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Abstract. In the context of the pandemic, when healthcare professionals are forced to work under extreme stress and an increased threat of infection, research on professional burnout and emotional maladjustment of medical workers is gaining particular relevance around the world.Aim of study. To assess the severity of symptoms of depression and anxiety, professional burnout and emotional distress among the employees of the N.V. Sklifosovsky Research Institute for Emergency Medicine, providing care to patients with COVID-19 in the current period (July). To compare them with the indicators of a mixed sample of medical workers from different institutions and regions surveyed in the first months of the pandemic (March–April), and also to highlight the main factors of distress and protective factors.Material and methods. The research methods were combined into a Google form, and participation in the research was anonymous. Of the 175 people who were sent questionnaires, filled out the form completely 120 people (69% samples), of which 43 men and 77 women, 54.2% were doctors of different specialties; 40% were nurses, the rest of the categories accounted for 5.8% of the sample. The mean age of the respondents was 36.1 years (from 21 to 61 years).Results. The data obtained on the indicators of mental distress are generally consistent with international data: 8.3% of the surveyed demonstrate symptoms of depression of moderate and severe severity according to the Beck’s Depression Scale; 6.7 % noted the presence of suicidal thoughts; 29.3% had symptoms of anxiety of moderate and high severity according to the Beck’s Anxiety Scale. And 35% had high level of emotional exhaustion according to the Maslach Burnout Inventory. Nevertheless, the data obtained indicate a greater mental well-being of employees of the N.V. Sklifosovsky Research Institute in comparison with a mixed sample of specialists surveyed in March - April. The limitations of such a comparison are indicated, which are associated with differences in organizational affiliation and the composition of specialists. Anxiety for family members (noted by 54.7%) and fear of infection (noted by 38.3%) were most often named as an important factor of distress in the entire sample of 120 people. The most significant protective factors (reducing the level of distress), noted by more than half of the employees, were information about the current situation and tasks from the management, support from family and colleagues, material incentives and the opportunity to take breaks for rest. Based on the data of the regression analysis, it is concluded that it is important to take measures for psychological relief, provide personnel with protective equipment, reduce the level of physical discomfort associated with the use of personal protective equipment and lack of sleep, explain to the staff the meaning of all measures and decisions taken, and collegial discussion of the organization of work. The quality of support from relatives, colleagues and administration helps maintain a sense of the importance of their profession and self-respect for themselves as a professional among medical personnel.

The suicidal behavior of a member of a family influences the emotional well-being of his/her relatives. This paper presents the results of a pilot study of emotional well-being, coping strategies and characteristics of the family system among relatives of persons with suicidal behavior. The study involved 40 people, the total sample was divided into three subgroups: relatives of patients who survived the first suicide attempt (n = 16); relatives of patients after multiple suicide attempts (n = 10); relatives of persons who committed suicide (n = 14). In the first part of the study, the symptoms of emotional distress were analyzed for the entire sample. Relatives of people with different forms of suicidal behavior are at risk of depression: two-thirds of the combined sample showed increased symptoms of depression. The coping strategies of positive redefinition and personal growth are negatively correlated with symptoms of depression. In the second part of the study, we analyzed differences between subgroups. The severity of the symptoms of depression is significantly higher in the subgroup of relatives of people with completed suicide compared to relatives of those who survived a single suicide attempt, the indicators of hardiness and cohesion of the family system are lower in the families of people with multiple suicide attempts compared to other forms of suicidal behavior.

The article presents the results of a synthesis by Australian and Canadian scientists (Kisely et al, 2020) of 59 reliable studies of the effects of work during various epidemics, including COVID-19, on mental health and well-being of medical workers in different countries. The research includes the level of professional burnout, symptoms of emotional ill-being, and distress data based on the analysis of a data sample from 248 involved healthcare professionals of Russian medical institutions. They anonymously and voluntarily filled up the Google-form that contained a methodical complex during the COVID-19 epidemic. The complex included: A. Beck Depression Scale, A. Beck Anxiety Scale, J. Goland Distress Rating Scale, K. Maslach Professional Burnout Inventory. The research showed that during the epidemic, most healthcare professionals experienced evidence of the professional burnout (60% complain of emotional exhaustion), moderate and severe indicators of depression (23%), all healthcare professionals had severe anxiety indicators (100%). Also, a suicidal trend was found (10%). Negative emotions (fear of infection, loneliness and isolation sense), organizational problems (personal protective equipment deficit), physical discomfort (inconvenience of protective clothing, lack of sleep), and communicative difficulties have a great influence on the emotional distress of healthcare professionals. Information “noise” and personal protective equipment deficit often performs as a problem area. Healthcare professionals involved in supporting COVID-19 patients have higher rates of professional burnout, depression, and anxiety. At the same time, high professional responsibility and motivation are maintained by the majority of specialists providing care to patients with COVID-19. Region healthcare professionals differ from Moscow healthcare professionals by higher rates of depression and anxiety and frequently complain about personal protective equipment deficit, leadership mistrust, or disagreement with them.

