Аdjustment disorders in students who have suffered psychoemotional stress: systematic review of diagnostics, treatment and preventive care
DOI:
https://doi.org/10.26641/2307-0404.2021.4.248082Keywords:
students, adjustment disoders, psychoemotional stress, psychocorrection, preventionAbstract
Currently, the mental health problem of students, which often leads to the creation of unfavorable foundations for the development of non-psychotic mental disorders, is particularly relevant and socially significant. The purpose of this article was to conduct a systematic literature review of the current state of the problems of students` adjustment disorders, taking into account interventions aimed at preventing and correcting them, and analyzing the results. We searched the electronic databases Oxford, Google Scholar, PubMed, Medline and Web of Science, ScienceDirect, Scopus, Cyberleninka, PsycInfo on prevalence, adverse effects, and interventions in students with adjustment disorders. Of the 25 studies published over the period from 2004 to 2020, 10 (40%) data on treatment and preventive measures are reported. The search revealed that interventions aimed at correcting and preventing adjustment disorders in students may improve various aspects of well-being, including psychological, pedagogical and medical ones. However, the evidence is limited by the relative inadequacy of long-term and reliable experimental studies. In view of this, it is advisable to further implement larger projects and conduct broader and longer-term research, which will contribute to a more reliable and in-depth study of the impact and effectiveness of such interventions. Based on a scientific search, the theoretical and methodological foundations of psychocorrection of students with adjustment disorders are substantiated, taking into account the specifics of the mental functioning of this category. While there are few works devoted to the study of developmental issues, clinical and psychopathological features, dynamics of non-psychotic mental disorders, taking into account gender and organizational factors in university students in the context of higher education reform, such issues require further study applying systemic approach in order to develop and implement in practice the early diagnosis as well as corrective and preventive measures.
References
Beshulya OA. [The role of social support as a psychosocial factor in the formation of depression in students with adjustment disorders]. Novoobrazovanie. 2020;12(1):22-26. Russian.
Bukhanovskaya OA, Demcheva NK. [Psychopathological characteristics of neurotic, stress-related and somatoform disorders in medical students]. Vestnik nevrologii, psikhiatrii i neyrokhirurgii. 2019;9:20-33. Russian.
Demcheva NK, Bukhanovskaya OA. [Mental disorders of the preclinical level in students of medical and technical universities in a comparative aspect]. Vestnik nevrologii, psikhiatrii i neyrokhirurgii. 2019;8:3-15. Russian.
Zelenska KO. [Comparative analysis of the features of adaptation to educational activities of first-year studentst]. Tavricheskiy zhurnal psikhiatrii. 2011;15(2(52):22. Russian.
Ignatenko GA, Kiosev NV. [Pathophysiological aspect and psychofunctional features of the formation of adaptation disorders in student youth]. Universitetskaya klinika. 2019;4(33):92-100. Russian. doi: https://doi.org/10.26435/uc.v0i4(33).435
Kіoseva OV. [Psychopathological characteristics of the emotional sphere in junior students]. Ukrainskyi vіsnyk psikhonevrologіi. 2016;24(1(86):60-63. Russian.
Kozhina GM, Gaychuk LM, Shikova VV. [The effectiveness of psychoeducational programs in providing assistance to people who have experienced extreme events]. Ukrainskyi vіsnyk psikhonevrologіi. 2015;23(83):109. Ukrainian.
Malakhov PS, Asieieva YuO, Kharіtonova AS. [Problems of adaptation of medical students]. Medychna psikholohіia. 2016;2:3-5. Ukrainian.
Melnichuk MG. [Training program for psychosocial adaptation of foreign students in the learning process]. Vіsnyk Kharkіvskoho natsіonalnoho pedahohіchnogo unіversitetu іmenі GS Skovorody. Psikholohіia. 2014;49:80-86. Ukrainian.
Maruta NO. [The state of mental health of the population and psychiatric care in Ukraine]. Neyro News: psikhonevrologiya i neyropsikhiatriya. 2010;5(24):83-83. Russian.
