Zaporožskij Medicinskij Žurnal (Apr 2021)
Prognostic and socio-economic significance of using the mental health assessment system model
Abstract
In modern psychiatric discourse, the problem of developing preventive measures aimed at timely detection and prevention of mental disorders exacerbation among the general population has not lost its relevance. In this context, special attention is paid to non-psychotic mental disorders, as the most common and masked form of mental pathology, in workers of industrial enterprises, as the least studied category of persons with a specific pool of biopsychosocial factors affecting their mental health. The aim of the work is to evaluate the prognostic and socio-economic significance of the principles of a systematic approach to mental health assessment in the contingent of industrial workers. Contingents and methods. On the basis of Municipal Non-Commercial Enterprise “Regional Clinical Institution for Provision of Psychiatric Care” of Zaporizhzhia Regional Council, 982 workers of industrial enterprises, who underwent a preventive psychiatric examination according to the Order of the Cabinet of Ministers of Ukraine No. 1465 dated December 27, 2000, were examined after obtaining their informed consent. Clinical-epidemiological, clinical-psychopathological, clinical-analytical, psychodiagnostic and statistical methods were used in the study. As a basic tool for the study was the “Basic Chart for Clinical and Epidemiological Studies”, which included socio-demographic and anamnestic data, a clinical component describing the symptoms and syndromes. Results. It was revealed that the following factors had the greatest influence on the development of psycho-maladjustment in the workers of industrial enterprises: moderate workload, increased occupational noise levels, female, age 50–60 years. The development of neurotic, stress-related and somatoform disorders were mostly associated with moderate workload, night shift work, 12-hour duty, occupational dust exposure, female, age 50–60 years, emotional tension. The development of personality and behavior disorders was due to an overall length of service of 5–10 years, length of specialized service up to 10 years, moderate workload, age 18–29 years. The development of mental disorders related to brain dysfunction resulted from the overall length of service up to 40 years, moderate workload, manual work, occupational vibration and heat exposure, female, age 50–60 years, periodical alcohol consumption. Conclusions. The identified factors for non-psychotic mental disorders were divided according to the criterion of their correction possibility and structured into blocks for mental health assessment within the developed diagnostic and psychoprophylactic model.
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