Psychosomatic Medicine and General Practice

Typical difficult situations in doctor-patient interactions

Typical difficult situations in doctor-patient interactions

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Grief tied to Death

Influence of the experience of severe grief on the development of diseases of the cardiovascular system.

Published: 2018-12-24
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Acetaminophen (paracetamol) reduces sex hormones level

Medication was not as safe as previously thought.

Published: 2018-02-21
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Results of 2017: updated clinical guidelines

In 2017 were published multiple clinical guidelines for management of patients with mental disorders. The review summarizes their main recommendations.

Published: 2017-12-29

Recent Articles

  1. Short-focus psychodynamic oriented psychotherapy as treatment optimization technique in involution psychoses

    Pustovoyt M.
    This article is based on the results of empirical experience and a pre-conducted study of the effectiveness of treatment of patients with mental disorders that manifested in the middle period of life (45-60 years). These findings provide an algorithm of short-term psychodynamic oriented psychotherapy focuses on such kind of patients.
    Research Articles
    Published:2019-10-08e0402196

  2. The prevalence of different types of psychological dominant and psycho-emotional state in women with placental dysfunction

    Yakymchuk N.
    Placental dysfunction is a key problem in obstetrics, neonatology, pathology of the ante- and perinatal period, as the functional inability of placenta leads to an increase in the proportion of miscarriage, fetal development delay syndrome, or its antenatal death, and the period of pregnancy, especially in case of its pathological course, is an extremely strong psycho-emotional factor. The structure and prevalence of types of psychological component of gestational dominant with the consideration of psycho-emotional status in women with placental dysfunction were stated as well as their influence on reproductive loss and complication of pregnancy was estimated.
    Research Articles
    Published:2019-09-24e0402162

  3. Usage of antidepressants in patients with oncological diseases

    Matiiash T., Bondarchuk A.
    Approximately one million cancer patients live in Ukraine. These persons are at a high risk of manifestation of psychiatric disorders, especially depressive spectrum disorders and anxiety disorders, which may be treated with antidepressants if indications are present. Besides, oncological patients suffer from a number of miscellaneous somatic and psychosomatic conditions, that may also be totally or partly alleviated by using antidepressants. Thus, proper safe and evidence-based usage of these drugs is required. Unfortunately, there’s a lack of Ukrainian scientific literature highlighting this issue. This review is published to fulfill the aforementioned gap.
    Reviews
    Published:2019-08-07e0402195

  4. Public and family aspects of diagnosis post-traumatic stress disorder at military personnel after return from combat zone

    Omelyanovich V.
    In connection with the challenges of modernity, PTSD is a serious problem of general and especially military psychiatry. The diagnosis of "PTSD" is, in the first place, etiologically determined, but both "developmental and clinical assessment of this condition" have such "non-medical" factors as social and family-associated ones.
    Reviews
    Published:2019-06-24e0401183

  5. Neuropsychological examination of patients with epilepsy suffering from cognitive impairment

    Blazhina I., Korostiy V.
    Deviation of cognitive functions is the most common pathology among psychiatric and neurological diseases. Qualitative diagnostics of these deviations at the dodementical stage will improve the cognitive field, which respectively will lead to the preservation of social functioning of patients.
    Reviews
    Published:2019-05-14e0401179

  6. Social anxiety disorder: relevance and perspectives

    Avramchuk O.
    Epidemiological studies indicate that social anxiety disorder as one of the most common mental health disorders. However, many patients do not seek or receive help, despite the prevalence of social anxiety disorder, the large amount of information, the possibilities of psychotherapy and medical treatment.
    Reviews
    Published:2019-05-11e0303103

  7. Prevalence of autism spectrum disorders in adult psychiatric patients: a systematic review

    Khaustova O., Marcenkovs'ka I.
    Taking into account the prevalence of autism spectrum disorders (ASD) among adults, there is not enough data on the prevalence of ASD among persons undergoing in-patient psychiatric treatment.
    Reviews
    Published:2019-05-06e0401180

