The main clinical and psychopathological phenomena of social phobia and features of its subjective evaluation in students

Authors

  • Наталія Григорівна Пшук Vinnitsa National Medical University. Pirogov str. Pirogov, 56, Vinnytsia, Ukraine, 21018, Ukraine
  • Дмитрий Павлович Слободянюк Vinnitsa National Medical University. Pirogov str. Pirogov, 56, Vinnytsia, Ukraine, 21018, Ukraine
  • Олександр Вікторович Довгань National Pirogov Memorial Medical University Vinnytsya str. Pirogov, 56, Vinnytsya, Ukraine, 21018, Ukraine
  • Павло Михайлович Слободянюк Vinnitsa National Medical University. Pirogov str. Pirogov, 56, Vinnytsia, Ukraine, 21018, Ukraine

DOI:

https://doi.org/10.15587/2313-8416.2015.48024

Keywords:

social phobia, students, clinical and psychological phenomena, anxiety, depression, weight, psycho-social stress

Abstract

Aim – to carry out the comparative analysis of features of subjective perception of own psychic state in students depending on presence/absence of the signs of social phobia for detecting the necessity of the further medical and psychological work with this contingent.

Contingent. The 120 1-11year students of Vinnitsa national medical University.

Methods. Clinical and psychopathological, psychodiagnostic ones with the use of M. Lubovits social anxiety scale, C. D. Spilberg-Y.L. Hanin methodology of diagnostic of self-rating, Zunge methodology of differential diagnostics of depressive states and L. Rider psychosocial stress scale.

Results. The main clinic and psychological phenomena of social phobia (SP) in students are: the fear of assessment (critic, blame) of another people in social situations; pronounced constant fear of situations of self-presentation in front of people when the feeling of agitation or humiliation can appear; drive to avoid situations that arouse fear; the high level of pathologic anxiety; the signs of depressive reaction; the high load of psychosocial stress-factors.

Among the variants of distortion of interaction between a person with SP and society the next ones are peculiar for students: deformation of relationship “person – micro social environment” as a main factor of social maladjustment – 13,4 %; deformation of relationship “person – meso social environment” as a main factor of social maladjustment – 37,3 %; deformation of relationships “person – general social sphere” as a main factor of social maladjustment – 49,3 %.

Conclusions. The described features of subjective evaluation of clinical and psychological SP in students were used as a basis at elaboration of complex program of psychocorrection and psychoprophylaxis of social maladjustment in given contingent

Author Biographies

Наталія Григорівна Пшук, Vinnitsa National Medical University. Pirogov str. Pirogov, 56, Vinnytsia, Ukraine, 21018

MD, professor. Head of Department

Department of Medical Psychology and Psychiatry with the course of Postgraduate Education

Дмитрий Павлович Слободянюк, Vinnitsa National Medical University. Pirogov str. Pirogov, 56, Vinnytsia, Ukraine, 21018

Postgraduate Department

Department of Medical Psychology and Psychiatry with the course of Postgraduate Education

Олександр Вікторович Довгань, National Pirogov Memorial Medical University Vinnytsya str. Pirogov, 56, Vinnytsya, Ukraine, 21018

Candidate of medical science, Associate Professor

Department of Normal Physiology,

Павло Михайлович Слободянюк, Vinnitsa National Medical University. Pirogov str. Pirogov, 56, Vinnytsia, Ukraine, 21018

Candidate of medical science, Assistant Professor

Department of Medical Psychology and Psychiatry with the course of Postgraduate Education

References

Khobzey, M. K., Voloshin, P. V., Maruta, N. A. et al. (2012). The state of mental health and prospects of psychiatric care in Ukraine. Bulletin of Ukrainian neuropsychiatrist, 20 (3), 13–18.

Cooper, P. J., Eke, M. (1999). Childhood shyness and maternal social phobia: a community study. The British Journal of Psychiatry, 174 (5), 439–443. doi: 10.1192/bjp.174.5.439

Kozhinа, G. M., Markovа, M. V. (2012). Diagnostics of adaptation in junior students high school. Modern methods of diagnosis, treatment and rehabilitation of mental and somatic disorders of psychogenic origin (XV Platonic reading). Kharkiv, 2, 117–118.

Stukan, L. (2005). Social phobia in the general structure of neurotic disorders in adolescents. Archives of Psychiatry. 11 (1(40)), 84–87.

Schmidt, L., Brook, C. A. (2008). Social anxiety disorder: A review of environmental risk factors. Neuropsychiatric Disease and Treatment, 4 (1), 123–143. doi: 10.2147/ndt.s1799

Davis, M. A. (2012). Literature Review on Counseling Groups for Social Phobia. Graduate Journal of Counseling Psychology, 3 (1), 1–13.

Staugaard, S. R. (2010). Threatening faces and social anxiety: A literature review. Clinical Psychology Review, 30 (6), 669–690. doi: 10.1016/j.cpr.2010.05.001

Mathew, S. J., Ho, S. (2006). Etiology and neurobiology of social anxiety disorder. J Clin Psychiatry. 67 (12), 9–13.

Clark, D. M., Ehlers, A., Hackmann, A., McManus, F., Fennell, M., Grey, N. et. al. (2006). Cognitive therapy versus exposure and applied relaxation in social phobia: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 74 (3), 568–578. doi: 10.1037/0022-006x.74.3.568

Mörtberg, E., Clark, D. M., Sundin, Ö., Åberg Wistedt, A. (2007). Intensive group cognitive treatment and individual cognitive therapy vs. treatment as usual in social phobia: a randomized controlled trial. Acta Psychiatr Scand, 115 (2), 142–154. doi: 10.1111/j.1600-0447.2006.00839.x

Raigorodskii, D. Ya. (2008) Practical psychodiagnostics. Methods and tests. Samara: Publishing Home "Bahr M", 672.

Kornatskyy, V. M., Markovа, M. V., Stepanova, N. M., Babych, V. V. (2007). Evaluation of psychosocial risk factors for cardiovascular diseases in patients of primary health care (guidance). Kyiv, 14.

Published

2015-08-20

Issue

Section

Medical