The structure of “internal conflict” and “internal vacuum” as a result of dissociation between the choice of values and their availability in women with depression of different origin and different severity of macro-, meso- and micro-maladjustment


Keywords: depressive disorders, psychosocial maladaptation, internal conflict, internal vacuum, psychogenic depression, organic depression, endogenous depression, women.

Abstract

Annotation. The aim is to study the features of the structure of “internal conflict” and “internal vacuum” as a result of the dissociation between the choice of vital values and their availability in women with depression of different genesis and different severity of macro-, meso- and microsocial maladaptation, further targeted targets of personalized treatment and rehabilitation. The study included 94 individuals with a depressive disorder of psychogenic origin (prolonged depressive response due to an adaptation disorder), 83 women with endogenous depression (depressive episode; recurrently depressive disorder; bipolar affective disorder, current episode of depression), and 75 depressed of depression (organic affective disorders). The study was conducted using clinical psychopathological and psychodiagnostic methods. 48 women had no signs of psychosocial maladaptation, while the other 204 showed manifestations of macro-, meso-, and microsocial maladaptation of different severity. The study was conducted using clinical psychopathological and psychodiagnostic methods. The technique of studying the value orientations in the modification of O.B. Fantalova was used. The fountain. Statistical and mathematical analysis included the formation of descriptive statistics and the analysis of differences using nonparametric methods. The study revealed important patterns of transformation of the value-motivational sphere of women suffering from depressive disorders, depending on the severity of macro-, meso- and micro-social maladaptation, namely, an increase in the absolute dissociation rate as the signs of maladaptation increase in all spheres, spheres of health, active life, materially secured life, freedom as independence in actions and actions and creativity. The greatest dissociation by type of internal conflict (valuable but inaccessible) was found in the spheres of health, happy family life and material life. The greatest dissociation by type of internal vacuum (accessible but not valuable) is found in the fields of beauty of nature and art, cognition and creativity. The data obtained should be taken into account when developing treatment and rehabilitation measures for a given contingent of patients.

References

1. Isakov, R. I. (2018). Psykhosotsialna dezadaptatsiia u zhinok z depresyvnymy rozladamy riznoho genezu: osoblyvosti diahnostyky, vyrazhenosti i struktury [Psychosocial maladaptation in women with depressive disorders of different genesis: features of diagnosis, severity and structure]. Psykhiatriia, nevrolohiia, medychna psykholohiia – Psychiatry, Neurology, Medical Psychology, 9, 82–92.

2. Krasilnikov, I. A. (2006). Vnutrilichnostnyj konflikt i psihologicheskaya adaptaciya [Intrapersonal conflict and psychological adaptation]. Saratov: Izd-vo Sarat. un-ta.

3. Krasilnikov, I. A. (2007). Psihodiagnosticheskie vozmozhnosti metodiki M-CD (modifikaciya metodiki “USCD” E.B. Fantalovoj) pri issledovanii vnutrilichnostnogo konflikta [Psychodiagnostic capabilities of the M-CD methodology (modification of the “USDC” methodology by E. B. Fantalova) in the study of intrapersonal conflict]. Izvestiya Saratovskogo universiteta. Seriya Filosofiya. Psihologiya. Pedagogika – News of the Saratov University. Philosophy Series. Psychology. Pedagogy, 7, 69–73.

4. Fantalova, E. B. (2001). Diagnostika i psihoterapiya vnutrennego konflikta [Diagnosis and psychotherapy of internal conflict]. Samara: Izdatelskij dom BAHRAH-M.

5. Fantalova, E. B. (2012). Vnutrennij konflikt, vnutrennij vakuum i nejtralnaya zona kak cennostno-orientirovannye lichnostnye konstrukty v ekzistencialnom prostranstve cheloveka [Internal conflict, internal vacuum, and the neutral zone as value-oriented personality constructs in the existential space of man]. V Voprosy. Gipotezy. Otvety: Nauka XXI veka: monografiya [In Questions. Hypothesis. Answers: 21st Century Science: Monograph]. Krasnodar.

6. Fantalova, E. B. (2012). Cennosti i vnutrennie konflikty: teoriya, metodologiya, diagnostika [Values and internal conflicts: theory, methodology, diagnostics]. Lap Lambert Academic Publishing GmbH&Co.KG. Retrieved from http://psychlib.ru/mgppu/FCv-2012/FCv-0011.htm#$p1.

7. Alizadeh, Z., Feizi, A., Rejali, M., Afshar, H., Keshteli, A. H., & Adibi, P. (2018). The Predictive Value of Personality Traits for Psychological Problems (Stress, Anxiety and Depression): Results from a Large Population Based Study. J. Epidemiol. Glob. Health., 8 (3-4), 124–133. doi: 10.2991/j.jegh.2017.11.003.

8. Fiskin, G., Kaydirak, M. M., & Oskay, U. Y. (2017). Psychosocial Adaptation and Depressive Manifestations in High-Risk Pregnant Women: Implications for Clinical Practice. Worldviews Evid Based Nurs., 14 (1), 55–64. doi: 10.1111/wvn.12186.

9. Guille, C., Frank, E., Zhao, Z., Kalmbach, D. A., Nietert, P. J., Mata, D. A., & Sen, S. (2017). Work-Family Conflict and the Sex Difference in Depression Among Training Physicians. JAMA Intern Med., 177 (12), 1766–1772. doi: 10.1001/jamainternmed.2017.5138.

10. Sassarini, D. J. (2016). Depression in midlife women. Maturitas. Dec; 94: 149–154. doi: 10.1016/j.maturitas.2016.09.004.

11. Slavich, G. M., & Sacher, J. (2019). Stress, sex hormones, inflammation, and major depressive disorder: Extending Social Signal Transduction Theory of Depression to account for sex differences in mood disorders. Psychopharmacology (Berl), 236 (10), 3063–3079. doi: 10.1007/s00213-019-05326-9.
Published
2020-05-18
How to Cite
Isakov, R. (2020). The structure of “internal conflict” and “internal vacuum” as a result of dissociation between the choice of values and their availability in women with depression of different origin and different severity of macro-, meso- and micro-maladjustment. Reports of Vinnytsia National Medical University, 24(1), 165-174. https://doi.org/https://doi.org/10.31393/reports-vnmedical-2020-24(1)-32
Section
SOCIAL MEDICINE, ORGANIZATION OF HEALTH PROTECTION