The behavior strategies in situations of disorder and measures contributing health conditions of patients with mental ilnesses combined with comorbid depression syndrome

In the past decade many studies consider the problems of coping behaviour, which is aimed at improving an individual adaptation to the environment. Wrong coping with stress can lead to the formation of psychopathology. Patients suffering from various mental disorders use a variety of behavioral strategies that facilitate coping with a disease, which include delayed seeking medical help as well as the assistance of a psychologist. Untimely visit to a specialist could aggravate depression, which is currently the most common disorder. The researchers register high comorbidity of depression with mental disorders, which are supposed to be interrelated. The problem of mental illness combined with depression entails negative consequences for patients and their families. Therefore it is relevant to identify factors contributing to the improvement of psychological health of patients in clinical groups, which is necessary for early detection of comorbidity and therapeutic assistance to population. Objective of the study: to reveal characteristics of behaviors and measures contributing health conditions in the representation of respondents with mental disorders. The sample includes 98 people from 20 to 80 years of age suffering mental disorders and being hospitalized. Methods and techniques: "Strategy of behavior in situations of illness" and "Factors improving psychological state of being" (A. Ryder, Canada, University of Concordia). In clinical groups among respondents with mental disorders most probable ways of behavior in the process of formation of depression were identified. The analysis of the behavior showed that all respondents with mental disorders are characterized with: a withdrawal from their senses (dissimilation), reduced vitality, and low social self-esteem. We revealed the latent factor structure of the means contributing to the improvement of mental state of respondents with mental disorders combined with comorbid depression syndrome. Based on cluster analysis two types of respondents were identified according to the criterion of behavior strategies in the disease situation. The issues relating to psychological assistance for people suffering from mental disorders were also identified.

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