Psychosomatic Medicine and General Practice
https://e-medjournal.com/index.php/psp
<p>Psychosomatic Medicine and General Practice (PMGP) is an electronic open-access medical journal. We publish original research articles, reviews, and case studies that disclose relevant diagnostic and treatment issues for disorders covered by these disciplines. </p>Private Publisher "Chaban O. S."en-USPsychosomatic Medicine and General Practice2519-8572CURRENT ISSUES OF MENTAL HEALTH OF MILITARY OFFICERS OF THE SECTOR OF SECURITY AND DEFENSE OF UKRAINE
https://e-medjournal.com/index.php/psp/article/view/469
<p><strong><em>Abstract.</em></strong></p> <p>The article examines the problems faced by military and medical psychologists, specialists in moral and psychological support, chaplains who work directly with servicemen in military units and units. Special attention is paid to the effective system of training the specified categories of servicemen and workers in the direction of providing qualified medical and psychological assistance to servicemen and civilians who have psychological and psychiatric problems that arose during the suprathreshold action of stressors related to the war.</p> <p>In the course of a theoretical analysis of the historical evolution of the methods of providing psychological assistance to military and civilian contingents in wars and local conflicts of the past century and the present, and taking into account the results obtained, problematic issues of prevention of occurrence and treatment of diseases related to the health of servicemen of the sector were identified and characterized security and defense of Ukraine with the help of reforming military education in the direction of fundamentally new approaches to the training of military personnel who work directly with this category of servicemen, we will characterize the definition of "mental health" in the "health" system in general.The investigated issue is extremely important in the system of moral, psychological and medical support, the quality and timeliness of the provision of psychological and psychiatric services aimed at maintaining the mental health of military personnel at an appropriate level depends not only on their high-quality performance of assigned tasks, but also to a large extent on prevention suicidal cases and other severe psychiatric pathology, which causes military personnel to be unfit for work.</p>Oksana ShemchukNataliia VasiukovaNataliia DzeruzhynskaVadim Shemchuk
Copyright (c) 2024 Оксана Шемчук, Наталія Васюкова, Наталія Дзержинська, Вадим Шемчук
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2023-12-312023-12-318410.26766/pmgp.v8i4.469Non-psychotic psychiatric disorders in patients with chronic somatic non-communicable diseases under conditions of permanent stress: The role of metabolic therapy
https://e-medjournal.com/index.php/psp/article/view/467
<p align="justify"><strong>Abstract.</strong> The article discusses the current issues of comorbidity between mental disorders and chronic non-infectious somatic diseases, highlighting the importance of a multidisciplinary patient-centered approach in the treatment of these conditions. Additionally, in light of the negative impact of the Russian military aggression on the mental health of Ukrainians, this paper presents the positive experience of using the dietary supplement Cognitium® in a regimen of 1 ampule twice a day as an additional therapy for non-psychotic mental disorders in adult patients with chronic somatic diseases under conditions of chronic stress. The positive impact of Cognitium® was noted in the reduction of affective, cognitive and somatoform symptoms, specifically: decreasing in the level of anxiety and depression, mood stabilization, improvement of concentration and memorization of new information, increasing energy levels, restoration of sleep and appetite.</p>Oleg ChabanOlena KhaustovaYevgen Tymoshchuk
Copyright (c) 2024 Олег Чабан, Олена Хаустова, Є. Тимощук
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2023-12-312023-12-318410.26766/pmgp.v8i4.467New standards for training mental health professionals at the postgraduate level.
