Psychovegetative Disorders Research Articles

Professional sustainability of volunteers in context ecological approach under the conditions of war

The article reveals the peculiarities of volunteering, which contributes to the development of the employee's professionalism, and also contributes to the development of such values as tolerance, tolerance, an active life position, and responsibility. The purpose of the article is to characterize the volunteering of employees in the context of professional growth. Involvement of volunteers in various activities and programs changes their value priorities, in both directions, from the values of personal life (love, happy family life, productive life) to the value of self-realization and moral responsibility (interesting work, material status, honesty, tolerance, etc.). Among the empirical methods of research, the following were used: V. Boyk's "Diagnostics of the level of emotional burnout", M. Rokych's "Value orientations" method and O. Kokun's "Professional sustainability" method. According to the above-mentioned methods, the following components of the professional sustainability of volunteers are highlighted: emotional, motivational, social and professional components. Emotional exhaustion of volunteers is caused by psychosomatic and psychovegetative disorders, which is characterized by psychophysical fatigue of a person, desolation, leveling of one's own professional achievements, communication breakdown, development of cynical attitude towards the victims and development of psychosomatic disorders. In the majority of all subjects, personal detachment (depersonalization) is observed when performing professional duties and activities in general. Conclusions. Personal qualities that need to be developed and improved play an important role in this process. One of the important factors is the formation and development of civic competence of volunteers. thus, participation in volunteer activities allows for the development of a valuable component of civic competence, which is realized through the manifestation of the civic values of an individual.

Effect of SELENIUM-CONTAINING vitamin and mineral complex on women's health

Selenium protects cells and tissues at the cellular level from damage caused by oxidative stress; This is especially true for heart disease, which remains the leading cause of death worldwide. We examined 77 women with metabolically healthy obesity (MHO) during the menopausal transition (MT), and established a connection between hypoestrogenemia and psychovegetative disorders, hypersympathicotonia, and cardialgia. It has been established that the natural non-hormonal drug SELENBIO for women has a positive effect on the psychovegetative status and episodes of cardialgia during MHO in women with estrogen deficiency during the MT. The drug SELENBIO for women has a complex, versatile effect on the female body, helps normalize hormonal levels and ovarian function, neutralizes clinical manifestations, has a general strengthening and immunomodulatory effect, and, thanks to its antioxidant effect at the cellular level, slows down the aging process. All components of the drug are physiologically close to the human body and do not disrupt the natural processes occurring in it. The drug SELENBIO for women is highly effective with low toxicity, has a wide spectrum of action, and has a complex harmonizing effect on the body.

PREVALENCE OF BURNOUT SYNDROME AMONG MEDICAL PROFESSIONALS IN UKRAINE FROM 2018 TO 2022

The article examines issues related to the prevalence of burnout syndrome among medical professionals in Ukraine from 2018 to 2022. For this purpose, a number of scientific sources related to the subject of the study were analyzed.
 It should be mentioned that in the conditions of modern society there are increased requirements for the qualification of specialists (medical professionals), their productivity and the quality of providing medical care. This may affect the professional competence of the specialists, his/her physical/mental health and stress resistance to the formation of negative states caused by the nature of the job, for example, such as burnout syndrome.
 Burnout syndrome is one of the most urgent problems in the world. In recent decades, scientists from various countries have been actively researching this phenomenon. The issues concerning the prevalence of burnout syndrome among medical professionals in Ukraine from 2018 to 2022 have not been sufficiently clarified and require more detailed research.
 Based on the conducted research, it is possible to reach the following conclusions: preserving the life and health of any person, in particular, a medical professional (including the family doctor), who provides high-quality, qualified, timely medical/rehabilitation assistance to the sick person is an extremely important task of the state. Taking into account the above-mentioned thesis it should be noted that of great importance is the prevention of burnout syndrome as burnout may occur as a possible complication due to the performance of the professional duties by medical professionals. Medical professionals with specialization in "General Practice – Family Medicine", "Therapy" (Internal Medicine), "Pediatrics", "Emergency Medicine", "Psychiatry", "Neurology", and "Surgery" are special categories of specialists who have a high risk of developing burnout syndrome due to the specific of their work. These professional categories spend a significant amount of time in close contact with patients. Burnout syndrome can be manifested by emotional exhaustion, dissatisfaction with oneself, feeling of experiencing psychotraumatic circumstances, inadequate selective emotional response, reduction of professional duties, expansion of the sphere of emotions economy, emotional and/or personal detachment, as well as psychosomatic and psychovegetative disorders, a feeling of lack of energy, a desire to be alone, exhaustion, disappointment in professional activity, being on the edge of one’s opportunities, insensitivity to the patients' needs and their objectification, as well as by the loss of interest, indifference to job, physical and emotional fatigue, increased irritability regarding minor events, dizziness, rapid fatigue, headache, etc. Moreover, factors associated with burnout syndrome among Ukrainian medical professionals were analyzed, including those that were studied during the COVID-19 pandemic and factors of the combat environment, which could have the greatest influence on the development and progression of burnout syndrome. The preventive measures for burnout syndrome among medical professionals were examined. The study conducted to find out the prevalence of burnout syndrome among medical professionals in Ukraine from 2018 to 2022 revealed the presence of burnout syndrome or its symptoms among medical professionals (physicians, nurses) ranging from 1.27±0.89% to 94%.

