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Summary. The current biopsychosocial paradigm in medicine and medical psychology ensures the development of the theory and methodology of medical psychodiagnostics as a comprehensive study of psychological and psychosocial factors underlying mental adaptation. The diagnostic of prenosological and initial manifestations of borderline spectrum disorders designated as adjustment disorders in ICD-10 (F43.2), requires the criteria qualification of real or potential stressogenic social functioning conditions, thus, an arsenal of adequate methods of clinical and medical-psychosocial psychodiagnostics is required. The questionnaire «Social Frustration Level» represents one of such methods. The study of social frustration phenomenon as a predictor of emotional tension and stress resistance allows to characterize personality traits in relation to environmental influence and assess the specificity and pathogenic significance of socially frustrating factors. The article substantiates theoretical and methodological foundations of the questionnaire, its attributive characteristics — the phenomena of external and internal social frustration identified in medical psychodiagnostics for the first time. Socio-diagnostic criteria are illustrated by examples of the practical use in medical psychodiagnostics of social frustration in teachers of mass schools, the military and in patients with focal epilepsy. The specified research contingent is united by the problem of stress resistance in crisis situations (including a disease situation and the attitude to the disease). The questionnaire «Social Frustration Level» can be considered as a necessary form of psychosocial diagnostics of stress genesis, a source of information in screening psychoprophylactic studies, as well as in the forming of indications for psycho- and sociotherapy.

Objective. Systematization of the main factors of psychological and psychiatric risk during the COVID-19 pandemic, identified in foreign studies. Background. The need to clarify ideas about the determination of psychological and psychiatric problems caused by the socially stressful impact of the COVID-19 pandemic is dictated primarily by the demands of practice. The relevance of actions in this direction is determined by the continuing instability of the epidemiological and socio-economic situation, the need for prompt and wide coverage of those in need with programs of psychological and psychiatric care, the fragmentation and inconsistency of exist- ing information about the impact of the pandemic on the mental health of the population. Methodology. A theoretical analysis of literature sources describing foreign studies of psychologi- cal and psychiatric risk factors against the background of a pandemic was carried out; using a compara- tive analytical method, the meaning and degree of knowledge of situational and individual factors are determined. Conclusions. The general features of studies conducted by psychologists and psychiatrists from different countries against the background of the coronavirus threat were revealed (the predominance of the remote format, the reduction in the variety and volume of diagnostic tools, the use of large-scale samples). The main factors of psychological and psychiatric risk affecting the population in the context of the spread of coronavirus are divided into situational and individual. The factors of the first group are differentiated according to their degree of specificity for the COVID-19 pandemic, while in the second group, socio-demographic and medico-psychological factors are distinguished. It is shown that indi- vidual psychological characteristics that can determine the nature of a person’s response to a pandemic remain the least studied and clarification of their composition is an urgent scientific and practical task.

Social Anxiety Disorder (SAD) is a highly prevalent and debilitating condition. Although effective treatments exist, their success is limited. This narrative review seeks to advance a comprehensive understanding of the types of social threat affecting individuals with SAD from the perspective of two basic biobehavioral systems: affiliation and social-rank. We argue that SAD is associated with vulnerability to events signaling loss of affiliation (exclusion) and of social-rank (defeat). Specifically, we suggest that SAD is characterized by (a) hyper-reactivity to exclusion and defeat; (b) propensity to respond to exclusion by deploying distancing and withdrawal strategies; (c) propensity to respond to defeat by deploying conflict-reducing subordination strategies; and (d) enhanced linkage of the two systems. This dual-system account may help integrate clinically significant information about SAD and offer recommendations regarding novel theory-based directions for treatments.

