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The state of psychological well-being, and moreover, the state of mental health of the child has a significant impact on compliance with recommendations to ensure the optimal health of the oral cavity. The study of the effect of children's mental health on the health of their oral cavity is necessary for the further formation of highly congruent and personified recommendations for the care of teeth in each group of children with different levels of mental health. Despite the intense development of both pediatric psychiatry and pediatric dentistry, some aspects of it, including anxiety and phobia disorders in children with underlying mental health disorders, remain poorly understood. To understand approaches to the correction of the odontophobic reactions, a detailed study of the mechanisms of pathogenesis of such reactions is necessary to be completed. The purpose of the study: to form a typology and to describe pathogenesis of the odontophobic reactions in children with different levels of mental health, basing on the analysis of ethostomatological correlates. Contingents and methods. On the basis of Regional Clinical Dental Hospital, under the conditions of informed consent of parents and according to the principles of bioethics, 100 children with a variety of dental diseases with different levels of mental health, with odontophobic reactions were examined. They were divided into the following four groups: the first group consisted 30 patients with autism, the second group consisted 30 patients with oligophrenia of the mild degree, the third group consisted 20 patients with ADHD, the fourth group consisted mentally healthy children. Research results. Based on the comparative analysis of the clinical and semiotic content of the odontophobic reactions and the ethostomatological correlates in children with different levels of mental health, mechanisms of their pathogenesis have been established. In patients with autism, an insulating type of odontophobic reaction develops by statobehavioral pathogenetic mechanism, transaffective odontophobic reaction develops by disposition-reactive mechanism, and stenic-negativistic odontophobic reaction develops by hyperdefensive mechanism. In children with oligophrenia, confronational odontophobic reaction develops by hypoanalytical pathogenetic mechanism, vocalizational odontophobic reaction develops by situationally-determined mechanism, and agitational odontophobic reaction develops by pathocerebrotonic mechanism. In children with ADHD, motor odontophobic reaction develops by kinetodeprivational pathogenetic mechanism, partly-adherent odontophobic reaction develops by isomotivational mechanism, and explosive odontophobic reaction develops by transalgetic mechanism. In mentally healthy children, algophobic odontophobic reaction develops by algopreventative pathogenetic mechanism, transcompialant odontophobic reaction develops by hypomotivational mechanism, and escapational odontophobic reaction develops by distancing mechanism.

Aim: to identify and explore the structure of comorbid psychopathological disorders in patients with type 2nd diabetes mellitus (DM). Materials and methods: 543 patients with type 2nd DM were included into the study. The average age of patients was (56.2 ± 0.65) years. The patients were divided into three groups according to the severity of DM. The first clinical group (CG-1) included 57 patients with type 2nd DM of mild severity, who was treated in outpatient department; the average age in the group was (51.8 ± 1.28) years. The second clinical group (CG-2) made up of 312 patients with type 2nd DM, moderate severity, they were in inpatient department; the median age of the group was (55.1 ± 1.12) years. The third clinical group (CG-3) included 174 patients with type 2nd DM, severe degrees of severity, they undergone inpatient treatment too; average age in the group was (61.8 ± 0.85) years. Research methods: clinical-anamnesis, clinical- psychopathological, statistical. Research results. The study established the incidence of non-psychotic mental disorders of varying severity in patients with type 2nd DM at the level of 94.11 %, among them, for 91.16 % – of psychogenic origin. Proportional correlation between the severity of type 2nd DM and the absence of comorbid psychopathological manifestations was detected (rs = -0.3416, p < 0.01). It is revealed that the dominant psychopathological syndromes among all patients with type 2nd DM were psychoorganic (62.43 %), dyssomnia (60.86 %), asthenic (55.58 %) and anxiety (43.05 %) syndromes. Structure of the dominant psychopathological syndromes was established depending on severity of type 2nd DM: in CG-1 dominated dyssomnia (36.84 %), anxiety (31.58 %), psychoorganic (21.05 %) syndromes; in CG-2 – psychoorganic (65.38 %), asthenic (40.38 %), dyssomnia (38.46 %), anxiety (37, and 82 %) syndromes; in CG-3 – dyssomnia (97.70 %), asthenic (89.08 %), organic mental (70.69 %), anxious 48.28 %) syndromes. Significant prevalence among all study groups was detected for hysterical (χ2 = 13.416, p < 0.01) and phobic syndromes (χ2 = 6.161, p < 0.05) in g CG-1 compared to CG-2 and CG-3; and asthenia (χ2 = 162.663, p < 0.01), anxiety (χ2 = 7.177, p < 0.05), depression (χ2 = 13.298, p < 0.01), dyssomnia (χ2 = 171.058, p < 0.01), hypochondric (χ2 = 19.331, p < 0.01), psychoorganic (χ2 = 47.830, p < 0.01) syndromes in CG-3 compared to CG-1 and CG-2. Direct correlation between the severity of type 2nd DM and the presence of the clinical picture asthenic (rs = 0.4033, p < 0.01) and psychoorganic (rs = 0.2344, p < 0.01) syndromes was identified; and inverse correlation between the severity of type 2nd DM and the presence of the clinical manifestation of patients with hysterical syndrome (rs = -0.1444, p < 0.01). Conclusion. The study established the frequency of occurrence and genesis of nonpsychotic mental disorders of varying severity in patients with type 2 DM. Correlation between the severity of type 2nd DM and comorbid psychopathological symptoms was revealed. The identified dominant psychopathological syndromes among patients with type 2nd DM, as well as the structure of psychopathological disorders depended on the severity of type 2nd DM.

