Reactive Anxiety Research Articles

Application of Speech Therapy Techniques in Teaching Russian language to Spanish-speaking Students

Currently, there is an increase in Spanish-speaking students studying at Russian universities. Therefore, the problem of developing approaches, methods and means to minimize the difficulties associated with the adaptation of foreign speakers to learning remains relevant. However, issues related to the use of speech therapy techniques for teaching Russian as a foreign language remain insufficiently studied. The purpose of the study is to study the effectiveness of using speech therapy techniques to teach Russian as a foreign language to Spanish-speaking students. The article describes the practice of using speech therapy techniques when Spanish-speaking students study Russian as a foreign language, as well as the influence of this approach to teaching the Russian language on the indicators of psychological adaptation of these students. Research methods. Fifty-three Spanish-speaking first-year undergraduate students participated in the study. The students were interviewed, during which they found out their level of Russian language proficiency, as well as what difficulties they encountered while studying. During speech therapy diagnostics using the methods of T. F. Fotekova and T. V. Akhutina studied the state of the pronunciation side of speech; To study psychological adaptation, we used the scale for assessing the level of reactive and personal anxiety by Ch. D. Spielberg, Yu. L. Hanina. To correct speech pronunciation disorders, speech therapy work was carried out using the principles of universal design when building a university education system. Research results. During the diagnostics, specific auditory-pronunciation difficulties were identified among Spanish-speaking students, which negatively affected their communication with classmates and teachers and psychological adaptation. After speech therapy work, Spanish-speaking students showed an improvement in the sound pronunciation aspect of speech, foreign language phonemic hearing and rhythm and intonation design of phrases. A decrease in the level of situational anxiety was also observed. Conclusion. Speech therapy work at the stage of adaptation of Spanish-speaking students to study at a university helps to reduce auditory-pronunciation difficulties, situational anxiety, and reduce manifestations of maladjustment.

Эмоциональное состояние матерей недоношенных новорожденных детей с внутрижелудочковыми мозговыми кровоизлияниями, находящихся на отделении реанимации и интенсивной терапии

<p>This article presents the results of a study of the emotional state and stress of mothers attending their premature infants with structural intracranial changes at the stage of their stay in the neonatal intensive care unit, sociodemographic characteristics of the family, and the relationship between the studied indicators. <strong>Sample.</strong> The study included 77 mothers (age M±SD=32,1±4,7 years) of prematurely born children (gestational age 28,3±3,1 weeks; birth weight 1186±499 g; 40 boys). <strong>Methods.</strong> To assess the emotional state and stress of the mothers, the methods of assessing depressive experiences (BDI-II; Beck et al., 1996), anxiety (Spielberger et al., 1983), the Parental Stress Scale (Miles, 1987), and the Heidelberg Family Stress Scale (Sidor et al., 2007) were used. <strong>The results</strong> of the study indicate that 69,2% of the mothers show a strong level of depressive experiences, 29,3% show a moderate level, and 1,5% show a weak level. 63,5% of mothers are found to have high and 33% have moderate values of reactive anxiety, 42% have high and 52% have moderate values of personality anxiety. About 88% of mothers cite a feeling of helplessness from not being able to protect their child from painful procedures or from not knowing how to help their child during this period of his or her life as a source of stress. Characteristics of emotional state and different types of maternal family stress were shown to be associated with socio-demographic characteristics of the family, but were not significantly associated with indicators of newborn health status and type of treatment.</p>

Influence of Personal and Reactive Anxiety on Personality Characteristics, Cognitive Abilities and Performance of Basketball Actions

Abstract The purpose of this paper is to establish the possible influence of personal and reactive anxiety on personality characteristics, cognitive abilities and performance of basketball actions of basketball players. An empirical study is conducted with basketball players (which are also students at University of Economics – Varna - UEV) in 2016, playing basketball at the Sports Club at the UEV. To establish the level of effectiveness of the students’ game actions, their performances in 9 meetings (10 units of observation) are recorded. ANOVA is used to determine differences in basketball performance measures for individuals with relatively high levels of anxiety and for individuals with relatively low levels of anxiety. One of the indicators is “personal anxiety” (Q6). Another indicator is available. It is “reactive anxiety” (Q7). PSPP is used to analyze the dataset. The ANOVA test shows that there is a statistically significant difference (p<0.05) in Q21 “Countering a shelter with successful” for the examined two groups of basketball players. The practical significance of the results refers to the effectiveness of the educational and sports process of university students. The novelty of the paper refers to the analysis of personal characteristics of basketball players (such as anxiety) on their performance in action.