This article is dedicated to examining the phenomenon of interpersonal political and psychological tension, as well as its measurement in the context of individual hostility and interpersonal sensitivity. The concept of social or interpersonal stress, which is generic in relation to interpersonal political and psychological tension, is analyzed. The article identifies the fragmentation of the field of relevant research, as well as a lack of the standardized sociological tools necessary to study the phenomenon of interpersonal political and psychological tension. The results of three validation studies aimed at developing the sociological test “Interpersonal Political and Psychological Tension” are described. An assessment is made of such parameters of the tool as the distribution of its total values, factor and construct validity, intergroup differences. The first study was a nationwide survey conducted in September 2019 (N = 600). The second study was an online survey conducted in September 2019 (N = 475). The third study was a nationwide survey conducted in February 2020 (N = 2038). A test variant was identified which provides the best results when used in mass surveys. Two patterns of the test’s factorial structure are revealed, one of which is semantic, and the second being methodological in nature. Moreover, in both cases, high indices of factor validity were recorded. In the framework of construct validation, the test indicators appear to be loosely linked to the elements of the nomological network of political culture associated with attitudes. At the same time, a closer connection was observed to behavioral variables which describe individual aspects of everyday political activity. The following conclusions are made: 1) the test for measuring interpersonal political and psychological tension shows acceptable indices of factor and structural validity; 2) the study of the socio-psychological characteristics of political processes appears to be a promising area for further research using the test; 3) the specific composition of this test in the framework of public surveys is crucial for the reliability of its results when using personal interviews.

Today, the issue of studying the mechanisms of the impact of social stress on public health and its role in the formation of key human diseases is relevant and necessary. A large number of works, both clinical observations and experimental studies, are devoted to this problem. However, despite the high interest in this problem, there are still "white spots". Therefore, the purpose of our study was to analyze modern sources of information that highlight current issues of long-term social stress and its role in the formation of "diseases of civilization." Matherials and methods: analysis of scientific publications from the following databases: Google Scholar, Web of Science, Pub Med, by keywords: rats, social stress, diseases of civilization, neuroendocrine regulation, hypothalamus, supraoptic nucleus, paravetricular nucleus. Conclusions: Thus, the analysis of resources shows the undoubted role of stress in the formation of human diseases. Many articles are devoted to the description and analysis of the negative effects of environmental factors and peculiarities of living conditions on human health. Most researchers agree on the key role of the hypothalamus in regulating the body's stress response and the presence of morphofunctional changes associated with stress. It is important to note that scientists have paid much attention to the study of individual models of stress, namely pain, immobilization and hypoxic over the past 20 years. Unfortunately, there are few facts concerning the analysis of the influence of long-term negative social factors that do not cause stereotyped reactions, but form latent changes that are inherent in classical stress reactions.

The most important direction in the development of modern medical science is the study of protective, compensatory and pathological reactions of the organism that occur in response to various stress factors.The aim of the study is the subsequent development of methods for pharmacological correction of these reactions. The remedies for the correction of stress-induced immunity disorders are represented by the glyprolin group – the Selank drug and the Pro-Gly-Pro peptide compound – and are of particular interest. The aim of the experiment was to study the immunomodulating effect of glyprolines on the basis of the “social stress” model.Materials and methods. The experiment was performed on non-linear male rats aged 6-8 months. A model of a sensor contact was used as a model of the experimental “social stress”. The animals were divided into groups (n = 10): a “control” group was represented by individuals with aggressive and submissive types of behavior, formed within the conditions of the experimental “social stress” for 20 days; and 2 experimental groups in which the animals were intraperitoneally administered Selank (100 µg/kg) and Pro-Gly-Pro (100 µg/kg) against the background of the experimental “social” stress once a day for 20 days. A functional activity of the immune system was studied on the basis of standard immunopharmacological tests: a delayed-type hypersensitivity test (DTH test), a direct agglutination test (DAT), a latex test for studying the Neutrophil phagocytic rate of peripheral blood, and the essessment of the leucogram.Results. It has been established, that within the conditions of the “social” stress, the changes in the immune response are multidirectional. That fact confirms the theory of “the immune disbalance” caused by the action of stressors. As a result of studying the effect of glyprolines within the conditions of “the social stress”, Selank and Pro-Gly-Pro proved to be effective immunocorrectors, restoring cellular and humoral immunogenesis reactions as well as the phagocytic activity of neutrophils and leucogram indices.Сonclusion. The carried out study expands understanding of the immunoreaction pathogenesis within the stress-induced conditions in order to further develop a pharmacological strategy for correcting the revealed disorders through the substances of the neuropeptide structure.

