Psychosomatic Medicine and General Practice 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 Private Publisher "Chaban O. S." en-US Psychosomatic Medicine and General Practice 2519-8572 Prevalence of motor disorders and repetitive movements among children with Autism spectrum disorders and Tics disorders <p><strong>Background.&nbsp;</strong>Children with autism spectrum disorders (ASD) have difficulties in the development of simulating, gross and fine motor skills, hand-eye coordination and language skills. Tics and repetitive movements often associated with ASD, intellectual deficiency.</p> <p><strong>Aim.</strong>&nbsp;To identify a relationship between tic disorders and specific developmental disorders: motor skills, speech, cognitive functions in children with ASD.</p> <p><strong>Methods.&nbsp;</strong>There were randomized 79 children aged 4-6 years with ASD, 38 children among them with comorbid tics disorders (TD). For the diagnosis of ASD were used diagnostic criteria of ICD-10, Autism Diagnostic Interview-Revised (ADI-R), Autism Diagnostic Observation Schedule (ADOS). The development of motor skills, speech, and cognitive function was assessed using Psycho-educational Profile (PEP-R). For the diagnosis of comorbid mental disorders ware conducted using The Development and Well-Being Assessment (DAWBA). As motor disorders considered tics, abnormal movements associated with ADHD, anxiety and obsessive-compulsive disorders. Tics were assessed by Yale Global Tic Severity Scale (YGTSS).</p> <p><strong>Results.&nbsp;</strong>In children with ASD and comorbid TD was noted retardation of formation of gross motor skills in comparison with the control group by PEP-R. It was also noted delay in the formation of skills in receptive speech and gross motor skills in accordance with the results of evaluation by using Vineland-II.</p> Kostiantyn Dubovyk ##submission.copyrightStatement## 2018-10-10 2018-10-10 3 3 e0303133 e0303133 10.26766/pmgp.v3i3.133 Impairment of the Šµmotion control and social functioning in psychoses with depressive-paranoid symptoms <p><strong>Background.</strong> The problem of social functioning is one of the most relevant at the present stage. Over the past decades, first being in the sphere of interests of social psychiatry it has become one of the main focuses of research in clinical psychiatry. The number of works on this topic is increasing and motivating researchers to look for predictors of violations in social functioning. Recently, a lot of attention in these studies is devoted to the study of social cognition. Though, the studies are carried out within the framework of individual nosology types. At the same time, in our opinion, it would be interesting to expand the study using the syndromological approach in the "broad field" of psychotic disorders.</p> <p><strong>Aim.</strong> Study of social cognition in patients with depressive-paranoid symptoms in psychotic disorders with the following nosology types: paranoid schizophrenia (F 20.0), schizoaffective disorder, depressive type (F25.1) and recurrent depressive disorder, current episode severe with psychotic symptoms of inpatient treatment at the stage of remission.</p> <p><strong>Materials and methods.</strong> 61 patients have been examined. They are divided into three groups according to nosology types: 1 group - 21 patients with a diagnosis of paranoid schizophrenia (F 20.0 - Sch), group 2 - 23 patients diagnosed with depressive type of schizoaffective disorder (F 25.1 - SchAD) ) and group 3 - 17 patients suffering from recurrent depressive disorder (F 33.3 - RDD). The evaluation of social cognition, namely the level of emotion management, was conducted using the Russian-language version of the test of J. Meier, P. Selovey and D. Caruso "Emotional Intelligence" (MSCEIT V. 2.0) in the adapted version of E.A. Sergienko,&nbsp;I.I. Vetrova [1] *. One of the four branches of the test was used, namely, "Emotion Management", as well as PANSS and PSP scales.</p> <p><strong>Results.</strong> The MSCEIT test emotion control scales are within the normal range, but the ratios are different in three groups: in the group of patients with Sch (and is the highest among the three groups), the indicators of the regulation scale of their own emotional states in relation to the indicators of emotional regulation of the states of other people prevail. The opposite picture is observed in the group of patients with SchAD. At the same time, the group of patients with RDD has low rates on both scales, but they are close to the lower boundary of the norm. Consequently, at each of the nosology types there is a specificity of cognitive impairment caused by the major disease. It is also indicative that the clinical picture of schizophrenia and schizoaffective disorder is similar but opposite in terms of MSCEIT indicators. The revealed link of indicators of the function of managing emotions and the level of social functioning allows us to determine the "targets" for rehabilitation programs in Sch (regulation of emotional states of other people) and RDD (regulation of their own emotional states). However, in this study, no such "targets" have been detected in the SchAD. There has been detected no clear link between the level of social functioning and the severity of the negative (deficient) symptoms, which for a long time has been considered the main factor of social maladaptation, but our data require additional research and more observations.</p> <p><strong>Conclusion.</strong> The connection of certain psychopathological symptoms with the indicators of emotional management function allows to determine the "risk groups" among patients with each of the nosology types, which in advance can direct psychotherapeutic or psycho-rehabilitation measures focused on the correction of detected cognitive impairments.</p> Oksana Viktorivna Zubatiuk Galyna Yakivna Pyliagina ##submission.copyrightStatement## 2018-10-04 2018-10-04 3 3 e030388 e030388 10.26766/pmgp.v3i3.88 Acupuncture in the treatment of stroke: Invitation to the discussion Olena Khaustova ##submission.copyrightStatement## 2018-09-24 2018-09-24 3 3 e0303138 e0303138 10.26766/pmgp.v3i3.138 Typical difficult situations in doctor-patient interactions <p>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.</p> Azize Asanova Olena Khaustova ##submission.copyrightStatement## 2018-09-13 2018-09-13 3 3 e0303125 e0303125 10.26766/pmgp.v3i3.125 Social anxiety disorder: relevance and perspectives <p><strong>Background.</strong> 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.</p> <p><strong>Aim.</strong> Generalization of actual knowledge and research on the aetiology and pathogenetic mechanisms of social phobias and coverage of the actual issues of low referral of people suffering from social phobia.</p> <p><strong>Methods.</strong> For review, the following databases, such as ScienceDirect, ResearchGate, PubMed and Google Scholar, were used. The search was performed using the keywords: social anxiety disorder, sociophobia, social anxiety, cognitive-behavioral model, neurobiology, mental health.</p> <p><strong>Results.</strong> The general information about social anxiety disorder, its prevalence and its consequences were covered. The main etiological mechanisms, modern views on the neurobiological and psychological basis of the disorder are considered. In addition, the peculiarities of the clinical picture and its influence on the social functioning of the individual, including the referral of help, were analyzed. The aspects that are useful to consider during the development of recommendations for specialists in general medical practice and centers of public mental health were suggested.</p> <p><strong>Conclusions.</strong> A social anxiety disorder should be considered as a complex mental health disorder. Recognition of signs of social anxiety disorder in their component often leads to a false interpretation of clinical signs as manifestations of depression or other neurotic disorders among primary care professionals. Informing general practitioners and specialists of public mental health centers about the traits of the clinical picture and the social functioning of patients with this disorder can help to overcome the stigma and improve the referral of qualified assistance.</p> Oleksandr Avramchuk ##submission.copyrightStatement## 2018-09-10 2018-09-10 3 3 e0303103 e0303103 10.26766/pmgp.v3i3.103