Assessing the influence of psychoemotional, neuroendocrine, metabolic and immunological changes on the clinical course of acne after COVID-19

Objective — to determine the pathogenetic role of some metabolic, immunological disorders and vitamin D deficiency, as well as their consequences in the development of acne in women after COVID-19. Materials and methods. We examined 134 women with acne aged 18—45. All patients underwent lab tests to determine the level of cortisol and prolactin, vitamin D, pro-inflammatory and anti-inflammatory interleukins and phagocytic indices in blood serum, index of insulin resistance and anxiety. Results and discussion. In women with acne, the cortisol level was increased by 19.98 % (p < 0.01), and in women with acne who had suffered from COVID-19, it was reduced by 17.36 % (p < 0.01) compared to the indicator in persons of the control group. The prolactin level was increased by 8.21 % in women with acne compared to the control group (p > 0.05) and by 32.91 % (p < 0.001) in acne patients who had had COVID-19. In women with acne after COVID-19, the level of total vitamin D (25OH) (D2 + D3) in blood serum was more than three times (p < 0.001) higher than in the control group and almost twice as high (p < 0.01) in women with acne who did not have COVID-19. The НОМА index was increased by 11.89 % (p > 0.05) in patients with acne and by 52.87 % (p < 0.05) in women with acne who had suffered from COVID-19. IL-1 (b) levels elevated almost twofold in women who had not had COVID-19 and by 2.86 times in women who had suffered from COVID-19; IL-8 levels elevated by 2.96 and 1.54 times (p < 0.05), respectively; IL-4 levels elevated only by 1.9 and 1.57 times, respectively; IL-10 levels elevated by 1.88 and 1.59 times, respectively. Significant changes in phagocytosis indicators were also found both at the initial and final stages in all examined women with acne, with more substantial deviations observed in patients after COVID-19. Conclusions. Changes in certain immunological (decreased amount of pro-inflammatory and anti-inflammatory interleukins and phagocytic indices both at early and final stages) neuroendocrine and metabolic indices (serum cortisol, prolactin, vitamin D and insulin resistance index), the presence of significant reactive and personal anxiety were observed in women with acne. A strong and moderate correlation between the nature of changes in the abovementioned indices and COVID-19 in anamnesis was detected. This substantiates the necessity to search for new comprehensive treatment of patients with acne, taking into account the neuroendocrine, metabolic and immunological changes and consequences of COVID-19.

INDEX ASSESSMENT OF THE PERIODONTAL TISSUE CONDITION IN MILITARY PERSONNEL OF THE UKRAINIAN ARMED FORCES WITH INFLAMMATORY AND DYSTROPHIC-INFLAMMATORY DISEASES OF PERIODONTAL TISSUES DEPENDING ON THEIR STRESS RESISTANCE AND LEVEL OF REACTIVE ANXIETY

War has a negative impact not only on human mental health, but also manifests itself in an increase in the frequency and prevalence of pathology of organs and body systems, including the dentofacial system. One of the factors influencing the progressive growth of periodontal diseases is a high level of psychoemotional stress. Despite the large number of studies on stress, its role in the genesis of dental diseases has not been sufficiently studied. Therefore, the study of the relationship between psychoemotional state and periodontal diseases in military personnel of the Armed Forces of Ukraine is a timely and relevant subject of research. The aim of the study – To evaluate the state of periodontal tissues in military personnel of the Armed Forces of Ukraine with inflammatory and dystrophic-inflammatory diseases depending on their stress resistance and level of reactive anxiety. Materials and methods. Dental examination of military personnel of the Ukrainian Armed Forces was conducted on the basis of the Department of Pediatric Dentistry of I. Gorbachevsky TNMU. On the basis of periodontal indices (PMA, PBI, PI, PSR) the state of periodontal tissues was evaluated in 22 military personnel with chronic catarrhal gingivitis, 42 military personnel with generalized periodontitis of the initial – I degree and 36 military personnel with GP of the II degree (main group), which were divided into 4 groups according to their stress resistance and level of reactive anxiety: Group I very high stress tolerance with low level of reactive anxiety; Group II high level of stress tolerance with low level of reactive anxiety; Group III threshold level of stress tolerance with moderate level of reactive anxiety; Group IV low level of stress tolerance with high level of reactive anxiety. The obtained results were compared with the data of 37 patients of civilian specialties with periodontal diseases (comparison group). Results and discussion. As a result of the studies, it was found that in military personnel of the Ukrainian Armed Forces (main group), with an increase in psychoemotional stress, the values of periodontal indices increased, which, on average, were higher in CCG: PMA – 1,6 times, PBI – 2,0 times, PSR – 1,5 times, p<0.01; in initially I degree GP: PMA – by 1,4 times, PBI – by 2,1 times, PI – by 1,7 times, PSR – by 1,8 times; in grade II GP: PMA – by 1,5 times, PBI – by 1,4 times, PI – by 1,6 times, PSR – by 1,3 times, p<0.01, compared to similar values in the comparison group. Conclusions. Thus, as a result of the research it was found that in military patients of the Armed Forces of Ukraine with increasing psychoemotional stress the state of periodontal tissues significantly deteriorated, which was confirmed by an increase in periodontal indices, indicating the need for comprehensive treatment of the initial II degree of GP.

