Psychosomatic Medicine and General Practice 2018-01-03T18:26:47+00:00 Olena Khaustova (Олена Олександрівна Хаустова) Open Journal Systems Psychosomatic Medicine and General Practice (PMGP) is electronic open-access medical journal. It covers such medical disciplines as psychosomatics, psychiatry, medical psychology, psychotherapy, neurology, therapy and general practice Results of 2017: updated clinical guidelines 2018-01-03T18:26:47+00:00 Olena Khaustova <p><span style="font-weight: 400;">In 2017 were published multiple clinical guidelines for management of patients with mental disorders. The review summarizes their main recommendations. </span></p> 2017-12-29T16:17:54+00:00 ##submission.copyrightStatement## Methodical recommendations for preparation and defence of coursework for 6th year student of medico-psychological faculty 2017-12-29T11:08:22+00:00 Oleg Chaban Olena Khaustova Lidia Trachuk Vitaliy Bezsheiko <p>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",&nbsp;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.</p> 2017-12-22T17:58:28+00:00 ##submission.copyrightStatement## Influence of juvenile idiopathic arthritis on the quality of life of young adults in the transition period to adult rheumatologic care 2017-12-11T08:55:40+00:00 Marta Dzhus <p><strong>Background.</strong> Young adults with juvenile idiopathic arthritis (JIA) often have an active disease with significant functional impairment in adulthood that can affect their physical and mental functions.</p> <p><strong>Aim.</strong>&nbsp;To determine the impact of JIA on quality of life (QoL) in young adults with JIA during the transition healthcare.</p> <p><strong>Materials and methods.</strong>&nbsp;The cross-sectional study of 89 young adults aged 16 to 22 years with a history of JIA regardless of the presence or absence of active inflammation at the time of the survey was performed in the Oleksandrivsky Central Clinical Hospital in Kyiv, Ukraine in the period between April 2015 and February 2017. 25 age- and sex-matched controls (without rheumatic disease) were included. There was performed an evaluation of the age at disease onset, duration, JIA activity, received therapy and quality of life.</p> <p><strong>Results.</strong>&nbsp;Out of 89, 37 (41,6%) patients were considered to be in remission. Juvenile idiopathic arthritis had a large impact on the physical scales of quality of life. Patients with JIA had worse (p &lt;0.001) physical health in comparison with the control group. The pain was the most important factor affecting the quality of life in cases of juvenile idiopathic arthritis. The indices responsible for the physical (p&lt;0.001), role (borderline&nbsp;significance, p=0.04) functioning, and intensity of pain (p&lt;0.001) were decreased, compared with the control group. However, the indicators responsible for psychological function in patients with JIA did not differ from the control group. The correlation analysis revealed significant negative association between disability severity (HAQ) and physical function (r=-0,56, p&lt;0.001), role function (r=-0,33, p&lt;0.001), pain intensity (r=-0,60, p&lt;0.001), general health (r=-0,40, p=0.01), vital activity (r=-0,46, p&lt;0.001), social function (r=-0,48, p&lt;0.001), mental health (r=-0,42, p&lt;0.001).</p> <p><strong>Conclusion.</strong>&nbsp;In our transitional cohort of patients at the era of biological therapies, juvenile idiopathic arthritis had a larger effect on the physical than mental SF-36 subscale. The pain was the main factor influencing the quality of life.</p> 2017-12-08T17:45:11+00:00 ##submission.copyrightStatement## Neurocognitive recovery of patients with paranoid schizophrenia 2017-12-11T08:55:40+00:00 Olena Molchanova <p><strong>Background. </strong>At present neurocognitive impairment is considered a core feature of schizophrenia. This statement is grounded on cognitive impairment stability, the persistence of cognitive impairment independently of the disease stage and other symptoms of schizophrenia. The relevance of the search for cognitive remediation methods is determined by the influence of cognitive functioning on the functional outcome in patients with schizophrenia. In order to solve this problem, scientists are actively investigating such direction in the treatment of patients with this psychopathology as «neurocognitive therapy» or neurocognitive training.</p> <p><strong>Objective.</strong>To evaluate the effectiveness of neurocognitive training in patients with paranoid schizophrenia.</p> <p><strong>Methods and materials. </strong>The patients who matched inclusion criteria were assessed on Positive and Negative Syndrome Scale (PANSS), Personal and Social Performance scale (PSP), neuropsychological tests (Trail Making Test part A and B, Wisconsin Card Sorting Test, Luria test) at the baseline, 1st and 6th month. All patients who were included in the study were randomly assigned into two groups. The intervention group (n=40) underwent a standard supportive treatment and neurocognitive training. The control group (n=31) received supportive medication treatment alone.</p> <p><strong>Results. </strong>After 1st month, a statistically significant difference between the intervention and control groups was found both for the overall PANSS score improvement and improvement in several items, which represented the cognitive decline. Total PSP score increased significantly in the intervention group from 41-50 to 51-60 (р=0.0001). In Wisconsin Card Sorting Test the proportion of incorrect answers decreased by 31.4% (р=0.0001), perseverative errors by 20.1% (р=0.042), the number of completed categories increased by 33.5% (р=0.002).</p> <p><strong>Conclusion. </strong>The proposed neurocognitive training program showed positive results, which was reflected in a statistically significant improvement in PANSS score and cognitive tests performance in the intervention group compared to control group after treatment course and additional 5 months of the observation.</p> 2017-11-29T08:54:33+00:00 ##submission.copyrightStatement## Vegetarian diet as a risk factor for depression 2017-11-27T21:30:28+00:00 Azize Asanova <p>Almost every person tried to practice some diet at least once in own life. But it’s little known about the health effects that can have a severe restriction of certain food products, especially, if this diet is vegetarian.</p> <p>&nbsp;</p> 2017-11-27T12:37:24+00:00 ##submission.copyrightStatement##