Aim: to investigate and establish the specific complains violations in patients with diabetes mellitus (DM) of 2nd type. Materials and methods: 543 patients with DM of 2nd type were examined; the disease duration ranged from 2 to 27 years, average – (14.58 ± 1.82) years. Research methods: clinical-anamnestic, clinical-psychopathological, psycho diagnostic, statistical. Research results. We found that compliance to therapy in patients with DM of 2nd type was broken in 90.49 % of cases. We highlighted three options for compliance violations to DM therapy of 2nd type: dismedication (to 68.14 %), disdiet (88.40 %) and disexercise (90.49 %). The sub-variants of dismedication compliance violations to DM therapy of 2nd type was hyper-curation type (8.29 %), which was developed according to surplus of appointments execution and hypo-curation type (59.85 %), which was developed according to deficiency of appointments execution. Among them it was possible to distinguish a third – mixed version (7.37 %), which brings together episodes of the surplus and the deficit of medical drugs usage. The sub-options of disdiet option of compliance violations was hyper-curation type (1.66 %), which manifested itself in pathologically excessive rejection of food and hypo-curation type (86.74 %), which manifested itself in a disregard for the restrictions in the diet. Disexercise variant of compliance violations was possible to divide into hyper-curation type (4,24 %), manifested in excessive physical activity and, in its turn, had three subtypes – inceptional (1.66 %), sub-hyper-curation (1.10 %) and procurationis (1.47 %), and hypo-curation type of compliance violations (87.48 %), which manifested itself in a disregard of physical exertion. Dominance of disdiet and disexercise compliance violations among patients with DM of 2nd type (χ2 = 117.258, p < 0.01), dismedication option among patients of all hyper-curation types of compliance violations with DM of 2nd type (χ2 = 26.936, p < 0.01), disdiet and disexercise options among patients of all hypo-curation types of compliance violations with DM of 2nd type (χ2 = 156.922, p < 0.01) and hypo-curation type of compliance violation for all of its variants have been established. The factors of compliance violations for each of the variants and types have been determined.