Efficiency of interval hypoxia-hyperoxytherapy in the rehabilitation of patients with nonspecific musculosceletal low back pain: results of а randomized placebo-controlled study

BACKGROUND: Considering the high prevalence and social significance of nonspecific musculoskeletal lower back pain, the use of innovative non-drug rehabilitation methods, particularly interval hypoxia-hyperoxytherapy, is relevant. AIM: To evaluate the efficiency of the interval hypoxia-hyperoxytherapy in the complex medical rehabilitation of patients with nonspecific musculoskeletal lower back pain. MATERIALS AND METHODS: This randomized placebo-controlled study enrolled 62 patients (male, n=35; female n=27, aged 34–63 years) with nonspecific musculoskeletal lower back pain. All patients were randomized into two groups. The study group (n=34) received 10 procedures of hypoxia–hyperoxytherapy, and the comparison group (n=28) received 10 placebo procedures of breathing therapy. All groups underwent a 2-week standard rehabilitation program: 10 procedures of low-intensity laser therapy and low-frequency electrostatic therapy and 10 group sessions of physical exercises. The study group was breathing hypoxic (FiO2 13%–15%) and hyperoxic (FiO2 up to 40%) gas mixture through a mask in the interval mode using “ReOxy.” The duration of 1–4 procedures was 30 min and 5–10 procedures took 40 min. The placebo procedures were performed using masks with atmospheric air hole. Rehabilitation diagnosis by domains b28013, b7303, b7600, and d4500 of the International Classification of Functioning, Disability and Health (ICF), back pain and general health on a 100-mm visual analog scale, Lequesne index, 10-m walking test, Spielberger–Khanin reactive anxiety test, and Beck depression inventory were evaluated at baseline and week 2. RESULTS: After 2 weeks the values of the qualifiers of ICF domains significantly improved in the study group, back pain decreased by 65.2% (р 0.01), the Lequesne index by 76.1% (р 0.01), the 10-m walking test by 42.4% (р 0.05), the reactive anxiety level by 50.5% (р 0.01), and depression symptoms by 69.7% (р 0.01), whereas the general health improved by 71.2% (р 0.01), with statistically significant differences from the comparison group in all parameters (р 0.05). CONCLUSION: 2-week rehabilitation program, including interval hypoxia-hyperoxytherapy, reduces back pain and improves rehabilitation diagnosis based on the ICF, general health, functional status and psychoemotional state in patients with nonspecific musculoskeletal lower back pain.

The influence of a course of complex application of supravenous laser irradiation of blood and phototherapy on indicators of the neurohormonal status of patients with true eczema

