An expansion of intelligent systems complex for express-diagnostics and prevention of organizational stress, depression, and deviant behavior on the basis of the biopsychosocial approach

Yankovskaya, Anna E.; Корнетов, А. Н.; Ильинских, Н. Н.; Obukhovskaya, V. B.

doi:10.1134/s1054661817040204

Cited by 7 publications

(5 citation statements)

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“…Практически важным является применение оперативных способов диагностики расстройств настроения в практическом здравоохранении (интеллектуальные системы экспресс-диагностики), что позволяет своевременно выявлять лиц повышенной группы риска и в дальнейшем по отношению к ним проводить интервенционные мероприятия, направленные на повышение качества жизни [19]. Своевременная диагностика всех категорий САР у студентов позволит эффективно использовать имеющийся профилактический и лечебный потенциал [20][21][22].…”

Section: Discussionunclassified

“…Своевременная диагностика и дальнейшее использование терапевтического и профилактического подходов определяют совокупность действий, цель которых состоит в регулировании биопсихосоциального функционирования студентов-медиков [19]. При этом применяются не только собственно лечебные методики, но и ритмостабилизирующие мероприятия (правильный режим дня, планирование ритма нагрузок в студенческих программах, световой режим).…”

Section: Discussionunclassified

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Incidence rate and clinical characteristics of seasonal affective disorders in senior medical students

2021

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Aim. To study the incidence rate, clinical features, and prognosis of seasonal affective disorder (SAD) in senior (6th-year) medical students.Materials and methods. SAD screening using the Seasonal Pattern Assessment Questionnaire (SPAQ, 1987) included 119 undergraduate medical students. 78 students were females (65.5%) and 41 – males (34.5%) (p = 0.001). The average age of women was 23 (22; 23) years, the average age of men – 23 (22; 24) years. Statistical processing was performed using the Mann – Whitney U-test, Pearson’s χ2 test, and Spearman’s rank correlation coefficient (rs).Results. The data on the prevalence of affective disorders with a seasonal pattern in medical students were obtained: SAD – 9.2%, sub-SAD – 13.5%, psychological undulation of season perception (PUSP) – 16.8%. The number of students who did not exhibit seasonal undulation of the six main characteristics recorded by the SPAQ was 72 (60.5%) (p = 0.001). There were statistically significant differences in the higher median Global Seasonality Score of the SPAQ for SAD compared with PUSP, both with and without account of the gender factor (p = 0.001). The use of a binary logistic regression model made it possible to identify groups of students with or without SAD according to the SPAQ. The data obtained determined the contribution of the following factors: gender, seasonality, body weight, and the number of sleep hours per day in spring.Conclusion. The study made it possible to obtain a logistic regression model that allowed to predict the greatest likelihood of developing SAD.

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Section: Discussionunclassified

Incidence rate and clinical characteristics of seasonal affective disorders in senior medical students

2021

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“…Являясь психическим расстройством, депрессия манифестирует целым рядом симптомов, в числе которых присутствует соматический компонент, что приводит к образованию симптомов, похожих на те, которые встречаются при различных поражениях органов и систем, что делает диагностику достаточно сложной. Развитие информационных систем поддержки принятия врачебных решений на основе машинного обучения и знаний в области диагностики и лечения депрессивных расстройств к текущему моменту поднялись до уровня, способного алгоритмизировать весь лечебно-диагностический процесс [12,13]. Это делает его доступным не только психиатрам, но и представителям всех медицинских и немедицинских специальностей и специализаций, вовлеченных в распознавание и терапию депрессии.…”

Section: изменения классификаций психических и поведенческих расстройствunclassified

Evolution of paradigms in the study of depression: from a unitary concept to a biopsychosocial model and interdisciplinary approaches

Корнетов¹

2022

Bûll. sib. med.