Role of monocytes in the development of psychovegetative disorders in young people with undifferentiated connective tissue dysplasia

Background:The immune system plays an important role in the development of neuropathology. Dysfunction of monocytes/macrophages can contribute to environmental health and the development of neuroinflammatory and neurodegenerative diseases. Two subpopulations of monocytes are distinguished, namely, anti-inflammatory and activated pro-inflammatory monocytes, producing cytokines interleukin (IL)-1, IL-6, IL-2, IL-8, and tumor necrosis factor (TNF)-α, which are involved in immune inflammation in mental diseases. Violations of cellular, phagocytic, and/or humoral immunity are often found in patients with undifferentiated connective tissue dysplasia (UCTD). Monocytes are assumed to be involved in the development of psychovegetative disorders in patients and connective tissue insufficiency. Aim:To study the relationship between the number of monocytes and pro-inflammatory cytokines (IL-1, IL-6, and TNF-α) in the peripheral blood with possible non-psychotic diseases and autonomic dysfunction syndrome in UCTD in young people. Materials and methods:We examined 95 people aged 18–22 years. Neuropsychological examination, general clinical blood tests, pro-inflammatory cytokines (IL-1, IL-6, TNF-α), markers of neurodegeneration (neuron-specific enolase) and cerebral ischemia (antibodies to NR2) were sent. Results:An increase in the absolute monocyte count in the peripheral blood is accompanied by a lesser severity of psychovegetative, ischemic, and neurodegenerative cases. An inverse correlation was found between the level of monocytes in the peripheral blood and the number of UCTD indicators, a direct correlation between UCTD and autonomic dysfunction syndrome (ADS), asthenic condition, personal anxiety, depression, neurosis, Internet addiction, and headache research index for everyday life. Severe UCTD leads to a change in the proportion of monocytes in the use of the pro-inflammatory subpopulation, which is probably one of the reasons for the numerous non-psychotic diseases and autonomic nervous system diseases in these patients. Conclusion:An increase in the pro-inflammatory monocyte count in severe UCTD plays an important role in the development of psychovegetative disorders. The correction of the dysplastic process can become an important role in the prevention and detection of various neurological and non-psychotic diseases, such as ADS and anxiety–depressive syndrome in young people.

Оценка качества жизни у неоперированных больных молодого возраста после перенесенного субарахноидального кровоизлияния

Introduction. Currently, to determine the level of social and economic well-being of individual members of society or social groups, the concept of “quality of life” is increasingly being used which is proposed to be considered as the degree of comfort of an individual, both within himself and within his society. This allows you to identify factors that either improve life or worsen it. That is why the study of quality of life, as an integral characteristic of the physical, psychological, emotional and social state of a patient, based on his subjective perception, is stated on three components: multidimensionality, which allows to differentially determine the impact of disease and treatment on the patient’s condition; variability in time depending on the patient’s condition; participation of a patient in the assessment of his condition, which is the most valuable indicator of his general state. Aim. Assessment of the quality of life in non-operated young patients after subarachnoid hemorrhage (SAH). Materials and methods. The study included 165 patients with SAH (76 men, 89 women; mean age 48.82 ± 5.29 years). All patients underwent a comprehensive examination, which included the collection of complaints and anamnestic data with the identification of vascular risk factors, computed tomography (CT) and CT angiography, lumbar puncture, transcranial dopplerography, ultrasound examination of the main vessels of the head and neck, heart and abdominal organs. The vegetative state was assessed according to the A.M. Vein’s Questionnaire of Autonomic Disorders, general and mental fatigue – according to the Multidimensional Fatigue Inventory (MFI-20), cognitive ability – using a test battery, psycho-emotional status – according to the Spielberger’s State-Trait Anxiety Inventory, depressive disorders – according to the Hamilton Depression Rating Scale. Quality of life was assessed using the Nottingham Health Profile. Results. The decrease in the quality of life as a result of SAH in young people depended on the level of stigmatization and was determined by the severity of psycho-vegetative disorders, symptomatic general and mental fatigue, state and trait anxiety, depressive disorders and cognitive impairments. Conclusion. It is the integral assessment of quality of life that is the fundamental vector in the prospective observation of the examined patients, and, despite the absence of focal neurological symptoms and signs in most patients, there is a need to refer them to rehabilitation programs.

