scholarly journals Rationale, content, efficacy of psycho-correction of post-traumatic syndrome in combatants with partial vision loss due to combat trauma

Author(s):  
R. Abdryahymov

With informed consent, 100 combatants were surveyed. Of these, 54 participants with eye injury and partial loss of vision due to participation in hostilities with clinical manifestations of post-traumatic syndrome; comparison group - 46 combatants with clinical manifestations of post-traumatic syndrome. All respondents were screened for a mental condition using the clinical diagnostic scale CAPS (Clinical-administered PTSD Scale), a neurotic and psychopathic level determination questionnaire (HNP), Diagnostics of Hayma’s Coping Strategies, Psychological Protection of Plutchik-Kellermann-Conte, WHO WHOQOL-100 quality of life questionnaire, Rosenzweig's test of frustration reactions (adult version) modified by P.V. Tarabry. Upon completion of the survey, psychocorrectional measures were conducted with participants of the main group for 60 days. Methods of psychoeducation, cognitive-behavioral, personality-oriented, rational, suggestive psychotherapy, psychological self-regulation were used. The results of psychocorrection were assessed according to the dynamics of the significance of clinical manifestations and these methods. The application of a system of psychocorrectional measures to participants with an eye injury and partial loss of vision with clinical manifestations of post-traumatic syndrome allows to achieve neutralization or significant improvement in their mental state. This is confirmed by changes in the indicator indicators of the relevance of manifestations of somatic injury with clinical symptoms of post-traumatic syndrome, coping strategies and the structure of psychological protection, frustration response and level of assessment of quality of life. The changes achieved in the process of psychocorrection were significantly significant compared with the participants who are characterized by manifestations of post-traumatic syndrome without an eye injury. Changes achieved using psychocorrection did not reach for some indicators of the normative levels. This indicates the presence of manifestations associated with the consequences of somatic trauma and for their correction, the restructuring of life experience in the face of changes in personal capabilities is necessary.

In the study of frustration reactions and stress tolerance in combatants with eye trauma and partial loss of vision against the background of clinical manifestations of posttraumatic syndrome (54 people), significant differences were found between those who took part in combat actions from clinical manifestations of post-traumatic syndrome without injury (46 people) and a group of patients having a domestic injury of the organs of vision with partial loss of it (59 people). Combatants demonstrated an extrapunitive response direction and a necessary recalcitrant type of reaction. In second place is their ego-defensive type of reaction. The presence of depressive, asthenic and aggressive response options. In the group with no injury, extrapunitive direction was observed more often. In the domestic character of damage, these indicators were significantly lower and approached the standard level. Participants in hostilities experienced varying levels of stress tolerance, depending on the methodology, and low levels in the case of domestic trauma. Comparison of the presence and relevance of frustrating and stressful factors showed their greater frequency and significance among combatants with and without injury. Thus, participants in combat operations with an eye injury with partial loss of vision and without it and the clinical manifestations of the post-traumatic syndrome are unidirectional and more pronounced with eye injury changes. With a domestic injury, they are much lower. This indicates the significant role of clinical manifestations of posttraumatic syndrome in the occurrence of mental disorders. This suggests the possibility of including in the action methods of psychological protection of the individual and adaptation to the presence of stress-frustration.


Author(s):  
Yu. V. Antonova ◽  
A. M. Iskandarov ◽  
I. B. Mizonova

Introduction.Coccygodynia is a multidisciplinary disease which is diffi cult to treat. It seriously limits the ability to work and signifi cantly affects the quality of life of patients. The study of somatic dysfunctions in patients with coccygodynia and the analysis of the results of osteopathic treatment of such patients makes it possible to justify the necessity of osteopathic correction of coccygodynia.Goal of the study— to determine the structure of the leading somatic dysfunctions in patients with coccygodynia and to study the effectiveness of osteopathic treatment of this pathology.Materials and methods.The study involved 44 patients from 25 to 65 years old, randomly divided into two groups. The main group of 24 people (20 women and 4 men) received osteopathic treatment, in accordance with the identifi ed leading somatic dysfunctions. Patients of the control group (16 women and 4 men) were treated locally with soft manual techniques (the treatment area was limited by the pelvic region). In order to assess the results of the treatment, we examined the intensity of the pain syndrome and the psycho-emotional state of patients. The severity of the pain syndrome was assessed in accordance with the visual analogue scale (VAS). The psycho-emotional state (with physical and mental components) was assessed with the help of the SF-36 quality of life questionnaire.Results.Somatic dysfunctions typical for patients with coccygodynia have been identifi ed. Osteopathic treatment has proven to be more effective in comparison with local manual therapy of coccygodynia both in early periods and in 3 months after the end of the treatment course.Conclusion.Osteopathic treatment of post-traumatic coccygodynia is effective, and can be recommended for treatment of such patients.


