Clinical and psychological characteristics and quality of life of patients with depressed genesis

Clinical and psychological characteristics and quality of life of patients with depressed genesis

Currently, the problem of identifying and treating depressive states is one of the most pressing issues of psychiatry and clinical psychology. According to A. B. Spelevic, annually about 100 million inhabitants of our planet detect signs of depression and need adequate medical care. Depression seriously affects the quality of life and adaptive capabilities of the patient and can lead to a decrease in professional status, family breakdown and, finally, to complete disability (Burkovsky. V. with Sovat., 1997).

The purpose of this study was to study the characteristics of the personality-emotional sphere, the system of significant relationships and the basic parameters of the quality of life of patients with depression of various origin.

The level and structure of depressive disorders, features of the personality structure, as well as the zones of the greatest psychological conflict and the main parameters of the quality of life of patients with depressed genesis. Interrelationships of the characteristics of their emotional state, personality structures, systems of significant relationships and quality of life.

To implement the purpose and objectives of the study, a complex of psychodiagnostic techniques was used: "Pack Depressiveness Questionnaire"; Personal questionnaire "Big five"; "Personal Differential"; "Unfinished sentences"; "Quality Quality Questionnaire" (Specific Module).

The study was conducted on the basis of the City Psychiatric Hospital No. 3 Material for the study served as experimental and psychological data 41 people, patients with depressed genesis.

For nosological affiliation, patients were distributed as follows: 1. Bipolar and recurrent affective disorder, including a radiation melancholy and atypical endogenous depression – 15 people. 2. Organic, including vascular cerebral disease – 12 people. 3. Schizophrenia, including chronic delusional disorder – 10 people. 4. Reactive (psychogenic) depression, including an acute situational reaction – 4 people.

Clinical and psychological characteristics and quality of life of patients with depressed genesis

The condition of the patients was laid in the framework of the depressive (melancholic) syndrome, 11 patients – depressive-paranoid syndrome, and 15 patients – anxious-depressive, including hypochondriac syndrome.

Comparison on all experimental indicators of subgroups of patients divided by nosological and syndromic affiliation. In addition, in each subgroups, a correlation analysis of the methods of techniques was carried out "Quality Quality Questionnaire" (Specific module) with indicators of other psychodiagnostic techniques.

Results show that the highest level of depression is inherent in patients with organic brain disease and patients with paranoid-depressive syndrome. The lowest level of depression is noted in patients with reactive depression and patients with depressive syndrome. A group of patients with reactive depression is most preserved in communication, the sexual sphere, social relations than sick other nosological groups. They have more adequate self-esteem and are most satisfied with both the quality of life as a whole and its individual characteristics. Patients with depression in schizophrenia suffer from a lack of self-esteem, creative potential and volitional activity. These characteristics affect their quality of life, as well as experiences associated with their legal status and sexual sphere. The most unsatisfied quality of life is a group of patients with bipolar and recurrent affective disorder. The most deteriorating their life is: Communication, emotions, sexual sphere, as well as dissatisfaction with their health in general and experiences about the manifestation of discrimination against them as a mentally ill. For all nosological groups, in addition to a group of patients with reactive depression, the zone of the greatest psychological conflict is to attitude to sex life. Among the syndromic groups, patients with depressive (melancholic) syndrome are most adapted to life. The level of depression, emotional sustainability, sexual sphere, as well as significant attitudes towards oneself, to the past, fears and fears affect their quality of life. In a group of patients with anxious-depressive (including hypochondriac) syndrome, the most important, in their opinion, is self-acceptance, emotional stability, as well as a tendency to concern, hypochondria, psychological and personality dependence on others, which affects the quality of their life in general.

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