NEUROMETABOLIC STRATEGY OF PHARMACOTHERAPY FOR PATIENTS WITH SERONEGATIVE ARTHRITIS

The results of numerous clinical and epidemiological studies suggest that there is a close link between psycho-emotional disorders and chronic pain, which is an integral part of rheumatic pathology, including inflammatory seronegative arthritis. Medical and social significance and urgency of the problem of ankylosing spondylitis and psoriatic arthritis is determined by the constant progression of the disease with further affection of vertebrae and large joints, long-term disability, morbidity at a young age. Therefore, the complex treatment of these patients should include adjuvant drugs (anxiolytics, antidepressants, vegetative correctors, muscle relaxants), which do not have a direct analgesic effect, but, in addition to reducing the severity of anxiety-depressive and psycho-vegetative disorders, they reduce the intensity of nociception. The search for improving the strategy of neurometabolic pharmacotherapy in patients with seronegative arthritis and psoriatic arthritis therefore is of great clinical and social relevance, taking into account the nature of the psychological response to the diseases. The study groups demonstrated a high frequency of inadequate socio-psychological response to the disease. In the groups of patients with seronegative arthritis, multidirectional maladaptive reactions were observed: in ankylosing spondylitis, a hypochondriac type of response dominates; in psoriatic arthritis, anxiety disorders with different response options are the most prevalent. At the end of the observation period in both groups there has been registered an improvement in almost all studied indicators of clinical and laboratory activity. The patients demonstrated a significant improvement in the psycho-emotional status that improves the quality of life of patients and contribute to the optimization of the treatment and rehabilitation measures.

Evaluation of psycho-vegetative disorders in cervical pain syndromes during treatment using manual therapy

Psychovegetal disturbances resulted in the aggravation of blood supply of highest vegetal centers due to involvement of pathologic process in a. vertebralis and its sympathic plexus significantly affected the manifestation of cervical pain syndromes. Complex examination of 124 patients with cervical pain syndrome was performed to study the influence of manual therapy. Clinical, neuro- orthopaedic, radiologic, miotonometric and rheographic methods were used. Manifestation and dynamics of psychovegetal disturbances were studied using pulsometry, psychologic tests and questionnaires. Manual therapy as well as correction of biomechanic disorders were detected to relieve psychovegetal changes and to be a pathogenetic curative method.

Dynamics of psychovegetative disorders in participants in modern wars

Twenty modem war participants who have had a mild brain trauma in Afganistan war were engaged in 7,000,30 year follow-up study. The basic vegetative state, regulatory brain system function, emotional state (MMPY, Scmiscek-Litman test, Spilberger questionnaire) were investigated in the follow-up study. The increase of nonspecific brain structure dysfunction clinical characteristics: suchas vegetative dysfunction with elevation of sympathetic activity and emotional shift to depressive and hypochondric disturbances was found.