Gorelik SG, et al. [Evaluation of the effectiveness of the methodology for correcting the psychoemotional state of medical students]. Nauchnyi rezultat. Ser. Me ditsina i farmatsiya. 2017;3(3):65-73. Russian. doi: https://doi.org/10.18413/2313-8955-2017-3-3-65-74
Pshuk NG, Slobodyanyuk DP. [The role of psychosocial factors in the genesis of social maladaptation in student youth]. Ukrainskyi vіsnyk psikhonevrolohіi. 2015;23(83):86-91. Ukrainian.
Rogozina MA, Podvigin SN. [Early diagnosis of borderline mental disorders in medical students]. Sistemnyi analiz i upravleniye v biomeditsinskikh sistemakh. 2009; (3):720-2. Russian.
Ruzhenkova VV. [Prevalence and clinical structure of mental disorders in medical students (problems of primary and secondary psychoprophylaxis)]. Nauchnye rezultaty biomeditsinskikh issledovaniy. 2020;6(1):135-53. Russian.
doi: https://doi.org/10.18413/2658-6533-2020-6-1-0-12
Semke AV, Shadrin VN. [Prevalence of psychopathological disorders in first-year medical students]. Psikhicheskoe zdorove. 2012;4:29-32. Russian.
Sіnayko VM, Khaustov MM. [Comprehensive assessment of the dynamics of mental maladaptation in students of medical higher education]. Arkhіv psikhіatrіi. 2018; 24(4):212-5. Ukrainian.
Strizhev VA, Boyko EO, Lozhnikova LE, Zaytseva OG. [Anxiety and Depression Disorders in the Medical Student Environment]. Kubanskii nauchnyi meditsinskii vestnik. 2016;2(157):126-31. Russian.
doi: 10.25207/1608-6228-2016-2-126-131
Khaustov MM. [Methodology and effectiveness of the system of psychotherapeutic correction of adap¬tation disorders in students]. ScienceRise. Medicalscience. 2018;6:54-58. Ukrainian. doi: : https://doi.org/10.15587/2519-4798.2018.143068
Khaustov MM. [Systematization of risk factors for the formation of maladaptation in students in modern conditions]. ScienceRise. Medicalscience. 2017;10:44-48. doi: https://doi.org/10.15587/2519-4798.2017.113511
Borst JM, Frings-Dresen MH, Sluiter JK. Prevalence and incidence of mental health problems among Dutch medical students and the study-related and personal risk factors: a longitudinal study. Int J Adolesc Med Health. 2016 Nov 1;28(4):349-55. doi: https://doi.org/10.1515/ijamh-2015-0021
Colbert-Getz JM, Fleishman C, Jung J, Shilkofski N. How do gender and anxiety affect students’ self-assessment and actual performance on a high-stakes clinical skills examination? Acad. Med. 2013;88:44-48. doi: https://doi.org/10.1097/ACM.0b013e318276bcc4
Mirza AA, Baig M, Beyari GM, Halawani MA, Mirza AA. Depression and Anxiety Among Medical Students: A Brief Overview. Adv Med Educ Pract. 2021 Apr21;12:393-8. doi: https://doi.org/10.2147/AMEP.S302897
Ludwig AB, Burton W, Weingarten J, Milan F, Myers DC, Kligler B. Depression and stress amongst un¬dergraduate medical students. BMC Med Educ. 2015 Aug 27;15:141.
doi: https://doi.org/10.1186/s12909-015-0425-z
Kaewpila W, Thaipisuttikul P, Awirutworakul T, Jumroonrojana K, Pitidhammabhorn U, Stevens F. Depressive disorders in Thai medical students: an exploratory study of institutional, cultural, and individual factors. Int J Med Educ. 2020 Dec 26;11:252-60. doi: https://doi.org/10.5116/ijme.5fbe.4ce5
Brenneisen Mayer F, Souza Santos I, Silveira PSP, et al. Factors associated to depression and anxiety in medical students: a multicenter study. BMC Med. Educ. 2016;16:282.19.
