THE SOCIO-PSYCHOLOGICAL ADJUSTMENT/MALADJUSTMENT IN THE STRUCTURE OF DEPRESSIVE DISORDERS OF DIFFERENT GENESIS IN WOMEN WITH DIFFERENT LEVELS OF AFFLICTION DUE TO THE ACTION OF MACROSOCIAL LEVEL OF MALADAPTIVE FACTORS
DOI:
https://doi.org/10.11603/1811-2471.2020.v.i1.11075Keywords:
depressive disorders, social and psychological maladaptation, macrosocial maladaptation, psychogenic depression, organic depression, endogenous depressionAbstract
The aim – to study the features of the state of socio-psychological adaptation/disadaptation (SPA/D) in the structure of depressive disorders of different genesis in women with different levels of affliction due to the action of macrosocial level maladaptive factors, to determine further targeted targets for personification of this personification. patients.
Materials and Methods. The study included 252 women with depression of different genesis: 94 – psychogenic (prolonged depressive response caused by adaptation disorder), 83 – endogenous (depressive episode; recurrently depressive disorder; bipolar affective disorder, current episode of depression) and 75 – organically depressed and 75 disorder). The study was conducted using clinical psychopathological and psychodiagnostic methods.
Results. The study confirmed the vulnerability of women suffering from depressive disorders to the effects of macrosocial stress factors, and the existence of a direct association between the manifestations of macrosocial maladaptation (MacPM) and the state of SPA/D in the structure of depression in women, regardless of its genesis. It has been established that with increasing severity of maladaptive traits due to the action of macrosocial factors, socio-psychological adaptability decreases, and the manifestation and variability of manifestations of social-psychological maladaptation, as a obligatory symptom of depressive disorders, increases. With the increasing severity of the MacPD, there is a decrease in the indicators of acceptance of oneself and others, internal control and domination, against the background of increasing rejection of self and others, emotional discomfort, external control and awareness.
Conclusions. The identified patterns should be taken into account in the development of treatment and rehabilitation and preventive measures for depressive disorders in women.
References
Meyerson, F.Z. (1981). Adaptatsiya, stress i profilaktika [Adaptation, stress and prevention]. Moscow: Nauka [in Russian].
Nalchadzhan, A.A. (1988). Sotsialno-psikhologicheskaya adaptatsiya lichnosti (formy i strategii) [Socio-psychological adaptation of personality (forms and strategies)]. Yerevan: Izd-vo AN ArmSSR [in Russian].
Ivanova, A.I. (2014). Sotsialno-psikhologicheskaya adaptatsiya: klassifikatsiya i mekhanizmy [Socio-psychological adaptation: classification and mechanisms]. Vestnik Universiteta – University Bulletin, 9, 255-259 [in Russian].
Haponov, K.D. (2019). Kharakterystyka sotsialno-psykholohichnoi dezadaptatsii u khvorykh na alkoholnu zalezhnist z riznym rivnem psykhosotsialnoho stresu [Characteristics of social and psychological maladaptation in patients with alcohol dependence with different levels of psychosocial stress]. Scientific journal “Fundamentalis Ыcientiam”, 30, 31-42 [in Russian].
Herasymenko, L.O. (2018). Psykhosotsialna dezadaptatsiia (suchasni kontseptualni modeli) [Psychosocial maladaptation (modern conceptual models)]. Ukrainskyi visnyk psykhonevrolohii – Ukrainian Journal of Psychoneurology, 26, 1 (94), 62-65 [in Ukrainian].
Skrypnikov, A.M., & Isakov, R.I. (2019). Osoblyvosti kontynuumu sotsialno-psykholohichnoi adaptatsii – dezadaptatsii u zhinok z riznymy henezom depresii ta vyrazhenistiu problem u psykhosotsialnomu funktsionuvanni [Features of the continuum of socio-psychological adaptation – maladaptation in women with different genesis of depression and severity of problems in psychosocial functioning]. Arkhiv psykhiatrii – Archive of Psychiatry, 25, 1, 56-62 [in Ukrainian].
Napryeyenka, O.K. (2013). Netsyrkuliarni depresii (monohrafiia) [Non-circular depression (monograph)]. Kyiv: Sofiia-A [in Ukrainian].
Rakhman, L.V. (2015). Stan i struktura sotsialnoho funktsionuvannia u patsiientiv iz terapevtychno-rezystentnymy depresiiamy [The state and structure of social functioning in patients with treatment-resistant depression]. Fundamental and Applied Researches in Practice of Leading Scientific Schools, 5 (11), 110-121 [in Ukrainian].
Maruta, N.A. (2013). Vosstanovleniye sotsialnogo funktsionirovaniya – osnovnaya tsel terapii depressii [Restoration of social functioning – the main goal of the treatment of depression]. Neyronews, 8 (53), 16-20 [in Russian].
Voloshyn, P.V., & Maruta, N.O. (2017). Osnovni napriamky naukovykh rozrobok v nevrolohii, psykhiatrii ta narkolohii v Ukraini [Basic directions of scientific developments in neurology, psychiatry and narcology in Ukraine]. Ukrainskyi visnyk psykhonevrolohii – Ukrainian Journal of Psychoneurology, 25, 1 (90), 10-18 [in Ukrainian].
Rakhman, L.V. (2016). Kontseptualni chynnyky rozvytku ta pryntsypy likuvannia terapevtychno rezystentnykh depresii [Conceptual factors of development and principles of treatment of therapeutically resistant depression]. Ukrainskyi visnyk psykhonevrolohii – Ukrainian Journal of Psychoneurology, 24, 1 (86), 104-110 [in Ukrainian].
Fetiskin, N.P., Kozlov, V.V., & Manuylov, G.M. (2002). Sotsialno-psikhologicheskaya diagnostika razvitiya lichnosti i malykh grupp [Socio-psychological diagnosis of the development of personality and small groups]. Moscow: Izd-vo Instituta Psikhoterapii [in Russian].
Isakov, R.I. (2018). Psykhosotsialna dezadaptatsiia u zhinok z depresyvnymy rozladamy riznoho henezu: 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, 9, 82-92 [in Ukrainian].
