-drug measures.

A case of 17-beta-hydroxysteroid dehydrogenase deficiency type 3 in adult endocrinologist practice

17β-Hydroxysteroid dehydrogenase 3 deficiency (17HSD3) is a rare autosomal recessive cause of 46, XY disorders of sex development resulting from HSD17B3 gene mutations, in which conversion of androstenedione to testosterone is impared. The clinical signs of 17HSD3 deficiency depend on the residual activity of the enzyme. The diagnosis of 17HSD3 deficiency is based on reduced testosterone/androstenedione ratio (T/AD &lt; 0.8). Patients are usually assigned at birth and raise as female. If the diagnosis is made before puberty, gonadectomy is recommended, taking into account the risk of masculinization during the puberty and estrogen therapy initiation in this period. If the diagnosis of 17HSD3 deficiency is established during puberty, when virilization manifests, the therapeutic strategy is based on the results of comprehensive psychological testing and gender identity of a patient. In patients with more pronounced masculinization or diagnosis established shortly after birth, who are assigned at birth and raise as male, testosterone therapy is used to achieve a male phenotype. The 17HSD3 deficiency and virilization often result in a change of gender identity during puberty. The article presents a clinical case of 17-βhydroxysteroid dehydrogenase type 3 deficiency with late diagnosis due to parental will. The diagnostic approaches and management of the disease are also described.

PREDICTIVE VALIDITY OF THE PSYCHOLOGICAL ASSESSMENT OF ADOLESCENTS PLANNING TO START AVIATION TRAINING. PRELIMINARY STUDY

Introduction: Cognitive and psychomotor skills as well as selected personality traits are important factors determining success in aviation training. Many people decide to take the aviation career at an early age, so the question arises whether the psychological features visible in developmental age can be a basis for predicting success in adulthood. Methods: The analysis took into account the results of psychological tests of 97 people (15-16 years old) who were enrolled in the Aviation High School, then after graduation again tested as candidates for aviation studies. Measurements of the stability of the psychological variables were calculated, as well as the factor structure of the results. Then, the predictive value of factors distinguished in this analysis was determined. Results: Despite the visible developmental changes in cognitive functions (higher results in the second assessment), most of the indicators are characterized by a satisfactory stability. In the structure of the results, six relatively independent factors were distinguished, one of which, defined as general intellectual ability, turned out to be the best predictor of a positive qualification in later assessment. Discussion and Conclusions: The obtained results allow us to conclude that the psychological tests and indicators used in the study of adolescents seem to be adequate and guarantee high stability of measurements, even over a period of several years. As predicted, the greatest predictive power has the general intellectual ability, which is the basic property that allows the acquisition and consolidation of other skills.