  8. Cognitive impairment in patients with chronic noncommunicable diseases: a review

    Assonov D.
    of this review was to summarize the information about the specific weight and the clinical significance of cognitive impairment in the course and prognosis of major chronic noncommunicable diseases.
    Reviews
    Published:2019-05-04e0401192

  9. Psychocorrection and optimal pharmacotherapy in anxiety-phobic syndrome.

    Karakhonova S.
    The article presents methods of detection and ways of correction of psychosomatic disorders among patients suffering from anxiety and phobic syndrome. These studies have shown that among patients with anxiety-phobic syndrome of psychosomatic disorders are most pronounced anxiety, phobia, fear, panic. Therefore, in addition to the basic therapy in patients with anxiety-phobic syndrome, psychotherapy was used, which leaded to early recovery, effective treatment, as well as lengthening the period of remission.
    Research Articles
    Published:2019-04-18e0401175

  10. Non-alcoholic fatty liver disease and concomitant diseases: a differentiated approach to the prescription of antioxidants

    Feysa S.
    of work is determined by wide occurrence of non-alcoholic fatty liver disease (NAFLD) often combined with other comorbidities and ambiguity of recommendations about treatment of such patients. Studying of the combination of NAFLD and subclinical hypothyroidism (SH) is associated with wide spread of thyroid pathology in iodine deficiency endemic regions.
    Research Articles
    Published:2019-04-12e0401137

  11. Risk factors nonpsychotic mental and behavioral disorders in a social stress

    Nikoriak R.
    Social crisis, military action in the East of Ukraine, forced labor migration in search of material security for the family, and sometimes it’s the only way to survive in the conditions of the socio-economic crisis have led to a significant degree to maladaptation of society.
    Research Articles
    Published:2019-04-10e0401105

  12. Efficiency of medical-psychological rehabilitation in patients with acute coronary syndrome

    Nesterak R., Gasyuk M.
    The quality of  the patient's life  with acute coronary syndrome (АCS), without elevation of the ST segment, with conservative or invasive treatment tactics was investigated. A comprehensive analysis of the causes of the patients with ischemic heart disease (CHD) life quality changes has been performed. Recommendations on choosing a cardiologic rehabilitation strategy are formed.
    Research Articles
    Published:2019-02-19e0401156

Editorials, Commentaries & Education

  1. Загальні правила комунікації студента з пацієнтом

    Khaustova O.
    Для більшості студентів початкові кроки навчання спілкування з пацієнтом є дуже тривожними та складними. Це насамперед обумовлено потужною соціальною роллю лікаря в суспільстві, до якої студенти-медики молодших курсів не готові як з точки зору професійної компетентності, так і особистічної психологічної зрілості.
    Education
    Published:2019-02-18e0304177

  2. Anxiety in children: let's overcome it together

    Mokrii M., Frankova I.
    Can you imagine how it would feel when everything inside you is telling you something is wrong, but the person you trust keeps telling you there’s nothing to worry about? This article disclose important information regarding anxiety in children and how to overcome it.
    Education
    Published:2018-11-16e0303109

  3. Acupuncture in the treatment of stroke: Invitation to the discussion

    Khaustova O.
    Editorials & Commentaries
    Published:2018-09-24e0303138

  4. Typical difficult situations in doctor-patient interactions

    Asanova A., Khaustova O.
    Every day a physician encounters complex situations in his practice and communicates with patients in various emotional and psychological conditions. In most cases, patients are forced to seek medical advice, not because they want it. Sometimes they attend a visit to hospital by an advice of a family member or friend. This review article presents typical recommendations for interaction with patients in different clinical situations.
    Education
    Published:2018-09-13e0303125