2021 ◽  
Vol 13 (2) ◽  
pp. 44-54
Author(s):  
O. Yu. Shchelkova ◽  
A. K. Valiev ◽  
O. A. Obukhova ◽  
E. B. Usmanova ◽  
D. I. Sofronov

In this study we analyzed the quality of life in 62 patients (35.5 % of men and 64.5 % of women; mean age 55 years) who had tumor lesions in different parts of the spine and were treated in the Department of Vertebral Surgery, N.N. Blokhin Russian Cancer Research Center, Ministry of Health of Russia. We assessed the association between the quality of life and psychological characteristics of patients – coping strategies and personal resources. We used a general questionnaire for assessing patients’ quality of life (The Medical Outcomes Study Short Form 36 Items Health Survey) and special questionnaires for cancer patients (Quality of Life Questionnaire – Core 30, QLQ-C30), patients with tumor lesions to the spine (Spine Oncology Study Group Outcomes Questionnaire, SOSG OQ), and psychodiagnostic methods, such as Ways of Coping, Big Five, and Life-meaning Orientations. We have identified an association between the quality of life and all parameters of psychodiagnostic questionnaires, better quality of life correlated with more pronounced psychological characteristics reflecting the maturity of the individual (internality, activity, presence of meaningful goals, ability to seek social support, etc.). Lower personal maturity and poorer constructive coping strategies were associated with worse somatic symptoms and their impact on the quality of life.


2020 ◽  
Vol 9 (2) ◽  
pp. 30-41
Author(s):  
M Rana ◽  
R Prajapati ◽  
J Chaudhari ◽  
B Gautam ◽  
B Gurung

Introduction: Quality of Life (QoL) and Coping are important components of mental health, especially important to parents raising children with Duchenne Muscular Dystrophy (DMD). Children with DMD face difficulties due to their disability and create special challenges for parents. Material And Method: The study aimed to assess QoL, demographic variables and coping strategies of parents raising children with DMD in Nepal. A descriptive cross-sectional design was adopted to collect data from 32 parents (mothers = 15, 47%; fathers =17, 53%) through purposive sampling. Socio-demographic pro-forma, World Health Organization's Quality of Life Questionnaire-BREF (WHOQOL-BREF) and Brief COPE Inventory were assessed. Results: The results revealed parents scores were below cutoff <60, indicating probable poor quality of life. QOL was moderately positively correlated with coping strategies and highly positively correlated with emotion-focused coping. There were significant differences in psychological health of parents in reference to their occupation, and in reference to their hospital born children. Parents in government job had better psychological health and parents into private business significantly used emotion-focused coping. Mutual caregivers had significantly better psychological health. Parents without health related problems significantly adopted problem focused coping and emotion focused coping. Conclusion: These findings will help stakeholders to understand DMD children and their impact on QOL and coping of parents and will facilitate to develop appropriate psychosocial intervention programs for the parents for the effective management of their children and their psycho-social wellbeing.


Author(s):  
A. G. Sofronov ◽  
A. V. Trusova ◽  
I. A. Getmanenko ◽  
A. E. Dobrovol’skaya ◽  
A. N. Gvozdetckii

Metacognitive functioning is the basis of the individual’s ideas about his ability to build relationships with other people and manage own’s social behavior. Deterioration of metacognitive functioning in schizophrenia patients, presumably due to neurocognitive deficiency and other manifestations of the disease, probably contributes to disruptions of social functioning and quality of life. The aim of this study was to assess the metacognitive functioning (MF) of patients with paranoid schizophrenia, operationalized as a cognitive ability to understand their own and other people’s emotions, and to explore the connection between social functioning (SF) and quality of life (QOL), as well as to establish logical relationships between MF with clinical indicators and socio-demographic characteristics of patients. In a sample of 300 patients with paranoid schizophrenia (age from 18 to 50 years, disease duration of at least 5 years, a total PANSS score of less than 120), MF was assessed using the Lyusin emotional intelligence test (EmIn) and the subjective assessment of interpersonal relationships (SOMO) test. Cognitive deficit was verified using a standardized battery of a Brief Assessment of Cognition in Schizophrenia (BACS). The indicators obtained using the quality of life questionnaire for schizophrenia patients (QOL-SM) and the social functioning scale (PSP) were used to create an integrated indicator that comprehensively assesses SF and QOL of schizophrenia patients (Factor B). Reliable associations of this factor with indicators obtained using the Emin method (p<0.05), SOMO (p<0.001), the PSP scale, the QOL-SM questionnaire, the BACS and PANSS scales, and also with a number of clinical-dynamic and socio-demographic characteristics were established. Significant relationships between the parameters of MF, SF and QOL were obtained, and logical relationships between MF, neurocognitive deficiency and other clinical manifestations of schizophrenia were established.


