ГоловнаArchive of numbers2024Volume 32, issue 3 (120)Comparative analysis of interpsychic and intrapsychic resources of patients with dementia depending on the state of their mental adaptation
Title of the article Comparative analysis of interpsychic and intrapsychic resources of patients with dementia depending on the state of their mental adaptation
Authors Seslavska Yevgeniya
In the section DIAGNOSTICS AND THERAPY OF MENTAL AND BEHAVIORAL DISORDERS
Year 2024 Issue Volume 32, issue 3 (120) Pages 76-77
Type of article Scientific article Index UDK 616.89-008.454-053.9:616.89-008.1-055.5/.7-07(048.8) Index BBK -
Abstract DOI: https://doi.org/10.36927/2079-0325-V32-is3-2024-12

 The purpose of the work is to determine the specifics of coping and social support as basic inter- and intrapsychic resources of adaptation in relatives who care for patients with dementia, to determine the need to develop a targeted-oriented system of measures of therapy and rehabilitation for this contingent of persons. In compliance with the requirements of biomedical ethics, we examined 153 relatives (children) who lived and/or care for patients with dementia. The comprehensive examination included the implementation of clinical-psychopathological and psychodiagnostic research. The state of interpsychic and intrapsychic resources of relatives of patients with dementia depends on the state of their mental adaptation. Relatives of patients with dementia have certain features of a coping repertoire, depending on the state of their mental sphere. Relatives with the absence of signs of mental disorders were inherent in the predominance of constructive coping strategies aimed at overcoming the current stressful situation through planning the solution of the problem, finding social support, self-control and active activity in combating the problem. Relatives with mental disorders of the level of adaptation disorder were more expressive of non-constructive coping strategies, and the coping repertoire of relatives at risk was different from relatives without signs of mental disorders, and from relatives with signs of adaptation disorders, and characterized structural and non-constructive coping strategies. Relatives of dementia patients were inherent in low social support for family, friends and significant others. The highest indicators of social support were inherent in relatives without signs of mental disorders, significantly lower - relatives who had signs of factors that affect health and the lowest — relatives who show signs of adaptation disorders. The greater the severity of coping strategy planning the problem, and high-the level of social support, the less severity of depression, anxiety, psychopathological symptoms and family anxiety have, and the greater the indicators of resilience of relatives of patients with dementia. The identified patterns should be taken into account when planning therapeutic and rehabilitation measures for relatives of patients with dementia with different options for adaptation disorders.
Key words mental maladaptation, adaptation disorders, relatives, dementia, anxiety, depression, coping, social support
Access to full text version of the article pdf download
Bibliography 1. Ohorenko V.V., Shusterman T.Y., Seslavska Ye.L. Psykhichna dezadaptatsiia u rodychiv khvorykh na dementsiiu altsheimerovskoho typu [Mental maladjustment in relatives of Alzheimer’s type dementia patients]. Visnyk morskoi medytsyny [Journal of marine medicine]. 2023;1(98):192-200.
2. Maruta N.O., Mudrenko I. H., Kalenska H. Yu., Denysenko M. M. Suitsydalna povedinka u khvorykh iz dementsiiamy [Suicidal behavior in patients with dementia]. Ukrainskyi visnyk psykhonevrolohii [Ukrainian Bulletin of Psychoneurology]. 2020;4(105):4-12.
3. Vlasenko K., Haisoniuk N. Konstruktyvni ta destruktyvni kopinh-stratehii yak resursy dlia podolannia tryvaloho stresu. V Mizhnarodna studentska naukova konferentsiia “Nauka sohodennia: vid doslidzhen do stratehichnykh rishen” [V International Student Scientific Conference “Today’s Science: From Research to Strategic Decisions”], 22 hrudnia 2023, Chernivtsi, 2023. P. 366–369. URL: https://archive.liga.science/index.php/ conference-proceedings/article/view/670.
4. Oksiutovych M., Melnychuk D. Konstruktyvni stratehii povedinky osobystosti u psykhohennykh kryzovykh sytuatsiiakh [Constructive strategies of personal behavior in psychogenic crisis situations]. Vcheni zapysky Universytetu “KROK” [Scientific notes of «KROC» University]. 2023;1(69):253-260. 5. Haponov K. D., Tabachnikov S. I. Sotsialna pidtrymka ta yakist zhyttia osib riznykh sotsialnykh hrup ta z riznym rivnem psykhosotsialnoho stresu, yaki strazhdaiut na rozlady, sprychyneni vzhyvanniam alkoholiu [Social support and quality of life of individuals from different social groups and with different levels of psychosocial stress who suffer from alcoholrelated disorders]. Arkhiv psykhiatrii [Archive of psychiatry]. 2019;25(1):22-29.
6. Ohorenko V.V., Seslavska Ye.L. Kliniko-psykhopatolohichnyi analiz stanu psykhichnoi sfery u rodychiv patsiientiv z dementsiieiu. Ukrainskyi visnyk psykhonevrolohii [Clinical-psychopathological analysis of the state of the mental sphere in relatives of patients with dementia] Ukrainskyi visnyk psykhonevrolohii [Ukrainian Bulletin of Psychoneurology]. 2024; 32, 2(119):53-60. DOI: https://doi.org/10.36927/2079-0325-V32-is2-2024-9.