  5. Characteristics and dynamics of PTSD in the participants of the Ukrainian anti-terrorist operation

    Pustovoyt M.
    The following paper underlines the specific characteristics and the course of Post-traumatic stress disorder (PTSD) in Ukrainian warriors of ATO. It is based on interviews recorded with 163 combatants using the methods of clinical psychology and psychodynamic methods. All the records of the interviews were reflected upon in supervision groups. The data obtained support the hypothesis that the cultural and historical heritage of the people of Ukraine has a determinative pathoplastic effect on the experience of war trauma. The analysis of this data leads to the conclusion about the need to create a favorable system of rehabilitation for veterans that would allow working more successfully with the war trauma.
    Editorials & Commentaries
    Published:2018-05-30e0302121

  6. Methodical recommendations for preparation and defence of a coursework for 6th year student of medico-psychological faculty

    Chaban O., Khaustova O., Trachuk L., Bezsheiko V.
    The methodical recommendations are devoted to the peculiarities of the writing of the coursework, its design according to requirements, preparation for defense, and aimed at helping students more effectively organize their own work and conduct their own research. The coursework is carried out by students of the 6th year of the medical-psychological faculty during the study of the discipline "Psychotherapy", in accordance with the requirements approved by the Department of Psychosomatic Medicine and Psychotherapy. Methodological recommendations consist of four sections: how to write a coursework; how to arrange coursework; how to defend coursework; general rules and requirements for publications, and also contain a list of sources and applications used.
    Education
    Published:2017-12-22e020495

  7. The effectiveness of psychological interventions in improving quality of life and satisfaction with treatment in the elderly with mental disorders and multimorbidity

    Kalugin I., Khaustova O., Osukhovska O.
    The state of polymorbidity is common for the elderly patients. Older adults with mental illness often suffer from several somatic diseases. The mutual influence of these diseases changes the classical clinical picture, the nature of their course, increases the number of complications and their severity, worsens the quality of life and prognosis. As a result, the healing process is complicated; compliance and patient's satisfaction decreases. Individuals with polymorbidity are prone to non-compliance with medical recommendations, self-treatment and passive relationships in the medical process.
    Editorials & Commentaries
    Published:2017-11-16e020493

  8. Are influenza vaccines effective?

    Bezsheiko V.
    Vaccines for a long time have been used to prevent influenza. They are often recommended for healthy adults before an influenza season, despite the low risk of complications due to this infection in them. The article reviews the rationale for such recommendations.
    Editorials & Commentaries
    Published:2017-11-07e020485

  9. Schizoid personality disorder

    Dammann G.
    The schizoid personality disorder is characterized by a lack of interest in close relationships, both in the family and in other interpersonal relationships, including intimate/sexual interactions, a superiority of introverted activities, emotional coldness, estrangement and flattened affect (DSM-5). This video lecture is devoted to the review of the prevalence, diagnosis, and treatment of this disorder. In addition, the lecture examines clinical cases and an example of managing such patients.
    Education
    Published:2017-11-05e020484

  10. A rapidly evolving society as a stress

    Chaban O.
    How does social development affect the individual’s brain and psyche? What is the role of progress in a development of psychiatric and psychosomatic disorders? What new mental health problems are emerging now and what can be expected in the future?  This video is an educational material that proposes a point of view on this issues. Available only in Ukrainian.
    Education
    Published:2017-10-17e020482

  11. Algorithm for professional communication in medical settings

    Bezsheiko V., Davydenko I.
    This is a short algorithm for professional communication in specific clinical situations. Recommendations are developed on the basis of the guidelines on objective structured clinical examination. It is an educational material, intended for medical students and physicians, who have just started a clinical practice.  
    Education
    Published:2017-10-15e020477

  12. How does the brain affect cardiovascular health?

    Bezsheiko V.
    In the article the mechanisms of stress response regulation by the brain are reviewed, as well as the data from a new study in this area, which was focused on a detailed analysis of brain activity changes in people with excessive cardiovascular stress response.
    Editorials & Commentaries
    Published:2017-08-28e020368