Psychoneurological and degenerative-dystrophic disorders in patients with pathology of the temporomandibular joint

The aim of the study is to detail neuropsychiatric and degenerative-dystrophic disorders in patients with dysfunctional TMJ syndrome and develop principles for their correction. 84 patients with complaints of impaired TMJ function were examined: 14 men (16.67%) and 70 women (83.33%) aged 18 to 74 years. The average age of the patients was 63.22±18.82 years. The analysis of the dental status was carried out, the state of the musculoskeletal system and somatic status in patients with dysfunctional TMJ syndrome was studied. Methods of diagnosis of autonomic dysfunction syndrome were used to assess the state of neuropsychiatric status. Occlusive disorders were evaluated in relation to the peculiarities of maintaining posture and autonomic joint dysfunction. Occlusive disorders were assessed in relation to the peculiarities of posture maintenance and autonomic dysfunction of the joint. Pathology of the temporomandibular region was accompanied by psychovegetative disorders in 80% of patients. At the same time, autonomic dysfunction was diagnosed with pathological changes in the autonomic index, the formation of anxiety and depression. The adequacy of rehabilitation measures was associated with the preparation of rehabilitation programs, considering the severity of dental pathology, the state of the somatic and emotional-volitional spheres. Elimination of musculo-articular dysfunctions and pain syndrome was of leading importance in the rehabilitation of patients.

The Relationship of Emotional Burnout and Personality Characteristics of Teachers

The article presents the results of an empirical study devoted to the study of the relationship between emotional burnout and personal characteristics of teachers. The subjects included 60 teachers of different age and work experience. It is proved that in the group of teachers with experience of 3-10 years high results were obtained on the scales of communicative speed and intellectual emotionality, and the group of teachers with experience of 11-30 years were found at a higher level of formation on the scales of resistance phase, emotional symptoms -moral disorientation, reduction of professional responsibilities, psychosomatic, psychovegetative disorders, intellectual ergism and control scale than in the group of teachers with 3-10 years of experience. The most pronounced component of the emotional burnout syndrome in the general sample is depersonalization, which is manifested in the deformation of interpersonal contacts with the environment in the form of increasing negativity towards them. A statistically significant positive correlation was found in the overall subjects between the variables of emotional burnout such as stress phase, emotional exhaustion, reduction of personal achievements with such variables of personality traits as communicative emotionality, indices of general emotionality and general activity. In other words, the higher the level of personality traits, the better teachers prevent the occurrence of emotional burnout. There were shown negative correlations in the general in subjects studied between such variables of emotional burnout syndrome as stress phase, symptom of traumatic circumstances, symptom of personal alienation, emotional exhaustion with such variables of personality traits as communicative ergicness and intellectual speed. Negative psychological manifestations of emotional burnout in teachers, such as increased irritability, decreased self-control which leads to professional destruction, deformation, crises, stress and other negative formations were found. The obtained results can be used in the practical work of a psychologist with teachers.

Characteristics of autonomic status and school anxiety in schoolchildren with increased body mass index

BACKGROUND: In the Russian Federation, the incidence of obesity continues to grow among the child population. Vegetative imbalance and chronic stress play an important role in the pathogenesis of obesity and related health disorders. Timely identification of disorders of psycho-vegetative disorders and their correction in overweight children require an integrated approach of medical and pedagogical workers.AIM: To reveal the features of the vegetative status, the level of school anxiety in students with an increased body mass index.MATERIALS AND METHODS: Children with different body mass index (BMI) underwent a comparative analysis of the mean values and structure of revealed violations of cardiointervalography (heart rate variability, HRV) parameters, laboratory test parameters (plasma antioxidant activity, plasma malondialdehyde, triglycerides, total cholesterol, cortisol, magnesium and serotonin) and test parameters School Anxiety Scale of Phillips.RESULTS: The prevalence of overweight was 23.1%. The observation group consisted of 47 schoolchildren with a body mass index (BMI) +1–2 SD the comparison group consisted of 156 children with a normal BMI at the age of 10–15 years. The groups were comparable in terms of sex and age (p=0.629–0.771). Analysis of background HVR indices revealed a decrease in the values of parameters characterizing the activity of the parasympathetic division of the autonomic nervous system (ANS), with a simultaneous increase in the indicators of the sympathetic division of the ANS in the observation group relative to the comparison group (p=0.001–0.023); similar results were obtained during the orthostatic test. The cumulative assessment of CIG indicates a lower activity of the parasympathetic division in the regulation of the state of rest and a greater activity of the sympathetic division of the ANS in response to a stress factor in children with an increased BMI value. The children of the observation group showed higher levels of malondialdehyde (p = 0.041), triglycerides (p<0.001) and cortisol (p=0.093) with lower values of magnesium and serotonin (p=0.074–0.076). The analysis of the level of school anxiety showed that in children of the observation group the average level and frequency of the prevalence of high values of the indicator of general anxiety are higher in 1.3 and 2.5 (p=0.005), fear of self-expression — in 1.3 and 1.8 (p=0.080–0.086), fear of the situation of knowledge testing — by 1.5 (р=0.002) and 2.1 (p<0.001), the level of general anxiety — by 1.2 (р=0.090) and 2.3 times (p=0.036) relative to the comparison group. In the course of the mathematical analysis, the results were obtained indicating the relationship between the parameters of the vegetative and psychological status.CONCLUSION: The problem of excess nutrition remains an urgent issue of modern health care. Excess body weight is accompanied by the activation of the sympathoadrenal system with an increase in the level of school anxiety and all together forms a vicious circle. Excessive nutrition in school-age children requires an integrated approach of specialists in the medical and psychological-pedagogical sphere.