Purpose: to analyze the prevalence of acute abdominal pathology in the period of social stress. Material and Methods. The data of official statistical reports of the Saratov city health Committee and the logs of patients admitted and discharged / deceased in the surgical clinics of the city were studied. The prevalence of acute appendicitis, acute cholecystitis, acute pancreatitis, acute intestinal obstruction, gastrointestinal bleeding, perforation of ulcers during 1990-2006 among the population of different age groups (young, mature, elderly /old) was investigated. The significance of differences between the groups was assessed using white's T-test. Results. A decrease in the prevalence of acute appendicitis, an increase in the prevalence of acute pancreatitis and gastrointestinal bleeding. Differences in the prevalence of acute abdominal diseases in patients of different age groups were found: an increase in the prevalence of acute pancreatitis mainly in the young population. There is a tendency to gradual Erasure of sexual differences in acute cholecystitis and acute pancreatitis in this period. Conclusion. The analyzed time interval was characterized by changes in the structure of the "acute abdomen", which may be associated with social changes in society during this period.

In stressful environment, animal can use different coping strategies. Passive animals manifest freezing behaviour at predator attacks, active ones are trying to have an impact on a stressful situation. Each coping style is presupposed to have a neurobiological basis and it helps animals to survive in aggressive and mutable environment. Being under a long lasting stress, leaders can be affected by cardiovascular and ulcer diseases, but a short term impact can cheer them up, improve neuroendocrine stress response more than passive coping style in animals. This paper analyzes animal pattern of coping behaviour, their inheritance based on gender, social status and age. The research shows how anxiety affects social behaviour of people individuals and typological reactions were compared. These patterns can be used by people in a situation of uncontrolled stress to prevent diseases and depressive disorders through altering one’s type of behavior to the one which is more effective. In addition, knowledge of behavioural types can assist teachers in implementing the learning process as in stress situations (e.g. taking exams, working on course papers, doing tests) not all students are able to effectively perceive and present the resulting material. On the other hand, active students could encourage short-term rather than long-term stressor irritation. It is necessary to pay special attention to students with low social economic status who display active response to stress. According to statistics, problem students often become aggressors and commit antisocial and sometimes criminal acts. The coping styles mentioned here above are not polar, there are no clear boundaries of personality. In addition, behaving according to the active / non-active type is identified by customary and inherited behaviour patterns.

Purpose: to develop fundamental basis of science based healthcare management in social and economic instability. Public health state (1998-2008, selected region) was characterized by cardiovascular health parameters (Code IX, ICD-10). Systematic review was performed according to PRISMA guidelines. Dynamic characteristics of major cardiovascular diseases in social and economic instability considered as a cause of a population system destabilization were reconstructed. Conclusion. Fundamentals of science based healthcare management in social and economic instability include long- and short-term prognosis of public health characteristics as the result of multifactor external influences on cardiovascular diseases prevalence.

Process of development of the most important forms of pathology of the digestive organs among people of different ages has been analyzed in a large industrial center for sixteen years. The age groups liable to gastroenterological pathology have been identified under conditions of social stress

Medical activity, which always includes the necessity to solve a system of logical, gnoseological, axiological, and praxiological problems as sociated with the process of diagnostics and treatment of a patient, can be successful only with high culture of a specialist. It is a moral obligation of a medical practician to become a man of culture. Based on a systematic approach, the paper presents medical culture as a specific subsystem of general culture, whose mastering starts in childhood, develops in university, and continues for the whole life, demanding colossal mental ener gies. Part 2 reveals the content of world outlook and philosophic-anthropological aspects of medical culture, grounds the necessity of the revise of the existing anthropological paradigm.