BACKGROUND: In the pathogenesis of true eczema, an important place is occupied by stress, under the influence of which stimulation of the hypothalamus and brain stem occurs, as well as activation of the hypothalamic-pituitary-adrenal axis and the autonomic nervous system. Stress-induced secretion of neurotransmitters impairs the barrier function of the epidermis, slows wound healing, increases itching and inflammation, and suppresses immunity by changing the immune response of T-helper cells. AIM: Assessment of the severity of the corrective effect of a course of application of supravenous laser irradiation of blood and broadband medium-wave phototherapy on the blood levels of adrenocorticotropin, cortisol and beta-endorphin in patients with true eczema with a moderate form of the course. MATERIALS AND METHODS: The study was carried out with the participation of 120 patients with a moderate form of true eczema. Using simple fixed randomization, all patients were divided into 4 groups. The first group (control, n=30) received only basic drug therapy, including the use of detoxification, hyposensitizing, antihistamines and topical glucocorticosteroids. Patients of the second group (comparison group 1, n=30) additionally underwent a course of supravenous laser irradiation of blood. In the third group (comparison group 2, n=30), broadband medium-wave phototherapy was performed against the background of basic therapy. Patients of the fourth group (main group, n=30) in addition to basic therapy received a course of combined exposure to supravenous laser blood irradiation and phototherapy. The concentrations of adrenocorticotropin, cortisol and beta-endorphin were determined in the blood of patients twice (before the start of treatment and 1 month after the start of therapy) using ELISA. The clinical condition of patients in the groups was assessed by changes in the EASI index. Additionally, we studied the dynamics of the level of reactive and personal anxiety using the Spielberger–Khanin questionnaire. RESULTS: Positive dynamics of adrenocorticotropin, cortisol and beta-endorphin were noted only in the comparison groups and the main group, which proves the high efficiency of correction of the neurohumoral status of patients through a course of complex use of supravenous laser blood irradiation and broadband mid-wave phototherapy. Quantitative changes in the assessed parameters during complex therapy with therapeutic physical factors indicate a supra-additive version of their interaction, realized through different modalities, points of application and mechanisms for realizing the biological potential of physiotherapeutic effects. CONCLUSION: The results obtained convincingly prove the effectiveness of an additional course of use of supravenous laser irradiation of blood in combination with broadband medium-wave phototherapy when correcting the neuroendocrine status in patients with true eczema. The close correlation between neurohumoral indicators and clinical and psychological patterns of the disease proves the pathogenetic significance of the studied neuroendocrine indicators, which allows us to consider their dynamics as informative criteria for the effectiveness of the treatment.

Анализ тревожности студентов первого и второго курсов (на примере Петрозаводского государственного университета)

The level of anxiety in modern stressful and foreign policy unfavorable conditions becomes one of the determining factors in the educational process, before the new reforms in the sphere of education there is a problem of organization of pedagogical process in students with high level of anxiety. In this article we study the actual indicators of personality and reactive anxiety in students of Petrozavodsk State University, we obtained data on statistically reliable differences in personality anxiety in students of different genders. We also conducted a systematic analysis of the literature on the platform elibrary.ru, which allowed us to obtain data on the average level of anxiety in students of different institutions of higher education from 2010 to 2022. The used indicators of the results were the values of the methodology ShRLT (Reactive (situational) and personality anxiety scale) C.D. Spielberger-J.L. Khanin.

DEPRESSION AND ANXIETY IN HYPERTENSIVE PATIENTS UNDER THE CONDITIONS OF WAR IN UKRAINE: COHORT STUDY

Objective: The prevalence of hypertension in Ukraine is 29.6% among city residents and 36.3% in rural areas. Currently, the situation with hypertension in Ukraine has worsened due to the full-scale military aggression of the russian federation. Acute and chronic stress provoke a more frequent crisis course of hypertension, way more difficult control of elevated blood pressure (BP). Therefore, the aim of the study was to assess anxiety and depression value in the Ukrainian population before and during the war to establish the life quality changes in essential arterial hypertensive (EAH) patients. Design and method: 100 EAH patients with hypertensive-mediated organ damage (moderate-very high cardiovascular risks, aged 45-65 years) participated in the cohort study. All participant underwent a complex of clinical and laboratory examinations and determined the frequency of EAH exacerbations, crisis course, the Charlson comorbidity index, anxiety and depression level after GAD-7 and PHQ-9 tests, the Cumulative Illness Rating Scale CIRS, life quality (SF-36) compared to the pre-war period. Additionally, 191 respondents preferably from the western part of Ukraine, filled out an online questionnaire form that included tests for depression, anxiety and life quality. Results: The war significantly affected the life quality of Ukrainians with EAH: both the physical and mental health of patients according to the SF-36 test (by 19.65% and 23.01%), as well as social activity (by 19.71%) worsened. The frequency of EAH exacerbations and crises course against the background of military aggression increased 2.25 times (χ2=14.25; p<0.001 and χ2=4.42; p=0.035), as well as the reactive and personal anxiety levels – by 13.37% (p=0.002) and 19.80% (p=0.042), respectively; 29% of respondents show symptoms of moderate, severe and very severe depression (PHQ-9); 37% had generalized anxiety disorder (GAD-7). Conclusions: This study presents unique experience. The russian invasion in Ukraine greatly affected well-being of the general population: the frequency of persons with moderate and significant deterioration of health (according to SF-36) increased by 18%, as well as the number of those with moderate and severe depression and anxiety disorders symptoms; the frequency of the EAH crisis course increased by 10%.