doi: https://doi.org/10.1186 / s12909-016-0791-1
Bassols AM, Okabayashi LS, Silva AB, Car¬neiro BB, Feijó F, Guimarães GC, Cortes GN, Rohde LA, Eizirik CL. First- and last-year medical students: is there a difference in the prevalence and intensity of anxiety and depressive symptoms? Braz J Psychiatry. 2014 Sep;36(3):233-40. doi: https://doi.org/10.1590/1516-4446-2013-1183
Hope V, Henderson M. Medical student depression, anxiety and distress outside North America: a systematic review. MedEduc. 2014 Oct. 48(10):963-979. doi: https://doi.org/10.1111/medu.12512
Moreira de Sousa J, Moreira CA, Telles-Correia D. Anxiety, Depression and Academic Performance: A Study Amongst Portuguese Medical Students Versus Non-Medical Students. Acta Med Port. 2018 Sep 28;31(9):454-62. doi: https://doi.org/10.20344/amp.9996
Pan MC, Yang E. PTSD symptoms, emotion regulation difficulties, and family functioning among trauma-exposed college students. Curr Psychol. 2021. doi: https://doi.org/10.1007/s12144-021-01896-0
Rotenstein LS, Ramos MA, Torre M, Segal JB, Peluso MJ, Guille C, Sen S, Mata DA. Prevalence of Depression, Depressive Symptoms, and Suicidal Ideation Among Medical Students: A Systematic Review and Meta-Analysis. JAMA. 2016 Dec 6;316(21):2214-36. doi: https://doi.org/10.1001/jama.2016.17324
Bert F, Lo Moro G, Corradi A, Acampora A, Agodi A, Brunelli L, Chironna M, Cocchio S, Cofini V, D'Errico MM, Marzuillo C, Pasquarella C, Pavia M, Restivo V, Gualano MR, Leombruni P, Siliquini R; Collaborating Group. Prevalence of depressive symptoms among Italian medical students: The multicentre cross-sectional "PRIMES" study. PLoS One. 2020 Apr 17;15(4):e0231845. doi: https://doi.org/10.1371/journal.pone.0231845
Al Saadi T, Zaher Addeen S, Turk T, Abbas F, Alkhatib M. Psychological distress among medical students in conflicts: a cross-sectional study from Syria. BMC Med Educ. 2017 Sep 20;17(1):173. doi: https://doi.org/10.1186/s12909-017-1012-2
Zhang X, Niu MM, Ma PF, Du L, Wan L. Psychotherapy for depression in college students: A protocol for systematic review and network meta-analysis. Medicine (Baltimore). 2020 Sep 25;99(39):e22344. doi: https://doi.org/10.1097/MD.0000000000022344
Slavin SJ, Chibnall JT. Finding the Why, Changing the How: Improving the Mental Health of Medical Students, Residents, and Physicians. AcadMed. 2016 Sep;91(9):1194-6. doi: https://doi.org/10.1097/ACM.0000000000001226
Strain JJ, Diefenbacher A. The adjustment disorders: the conundrums of the diagnoses. Сompr. Psych. 2008;49(2):121-30. doi: https://doi.org/10.1016/j.comppsych.2007.10.002
Yin Y, Yang X, Gao L, Zhang S, Qi M, Zhang L, Tan Y, Chen J. The Association Between Social Support, COVID-19 Exposure, and Medical Students' Mental Health. Front Psychiatry. 2021 May 24;12:555893. doi: https://doi.org/10.3389/fpsyt.2021.555893
Yaseen YA. Adjustment disorder: Prevalence, sociodemographic risk factors, and its subtypes in outpatient psychiatric clinic. Asian J Psychiatr. 2017 Aug;28:82-85. doi: https://doi.org/10.1016/j.ajp.2017.03.012
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