2019 ◽  
Vol 27 (2 (99)) ◽  
pp. 23-27
Author(s):  
Rostislav Abdryahymov ◽  
Marianna Markova

Comparative analysis of psychopathological consequences of maladaptation and post-traumatic syndrome in participants of military actions with eyes injury and partial loss of vision The aim of this work was a comparative study of the phenomenology of psychopathological response manifestations as psychological disadaptation or post-traumatic syndrome in participants of military actions with eyes injury and partial loss of vision, in order to further determine the targets for medical and psychological measures for their rehabilitation. During 2014—2018 years 191 participants of military actions (PMA) aged 20—53 years were examined. As a comparison group, the study included 59 men with partial loss of vision (PLV) due to household injuries. All respondents were screened for a mental condition using a clinical diagnostic scale CAPS (Clinical-administered PTSD Scale), a questionnaire for determining the level of neuroticism and psychopathisation, consulted by a psychiatrist and a psychodiagnostic study was carried out. The study showed that in PMA with manifestations of psychological disadaptation, the analysis of the signs of the factor “Phenomenology of Signs of Psychological Disadaptation” showed the presence of its diff use manifestations. They mainly reflect the variants of its development and in content demonstrate the lack of individual skills of adequate psychological behavior on change the external environment. The analysis of factor components “Phenomenology of Psychopathological Response to Eyes Injuries on the Background of Psychological Disadaptation” in PMA with PLV showed a decrease in the manifestations and relevance of symptoms of disadaptation against the background of injury, in addition to emotional and behavioral shifts. The level of somatic manifestations of psychopathological response indicates the beginning of the formation of neurotic disorders on the basis of symptoms of disadaptation and available eyes injuries. The analysis of factor “Phenomenology of Manifestations of Post-traumatic Syndrome” in PMA has shown that its manifestations become the basis for the formation of selective neurotic syndromes. The content of these are the factors that have caused the emergence of constant stress in the form of post-stress pathological response. In PMA with PLV on the background of the manifestations of post-traumatic syndrome, the factor “Phenomenology of Psychopathological Response to Eyes Injury on the Background of Manifestations of Post-traumatic Syndrome” indicates the processes of formation of neurotic symptomatology on the background of eyes injury. The basis is individual manifestations of post-traumatic syndrome, which is intensifi ed under the infl uence of additional stress as a result of eyes injury. The obtained results will be taken into account when creating specialized highly-target approaches to medical and psychological rehabilitation for this contingent. Key words: post-traumatic syndrome, psychological disadaptation, clinical symptomato logy, stress, eyes injury, military actions.


2019 ◽  
Vol 9 (4) ◽  
pp. 220-224
Author(s):  
Abass Heydari ◽  
MohammadReza Fayyazi Bordbar ◽  
Mahdi Ebrahimi ◽  
Ali Meshkinyazd

Introduction: The wives of veterans are under great pressure because of their husbands ’physical and mental problems, and this can affect their mental health and quality of life. It seems that the training of some skills can have a significant impact on improving quality of life and reducing their mental burden. This study was conducted to determine the effect of spiritual care education in quality of life in wives of veterans with post-traumatic stress disorder (PTSD) that plays a major role in caring for them. Methods: This study was a quasi-experimental study in which 60 wives of PTSD-affected veterans in Ibn Sina hospital were selected and assigned randomly in two experimental and control groups. Spiritual care education was conducted in five sessions of two hours. Quality of life Questionnaire (SF-36) was used in this study. The questionnaire was implemented on participants of both groups in three stages: before, after and one months after the intervention (follow-up). Data were analysis using SPSS version 19. Results: The results of this study showed that spiritual care education could increase quality of life in the Wives of Veterans with Post Traumatic Stress Disorder and the subjects participating in the post-test had significantly higher quality of life. Conclusion: According to results of this, study that represent effect of spiritual care education on quality of life, so it is recommended spiritual care education can be used to improve the quality of life of people especially the families of veterans.


2020 ◽  
Vol 10 (4) ◽  
pp. 1611-1620 ◽  
Author(s):  
Esther Cubo ◽  
Pablo Martínez-Martín ◽  
Jerónimo González-Bernal ◽  
Elena Casas ◽  
Sandra Arnaiz ◽  
...  