EMOTIONAL WELL-BEING SHIELD: EXPLORING ANXIETY AMONG NURSING STUDENTS

Introduction. The work of a nurse in conditions of war or conflict imposes unique demands on her emotional state.
 The aim of the work – to study the level of anxiety in nursing students and to identify ways of its regulation.
 The main part. The paper analyzed the questionnaires of 19 students in the first year, nine in the second year, 10 in the third year, and 10 in the fourth year of the educational and Scientific Institute of Nursing of TNMU. The results showed that a third of future nurses have a high level of reactive anxiety, and half of them have an average level of personal anxiety. A decrease in anxiety was observed among fourth-year students compared to first-year students, which indicates the development of emotional stability during the learning process. Future nurses have a high level of anxiety associated with a sense of danger or failure in their studies and professional activities.
 Conclusions. The study confirms the high level of anxiety among nursing students, as well as the effectiveness of the training in reducing this anxiety. Psychological support and the development of anxiety management skills can improve these healthcare workers’ psychological well-being and professional performance.

Features of mental states in representatives of different types of sports

The article analyzes the problem of finding psychological properties that determine high sports results in various types of sports activities, far from unequivocal conclusions. The analysis of literary data and the results of one's own research provide grounds for asserting that the endogenous factors of influence on mental states are the properties of nervous processes and temperament, and the exogenous factors of influence can be, in the case of a transactional process, the process of the subject's interaction with the environment. In the structure of the transactional process of a stressful episode, several elements can be distinguished: awareness of the stressor and its assessment; disruption of homeostasis, stress-related emotions and cognitive processes; coping reaction; the result of coping and a new assessment of the situation; personal factors. The analysis of the results of the own research of groups of athletes from various sports provides a basis for asserting that statistically significant differences in indicators of the state of mental tension, as well as reactive and personal anxiety, were not found in athletes - relievers. Research into the study of psychological mechanisms that determine the performance of top-level athletes and their evaluation criteria is considered promising in the future.

Characteristics of the components of psycho-emotional stability of high school students in the process of physical education

The article examines the subjective characteristics of the psycho-emotional state of high school students using psychological questionnaires. So, in general, 45.0% of students have a high level of well-being, activity - 35.0% of schoolchildren, mood - 25.0% of student youth. It was found that the resistance to stress in extreme situations of the vast majority of high school age boys is in the range from below average to average levels. The study of anxiety showed that, in general, high school students have a slightly increased level of reactive (situational) and personal anxiety (45.4±9.7 points and 44.1±10.1 points, respectively, at p<0.05). According to the results of the assessment of willpower, it was established that this indicator of willpower in high school students is on average 18.1±4.5 points and corresponds to the average level. As for determination, on average, 52.5% of the studied 10-11 graders can be called determined. The results of determining the level of stress made it possible to establish a certain single trend at this age, namely: a low level of resistance to stress is characteristic of 12.01% of the examinees, an average level - 59.42%, and a high level - 28.57%.

Features of neurocognitive and psychoemotional disorders in young patients with arterial hypertension

The article presents the results of the study of cognitive functions and the psychoemotional state of young patients with arterial hypertension. In total, 91 patients between the ages of 25 and 44, as well as 30 clinically healthy individuals of the appropriate age and article, were involved in the study. All studied patients were divided into two groups depending on the presence of neurocognitive disorders. The condition was assessed using international standardized scales and tests. The study showed that people with AH had mild disorders of verbal memory, counting operations and disorientation, which was manifested by incorrect naming of the date. It was characterized by the presence of disorders of voluntary attention from minor, initial manifestations, which, first of all, was manifested by fatigue, to violations of a mild-moderate degree in the form of narrowing of volumes and insufficiency of the processes of concentration, distribution and switching. The psychoemotional state of young patients with hypertension was characterized by the presence of mild depressive disorders. For patients with neurocognitive disorders against the background of hypertension, the presence of moderate reactive and personal anxiety was characteristic. Key words: arterial hypertension, neurocognitive disorders, anxiety, depression

Anxiety in elite athletes, sex and age characteristics and association with sports