https://e-medjournal.com/index.php/psp/article/view/466
<p><strong>Abstract. </strong><em>The article deals with the issues of quality training of professionals in the field of mental healthcare, which is an urgent problem in the context of the war in Ukraine. Postgraduate medical education is an important stage of their training and is included in the ongoing professional development of psychiatrists as a process of continuous enhancement of professional knowledge and skills. Specialization is one of the types of training for mental health professionals.</em></p> <p><em>Taking into consideration the complex challenges of the current stage of postgraduate education development in Ukraine and the new standards of higher education introduced in our country, the academic staff of the Department of Psychiatry, Psychotherapy and Medical Psychology of Shupyk National Healthcare University of Ukraine has developed an educational programme of specialization in Psychiatry.</em></p> <p><em>The aim of this programme is to train professionals capable of solving complex tasks and innovative problems in the field of mental healthcare, as well as preventive mental health, psychodiagnostics, psychocorrection and treatment of mental health-related diseases which are characterized by uncertainty of conditions and requirements and may require research and/or innovation.</em></p> <p><em>Its main task is to develop key competencies in the field of mental healthcare.</em></p> <p><em>The programme consists of educational and practical components and is designed for 900 hours, which is 30 ECTS credits.</em></p> <p><em>There are 202 hours of independent work, which is 22% of the total. This should facilitate more active involvement of participants of the educational process in learning, as well as delegate the responsibility for acquiring knowledge and skills to them. </em></p> <p><em>An important component of the programme is the list of mandatory competences (integral, general and professional) that doctors must acquire during the learning cycle and that will determine their ability to successfully carry out professional activities. Programme learning outcomes, as well as matrices of compliance with the defined results, competences and components of the educational programme have been introduced to determine the effectiveness of the educational process.</em></p> <p><em>Thus, this educational programme of specialization in Psychiatry reflects modern changes in the training of professionals at the postgraduate level of medical education.</em></p>Oksana ZubatiukGalyna Pyliagina
Copyright (c) 2023 Оксана Зубатюк
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2023-12-312023-12-318410.26766/pmgp.v8i4.466Catharsis as a condition for building youth resilience during war
https://e-medjournal.com/index.php/psp/article/view/465
<p>This manuscript is the abstract of the VI Scientific and Practical Conference with International Participation "Psychosomatic Medicine: Science and Practice", held on November 2-3, 2023 in Kyiv on the Mediamed platform.</p>Valeriia Sodolevska
Copyright (c) 2023 Валерія Содолевська
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2023-11-022023-11-028410.26766/pmgp.v8i3.465Social functioning impairment in patients with depressive disturbances under war stress
https://e-medjournal.com/index.php/psp/article/view/414
<p>The psychotraumatic factors that occurred during the war of 2022-2023 significantly affect the exacerbation / onset and manifestations of depressive syndrome (DS) in schizophrenia spectrum disorders (SSD) and neurotic depressive disorders (NDD), as well as worsen the level of social functioning (SF) of patients.</p> <p><strong>Objective.</strong> To study the SF impairment in patients with DS in patients with SSD and NDD, and the relationship between the stress factors and the exacerbation of psychopathological symptoms and their severity in these patients.</p> <p><strong>Methods and materials.</strong> There was conducted psychopathological examination of 92 patients with SSD (schizophrenia, Sch and schizoaffective disorder, SchAD) and neurotic DR (recurrent depression, RD and depressive reaction as adjustment disorders, AD) who experienced severe stress during the war.</p> <p><strong>Results. </strong>In the research the largest number of patients were women (60.9% of cases). Among patients aged 18 - 25 years, majority of cases was the patients with AD (46.2%), in the group of 26 - 35 years - with SSD (50,0% with Sch and with SchAD). The vast majority of RD cases were presented among patients aged 36-50 years. Depressive syndrome significantly prevailed in patients with RD, and depressive-phobic syndrome in patients with AD. Whereas, depressive-delusional syndrome was most often diagnosed in patients with SSD.</p> <p>Among all examined patient’s reactive exacerbation of the main disease (in case of SSD and RD), as well as the development of RA occurred as a result of a significant impact of stress factors of different content, but related to the war in all cases.The most frequent of these were the feeling of "war fatigue", uncertainty and/or hopelessness about the future (in general 82% of patients with RD and RA); difficulties during evacuation, caused a strong increase in family conflicts, especially in patients with SSD (57.9% of cases in general) and RA; significant reduction of money for life.</p> <p>The impairment of SF in patients with various mental disorders and DS as a result of war-related stressors was mainly manifested in significant difficulty in daily professional and household duties (91.3% of all patients); the feeling of social support lacks and loneliness; frequent and/or prolonged interpersonal conflicts; as well as a strong financial problem.</p> <p>Other psychopathological features associated with DS that develop under the war stress influence and worsened the level of patients' SF were sleep disturbances (97.8% of cases) with a significant direct correlation with a significant difficulty in daily activities; self-disbelief and hopelessness, as well as the emergence or strong increasing of suicidal thoughts were noted by more than 80% of the examined patients (36.0% of patients with NDDs had suicide attempts or self-injurirs - most often in AD); constant fatigue (80.0% of patients with NDDs).</p> <p><strong>Conclusion. </strong>Understanding the impact of war-related stressors on the manifestations of DS, and the features and level of SF impairment need the use of treatment and rehabilitation complex for patients with DS (with SSD and NDD) who have experienced a severe psychotraumatic situation. It will allow timely and effective treatment of reactive states (relapses of psychotic episodes), take to account into the severity and characteristics of DS, and the content and severity of stressful effects in order to achieve remission, restore social adaptation of patients, and reduce the risk of self-destructive or aggressive behavior of them.</p>Galyna PyliaginaEugenia GrinevichBorys Mykhaylov
Copyright (c) 2023 Галина Пилягіна, Євгенія Гриневич, Борис Михайлов
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2023-12-312023-12-318410.26766/pmgp.v8i4.414