Characteristics of the working conditions of teachers in distance learning in the aspect of the development of emotional burnout

Researchers surveyed secondary school teachers characterizing the signs of emotional burnout during the educational process in a distance format. We considered preventive measures. The study aims to research the possible development of emotional burnout among teachers in the conditions of distance learning. We conducted a study with the participation of 72 teachers to identify signs of emotional burnout using the V.V. Boyko questionnaire and conducted statistical data processing using Statistica 13.0. The average age of teachers was 47.1 years; the majority were women. In addition, 70,0% of Teachers noted that they have chronic diseases. Based on the results obtained, we concluded that school teachers' lack of work experience in the conditions of distance learning and online classes was a traumatic circumstance for almost half of the teachers, which could serve as a triggering mechanism for the stages of development emotional burnout. Subjectively, teachers associated the formation of symptoms of emotional burnout and health disorders with two-thirds of all cases with working conditions, its intensity, and difficulties with maintaining a healthy lifestyle in self-isolation. The revealed indicators of the phases of the development of emotional burnout allow us to judge that 45.9% of teachers have a formed/dominant symptom of "experiencing traumatic circumstances" registered in the "tension" phase. 31.2% of teachers have a symptom of "anxiety and depression". There are high rates of symptoms of "inadequate selective emotional response" - 54.1% in the "resistance" phase, "emotional and moral disorientation" - 32.8%, "expansion of the sphere of saving emotions" - 31.1% and "reduction of professional responsibilities" - 50.8%. In the "exhaustion" phase, the symptom "psychosomatic and psychovegetative disorders" has a dominant value in 22.9% of teachers. Factors that, according to teachers, contribute to the formation of emotional burnout are: the intensity of work in the conditions of distance learning (61.1%); violation of lifestyle components (36.1%); lack of access to a doctor (29.2%). To prevent the formation of emotional burnout syndrome in the conditions of distance learning: it is necessary to observe for teachers the work and rest regime in compliance with the working time regulations within the framework of official duties and an employment contract, compliance with the rules of a healthy lifestyle, high-quality medical care, and mandatory professional development on online training.

