Socio-medical profile of the population in matters of organization of psychological, psychotherapeutic and psychiatric care
Marina A. Shapovalova , Mikhail E. Levin , Yury P. Boyko , Aliya S. Abdullaev
Russian Military Medical Academy Reports ›› 2023, Vol. 42 ›› Issue (3) : 229 -235.
Socio-medical profile of the population in matters of organization of psychological, psychotherapeutic and psychiatric care
BACKGROUND: This study is due to the need to study the psychological safety of a person, since various social upheavals, the COVID-10 pandemic, military conflicts are stress factors in the formation of not only somatic morbidity, but also mental disorders in the population. For this reason, the study contains a comprehensive empirical collection of material and an assessment of the real need for psychological, psychotherapeutic and psychiatric care in order to compile a population routing system aimed at providing adequate targeted psychological, psychotherapeutic and psychiatric care.
AIM: Assess the socio-medical profile of the population for an adequate organization of psychological, psychotherapeutic and psychiatric care.
MATERIALS AND METHODS: In shaping the need for psychological, psychotherapeutic and psychiatric care, women of working age, with a working status, mostly married, who had a mild to moderate Covid-19 disease, who felt unwell, lack of strength, increased fatigue, showing a desire to turn to both a psychologist and a psychotherapist and a psychiatrist.
RESULTS: The socio-medical determinants of the need for psychological, psychotherapeutic and psychiatric care included signs between which a close correlation was revealed: “Memory decline, difficulties in mastering a new one” and “Reduced performance; difficulties in communicating with others“ (R = 0.7), ”Reduced performance; difficulties in communicating with others“ and ”Willingness to see a psychotherapist“ (R = 0.64), ”Depressive mood“ and ”Decreased memory, difficulty communicating with people“ (R = 0.76), ”Depressive mood“and ”Decreased performance “(R = 0.76), ”Depressive mood“ and ”Willingness to seek counseling from a psychiatrist” (R = 0.51), “Age” and “Chronic diseases” (R = –0.55).
CONCLUSION: The results obtained serve as the basis for the formation of a population routing system to provide adequate targeted psychological, psychotherapeutic and psychiatric care.
female population / mental disorders / psychiatric care / psychological and psychotherapeutic assistance / psychosomatic diseases / socio-medical profile / stress factors
| [1] |
Bobrov AE. Methodological problems of mental health. In: Vyalkov AI, Khrustalev YuM, Zhirnov VD, eds. Philosophy of strengthening the health of the nation. Proceedings of the conference. Moscow: Russian Philosophical Society Publ.; 2008. P. 32–48. (In Russ.) |
| [2] |
Бобров А.Е. Методологические проблемы охраны психического здоровья. В сб.: Философия укрепления здоровья нации. Материалы конференции / Под ред. А.И. Вялкова, Ю.М. Хрусталева, В.Д. Жирнова. М.: Российское философское общество, 2008. С. 32–48. |
| [3] |
Gurovich IYa. Reform of psychiatric care system: organizational aspect. Socialʹnaya i klinicheskaya psihiatriya. 2005;15(4):12–17. (In Russ.) |
| [4] |
Гурович И.Я. Реформирование психиатрической помощи: организационно-методический аспект // Cоциальная и клиническая психиатрия. 2005. T. 15, № 4. C. 12–17. |
| [5] |
Dovzhenko TV, Bobrov AE, Krasnov VN, et al. Psychiatric care in primary health care: provision and need. Socialʹnaya i klinicheskaya psihiatriya. 2016;26(1):50–58. (In Russ.) |
| [6] |
Довженко Т.В., Бобров А.Е., Краснов В.Н., и др. Психиатрическая помощь в первичном звене здравоохранения: обеспеченность и потребность // Социальная и клиническая психиатрия. 2016. T. 26, № 1. C. 50–58. |
| [7] |
Orlova LV. Organization of psychological assistance to elderly patients in russia and in the world. Scientific Review. Medical Sciences. 2016;(3):99–104. (In Russ.) |
| [8] |
Орлова Л.В. Организация психологической помощи пожилым пациентам в России и в мире // Научное обозрение. Медицинские науки. 2016. № 3. С. 99–104. |
| [9] |
Orlova NV. Nevroticheskiye rasstroystva u gorodskogo naseleniya (kliniko-epidemiologicheskiy, farmako-epidemiologicheskiy i organizatsionnyye aspekty) [dissertation]. Moscow; 2014. 236 p. (In Russ.) |
| [10] |
Орлова Н.В. Невротические расстройства у городского населения (клинико-эпидемиологический, фармако-эпидемиологический и организационные аспекты): дис. … канд. мед. наук. М., 2014. 236 с. |
| [11] |
Ryadovaya LA, Gutkevich EV, Ivanova SA, Semke VYa. Neurohormonal features of mental maladaptation on the model of neurotic disorders. Modern problems of science and education. 2008;(5): 29–33. (In Russ.) |
| [12] |
Рядовая Л.А., Гуткевич Е.В., Иванова С.А., Семке В.Я. Нейрогормональные особенности психической дезадаптации на модели невротических расстройств // Современные проблемы науки и образования. 2008. № 5. C. 29–33. |
| [13] |
Chutko LS. Somatoform disorders. Medical Council. 2011;(1–2): 84–90. (In Russ.) |
| [14] |
Чутко Л.С. Соматоформные расстройства // Медицинский совет. 2011. № 1–2. C. 84–90. |
| [15] |
Shapovalova MA. Life potential of the population during the formation of market relations. Problems of social hygiene, public health and history of medicine. 2004;(3):11–13. (In Russ.) |
| [16] |
Шаповалова М.А. Жизненный потенциал населения в период формирования рыночных отношений // Проблемы социальной гигиены, здравоохранения и истории медицины. 2004. № 3. С. 11–13. |
| [17] |
Shapovalova MA, Koretskaya LR. ABC and VEN analysis of costs for medicine and medical treatment costs for patient. Farmakoekonomika. Modern Pharmacoeconomics and Pharmacoepidemiology. 2014;7(1):18–20. (In Russ.) |
| [18] |
Шаповалова М.А., Корецкая Л.Р. ABC- и VEN-анализы затрат на лекарственные средства и медицинских затрат на лечение пациента // Фармакоэкономика. Современная фармакоэкономика и фармакоэпидемиология. 2014. Т. 7, № 1. С. 18–20. |
| [19] |
Shapovalova MA, Mamedov IG, Udochkina KN. Analysis of the technology of studying the health of the working-age population in the scientific practice of healthcare organization. Bulletin of Semashko National Research Institute of Public Health. 2016;(4):126–137. (In Russ.) |
| [20] |
Шаповалова М.А., Мамедов И.Г., Удочкина К.Н. Анализ технологии изучения здоровья трудоспособного населения в научной практике организации здравоохранения // Бюллетень Национального научно-исследовательского института общественного здоровья имени Н.А. Семашко. 2016. № 4. С. 126–137. |
Eco-Vector
/
| 〈 |
|
〉 |