State of social and psychological adaptation in patients with depressive disorders, taking into account the gender factor
DOI:
https://doi.org/10.15587/2519-4798.2021.227876Keywords:
depressive disorders, socio-psychological adaptation, gender features, maladaptation, emotional discomfortAbstract
The aim: to establish the features of socio-psychological adaptation in patients with depressive disorders, taking into account age and gender factor.
Materials and methods. A clinical and psycho-diagnostic examination of 107 men and 138 women with depressive disorders using the method of diagnosis of socio-psychological adaptation of C. Rogers et R. F. Dymond was done.
Results. A low level of socio-psychological adaptation in patients with depressive disorders has been established. There is a tendency to deteriorate socio-psychological adaptation with age, the most pronounced in level of adaptability, emotional comfort, payroll, integrated indicators of adaptation, self-acceptance and emotional comfort in all patients, and in men also in maladaptation, self-acceptance, external control, and women – regarding internality. The rates of lying, acceptance of others and dominance in men and women were highest in the middle age group (30-44 years), and lowest – in the older (over 45 years); this trend is also found in men for internal control and an integrated indicator of acceptance of others, and in women – for the desire for dominance. Differences in the comparison of the older age group with the average were more significant than in the comparison of the younger group (up to 30 years) with the average.
Conclusions. Patients with depressive disorders are characterized by a low level of socio-psychological adaptation. In both men and women, the level of socio-psychological adaptation decreases with age, and in men this trend is more pronounced. The most significant deterioration in the state of socio-psychological adaptation in patients with depressive disorders occurs at the age of over 45 years; this trend is also more common in men
References
- Vos, T., Barber, R. M., Bell, B., Bertozzi-Villa, A., Biryukov, S., Bolliger, I. et. al. (2015). Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. The Lancet, 386 (9995), 743–800. doi: http://doi.org/10.1016/s0140-6736(15)60692-4
- Malhi, G. S., Mann, J. J. (2018). Depression. The Lancet, 392 (10161), 2299–2312. doi: http://doi.org/10.1016/s0140-6736(18)31948-2
- James, S. L., Abate, D., Abate, K. H., Abay, S. M., Abbafati, C., Abbasi, N. et. al. (2018). Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet, 392 (10159), 1789–1858. doi: http://doi.org/10.1016/s0140-6736(18)32279-7
- Park, L. T., Zarate, C. A. (2019). Depression in the Primary Care Setting. New England Journal of Medicine, 380 (23), 2278–2280. doi: http://doi.org/10.1056/nejmc1903259
- Hockenberry, J. M., Joski, P., Yarbrough, C., Druss, B. G. (2019). Trends in Treatment and Spending for Patients Receiving Outpatient Treatment of Depression in the United States, 1998-2015. JAMA Psychiatry, 76 (8), 810–817. doi: http://doi.org/10.1001/jamapsychiatry.2019.0633
- Bains, N., Abdijadid, S. (2020). Major Depressive Disorder. StatPearls. Treasure Island (FL). StatPearls Publishing. Available at: https://www.ncbi.nlm.nih.gov/books/NBK559078/ Last accessed: 23.02.2021
- Hammer-Helmich, L., Haro, J. M., Jönsson, B., Tanguy Melac, A., Di Nicola, S., Chollet, J. et. al. (2018). Functional impairment in patients with major depressive disorder: the 2-year PERFORM study. Neuropsychiatric Disease and Treatment, 14, 239–249. doi: http://doi.org/10.2147/ndt.s146098
- Saragoussi, D., Christensen, M. C., Hammer-Helmich, L., Rive, B., Touya, M., Haro, J. M. (2018). Long-term follow-up on health-related quality of life in major depressive disorder: a 2-year European cohort study. Neuropsychiatric Disease and Treatment, 14, 1339–1350. doi: http://doi.org/10.2147/ndt.s159276
- Christensen, M. C., Wong, C. M. J., Baune, B. T. (2020). Symptoms of Major Depressive Disorder and Their Impact on Psychosocial Functioning in the Different Phases of the Disease: Do the Perspectives of Patients and Healthcare Providers Differ? Frontiers in Psychiatry, 11. doi: http://doi.org/10.3389/fpsyt.2020.00280
- Isakov, R. I. (2018). Psychosocial dezadaptation in women with depressive disorders of different genesis: peculiarities of diagnostics, diseases and structure. Psychiatry Neurology and Medical Psychology, 9, 82–92. doi: http://doi.org/10.26565/2312-5675-2018-9-12
- Isakov, R. I. (2018). Comparative analysis of psychosocial disadaptation and efficient symptomatics in women with depressive disorders of different geneses. Ukrains'kyi Visnyk Psykhonevrolohii, 26 (3 (96)), 20–26.