ANALYSIS OF RELATIONSHIPS OF EMOTIONAL BURN OUT FEATURES AND INDICATORS OF EMOTIONAL INTELLIGENCE AMONG MEDICAL WORKERS

Purpose - the aim of this article is to present the results of a statistical analysis of the relationship between the features of emotional burnout and indicators of emotional intelligence among medical workers.
 Material and methods - 4 groups of respondents (110 medical workers) took part in the study: surgical doctors, therapeutic doctors, surgical nurses, therapeutic nurses. Evaluation of the features of emotional burnout and emotional intelligence was carried out using diagnostic methods of emotional burnout (V.Boyko), the questionnaire of emotional burnout by K. Maslach and S. Jackson (adaptation by N. Vodopyanova) and the method of emotional intelligence (N. Hall).
 The study consisted of two stages. The purpose of the first stage was to determine the level and characteristics of the manifestation of emotional burnout of medical workers according to the following symptoms: (emotional exhaustion; depersonalization; reduction of personal achievements; "stress" (experiencing traumatic circumstances, dissatisfaction with oneself, caged, anxiety and depression); "resistance" (inadequate selective emotional response, emotional and moral disorientation, expansion of the sphere of saving emotions, reduction of professional duties); "exhaustion" (emotional deficit, emotional detachment, psychosomatic and psychovegetative disorders). The level of manifestation of emotional intelligence of medical workers was also assessed according to the following indicators: emotional awareness, emotion management, self-motivation, empathy, recognition of other people's emotions The second stage of the study was aimed at determining the characteristics of the relationship of individual indicators of emotional benefit screaming with specific indicators of the emotional intelligence of health care workers. Mathematical processing of the research results was carried out using Spearman's correlation coefficient by means of the SPSS 17 computer program.
 Results and discussion. The results of our research have shown that: 1) the overwhelming majority of the test subjects have high and medium levels of reduction of personal achievements, and such a phase of emotional burnout as resistance” (inadequate selective emotional response, emotional and moral disorientation, expansion of the sphere of economy of emotions, reduction of professional duties); 2) half of respondents have high and medium levels of emotional exhaustion, depersonalization; 3) a quarter of the respondents formed such a phase of emotional burnout as “exhaustion” (emotional deficit, emotional and personal detachment, psychosomatic and psychovegetative disorders). The following levels of development of emotional intelligence were revealed in different groups of medical workers: a) high and medium - among doctors of a surgical profile and doctors of a therapeutic profile; medium - for surgical nurses; low - for therapeutic nurses.
 Conclusion. Medical workers with high and medium levels of emotional intelligence have a low level of manifestation of symptoms of emotional burnout (dissatisfaction with oneself; feelings of being caged; anxiety and depression; reduction of professional duties; emotional deficit; personal detachment; psychosomatic and psychovegetative disorders), as well as a low level of development phases of tension, resistance, exhaustion, depersonalization and reduction of personal achievements.

Comparative study of the anxiety, depression and complaience of patients with somatoform disorders before and after treatment

Somatoform disorders are a widely spread group in the category of neurotic diseases, which expressed polymorphism, difficulty of diagnosis. They are important for financial health policy, patients with somatoform disorders make up 25 % of all patients with somatic disorders, «absorbing» up to 20 % of all funds spent on health. Somatoform disorders are characterized by recurrent somatic symptoms, the requirement of regular medical examinations. Somatoform disorders are characterized by the apparent lack of instrumental confirmed organic disorders, a predominance of complex psycho-vegetative disorders and the relative reversibility of symptoms. The purpose of this study is to compare the quality of patients’ life with somatoform disorders before and after treatment in a psychiatric department. At admission the patients were given to fill in a specialized questionnaire 1, developed during that investigation by psychiatrist Navasardyan E.V., with which help was estimated the duration and quality of treatment somatoform disorders by doctors of other specialties before admission to a psychiatric department. It was estimated frequency assignment psychotropic drugs by doctors of other specialties, premorbid personality characteristics of such patients, the incidence of acute and chronic stress before the onset of the disease, the patients’ attitude to their disease. Also, at admission the patients were given to fill in the questionnaire MMPI edited Berezin. At admission and discharge from psychiatric department the patients were assessed the level of anxiety (using the Spielberger questionnaire) and depression (using Beck questionnaire). Also, at discharge from the psychiatric department the patients were given to fill in the questionnaire Level of subjective control. Also the patients were given to fill in specialized questionnaire 2 developed during these study with which help were assessed the patients’ condition at discharge from the psychiatric department, future plans of the patients for treatment and the patients’ attitude to their disease. In a result of initial questioning at admission were identified that after detect the first signs of disease the majority of patients went to the doctors another specialties who treated their somatoform disorder from 1 up to 3 months, half of the patients were prescribed psychotropic therapy, which the most of patients no effect was. Most often a neurologist prescribed psychotropic drugs, and from the neurologist most patients received a recommendation to contact a psychiatrist. Also most of the patients were in a chronic stress before disease onset. Most patients associate their disease with nervous shocks, consider themselves to be anxious and paranoid. At admission most patients had strong fixation on their condition, as well as high indicators on scales of depression, anxiety and hypochondria (by questionnaire MMPI). At admission most patients are revealed a moderate degree of anxiety and depression respectively. Most patients are revealed the low level of General internality that corresponds to a low subjective control. In a result of treatment with secondary questioning by questionnaire 2 most patients indicated lower levels of anxiety and depression, as well as reducing hypochondriacal fixation on their condition, a significant decrease in the severity of somatoform disorders. Most patients were satisfied with the treatment, patients agreed that their disease psychologically caused, patients also agreed to continue to take psychotropic drugs after discharge.