Introduction: Long-term anxiety can lead to increased injuries and negatively affect physical performance, but it is also a significant risk factor for the development and progression of cardiovascular diseases. At the same time, participation in certain sports at a professional level is associated with an increased prevalence of risk factors such as excess body weight, dyslipidemia and hypertension. Therefore, the study of anxiety in elite athletes seems to us an urgent task.Objective: to assess the prevalence of anxiety of varying severity among elite athletes permanently residing in the Tyumen region, and to identify possible associations of anxiety indicators with sports, gender and age.Materials and methods: The study involved 141 elite athletes of the Tyumen region (40 (28.4 %) and 101 (71.6 %) female and male, respectively) aged from 14 to 38 years (average age 21.0 ± 4.2). Participants competed in both individual (biathlon and judo, n = 62 (44.0 %)) and team sports (volleyball, hockey, n = 79 (56.0%)). Anxiety (reactive and personal) was assessed using the Spielberger — Hanin questionnaire. To assess the independent relationship of the variables under consideration with anxiety indicators, multivariate analysis was used — multinomial logistic regression.Results: Severe reactive anxiety was found in 21 (15.7 %) athletes, and severe personal anxiety in 26 (19.5 %) athletes. 80 (59.7 %) athletes had moderate reactive anxiety, and 83 (62.4 %) had moderate personal anxiety. When conducting multivariate analysis, independent associations of reactive anxiety with age (OR = 1.25, 95 % CI 1.08–1.45, p = 0.003), types of sports (OR = 0.39, 95 % CI 0.17) were established -0.94, p=0.036) and gender (OR=0.23, 95 % CI 0.06–0.93, p=0.039). Personal anxiety was independently associated with gender (OR = 0.12, 95 % CI 0.02–0.63, p = 0.013) and type of sport (OR = 0.29, 95 % CI 0.11–0.77, p = 0.013).Conclusion: The prevalence of anxiety symptoms among elite athletes was quite high. Moreover, the indicator of reactive anxiety among them was independently and significantly associated with age, types of sports and gender, and the indicator of personal anxiety was associated with gender and types of sports.

Art Therapeutic Methods of Work by a Psychologist with Anxious Teenagers in an Educational Institution

Introduction. Anxiety is one of the most common problems faced by teenagers. Factors contributing to anxiety in adolescents may be related to personal characteristics, social, biological factors, and economic conditions. All this determines the relevance of the research topic and the need to develop and implement a correctional and developmental program in educational institutions that helps reduce anxiety levels. The novelty of the study lies in the identification of certain dynamics of anxiety and self-esteem indicators in adolescents after remedial classes using art therapy methods. Purpose. The study of the dynamics of adolescent anxiety in the process of implementing a correctional program using art therapy methods.Materials and methods. To assess anxiety, O. Kondash’s social-situational anxiety scale and Ch. D. Spielberger’s scale for assessing the level of reactive and personal anxiety (adapted by Yu. L. Khanin) were used; to measure the level of selfesteem, the self-esteem diagnostic technique of T. Dembo – S. Rubinstein . The obtained data were subjected to statistical analysis by using the Mann-Whitney U test.Results. The study involved 84 teenagers (from 14 to 16 years old) studying at a secondary school. After conducting classes on the correction of anxiety in adolescents using art therapy methods, significantly significant differences were revealed on the scales of “self-esteem anxiety”, “situational anxiety” and on the indicator of “self-confidence”. It was found that the level of self-esteem and situational anxiety in the experimental group is lower, and self-confidence is higher than in the control group.Discussion. The program of art therapy sessions with adolescents allowed not only to diagnose, but also to correct indicators related to anxiety and self-esteem. The data obtained as a result of the study can be used in the psychological support of anxious adolescents.