Aim – to determine the peculiarities of asthenic syndrome in patients with diabetes mellitus (DM) type 2 in the clinical and medico-psychological context. Materials and methods. 543 patients with DM type 2 were examined. The first clinical group (CG-1) consisted of 57 patients with DM type 2 of mild severity; the average age in the group was (51.80 ± 1.28) years. The second clinical group (CG-2) was made up of 312 patients with DM type 2, moderate severity; the average age in the group was (55.10 ± 1.12) years. The third clinical group (CG-3) included 174 patients with DM type 2, severe degree of severity; the average age in the group was (the 61.80 ± 0.85) years. Research methods: clinical-anamnestic, clinical-psychopathological, statistical. Results. Asthenic syndrome was detected in 52.30 % of patients with DM type 2 and by the frequency of prevalence it ranked third – after dyssomnia and psychoorganic syndromes. A direct correlation of asthenic syndrome and the severity of DM type 2 (г = 0.68, p < 0.05) was established. Risk factors for the occurrence of asthenic syndrome in patients with DM type 2 were moderate and severe degrees of DM type 2, obesity, discirculatory encephalopathy, heart failure. In CG-1 and CG-2 the dominance of such a component of fatigue as "mental fatigue" was revealed, whereas the "physical fatigue" component has reached dominant values only in CG-3. Conclusions. The peculiarities of asthenic syndrome in patients with DM type 2, and the frequency of its occurrence among the investigated population were studied. Correlation of asthenic syndrome with severity of DM type 2 and concomitant somatic pathology were established. Organic etiology of asthenic syndrome in patients with DM type 2was proved. Understanding of the stages of asthenic syndrome development in patients with type 2nd DM was extended.

Чугунов В. В., Курило В. О., Данілевська Н. В. Особливості застосування електросудомної терапії при наркологічній патології = Features of the application of electroconvulsive therapy in the treatment of drug abuse pathology Journal of Education, Health and Sport. 2016;6(9):893-901. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.162962 http://ojs.ukw.edu.pl/index.php/johs/article/view/3953 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: 02.09.2016. Revised 24.09.2016. Accepted: 30.09.2016. Особливості застосування електросудомної терапії при наркологічній патології В. В. Чугунов, В. О. Курило, Н. В. Данілевська Запорізький державний медичний університет МОЗ України FEATURES OF THE APPLICATION OF ELECTROCONVULSIVE THERAPY IN THE TREATMENT OF DRUG ABUSE PATHOLOGY V. V. Chugunov, V. A. Kurilo, N. V. Danilevska Zaporizhzhya State Medical University Ministry of Healthcare of Ukraine Summary Objective: to examine the possibility of electroconvulsive therapy (ECT) use for the treatment of patients with addiction to psychoactive substances (PAS). The algorithm of ECT, which consists of 3 stages and IX sub-stages is given. The study of the therapeutic viability of ECT in the case of broad spectrum of addictive pathology (F10-F19) in the context of the relief of addictive attraction to PAS and comorbid disorders, including emotional disorders and resistant to pharmacotherapy of pain syndrome is made. ЕСТ is an effective method for additions therapy and comorbide psychopathological states. High therapeutic effect is connected with sanogenetic effect achieved in stopping of poorly curable pathology and achievement of sustained remission even in the cases where other methods are noneffective. Key words: addiction, substance abuse, drug addiction, alcoholism, electroconvulsive therapy

Chugunov V. V., Kurilo V. A., Danilevska N. V., Grigoryan A. Z. The method of combination of electroconvulsive therapy and postictally hypnotherapy in the treatment of patients with therapeutically resistant depression = Комбинация электросудорожной терапии и постиктальной гипнотерапии в лечении пациентов с терапевтически резистентной депрессией. Journal of Education, Health and Sport. 2016;6(6):51-58. eISSN 2391-8306. DOI http://dx.doi.org/10.6084/m9.figshare.3410038 http://ojs.ukw.edu.pl/index.php/johs/article/view/3545 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: 05.05.2016. Revised 25.05.2016. Accepted: 25.05.2016. The method of combination of electroconvulsive therapy and postictally hypnotherapy IN THE treatment of patients with therapeutically resistant depression V. V. Chugunov, V. A. Kurilo, N. V. Danilevska, A. Z. Grigoryan Zaporizhzhya State Medical University Ministry of Health Care of Ukraine Summary The description of the new method of treatment of therapeutically resistant depression by electroconvulsive therapy in combination with postictally hypnotherapy id given. Clinical and psychometric evaluation of the effectiveness of the new technique has been conducted. The results obtained show high efficacy of the method under description. Key words: electroconvulsive therapy, depression, postictally hypnotherapy. комбинациЯ электросудорожной терапии и постиктальной гипнотерапии В лечениИ пациентов с терапевтически резистентной депрессией В. В. Чугунов, В. А., Курило Н. В. Данилевская, А. З. Григорян Запорожский государственный медицинский университет МЗ Украины Реферат Приведено описание новой методики лечения терапевтически резистентной депрессии – электросудорожной терапии в комбинации с постиктальной гипнотерапией. Проведена клиническая и психодиагностическая оценка эффективности разработанной методики. Ключевые слова: электросудорожная терапия, депрессия, постиктальное внушение.

