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Abstract
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.
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The Scientific and Practical Journal of Medicine
ДУ «ІНПН імені
П.В. ВОЛОШИНА
НАМН УКРАЇНИ»