СВЯЗЬ ВОСПАЛИТЕЛЬНЫХ МАРКЕРОВ И ТРЕВОЖНО-ДЕПРЕССИВНЫХ РАССТРОЙСТВ У ПАЦИЕНТОВ С ОСТРЫМ ИНФАРКТОМ МИОКАРДА

Abstract. Introduction. In recent years, the influence of anxiety and depressive disorders on the course of cardiovascular diseases has been increasingly discussed. The main psychosocial risk factors for the development of acute myocardial infarction include depression and anxiety (various anxiety syndromes and disorders). Currently, inflammation is considered as one of the leading links in myocardial infarction pathogenesis, course, and prognosis. Recent studies have linked the development of anxiety and depressive disorders with changes in the proinflammatory cytokine levels. Severity of immunoinflammatory reactions in patients with unstable forms of coronary heart disease is greater than in patients with a stable course of the disease. The aim of our investigation was to study the proinflammatory cytokine levels in patients with myocardial infarction depending on the presence of anxiety and depressive disorders. Materials and Methods. The study included 160 patients, averagely aged 56.2±1.4 years, who were admitted to the hospital with the ST-segment elevation myocardial infarction. The diagnosis of the said disease was set according to the generally accepted diagnostic criteria. In addition to the traditional clinical and instrumental studies, the patients of the groups under study underwent an assessment of the concentrations of inflammatory biomarkers in plasma and psychological tests using anxiety and depression rating scales, such as Zung Depression Scale and Spielberger-Khanin Anxiety Scale. Results and Discussion. Signs of depression were identified in 82 (51.25%) patients with acute myocardial infarction. Symptoms of mild depression were identified in 44 (53.7%) patients, moderate depression in 30 (36.6%) patients, and severe depression in 8 (9.7%) patients. It has been proven that the average depression score increases with the increase in the disease severity. The average score was 49.72+1.68 for personal anxiety in the group and 41.9±1.6 for reactive anxiety. As the class of infarction severity increased, a significant increase in anxiety levels was observed. An increase in the serum concentrations of CRP, IL-1β, IL-6, IL-8, and TNF-α was detected during the development of myocardial infarction, which was statistically significantly associated with the presence of anxiety-depressive disorders and some indicators of myocardial contractile function. Conclusions. Subclinical inflammation is one of the mechanisms of the negative impact of anxiety and depressive disorders on the prognosis for this category of patients. The presence of anxiety and depression symptoms is associated with higher levels of pro-inflammatory markers, i. e., CRP, IL-1β, IL-6, IL-8, and TNF-a. The degree of activation of proinflammatory markers depends on the severity of the myocardial damage signs and on the nature of complications.

The structure of anxiety and depressive disorders in patients of the neurological hospital

The article analyzes the structure of anxiety-depressive disorders in neurological hospital patients. The study used validated scales: the Hospital Anxiety and Depression Scale (HADS) and the scale for assessing the level of reactive and personal anxiety (developed by C. D. Spielberger and adapted by Yu. L. Khanin). The author comes to the conclusion that more than a half of the patients surveyed experience feelings of anxiety or depression at subclinical and severe levels. In addition, in patients with anxiet y trait anxiety predominates.

THE STATE OF PERIODONTAL TISSUES IN MILITARY PERSONNEL OF THE ARMED FORCES OF UKRAINE DEPENDING ON THE PSYCHO-EMOTIONAL STATE

The aim of the study: To assess the periodontal tissue condition of military personnel in the Armed Forces of Ukraine based on their psycho-emotional state. Materials and methods. A periodontal examination was conducted on 142 male military personnel of the Armed Forces of Ukraine who were undergoing rehabilitation or were on rotation, in order to achieve the stated goal. The age range of the subjects was 27 to 60 years, and their period of stay in the combat zone ranged from 3 months to 2 years. The patients underwent clinical and dental examination according to a standardized scheme, which included taking anamnesis and analyzing patients' complaints. The periodontal tissue condition was assessed using Danilevsky's M.F. (1994) classification, with additions by Mashchenko I.S. (2002). To identify symptoms of post-traumatic stress disorder (PTSD) in military personnel of the Armed Forces of Ukraine, we administered the PSL-5 questionnaire developed by the National Centre for PTSD. We also determined the presence and degree of psychoemotional stress in the study group using the methodology of Holmes T.H. and Rahe R.H. (1967). The level of reactive and personal anxiety was measured using the Spielberger-Hanin method, specifically the State-Trait Anxiety Inventory (STAI) from 1970. Results. The study found that the presence of PTSD in military personnel of the Armed Forces of Ukraine intensifies periodontal tissue diseases. This is shown by an increase in advanced forms of generalized periodontitis (19.74±4.50 % of patients with PTSD vs. 5.00±4.87 % of patients without PTSD, p<0.01) and a minimal frequency of detection of inflammatory diseases of periodontal tissues (p<0.05). The study examined the correlation between periodontal tissue diseases and stress resistance and reactive anxiety levels in military personnel of the Armed Forces of Ukraine. The results showed that patients with a very high and high degree of stress resistance and a low level of reactive anxiety (I, II groups) exhibited a greater degree of resistance to stress. No changes were made to the original text as it already adheres to the desired characteristics. Inflammatory diseases were found to be more prevalent in the structure of periodontal diseases. Meanwhile, dystrophic-inflammatory lesions of periodontal tissues were more common in individuals with threshold resistance to stress and moderate reactive anxiety (III group) and those with low resistance to stress and high levels of reactive anxiety (IV group). Conclusions. The study found a close relationship between the psychoemotional disorders of the subjects and the condition of their periodontal tissues. This relationship is likely one of the leading factors that determine the intensity and severity of inflammatory and dystrophic-inflammatory diseases of periodontal tissues in this cohort of patients.

