Saratov JOURNAL of Medical and Scientific Research

Filonova A.V.

Saratov Regional Dermatovenerologic Dispensary, Clinical Psychologist

Psychological defense mechanisms in patients with syphilis at different stages of the disease

Year: 2015, volume 11 Issue: №3 Pages: 483-486
Heading: Dermatovenerology Article type: Short message
Authors: Filonova A.V., Schneider D.A., Utz S.R.
Organization: Saratov State Medical University
Summary:

Purpose: the study of psychological defense mechanisms in patients with syphilis at different stages of the disease. Material and methods. We used questionnaire Plutchik-Kellerman-Comte "life style Index". The study involved 257 people (118 women (46%) and 139 men (54%)) aged 18 to 67 years (mean age — 23,5±8,9years). Results. In patients with primary syphilis primary mecha-protection scheme is "denying"; secondary syphilis of skin and mucus-purity membranes— "replacement"; syphilis latent early — "projection"; in patients with late syphilis — intellectualization. Thus, in patients with late forms of syphilis is dominated by more Mature mechanisms of protection (projection, rationalization). Patients with early forms use more primitive mechanisms (denial, substitution). Conclusion. The obtained data may be useful in the choice of methods of psychotherapy, the formation of patients more realistic (ADAP-tive) installations for the treatment, restoration of family and other social relations, the prevention of distress and improving the quality of life of patients.

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The role of motivational factors which make interns choose specialty of dermatovenerologist

Year: 2015, volume 11 Issue: №3 Pages: 476-479
Heading: Dermatovenerology Article type: Short message
Authors: Filonova A.V., Utz S.R., Schneider D.A., Igonina I.A.
Organization: Saratov State Medical University, SEH «Saratov regional dermatovenerologic dispensary»
Summary:

Objective: to analyze the main motivational and psychological factors influencing the success of the process of becoming a young medical interns in the specialty «Dermatovenereology». Materials and methods. The study involved 49 interns in the specialty «Dermatovenereology» (22 people studied in 2013-2014, 27 people — in 2014-2015). For the diagnosis it was used a Shortened multi-factor Personality inventory (RESINS), the technique of "career Anchors" diagnostic value orientations in karyes-re (E. Shane, translation and adaptation of V.A. Chiker, V. E. Vinokurov), «Survey of young specialists-sheet» developed by GUZ «SACVD» Results: A greater number of doctors interns of 2013 and 2014 and 2014-2015 chose the specialty «Dermatovenerology» because of the possibility to work in the field of cosmetology. Conclusions. These results provide the possibility of selecting candidates for future employment, identify motivate innovative features, the ability of young professionals.

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Psychocorrection activities in complex therapy of patients with psoriasis

Year: 2015, volume 11 Issue: №3 Pages: 466-471
Heading: Dermatovenerology Article type: Short message
Authors: Filonova A.V., Utz S.R., Schneider D.A., Guskova O.P.
Organization: SEH «Saratov regional dermatovenerologic dispensary», Saratov State Medical University
Summary:

Aim: to examine the psycho-emotional state of patients with psoriasis and to choose the optimal methods of correctional interventions with patients and their family-relatives. Materials and methods. The study included 230 patients with various different forms of psoriasis (150 men and 80 women, mean age 42±2,3) and 183 of their cohabitating relatives. The method of С D. Spielberg and J. L. Khanin was used for the assessment of anxiety degree, quality of life assessment (SF-36 health status survey), as well as a questionnaire, elaborated by our team, for patients with psoriasis. Results. After psychocorrection events in the patients there were noticed the following: decreased anxiety, increased vitality, improved relationships with loved ones, improved emotional state. Conclusion. When using psychotherapy in combination with medication, psoriasis treatment becomes more effective: reduced levels of anxiety, increased life activity, interaction with loved ones becomes more confident, improves emotional state.

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