The study was carried out to analyze national and international publications evaluating impact of social factors on population mortality. The analysis was made on the basis of publications accessible in prints and electronic format (MEDLINE, EMBASE, ISI Web of Science) in Russian and English from 1990 to 2015. The results of generalized studies testify a valuable impact on standardized mortality coefficients of such factors as social support and social integration, higher level of education, higher social position, global peacefulness index, developed infrastructure. The negative impact is made by social stress, lower level of education, higher level of unemployment, social deprivation. It is established that social factors are ones the main factors effecting population mortality level. The effect of social factors is ambivalent and heterogeneous in time and by population groups. he quantitative evaluation of effect of every one of social factors is difficult.

In course of daily agonistic interactions, mice tend to stratify into those with chronic social defeats and those that repeatedly display aggression, which lead to the development of mixed anxiety/depression-like state and the pathology of aggressive behavior, respectively. Using the data of whole transcriptome analysis (RNA-seq), the changes in the expression of serotonergic genes involved in the synthesis, inactivation, and reception of serotonin, as well as of the Creb1 (transcription factor) gene and the Bdnf (brain-derived neurotrophic factor) gene were detected in the striatum (STR), ventral tegmental area (VTA), midbrain raphe nuclei (MRN), hypothalamus (HYP), and hippocampus (HIP) of defeated and aggressive male mice. In mice of both groups, the Tph2, Ddc, Slc6a4, Htr2a, Htr3a, Htr5b, Slc18a2, and Bdnf genes were downregulated in the MRN and the Tph2, Ddc, and Slc6a4 genes were upregulated in the VTA. These changes were more significant in defeated mice. The Htr5b gene has first been shown to be involved in mechanisms of depression and pathology of aggressive behavior. In the defeated mice, the expression levels of the Htr4 and Aldh1b1 genes were increased in the MRN, and expression levels of the Maob, Htr4, Htr1a, and Slc18a2 genes were increased in the VTA, while the expression level of the Htr3a gene was decreased. In the HYP of aggressive mice the Maoa, Htr2a, Htr2c, and Creb1 genes were downregulated and the Htr6 gene was upregulated. In the defeated mice, the Maoa and Creb1 genes were downregulated and the Htr6 and Aldh1b1 genes were upregulated in the HYP. In the STR, the Htr1a gene was downregulated and the Htr7 and Bdnf genes were upregulated. The Htr1b gene was upregulated in the HIP. The coexpression of dopaminergic and serotonergic genes in the MRN and VTA in the control of pathological behaviors is discussed. Thus, the complex pattern of differential expression of serotonergic genes in brain regions developing under repeated agonistic interactions in mice in dependence on behavioral pathology have been observed.

Whole-transcriptome analysis (RNA-seq) has been used to analyze changes in the expression of dopaminergic genes that encode proteins involved in the synthesis, inactivation, and neurotransmission of dopamine in the striatum, ventral tegmental area, raphe nuclei of the midbrain, hypothalamus, and hippocampus of male mice subjected to chronic social defeat. The expression of Th, Ddc, and Slc6A3 (Dat1) was upregulated, while that of Ppp1r1b and Sncg was downregulated in the ventral tegmental area; the expression of Th, Ddc, Drd2, and Sncg was downregulated in the raphe nuclei of midbrain; the expression of Th, Aldh2, and Ppp1r1b was upregulated, while that of Маоа was downregulated in the hypothalamus; Drd1 and Snca expression was downregulated and that of Sncb was upregulated in the striatum, and Sncb expression was upregulated in the hippocampus. There were no statistically significant changes in the expression of Comt, Maob, Drd3, Drd4, or Drd5 in the brain areas analyzed in stressed male mice (compared to control animals). Thus, the number of differentially expressed dopaminergic genes and the direction of expression changes in male mice experiencing chronic stress are specific to regions of the brain.