The role of social intelligence in overcoming mental burnout in the aspect of subject genesis of teachers working with children with special educational needs

Among the numerous factors of the subject genesis of teachers, social intelligence plays an important role. Social intelligence is defined as a special quality of a person, her ability to understand, differentiate and predict the verbal and non-verbal behavior of other people and the consequences, quickly and easily come into contact with them, which determine the effectiveness of social interaction. The results of the relationship between social intelligence and mental burnout were obtained by researchers. The problem of the role of social intelligence in overcoming mental burnout is relevant and poorly researched. The teachers working at the Kursk boarding school for children with disabilities at the Kursk boarding school for children with disabilities (all participants are females; N = 50; professional experience up to 43 years) voluntarily took part in the study. Observation and conversation, as well as standardized techniques for diagnosing burnout and social intelligence, were used from a number of empirical methods. To process the research results, computer methods were used by the mathematics of statistical analysis. It has been empirically proven that the underdeveloped ability of teachers to understand the change in the meaning of similar verbal reactions of students, their parents, colleagues, administration (F=4,38; df=2,47; β =-0,412; р=0,019), as well as to logically generalize and highlight common and significant signs in their various non-verbal reactions (F=3,90; df=2,47; β = 0,364; p=0,030) increase the risk of mental burnout. On the contrary, well-developed abilities to foresee the consequences of the behavior of other people in a certain situation can be considered as a factor in overcoming psychosomatic and psycho-vegetative disorders (F = 136,66; β = -0,952; р =0,0000), irritability, resentment, harshness, rudeness, emotional and personal isolation (F = 115,17; β = -0,840; р = 0,0000), the feeling that it is emotionally impossible to help their wards (F = 115,33; β = -0,936; р = 0,0000).

THE STUDY ON MEDICAL WORKERS’ EMOTIONAL BURNOUT SYNDROME

The article is important because the problem of emotional burnout is particularly actual one for health professionals in Ukraine and around the world at the moment. The medical staffs of medical departments are exposed to excessive stress on a daily basis in the course of their professional activities due to constant and direct contact with patients who need urgent care or are in a critical psychological state. These circumstances in most cases cause negative emotions, excessive mental stress and physical fatigue. The article purpose was to study of the syndrome of “emotional burnout” and the peculiarities of its manifestation in health professionals depending on gender. The conducted empirical study was devoted to the psychological manifestations of medical workers’ emotional burnout among (depending on genders); it was organised in 2020. The special socio-psychological study included 60 medical workers (30 women-nurses and 30 male doctors) with 5 or more years of experience working in medical institutions in Kyiv. The following psychological techniques were used in the empirical study: V.V. Boyko’s method determining the level of "emotional burnout"; J. Greenberg’s method studying burnout; Maslach Burnout Inventory for “person – person” professions; S.A. Budassi’s method for self-assessment; Cattell 16PF Questionnaire. The study results allowed us to draw the following conclusions. Analyzing the link between gender and emotional burnout, we should say that women in a stressful situation are more prone to psychosomatic and psychovegetative disorders, and men are prone to personal alienation (depersonalization). In addition, women’s syndrome is manifested not only through “resistance” symptoms - inadequate selective emotional response and reduction of professional responsibilities, but also through experienced traumatic circumstances - a symptom of the "stress" phase, while men’s emotional burnout unfolds only via the “resistance” symptoms. Prospects for further research: to consider the problem of burnout factors appeared at medical workers’ professional path in a new perspective. Based on the obtained results, we can say that many of the studied health professionals needed specialized psychological care to overcome the emotional burnout syndrome.

Rosacea — modern features of pathogenesis and the possibility of drug correction in the era of growing antibiotic resistance

