Aim. To compare the effectiveness of standard and specifically modified psychocorrectional interventions in patients with anxiety-phobic and somatoform disorders exhibiting reduced critical awareness.

The study included outpatients with anxiety-phobic disorders who received psychocorrection modified to account for reduced critical awareness (subgroup 1.1; n = 24) and psychocorrection without modification (subgroup 1.2; n = 24), as well as patients with somatoform disorders who received modified psychocorrection (subgroup 2.1; n = 27) and psychocorrection without modification (subgroup 2.2; n = 27). The following assessment tools were used: "Hospital Anxiety and Depression Scale" (HADS), "Toronto Alexithymia Scale", "Lazarus Coping Scale", "Critical Awareness Scale"

In subgroup 1.1, after psychocorrection, a significant reduction in anxiety and alexithymia levels was observed (p < 0.01), along with a decrease in the use of coping strategies such as "Distancing", "Self-Control", "Seeking Social Support", "Escape-Avoidance" (p < 0.01) and "Positive Reappraisal" (p < 0.05). An increase was noted in "Taking Responsibility" and "Problem-Solving Planning" (p < 0.01). In subgroup 1.2, there was a reduction in anxiety and a decrease in the use of "Seeking Social Support" (p < 0.01), along with an increase in "Taking Responsibility" and "Problem-Solving Planning" (p < 0.01).

n subgroup 2.1, reductions were observed in anxiety, depression, and alexithymia (p < 0.01), as well as a decrease in coping strategies such as "Confrontational Coping", "Distancing", and "Seeking Social Support" (p < 0.01). Increased use of "Self-Control", "Taking Responsibility", and "ProblemSolving Planning" (p < 0.01) was also noted. In subgroup 2.2, reductions were observed in depression (p < 0.05) and alexithymia (p < 0.01), as well as decreased use of "Distancing" and "Seeking Social Support" (p < 0.01).

The application of modified psychocorrection in patients with reduced critical awareness leads to more significant improvements and deeper adaptive behavioral changes. Therefore, the modified psychocorrectional intervention scheme may be more effective for patients with anxiety-phobic and somatoform disorders characterized by reduced critical awareness.