Background: The asymmetry of motor manifestations present in Parkinson’s disease (PD) suggests the existence of differences between both hemispheres. As a consequence, this asymmetry might contribute to different PD clinical phenotypes. Objective: To study the relationship between motor symptom laterality with motor, non-motor symptoms (NMS), freezing of gait (FOG), and quality of life (QoL) impairment in PD. Methods: In this cross-sectional study, we measured motor symptoms severity and complications with the Unified Parkinsons’ disease Rating Scale (UPDRS), FOG with the FOG questionnaire, QoL with the 39-item PD Quality of Life Questionnaire Summary Index, and NMS with the NMS, Visual Analogue Scales for Pain and Fatigue, Beck Depression Inventory-II, Impulsive-Compulsive Disorders, and PD Sleep and Cognitive Rating scales. We defined left and right motor laterality using the UPDRS part III. We used comparative, regression, and effect size analyses to evaluate the impact of asymmetry on motor and NMS, FOG, and QoL. Results: 342 left (LPD) and 310 right (RPD) patients, with a mean age of 62.0±8.8 years, were included. In multivariate regression analysis, LPD was associated with a greater motor (OR = 1,50, 95% CI 1.02–2.21), FOG (OR = 1.56, 95% CI 1.01–2.41), and overall NMS impairment (OR = 1.43, 95% CI 1.001–2.06), and better QoL (OR = 0.52 95% CI 0.32–0.85). Overall, only a mild effect size was found for all comparisons in which significant differences were present. Conclusion: In this large multicenter study, motor symptom laterality seems to carry a mild but significant impact on PD clinical manifestations, and QoL.


Author(s):  
Bartłomiej Skowroński ◽  
Elżbieta Talik

Background: The aim of the study was to analyze the determinants of prison inmates’ quality of life (QoL). Methods: 390 men imprisoned in penitentiary institutions were assessed. Data were collected by means of the Sense of Quality of Life Questionnaire (SQLQ), general self-efficacy scale (GSES), resilience assessment scale (RAS-25), social support scale (SSS), intensity of religious attitude scale (IRA), SPI/TPI, and COPE Inventory, measures that have high validity and reliability. All models were specified in a path analysis using Mplus version 8.2. Results: The positive correlates of QoL are: self-efficacy, social support, intensity of religious attitude, trait and state depression, resilience, and the following coping strategies, which are at the same time mediators between the variables mentioned above and QoL: behavioral disengagement, turning to religion, planning, and seeking social support for instrumental reasons. Conclusions: In penitentiary practice, attention should be devoted to depressive individuals, and support should be provided to them in the first place because depressiveness is the strongest negative correlate of important aspects of prisoners’ QoL. All the remaining significant factors, namely: self-efficacy, social support, intensity of religious attitude, and the following coping strategies: turning to religion, planning, and seeking social support for instrumental reasons, should be taken into account in rehabilitation programs.


Author(s):  
Olga A. Naumova ◽  
Inna V. Gogunska ◽  
Tetyana V. Smagina ◽  
Vladislav I. Nesterchuk ◽  
Tetiana Yu. Kholodenko

Topicality: Beta-glucans are a group of biologically active polysaccharides of natural origin with a proven pleiotropic immunomodulatory effect. In vitro experiments as well as animal and human clinical studies proved the importance of beta-glucans in the treatment and prevention of allergic diseases. This opens up new prospects for the use of this widespread and popular group of natural substances. Aim: to investigate whether the addition of "Bewell®" can alleviate the symptoms of seasonal AR in children sensitized to ragweed during flowering and improve their quality of life. Materials and methods: The study involved 30 patients (12 girls, 18 boys) aged from 6 to 12 years with a verified diagnosis of seasonal allergic rhinitis. Clinical manifestations of rhinoconjunctivitis were evaluated according to T5SS scale, quality of life (QOL) – according to Paediatric Rhinoconjunctivitis Quality of Life Questionnaire (PRQLQ). Results: The study found that administration of "Bewell®" in the complex therapy of seasonal allergic rhinitis significantly reduced rhinoconjunctival manifestations (p<0.001). The surveyed patients reduced consumption of antihistamines. After a treatment course, a decrease in the PRQLQ score was detected for such parameters as: irritability, need to wake up at night due to nasal congestion, need to take medications to relieve AR symptoms such as antihistamines or inhaled corticosteroids, which indicated an increase in the quality of life of patients after the therapy. The use of a complex of parameters to evaluate the therapy effectiveness showed that the use of beta-1,3/1,6-glucan ("Bewell®") is promising for reducing AR symptoms in children, leading to their rapid regression, improving the quality of life and effective relief of AR symptoms. Administration of "Bewell®" reduces the need for concomitant therapy and helps to reduce the drug load.


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