OF THE RELATIONSHIP TO ACCESSIBILITY OF VALUES IN VARIOUS SPHERES OF LIFE OF WOMEN IN DEPRESSIVE DISORDERS OF VARIOUS GENESIS, DEPENDING ON THE EXPRESSION OF PSYCHOSOCIAL DISADAPTATION

Isakov R. I. OF THE RELATIONSHIP TO ACCESSIBILITY OF VALUES IN VARIOUS SPHERES OF LIFE OF WOMEN IN DEPRESSIVE DISORDERS OF VARIOUS GENESIS, DEPENDING ON THE EXPRESSION OF PSYCHOSOCIAL DISADAPTATION. Актуальні проблеми транспортної медицини / Actual problems of transport medicine / 2020;1(59):36-44. ISSN 1818-9385 DOI http://dx.doi.org/10.5281/zenodo.3744351 http://aptm.org.ua OF THE RELATIONSHIP TO ACCESSIBILITY OF VALUES IN VARIOUS SPHERES OF LIFE OF WOMEN IN DEPRESSIVE DISORDERS OF VARIOUS GENESIS, DEPENDING ON THE EXPRESSION OF PSYCHOSOCIAL DISADAPTATION Isakov R.I. Ukrainian Medical Dental Academy, drrust@bigmir.net Summary 252 women were examined with a diagnosis of depressive disorder of various origins and the severity of psychosocial maladaptation (PD) to study the features of assessing the accessibility of values of various spheres of life. The study included 94 women with a depressive disorder of psychogenic genesis (prolonged depressive reaction due to an adaptation disorder), 83 women with endogenous depression (depressive episode; recurrent depressive disorder; bipolar affective disorder, current episode of depression) and 75 patients with depressive organic disorder genesis (organic affective disorders). 48 women had no signs of psychosocial maladaptation, while the other 204 showed manifestations of macro-, meso- and microsocial maladaptation of varying severity. The study was conducted using clinical, psychopathological and psychodiagnostic methods. As a result of the study, important patterns were identified in transforming the attitude to the accessibility of the desired vital values in women with depressive disorder with different severity of various types of psychosocial disadaptation, namely, the universal tendency to decrease the availability of health as the manifestations of macrosocial, mesosocial and microsocial disadaptation increase. In parallel with a decrease in the availability of health, the availability of a materially secure life and self-confidence also decreased. At the same time, the accessibility of other areas increases mainly due to a decrease in the availability of health. The data obtained should be taken into account when developing treatment and rehabilitation measures for this patient population. Key words: depressive disorders; psychosocial maladaptation; accessibility of values; psychogenic depression; organic depression; endogenous depression; women