- Isakov, R. I. (2020). The socio-psychological adjustment/maladjustment in the structure of depressive disorders of different genesis in women with different levels of affliction due to the action of macrosocial level of maladaptive factors. Achievements of Clinical and Experimental Medicine, 1, 89–96. doi: http://doi.org/10.11603/1811-2471.2020.v.i1.11075
- Isakov, R. I. (2019). Features of the relationship between severity of macrosocial maladaptation and anxiety-depressive symptoms in women with different genesis depressive disorders. Archives of Psychiatry, 25 (3 (98)), 136–141. doi: http://doi.org/10.37822/2410-7484.2019.25.3.136-141
- Pshuk, N. G., Stukan, L. V., Kaminska, A. O. (2018). Introducing system of psychotherapeutic intervention for family caregivers of patients with endogenous mental disorders. Wiadomosci Lekarskie, 71 (5), 980–985.
- Mysula, Yu. I. (2020). Some features of quality of life in the primary episode of bipolar affective disorder. Bulletin of Social Hygiene and Health Protection Organization of Ukraine, 1 (83), 24–30. doi: http://doi.org/10.11603/1681-2786.2020.1.11201
- Kraus, C., Kadriu, B., Lanzenberger, R., Zarate, C. A., Kasper, S. (2019). Prognosis and improved outcomes in major depression: a review. Translational Psychiatry, 9 (1). doi: http://doi.org/10.1038/s41398-019-0460-3
- Markova, M., Rezunenko, O., Kozhyna, H. (2017). Contents and efficiency measures of psychoeducation in rehabilitation system of patients with bipolar affective disorder. Journal of Education, Health end Sport formerly Journal of Health Sciences, 7, 711–715. doi: http://dx.doi.org/10.5281/zenodo.830020
- Osnitskii, A. K. (2004). Opredelenie kharakteristik sotsialnoi adaptatsii. Psikhologiia i shkola, 1, 43–56.
- Belov, O. O., Pshuk, N. G. (2020). Age and gender features of depressive and anxiety symptomatics of depressive disorders. Wiadomości Lekarskie, 73 (7), 1476–1479. doi: http://doi.org/10.36740/wlek202007130
- Belov, O., Pshuk, N. (2020). Some trends of clinical phenomenology of modern depressive disorders. Psychiatry, psychotherapy and clinical psychology, 1, 98–104. doi: http://doi.org/10.34883/PI.2020.11.1.009
- Fiskin, G., Kaydirak, M. M., Oskay, U. Y. (2016). Psychosocial Adaptation and Depressive Manifestations in High-Risk Pregnant Women: Implications for Clinical Practice. Worldviews on Evidence-Based Nursing, 14 (1), 55–64. doi: http://doi.org/10.1111/wvn.12186
- Gvozdetskii, A. N., Petrova, N. N., Akulin, I. M. (2019). Cogni tive deficit predict social performance in remitted patients with major depressive disorder. Sotsialnaia i klinicheskaia psikhiatriia, 29 (1), 5–9.
- Herasymenko, L. O., Skrypnikov, A. M., Isakov, R. I. (2019). Diagnosis of psychosocial maladaptation in women with depressive disorders. World of Medicine and Biology, 15 (67), 34–38. doi: http://doi.org/10.26724/2079-8334-2019-1-67-34
- Bruin, M. C., Comijs, H. C., Kok, R. M., Van der Mast, R. C., Van den Berg, J. F. (2018). Lifestyle factors and the course of depression in older adults: A NESDO study. International Journal of Geriatric Psychiatry, 33 (7), 1000–1008. doi: http://doi.org/10.1002/gps.4889
- Dao, A. T. M., Nguyen, V. T., Nguyen, H. V., Nguyen, L. T. K. (2018). Factors Associated with Depression among the Elderly Living in Urban Vietnam. BioMed Research International, 2018, 1–9. doi: http://doi.org/10.1155/2018/2370284
- Laird, K. T., Krause, B., Funes, C., Lavretsky, H. (2019). Psychobiological factors of resilience and depression in late life. Translational Psychiatry, 9 (1). doi: http://doi.org/10.1038/s41398-019-0424-7
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