Keywords
depressive disorders
psychogenic depression
organic depression
endogenous depression
internal pattern of disease
How to Cite
Abstract
To study the specifics of internal pattern of disease in women with depressive disorders of various genesis and severity of psychosocial maladaptation, 252 women who were diagnosed with depressive disorder were examined for further identification of targets of differentiated psychosocial rehabilitation of this contingent of patients. The study included 94 people with depressive disorder of psychogenic genesis (prolonged depressive response due to adaptive disorder), 83 women with endogenous depression (depressive episode, recurrent depressive disorder, bipolar affective disorder, current episode of depression) and 75 patients with depressive disorder of organic genesis (organic affective disorders). The study was conducted using clinical-psychopathological and psychodiagnostic methods. As a result of research in patients with different genesis of depression and the presence or absence of signs of psychosocial maladaptation, different variants and types of the internal picture of the disease were revealed. It has been established that under the condition of signs of psychosocial maladaptation, women have a more maladaptive attitude to the disease by comparison with patients without maladaptive manifestations, independently from the genesis of a depressive disorder. These patterns should be taken into account in the development of medical rehabilitation and preventive measures for patients with depressionReferences
Voloshyn P.V., Maruta N.O. (2017). Osnovni napriamky naukovykh rozrobok v nevrolohii, psykhiatrii ta narkolohii v Ukraini [The main strands of science research in neurology, psychiatry and drug treatment in Ukraine]. Ukrainskyi visnyk psykhonevrolohii – Ukrainian newsletter of neuropsychiatrist, vol. 25, № 1 (90), pp. 10–18 [in Ukrainian].
Voloshyn P.V., Maruta N.O. (2015). Stratehiia okhorony psykhichnoho zdorovia naselennia Ukrainy: suchasni mozhlyvosti ta pereshkody [Mental health strategy of the population of Ukraine: modern opportunities and obstacles]. Ukrainskyi visnyk psykhonevrolohii – Ukrainian newsletter of neuropsychiatrist, vol. 23, № 1 (82), pp. 5–11 [in Ukrainian].
Mykhailov B.V. (2015). Farmakodynamichni mekhanizmy terapevtychnoi dii i pobichnykh efektiv antydepresantiv [Pharmacodynamic mechanisms of therapeutic action and side effects of antidepressants]. Ukrainskyi visnyk psykhonevrolohii – Ukrainian newsletter of neuropsychiatrist, vol. 22, № 2 (79), рр. 103–106 [in Ukrainian].
Naprieienka O.K. (Eds.) (2013). Netsyrkuliarni depresii [Non-circular depressions]. Kyiv: Sofiia-A, 624 р. [in Ukrainian].
Markova M.V. (2009). Depressyvnue rasstroistva v sety pervychnoi medytsynskoi pomoshchy: yz «dyahnostycheskykh nevydymok» – na arenu obshchemedytsynskoi praktyky [Depressive disorders in the primary health care network: from “diagnostic invisibility” to the arena of general medical practice]. Medix. AntiAging, vol. 5 (11), pp. 18–22 [in Russian].
Maruta N.A. (2013). Vosstanovlenye sotsyalnoho funktsyonyrovanyia – osnovnaia tsel terapyy depressyy [Restoring social functioning is the main goal of depression therapy]. Neironews, vol. 8 (53), pp. 16–20 [in Russian].
Skrypnikov A.M., Isakov R.I. (2019). Spetsyfika sotsialnoi pidtrymky ta provyny, tryvohy i napruzhenosti v simeinykh stosunkakh u zhinok, khvorykh na depresyvni rozlady riznoho genezu y vyrazhenosti psykhosotsialnoi dezadaptatsii. Norwegian Journal of development of the International Science, vol. 32 (1), pp. 13–21 [in Ukrainian].
Isakov R.I. (2018). Porivnialnyi analiz vyrazhenosti psykhosotsialnoi dezadaptatsii y afektyvnoi symptomatyky u zhinok, khvorykh na depresyvni rozlady riznoho genezu [The specifics of social support and guilt, anxiety and tension in family relationships in women with depressive disorders of various genesis and severity of psychosocial maladaptation]. Ukrainskyi visnyk psykhonevrolohii – Ukrainian newsletter of neuropsychiatrist, vol. 26, № 3 (96), рр. 20–26 [in Ukrainian].
Isakov R.I. (2018). Psykhosotsialna dezadaptatsiia u zhinok z depresyvnymy rozladamy riznoho genezu: osoblyvosti diahnostyky, vyrazhenosti i struktury [Psychosocial maladaptation in women with depressive disorders of different genesis: features of diagnosis, severity and structure]. Psykhiatriia, nevrolohiia, medychna psykholohiia – Psychiatry, neurology, medical psychology, vol. 9, pp. 82–92 [in Ukrainian].
Vasserman L.I., Iovlev B.V., Karpova E.B., Vuks A.Ja. (2005). Psykholohycheskaia dyahnostyka otnoshenyia k bolezny [Psychological diagnosis of the attitude to the disease]. Sankt-Peterburh: Izd-vo NIPNI im. V. M. Behtereva, 86 р. [in Russian].