The pathophysiology of rosacea is a complex process in which the following factors are important: vascular disorders, changes in the connective tissue of the dermis, microorganisms, dysfunction of the gastrointestinal tract, immune disorders, changes in the sebaceous hair apparatus, oxidative stress, climatic factors, psycho-vegetative disorders, constitutional angiopathy, emotional stress, hormonal imbalance, exposure to chemical agents. Therapy for rosacea can be difficult for specialists and cause patient dissatisfaction due to a recurrent course. The treatment of severe forms of the disease is especially difficult. Traditional antibiotic therapy and correction of hormonal levels in women give a positive, but often temporary effect. Objective — to study the efficacy and tolerability of systemic isotretinoin in the treatment of papulopustular forms of rosacea. Materials and methods. The study involved 30 patients (21 women and 9 men) aged 39 to 56 years who had papulopustular rosacea. Evaluation of the effectiveness of therapy was carried out using the scale of diagnostic assessment of rosacea before and after 6 months from the start of treatment. All patients were prescribed systemic isotretinoin as monotherapy — the drug Roaccutane (F. Hoffmann-La Roche Ltd, Switzerland) in the following dose: during the 1st month — 0.3 mg/kg, during the 2th—6th months — 0.2 mg/kg once a day along with fatty foods. Results and dicsussion. Before treatment, the rosacea diagnostic scale score was (10.8 ± 0.9) points. After 6 months of therapy, it decreased 6 times and equaled to (1.8 ± 0.4) points. Conclusions. The analysis of the data obtained indicates a high efficiency of Roaccutane in the treatment of papulopustular forms of rosacea. Side effects in the form of dry skin and mucous membranes when taking Roaccutane were minor due to the low dose of the drug and were corrected with appropriate moisturizers.

Возможности применения таурина в лечении психовегетативных расстройств у больных сахарным диабетом 2 типа

Возможности применения таурина в лечении психовегетативных расстройств у больных сахарным диабетом 2 типа

The rationale for the combined use of osteopathic methods of correction and reflexology in the complex treatment of patients with dorsopathy at the cervico-thoracic level

Introduction. Degenerative-dystrophic changes in the spine are the most common chronic human diseases. Pronounced clinical manifestations of vertebrogenic diseases are observed during active labor activity and represent one of the most frequent causes of temporary disability. It is also known that any pain syndromes are accompanied by the development of psychovegetative disorders, which reduces the effectiveness of treatment. In recent years, there has been a reasonable increase in the interest of the medical community to the non-drug treatment methods. It is caused by the polypharmacotherapy side effects, an increased numbers of allergic reactions, problems with polypragmasia, and a low level of compliance. At the same time, the question of the possibility of various non-drug treatment methods combining is quite acute.The goal of researchis to substantiate the clinical effectiveness of the combined application of osteopathic correction and reflexotherapy in the complex treatment of patients with dorsopathy at the cervical-thoracic level.Materials and methods.A prospective controlled randomized study was conducted on the basis of the medical clinics of LLC «Family Health» (Kazan) and ANO «Center for SEB assistance» (Kazan) from April 2018 to May 2019. The study involved 52 people with dorsopathy at the cervical-thoracic level, aged from 25 to 45 years. In accordance with the exclusion criteria, 7 people dropped out of the study. The remaining patients (45 people), depending on the used treatment method, were divided by a simple randomization method using a random number generator into three groups of 15 people. The first group (main group) received osteopathic correction and reflexotherapyon the background of standard drug therapy; the second and the third groups (control groups) received only osteopathic correction orreflexotherapy, respectively, on the background of standard drug therapy. The osteopathic examination was performed for all patients regardless of the group, before and after the course of therapy, with the formation of an osteopathic conclusion.Also there was the estimation of the degree of pain syndrome severity,the asthenia, and the degree of accumulated emotional and energy charge that does not get out in a person.Results.It was found in the course of the study that the inclusion of osteopathic correction and reflexotherapy in the complex therapy of patients with dorsopathy at the cervical-thoracic level is clinically more effective than the isolated use of these methods. Such complex therapy allows to achieve a more significant reduction in the severity of the pain syndrome by VAS (p<0,05), relief of internal emotional tension (p<0,05), and increase the effectiveness of correction of dominant somatic dysfunction. Based on the obtained data, it could be assumed that reflexotherapy potentiates the effects of osteopathic correction.Conclusion.Based on the study, it can be concluded that the combination of osteopathic correction and reflexotherapy in the treatment of patients with dorsopathy at the cervical-thoracic level increases the clinical effectiveness of the standard drug therapy. At the same time, it is worth noting the potentiating effect of the combined use of two non-medicinal methods. The question of combining of various non-drug treatment methods is quite acute today, so this study will be continued.

Effect of noninvasive neuromodulation in the menopusal period in women

In women with extragenital pathology in the menopausal period, the use of noninvasive neuromodulation for the treatment of psychovegetative disorders has been proposed. The method allows to reduce the severity of menopausal and psychosomatic (depression, anxiety) disorders and the level of their mutual influence.