Clinical phenomenological features and structure of personality disorders and behavior among workers industrial population
Introduction. Personality disorder is one of the most significant, multifaceted, but still insufficiently studied problems of modern psychiatry. The prevalence of this pathology in the population was 4,7%.
With regard to industrial workers, then the risk of disease is above average, due primarily production conditions, which are based on occupational specificity. In response to an identified deficiency of research in this area to draw definitive conclusions about the priority of influence of certain risk factors on the development of mental health problems up to the present time is not possible.
The need for multivariate analysis arises from modern concepts of mental health, which is not limited to the presence or absence of psychopathological symptoms and syndromes, but includes biological, social, psychological aspects, what was the purpose of our study.
Materials and methods. To achieve this goal, we have in terms of informed consent of respondents was conducted mental status examination 982 industrial workers according to the Decree of the Cabinet of Ministers of Ukraine No. 1465 dated 27.12.2000 of the year. Aged 20 to 60 years (mean age of 38,7 ± 7,68 years). The survey was carried out on the basis of outpatient-polyclinic Department of the Zaporozhe regional clinical psychiatric hospital during 2008 to 2011.
Results. In 95 surveyed (9,2±0,83%, and on 100 surveyed) when conducting psychoprofilactic inspection showed signs of disorders of personality and behavior (F60 – 69, according to the codes ICD-10). Gender distribution the overwhelming majority of the surveyed were men and 82 (75,79%) and 13 (24,21%) – women.
In the course of our clinical-phenomenological and psycho-diagnostic study identified the clinical and psychological manifestations of personality disorders and behavior in 28,1% of industrial workers, their structural characteristics.
Personals disorder manifested season – 24,3% and hysterical – 19,7%, paranoid – 18,7% and emotionally unstable disorder, 16,7% of the patients. Much less frequently met disale – 5,9 per cent, dependent, or 5,7%, anancast disorder is 4,8% and anxiety-evasive – 4,2%.
Analysis of the severity of the leading psychopathological syndromes in patients with disorders of personality and behavior shows that for the majority of the surveyed (51.1% of the cases) was characterized by the presence of symptoms specific And cluster – centeredness, suspicion, and anxious-fearful traits. On the second place in number (32,3%) are signs of the cluster, such as eccentricities, emotional lability and theatricality. The cluster was the least represented (16.6 percent), and differed from the previous groups of minimum severity of pathological traits.
In (45,3%) patients was present a moderately severe symptoms or severe difficulty in social functioning. A significant number of individuals with disorders of personality and behavior (25,3%) were for symptoms and expected reactions to traumatic exposure, no more than a slight disruption of the functioning in interpersonal and professional spheres. In (22,1%) surveyed were significantly expressed symptoms or some difficulties in work, interpersonal relationships. The group of patients (7,3%) had established a clearly defined symptoms or impaired functioning that, of course, required attention or treatment.
The relationship between, on the one hand, individual characteristics of a number of personality traits, their level of job satisfaction and social status, and indicators of social functioning, which determines the feasibility of using these characteristics for diagnosis and prognosis of these disorders.
Conclusions. 1. Discovered clinical and psychological manifestations of personality disorders and behavioral disorders in 28.1% of industrial workers and their structural features. 2. Patopersonolohichni schizoid disorder manifested - 24.3%, hysterical - 19.7%, paranoid - 18.7% and emotionally unstable disorder - 16.7% of patients. Much less met dysotsialnyy - 5.9%, depending - 5.7%, anankastnyy disorder - 4.8% and disturbingly evasive - 4.2%. 3. Analysis of expression prevailing psychopathological syndromes in patients with personality disorders and behavior suggests that, for most of the patients (51.1% of cases) is characterized by the presence of symptoms characteristic of cluster A - ehotsentrychnist, suspicion and anxiety and shy traits. In second place in quantitative terms (32.3%) are in the cluster features such as eccentricity, emotional lability and theatricality. Cluster C was the least represented (16.6%), and different from previous groups of minimum severity of pathological features. 4. 45.3% of patients present moderate or severe symptoms expressed difficulties in social functioning. In 22.1% of patients expressed significantly observed symptoms or difficulties at work, interpersonal relations. Group patients (7.3%) had established a clear symptoms or dysfunction that will certainly require attention or treatment. 5. The relation between the individual characteristics of a number of personality traits, their level of job satisfaction and social provisions and the other - indicators of social functioning, determining the feasibility of using these features for the diagnosis and prediction of these disorders.