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Journal Cover Psychosomatic Medicine and General Practice
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  This is an Open Access Journal Open Access journal
   ISSN (Online) 2519-8572
   Published by Bogomolets National Medical University Homepage  [1 journal]
  • Criteria for limited sanity in persons who have committed criminal sexual
           offenses

    • Authors: Elena Kozerackaya
      Abstract: The results of scientific research conducted within the framework of the doctoral thesis "Forensic psychiatric evaluation of persons who have committed sexual criminal offences." For the purpose of the study, the author analyzed 279 cases of forensic psychiatric examinations of persons who committed the sexual offence and were at the forensic psychiatric examination in Kiev Center for Forensic Psychiatric Examination during 2001-2015 (15 years). To determine the relationship between the degree of opportunities to realize their actions/manage them and expert's conclusion, from the group of compos mentis was derived a group of partially compos mentis patients; it was formed artificially, based on the national concept of "limited sanity". As a result, we have identified socio-demographical and clinical criteria for "limited compos mentis" in forensic psychiatric examinations of persons who have committed sexual offences.
      PubDate: 2018-02-20
      Issue No: Vol. 3, No. 1 (2018)
       
  • The effectiveness of selank in the treatment of adjustment disorder

    • Authors: Georgiy Verbenko, Viktoriya Verbenko
      Abstract: Background. Adjustment disorder (AD) is one of the most common mental disorders. Considering the social and economic situation in Ukraine at present, in almost 50% of the population, there are non-psychotic mental health disorders, and this number tends to increase. Individual risk factors that are particularly important for the AD development include the experience of a significant stress in childhood, problems with mental health in the past, difficult life circumstances, etc. At the same time, pathogenetically approaches to AD therapy are not fully understood. Pathogenetically oriented therapy of AD should be based on neurotransmitter causes and systemic therapeutic approach. The neurometabolic, anxiolytic, and psycho-stimulating action of the regulatory peptide allows it to be used in the therapy of psychogenic adaptation disorders. Methods. Clinical manifestations of the AD were studied in different age groups - 21-34 years (n=153), 35-50 years (n=257), 51-65 years (n=167) using the Patient Health Questionnaire (PHQ) and Questionnaire of Stress Resistance (QSR). For the study on the effectiveness of the selank (a synthetic analogue of the immunomodulatory peptide tuftsin) were included 30 patients with the AD. Main (experimental group) received selank for two weeks; the control group didn’t receive any treatment (wait list). Patients were monitored for additional two weeks after the treatment with an assessment at the end of follow-up. Results. According to the study results, selank significantly reduced PHQ score in patients with AD compared to control group. PHQ scores in the selank group after 2 weeks of follow-up were significantly lower for somatic symptoms (mean score 1.2 vs. 3.6; p<0.05), nutritional problems (0.1 vs. 3.4; p<0.05), and alcohol misuses (0.3 vs. 1.5; p<0.05). Conclusions. The use of the synthetic analogue of the immunomodulatory peptide tuftsin has a therapeutic effect on the somatic and mental symptoms of the adjustment disorder.
      PubDate: 2018-02-08
      Issue No: Vol. 3, No. 1 (2018)
       
  • Results of 2017: updated clinical guidelines

    • Authors: Olena Khaustova
      Abstract: In 2017 were published multiple clinical guidelines for management of patients with mental disorders. The review summarizes their main recommendations.
      PubDate: 2017-12-29
      Issue No: Vol. 2, No. 4 (2017)
       
  • Methodical recommendations for preparation and defence of coursework for
           6th year student of medico-psychological faculty

    • Authors: Oleg Chaban, Olena Khaustova, Lidia Trachuk, Vitaliy Bezsheiko
      Abstract: The methodical recommendations are devoted to the peculiarities of the writing of the coursework, its design according to requirements, preparation for defense, and aimed at helping students more effectively organize their own work and conduct their own research. The coursework is carried out by students of the 6th year of the medical-psychological faculty during the study of the discipline "Psychotherapy", in accordance with the requirements approved by the Department of Psychosomatic Medicine and Psychotherapy. Methodological recommendations consist of four sections: how to write a coursework; how to arrange coursework; how to defend coursework; general rules and requirements for publications, and also contain a list of sources and applications used.
      PubDate: 2017-12-22
      Issue No: Vol. 2, No. 4 (2017)
       
  • Influence of juvenile idiopathic arthritis on the quality of life of young
           adults in the transition period to adult rheumatologic care

    • Authors: Marta Dzhus
      Abstract: Background. Young adults with juvenile idiopathic arthritis (JIA) often have an active disease with significant functional impairment in adulthood that can affect their physical and mental functions. Aim. To determine the impact of JIA on quality of life (QoL) in young adults with JIA during the transition healthcare. Materials and methods. The cross-sectional study of 89 young adults aged 16 to 22 years with a history of JIA regardless of the presence or absence of active inflammation at the time of the survey was performed in the Oleksandrivsky Central Clinical Hospital in Kyiv, Ukraine in the period between April 2015 and February 2017. 25 age- and sex-matched controls (without rheumatic disease) were included. There was performed an evaluation of the age at disease onset, duration, JIA activity, received therapy and quality of life. Results. Out of 89, 37 (41,6%) patients were considered to be in remission. Juvenile idiopathic arthritis had a large impact on the physical scales of quality of life. Patients with JIA had worse (p <0.001) physical health in comparison with the control group. The pain was the most important factor affecting the quality of life in cases of juvenile idiopathic arthritis. The indices responsible for the physical (p<0.001), role (borderline significance, p=0.04) functioning, and intensity of pain (p<0.001) were decreased, compared with the control group. However, the indicators responsible for psychological function in patients with JIA did not differ from the control group. The correlation analysis revealed significant negative association between disability severity (HAQ) and physical function (r=-0,56, p<0.001), role function (r=-0,33, p<0.001), pain intensity (r=-0,60, p<0.001), general health (r=-0,40, p=0.01), vital activity (r=-0,46, p<0.001), social function (r=-0,48, p<0.001), mental health (r=-0,42, p<0.001). Conclusion. In our transitional cohort of patients at the era of biological therapies, juvenile idiopathic arthritis had a larger effect on the physical than mental SF-36 subscale. The pain was the main factor influencing the quality of life.
      PubDate: 2017-12-08
      Issue No: Vol. 2, No. 4 (2017)
       
 
 
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