Вісник проблем біології і медицини (Dec 2020)
PSYCHOSOCIAL MALADAPTATION IN INTERNALLY DISPLACED PERSONS WITH DEPRESSIVE DISORDERS
Abstract
Anxiety and depression, according to modern research, are comorbid pathologies of clinical pictures of mental, neurological and psychosomatic disorders that negatively affect physical, mental and social adaptation. We were interested in the study of anxiety and depression in internally displaced persons, because forced relocation leads to feelings of loss of security, stress and increased anxiety, which is a provoking factor for psychosocial maladaptation, borderline neurotic disorders, psychosomatic pathology. The aim of the study was to study psychosocial maladaptation in internally displaced persons in the presence of anxiety-depressive disorder and prolonged depressive reaction. 96 internally displaced persons from Donetsk, Luhansk oblasts and the Crimea were diagnosed with anxiety-depressive disorder (F 41.2) or prolonged depressive reaction (F 43.21). The study formed two groups of internally displaced persons with psychosocial maladaptation and persons with the same psychoneurotic disorders, but without signs of psychosocial maladaptation. The study found that internally displaced persons with anxiety and depressive disorder, prolonged depressive reaction and diagnosed with psychosocial maladaptation had a significantly higher level of anxiety and depression compared to internally displaced persons without signs of maladaptation. In maladapted individuals to the forefront of clinical characteristics were manifestations of anxiety in both the mental and somatic spheres. Manifestations of anxiety in persons without signs of maladaptation did not reach such high scores and, mainly, belonged to the mental sphere and, to a lesser extent, to the somatic sphere. This can be used as a target for psychotherapeutic influence and psychosocial support of patients, aimed at maintaining their adaptive resource and improving the quality of life.
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