A pilot cross-sectional online study attempts to clarify the role of implicit sociocultural attitudes in future thinking and tests a hypothesis that the implicit activation of Individualism / Collectivism concepts changes the content and other characteristics of self-relevant images of the future — self-defining future projections (SDFPs). The study performed in 2019-2020 involved 191 people, mean age — M = 36.9 (SD = 10.4) years. Group 1 underwent Individualism priming: 108 people (11.2% of males), mean age — M = 37.6 (SD = 1.04) years. Group 2 underwent Collectivism priming: 83 people (22.9% of males), age — M = 36 years (SD = 1.13). No significant sociodemographic between-group differences were found (p<0.05). Two versions of the online survey (one with an Individualism priming task and another with a Collectivism priming task) were randomly sent to students and teachers of Russian higher education institutions. After completing the priming task, the respondents constructed SDFPs in line with the definition provided and evaluated their quality. Experts rated SDFP thematic content, integration of meaning and specificity in accordance with valid coding pro¬cedures. Collectivism / Individualism levels were assessed using the INDCOL test. The priming procedure had a small significant effect on SDFP thematic content, interpersonal orientation, and specificity. It was more prominent in the Collectivism priming, although expected correlations between the Individualism and feelings of the Autonomy and Competence need satisfaction in SDFPs were also found. Collectivism seemed to strengthen future thinking overgenerality and to hinder the capacity to reflect on one’s own future. On the contrary, Individualism involves taking personal responsibility, but it seemed to enhance the need for Relatedness and social support (a protective factor in depressive conditions) in a compensatory manner. The data contributes to a further understanding of implicit influences on future thinking and suggest that it is the balance of the Collectivism and Individualism values that is crucial for mental health.

* Холмогорова Алла Борисовна, доктор психологических наук, профессор, заве-дующая лабораторией клинической психологии и психотерапии, Московский НИИ психиатрии -филиал ФГБУ «ФМИЦПН имени В.П. Сербского» Минз-драва России; заведующая кафедрой клинической психологии и психотерапии, декан факультета консультативной и клинической психологии, ФГБОУ ВО МГППУ, Москва, Россия, kholmogorova@yandex.ru Приводятся данные статистики суицидов в Российской Федерации, обо-сновывается необходимость создания профилактических программ и ком-плексной бригадной работы специалистов для создания безопасной среды в учреждениях образования, указывается на необходимость применения науч-но обоснованных методов превенции и поственции суицидов. Представлена история разработки специального протокола когнитивно-бихевиоральной психотерапии для превенции и поственции суицидов, рассмотрена проблема уязвимости (предрасположенности) к суицидальному поведению. Сформу-лированы основные принципы когнитивно-бихевиоральной психотерапии пациентов, склонных к суицидальному поведению, указаны и описаны ос-

Fitness blogging and fitness marathons are becoming a popular social practice, especially among young women. Although these practices are claimed to provide health benefits, in reality they pose serious risks to the participants’ mental wellbeing. The paper focuses on a study aimed at the analysis of the level and factors of mental distress in female fitness blog subscribers, and the dynamics of their emotional wellbeing in the course of fitness marathons. A total of 112 women aged 18 to 35 years old, with a mean age of 23.5 (SD=4.7), participated in the study. All the respondents were Instagram fitness blog subscribers. The following methods were used in the study: Physical perfectionism scale [8]; Situational Inventory of Body-Im- age Dysphoria [14]; Perceived sociocultural pressure scale [3]; Brief Fear of Negative Evaluation Scale [9]; Beck’s Depression Inventory [17]; N.G. Garanyan and A.B. Kholmogorova’s Three-Factor Perfectionism Questionnaire [1]. Received data testify that young women who spent on Instagram over 60 minutes a day differed from those who spent maximum 30 minutes online by significantly higher levels of excessive body standards and body dissatisfaction, and a greater severity of emotional maladjustment symptoms, including suicidal tendencies. The regression analysis showed that physical and general perfectionism as well as social anxiety and depression symptoms had the most significant effect on an increase in body dissatisfaction levels. After completion of a fitness marathon, women had significant increases in body dissatisfaction and emotional problems. Further research is needed to identify targets that would help to prevent the emotional maladjustment which occur as a result of young women’s engagement in fitness blogging.

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