Aim. Pathoplastic modification of addictive disorders with affective spectrum violations, leads to the formation of the psychopathological cluster that have specific structural and dynamic features.Methods and results. In order to assess the dynamics of change of disease-relation type by LOBY questionnaire, 100 patients from «Zaporozhye Regional Narcological Dispensary» suffering from polydrug usage and affective spectrum disorders were examined in the following clinical periods: withdrawal state, further inpatient and outpatient follow-up.Conclusion. The solidity of background psychopathological disorders in perspective of their affiliation to somatogenically-organic register, for the entire study contingent was found. Dynamics of change of disease-relation type illustrates partially reversible character of these disorders.

In recent years in the world there is a tendency of quantity of persons who use drugs increase. Free availability of drugs of different groups for population is the main cause. Another trend associated with the consumption of drugs. All these factors led to the increased frequency of psychosis occurrence among consumers of psychoactive substances. In structure of such psychosis there are a variety of symptoms and syndromes. And since the number of drug users is quite broad in its structure - there are also persons with mental illness. This gives number of diagnostic difficulties. In this regard, the aim of the study was to trace the modern ideas of differential diagnosis of schizophrenia-like psychosis disorders due to the drug use. Materials and methods of research. In this work the content analysis of the modern representations of differential diagnosis of schizophrenia-like psychosis disorders as a result of the use of psychoactive substances was made. The problem of determination of primary and secondary nature of drug addiction in patients with psychotic disorders was indicated. Etiology and psychopathogenesis hypotheses of the addiction from psychoactive substances in the context of their correlation with endogenous mental pathology were defined. In the literature there is no clear diagnostic criteria that would allow distinguishing psychosis due to the use of drugs and endogenous psychosis, which is combined with the admission medicines. However, the attention of clinicians should be concentrated on the premorbid condition: the presence of hereditary family history, pathological behavior in childhood and adolescence. It was found that the majority of substances may cause one or more syndromes - delirium, dementia, and amnestic syndrome, delusional syndrome, hallucinatory syndrome, depressive syndrome, anxiety, and personality disorder, such disorders as schizophrenia-like psychosis disorders are not rare. Special attention was paid to the hypothesis of self-medication (self-medication hypothesis, SMH). According to this hypothesis, drugs can be used by patients to relief their mental disorders, which the people started by other drugs intake. For this reason, it is difficult to detect real Genesis of psychosis in this case. Therefore, psychoses due to the use of medications should be differentiated from psychosis due to other endogenous diseases, for example, in schizophrenia. Conclusion about the importance and relevance of differential diagnosis of schizophrenia-like psychosis disorders of different Genesis for psychiatrists and narcologists was made.

Aim. The identification of medical and psychological predictors of mental disorders are important for early diagnosis and therapy. The purpose of research – the identification of medical and psychological predictors of the prodromal period of the repeat episode of recurrent depressive disorder and investigation of their structural and dynamic characteristics. Materials and methods. On the basis of City psychoneurological hospital № 2 of Donetsk 100 patients with depressive disorder were examined using anamnestic, catamnestic, psycho-diagnostic methods. The study established the following predictors of the prodromal period: the prevalence of anxiety over depressive phenomena, reduction of the harmonious type of attitude to the disease, reducing mediated memorizing, lengthening reaction time. Conclusions. The analysis of the representation of the pathopsychological phenomens in the population of patients showed dynamic changes in the group of the predictors in the framework of the continuum «psychasthenia-anxiety-depression» in the form of consecutive change of phases of a prodromal period of repeat episode of recurrent depressive disorder.