Psychosomatic Medicine and General Practice https://e-medjournal.com/index.php/psp 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 en-US ook@e-medjournal.com (Olena Khaustova (Олена Олександрівна Хаустова)) a@e-medjournal.com (Vitaliy Bezsheiko) Wed, 05 Sep 2018 00:00:00 +0000 OJS 3.1.1.4 http://blogs.law.harvard.edu/tech/rss 60 Prevalence of motor disorders and repetitive movements among children with Autism spectrum disorders and Tics disorders https://e-medjournal.com/index.php/psp/article/view/133 <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## http://creativecommons.org/licenses/by/4.0 https://e-medjournal.com/index.php/psp/article/view/133 Wed, 10 Oct 2018 10:55:06 +0000 Impairment of the еmotion control and social functioning in psychoses with depressive-paranoid symptoms https://e-medjournal.com/index.php/psp/article/view/88 <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## http://creativecommons.org/licenses/by/4.0 https://e-medjournal.com/index.php/psp/article/view/88 Thu, 04 Oct 2018 10:15:58 +0000 Acupuncture in the treatment of stroke: Invitation to the discussion https://e-medjournal.com/index.php/psp/article/view/138 Olena Khaustova ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 https://e-medjournal.com/index.php/psp/article/view/138 Mon, 24 Sep 2018 13:23:44 +0000 Typical difficult situations in doctor-patient interactions https://e-medjournal.com/index.php/psp/article/view/125 <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## http://creativecommons.org/licenses/by/4.0 https://e-medjournal.com/index.php/psp/article/view/125 Thu, 13 Sep 2018 07:27:06 +0000 Social anxiety disorder: relevance and perspectives https://e-medjournal.com/index.php/psp/article/view/103 <p>This article aims to generalize current knowledge and research on the epidemiology, etiology and pathogenetic mechanisms of social anxiety disorder. At the same time, its purpose is to highlight the urgent problem of low treatment of people suffering from sociophobia, that associated with the features of the clinical picture, due to neurobiological and psychosocial factors, as well as important problems in the organization of providing mental health services.</p> Oleksandr Avramchuk ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 https://e-medjournal.com/index.php/psp/article/view/103 Mon, 10 Sep 2018 11:08:39 +0000