Self-regulation of behavior as one of the adaptation-compensatory mechanisms of the psyche in patients with paranoid schizophrenia. Article 2

Kudryashova, V. Yu.; Лутова, Н. Б.

doi:10.31363/2313-7053-2019-4-2-60-67

V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY

2020

DOI: 10.31363/2313-7053-2019-4-2-60-67

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Self-regulation of behavior as one of the adaptation-compensatory mechanisms of the psyche in patients with paranoid schizophrenia. Article 2

V. Yu. Kudryashova

Н. Б. Лутова

Abstract: Саморегуляция поведения как один из адаптационнокомпенсаторных механизмов психики у больных параноидной шизофренией. Сообщение 2 Кудряшова В.Ю., Лутова Н.Б. ФГБУ «Национальный медицинский исследовательский центр психиатрии и неврологии имени В.М. Бехтерева» Минздрава России Резюме. В статье рассматриваются особенности адаптационно-компенсаторных механизмов психики у пациентов с параноидной шизофренией через призму взаимосвязей саморегуляции поведения с уровнем субъективного контроля и смысложизненными ориентац… Show more

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Cited by 3 publications

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Features of psychological adaptation and compensatory mechanisms in patients with severe chronic diseases

Kudryashova¹,

Лутова²,

Руденко³

et al. 2020

V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY

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The aim of the study was self-regulation of behavior and other psychological aspects of adaptive-compensatory mechanisms in patients with schizophrenia and myasthenia, in comparison with a group of healthy subjects.Materials and methods. The study involved 91 people: patients with schizophrenia (N=30); patients with moderate and severe myasthenia gravis (N=31); comparison group — conditionally healthy people (N=30). The participants were examined by experimental psychological methods: «The style of self-regulation of behavior», «Test of life-meaning orientations», «Semantic time differential».Results. Differences in the general level of self-regulation of behavior and its particular aspects in patients with schizophrenia and healthy were revealed, patients with myasthenia gravis don’t show differences from patients with schizophrenia and the control group. In terms of the general meaningfulness of life, patients with schizophrenia differ from healthy ones, while they don’t differ from those suffering from myasthenia gravis, which don’t have differences with the comparison group. In external internality, chronically ill patients don’t reveal differences, but differ from healthy ones. In the psychological perception of the present, patients with schizophrenia and myasthenia differ from healthy ones in assessing its activity and size. Patients with schizophrenia reveal differences with healthy ones in its emotional coloration and structure, not differing from those suffering from myasthenia gravis, which don’t show differences with the control group. Patients with schizophrenia differ from healthy patients in the sensibility of the future, but don’t differ from patients with myasthenia gravis who don’t reveal differences with healthy individuals.Conclusions. The targets of psychocorrectional effects are indicated. For patients with schizophrenia — the development of skills for differentiation and impulse control, behavioral flexibility and correlation of results with the original goals. For patients with myasthenia gravis — reliance on available classes in the cognitive and spiritual spheres that compensate for the appearance of physical limitations. Common to both nosologies are measures that increase the meaningfulness of life, highlighting the spheres of influence on the disease, rational acceptance of responsibility for what is happening. The skills to enjoy everyday activities are important.

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Features of psychological adaptation and compensatory mechanisms in patients with severe chronic diseases

Kudryashova¹,

Лутова²,

Руденко³

et al. 2020

V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY

Self Cite

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Effects of social skills training on some adaptive-compensatory parameters in patients with paranoid schizophrenia

Kudryashova¹,

Лутова²,

Vuks³

2022

V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY

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This paper examines the psychological aspects of adaptive-compensatory psychological mechanisms in patients with paranoid schizophrenia before and after social skills training. The features of self-regulation of behavior, the level of subjective control, life orientations and subjective perception of psychological characteristics of time are studied. The effects of social skills training were compared with a control group of patients who received only isolated drug therapy with psychotropic drugs. Positive dynamics was noted in both studied samples.The patients who took part in the study improved their ability to control impulses, increased behavioral flexibility, awareness of their contribution to the current situation and rational acceptance of responsibility for what is happening. Life goals also took shape better, the sense of manageability of life and satisfaction with it increased. The present has become perceived by patients with paranoid schizophrenia as more structured, saturated and predictable, and the past as realistic and tangible, which has a positive effect, including on the emotional background of patients. The effects of the training were clearly manifested when compared with a group of patients receiving only drug therapy. With combined treatment (social skills training and psychopharmacotherapy), patients begin to perceive the past more realistically, assess their actions and activity level more soberly, integration, awareness and structuring of past experience increases. This will allow patients with paranoid schizophrenia to facilitate the planning of their behavior in the future, as well as to increase the adequacy of the formation of cause-and-effect relationships and perception of what is happening, which has a beneficial effect on the ability to adapt to life in society and compensate for existing violations.

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The relationship of frustration reactions and gender role behavior in patients with schizophrenia and affective disorders

Alekseev

Щелкова

2023

V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY

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The study of violations of the adaptive-compensatory mechanisms of patients with mental disorders makes it relevant to study the combined characteristics of gender, psychosexual sphere and response to stress in mental pathology. The aim of the study was to identify the relationship between the types and directions of frustration reactions as unconscious components of coping with gender and gender-role behavior. 183 patients with diagnoses of schizophrenia and schizotypal disorder, recurrent depressive disorder, bipolar affective disorder were examined. In the diagnostic groups, men and women were dominated by persons under the age of 30. The «Method of diagnostics of gender role behavior accentuations» and «Drawing Associations test» were used. The data obtained indicate that among patients with schizophrenia, men with cross-gender role accentuation better assimilate socio-normative patterns of behavior than women with cross-gender role accentuation; in women with schizotypal disorder, the presence of cross-gender accentuation of gender-role behavior is associated with a lower level of social adaptation compared to women without accentuation.Women with schizotypal disorder and more pronounced masculine gender role accentuation have a profile of the direction of emotional reactions in frustrating situations, characteristic of men with schizotypal disorder. In ontogenesis, the interrelationships of stereotypes of emotional response and the level of gender role accentuation change. The revealed sex differences in the profiles of frustration reactions among patients on the schizophrenic spectrum may be partially explained by the gender-role characteristics of patients. In conclusion of the analysis, it can be concluded that the stereotypes of a person’s emotional response and their formation are closely related to gender-role behavior. Knowledge of this kind of interrelationships enables the psychotherapist in the course of treatment to achieve the patient’s understanding of his behavior, including its unconscious aspects.

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Self-regulation of behavior as one of the adaptation-compensatory mechanisms of the psyche in patients with paranoid schizophrenia. Article 2

Cited by 3 publications

References 18 publications

Features of psychological adaptation and compensatory mechanisms in patients with severe chronic diseases

Features of psychological adaptation and compensatory mechanisms in patients with severe chronic diseases

Effects of social skills training on some adaptive-compensatory parameters in patients with paranoid schizophrenia

The relationship of frustration reactions and gender role behavior in patients with schizophrenia and affective disorders

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