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The review is devoted to the consideration of the history of paradigms in the study of depressive disorders in terms of modern understanding of depression in psychiatry and clinical and medical psychology and its correlation with the biopsychosocial model in medicine. The review also contains works devoted to the study of the prevalence and comorbidity of depressive disorders and their relationship with suicidal behavior. The existing limitations in the study of depressive disorders in psychiatry and clinical psychology and the issues of interdisciplinary integration and interdisciplinary barriers are considered in detail. The review includes publications indexed in the Web of Science, Scopus, Russian Science Citation Index, and PubMed databases. Depression is a major medical and psychological problem due to its widespread prevalence in the general population, in primary care, among patients with various chronic somatic symptom disorders who receive treatment in community and specialized hospitals and clinics, and among clients of psychological centers and social services. In 1996, the Harvard T.H. Chan School of Public Health, based on the materials of the World Health Organization (WHO) and the World Bank, published estimates and prognosis for the prevalence of depressive disorders around the world. According to their data, depression in 1990 was ranked 4th in terms of the severity of the leading causes of the burden of the disease, and according to the baseline scenario of development, by 2020 it should have been ranked 2nd after coronary artery disease. The review is focused on the need to revise the baseline scenario of development and start a new discussion on the study of depressive disorders under new conditions, such as the psychological state of society during the COVID-19 pandemic and lockdown, as well as on the eve of healthcare transition to the 11th Revision of the International Classification of Diseases.

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“…В связи с тем, что психосоциальные факторы риска (ФР) влияют на прогноз сердечно-сосудистых заболеваний (ССЗ), важно скринировать их с помощью стандартизованных опросников у лиц с высоким сердечно-сосудистым риском (ССР) и пациентов с ССЗ с последующей коррекцией [1]. У пациентов с коронарной болезнью депрессия является наиболее значимым фактором, определяющим качество жизни [2][3][4].…”

Section: Introductionunclassified

The impact of affective disorders on self-assessment of the quality of life in patients with chronic coronary artery disease

et al. 2022

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Aim. To determine the differences in self-assessment of social functioning by patients with chronic coronary artery disease (CAD), depending on the presence of comorbid affective disorders (ADs).Materials and methods. Using the Social Adaptation Self-Evaluation Scale (SASS), which makes it possible to assess the degree of social functioning and satisfaction with various aspects of social life, we studied the features of the social functioning of heart hospital patients with chronic CAD with (n = 248) and without AD (n = 291). In 290 patients (average age 56.6 ± 6.7 years) with chronic CAD, chronic ADs (45%) were revealed; depressive episodes (DEs) were diagnosed for the first time in 24% of patients, and 24.5% of patients had recurrent DEs. Bipolar disorder was found in 6.5% of cases. Qualitative and quantitative parameters were investigated using the Mann – Whitney U test and Student’s t-test. To assess the frequencies, the Pearson’s chi-squared test was used.Results. The mean total SASS score in the patients with chronic CAD with AD corresponded to difficult social adaptation (33.7 [29.5; 39]), while the patients without AD had good social adaptation score of 40.8 ± 6.3 (p < 0.05). In the group without AD, patients with normal social adaptation prevailed (n = 215; 73.8%), while patients with AD more often had difficulties with social adaptation (n = 148; 59.7%). In the CAD patients, depending on the presence of AD, the frequency of disturbances in various spheres of social adaptation differed: employment, interest in and pleasure from activities, disposition of income, pleasure from and interest in seeking information, social support (p = 0.001).Conclusion. Higher frequency of pronounced impairment in social functioning in patients with chronic CAD with AD determines the need for taking this fact into consideration when planning rehabilitation measures in this group of patients.

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An expansion of intelligent systems complex for express-diagnostics and prevention of organizational stress, depression, and deviant behavior on the basis of the biopsychosocial approach

Cited by 7 publications

References 5 publications

Incidence rate and clinical characteristics of seasonal affective disorders in senior medical students

Incidence rate and clinical characteristics of seasonal affective disorders in senior medical students

Evolution of paradigms in the study of depression: from a unitary concept to a biopsychosocial model and interdisciplinary approaches

The impact of affective disorders on self-assessment of the quality of life in patients with chronic coronary artery disease

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