Anxiety, depression and stress of mothers of premature infants with intraventricular cerebral hemorrhages in the first year of their life

The study is focused on the emotional state and stress of mothers of prematurely born infants with structural intracranial changes during the first year of their life. Study participants were 77 mothers of infants born at 28.3 ± 3.1 weeks of gestation with intraventricular cerebral hemorrhage, divided in 3 groups: those who received surgical neurosurgical treatment of posthemorrhagic hydrocephalus (N = 33), conservative treatment for hydrocephalic syndrome (N = 26), and in the intraventricular cerebral hemorrhage group of 1st degree without hydrocephalic syndrome (intraventricular cerebral hemorrhage comparison group, N = 18). The study used measures of depression (BDI-II, 1996) and anxiety (1983), and the Heidelberg Family Stress Scale (2007). The examination of mothers was carried out longitudinally at three age stages: 1) during the neonatal period while in the intensive care unit; 2) at the age of 3 corrected months at the department of pathology of newborns and the department of pathology of young children; 3) at the age of 12 corrected months at home. Results indicate that in the group of mothers of prematurely born infants with intraventricular cerebral hemorrhage, regardless of group membership, the values of depressive experiences and reactive anxiety are higher at the 1st stage of the examination, compared to 2 and 3. In the group of families with infants with posthemorrhagic hydrocephalus there were no significant changes observed in stress indicators during the first years of life of children, while the values of certain individual indicators are higher compared to the indicators in groups of families of children with hydrocephalic syndrome and intraventricular cerebral hemorrhage. The results are discussed from the perspective of possible mental health disorders among mothers of infants with intraventricular cerebral hemorrhage, its additional negative impact on the development of children, and the need of families for early, during the first trimester of the child’s life, beginning of family-centered intervention program and psychological support for mothers. Keywords: preterm infants, intraventricular hemorrhages, caregivers, emotional state, depression, anxiety, stress, early intervention.

PSYCHOSOMATIC MANIFESTATIONS OF MILITARY PSYCHOTRAUMA

Introduction. War is a super-powerful extreme event that causes adaptive capacity to decline. The need for a clearer understanding of the specifics of war psychotrauma and its clinical consequences for all components of human health determines the relevance of the topic of this study.
 The aim of the work is to study the peculiarities of psychosomatic relationships in persons with the consequences of war psychotrauma.
 Materials and methods. The experimental study group consisted of 32 patients from the number of temporarily displaced persons, the control group – 34 patients who did not change their place of residence during the entire period of the full-scale war. The diagnosis was aimed at identifying neurotic, stress-related and somatoform disorders, according to the rubric (F40-F48) of the ICD-10. Assessment of the somatic condition was carried out on the basis of analysis of anamnestic data, clinical examination of the patient and indicators of laboratory tests. Psychodiagnostic methods were used to assess the mental states of patients (Clinical Questionnaire for the Detection and Assessment of Neurotic States; Methodology for the express diagnosis of neurosis by K. Heck and H. Hess; Questionnaire SAN (Mood, Activity, Mood); Methodology for the diagnosis of Taylor's anxiety level; Self-assessment of mental states according to Eysenck; Ch. Spibleger's Reactive and Personal Anxiety Assessment Scale in the modification of Y. Hanin. Statistical processing of the research results was carried out in the Microsoft Excel program and with the help of the Social Science Statistics online calculator.
 Results. As a result of the analysis of anamnestic data, clinical examination and analysis of laboratory tests, psychosomatic disorders were found in patients of both research groups: in 29 (90.63%) patients of the experimental group and in 26 (74.47%) patients of the control group.
 Conclusions. It has been confirmed that a prolonged stressful extreme situation of a full-scale war causes the formation of negative mental states accompanied by psychosomatic manifestations, the formation of a closed vicious circle of a pathological psychosomatic process. A high close direct correlation was found between the level of reactive anxiety, autonomic disorders, well-being, activity, mood of patients and psychosomatic symptoms. The absence of a statistically significant difference in the risk of developing psychosomatic disorders as a result of war psychotrauma in temporarily displaced persons and those who did not change their place of residence was revealed.