Mechanisms of formation of maladaptation states among internship doctors and approaches to their correction

Vyun V. V. Mechanisms of formation of maladaptation states among internship doctors and approaches to their correction. Journal of Education, Health and Sport. 2016;6(3):284-289. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.1137736 http://ojs.ukw.edu.pl/index.php/johs/article/view/5193 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015). 755 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Author (s) 2016; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 05.03.2016. Revised 20.03.2016. Accepted: 23.03.2016. Mechanisms of formation of maladaptation states among internship doctors and approaches to their correction V. V. Vyun Kharkov National Medical University Abstract A doctor’s adaptation to medical activity has a great influence on the effectiveness of his professional activity. The objective: to explore individual psychological predictors of the formation of maladaptation states of internship doctors for the development of a system for their diagnosis, correction and psychoprophylaxis. A comprehensive clinical-psychological, psychodiagnostic and clinical-anamnestic examination of 213 internship doctors of the first year of training at Kharkov National Medical University, 116 women and 97 men, aged 22-25 years old had been conducted. It had been established that internship doctors are characterized by feelings of internal tension and dissatisfaction, decreased mood, irritability, anxiety, long-term uncertain negative emotions, unmotivated fears, self-doubt, doubts about making decisions, decline in intellectual activityin conjunction with increased exhaustion and withdrawal mercurial attention. We have developed a system of medical and psychological support during the professional training period depending on the type of disadaptation. The psychotherapeutic complex in the internship doctors included the use of rational psychotherapy, autogenous training (psychotonic version of Shogham-Mirovsky), art therapy, progressive muscle relaxation by Jacobson, cognitive-behavioral therapy of Beck, autogenous training in the modification of Lebedinsky - Bortnik, etc. were used. The results of a three-year catamnestic study proved the effectiveness of the proposed system of psychotherapeutic correction of disorders of adaptation, positive dynamics of the mental state was noted, the maladaptive states were reduced; 92.6% of the examined recurrences of the violations of adaptation did not occur. Key words: internship doctor, maladaptation, psychological support