Keywords
gender differences
psychotherapy
psychoeducation
treatment
How to Cite
Abstract
The importance and necessity of studying the gender specificity of mental disorders has been repeatedly emphasized. Significant differences in the mechanisms of formation of depressive disorders in men and women determine the specificity of clinical-psychopathological and pathopsychological manifestations and determine the need for the use of differentiated therapeutic and diagnostic approaches. 147 patients with depressive disorders (76 female and 71 male) were examined. Clinical-psychopathological, psychodiagnostic and catamnetic research methods were used. Based on the data obtained during the work, a personalized system of therapy for depressive disorders with differentiated use of psychopharmacotherapy, psychotherapy and psychoeducation methods was developed and tested. As a result of the study, we concluded that for the treatment of patients with a depressive episode, a program should be used, which includes: pharmacotherapy (selective serotonin reuptake inhibitor Sertraline, melatoninergic antidepressant Agomelatine, anxiolytics), gender-specific individual and group psychotherapy and psychoeducation. For the treatment of patients with recurrent depressive disorder, a program should be used, which includes: pharmacotherapy (anxiolytics, combined serotonin and norepinephrine reuptake inhibitors (Mirtazapine, Venlafaxine)), gender-specific individual and group psychotherapy and psychoeducation. For the treatment of patients with a depressive episode of bipolar affective disorder, a program should be used, which includes: pharmacotherapy (using valproate, Lamotrigine, selective serotonin reuptake inhibitor Sertraline); gender-specific individual and group psychotherapy and psychoeducation.
Keywords: depressive disorders, gender differences, psychotherapy, psychoeducation, treatment.
References
Kozhyna HM, Markova MV, Hrynevych EH, Zelenska KO. The problem of the undergraduate students of universities III-IV accreditation levels. Archives of Psychiatry. 2011;17(4(67)):32‒5. Available at: http://nbuv.gov.ua/UJRN/apsuh_2011_17_4_9 [in Russian].
Chaban OS, Khaustova OO, Trachuk LIe. The ways to improve the effectiveness of teaching medical students majoring іn medical psychology. Medical psychology. 2016;(1):3–8. Available at: http://www.mps.kh.ua/archive/2016/1/1 [in Ukrainian].
Leshchyna IV. Screening diagnosis of non-psychotic mental disorders in medical students. Bulletin of problems in biology and medicine. 2011;1(2):131‒5. Available at: https://vpbm.com.ua/ua/arcive [in Ukrainian].
Pshuk NH, Slobodianiuk DP. Role of psychosocial factors in the genesis of social exclusion among student youth. Ukrainian Bulletin of Psychoneurology. 2015;23(2(83)):86‒91. Available at: https://is.gd/gshs3o [in Ukrainian].
Malakhov PS, Asieieva YuO, Kharitonova AS. The problem of adaptation of medical students. Medical psychology. 2016;(2):3‒5. Available at: http://www.mps.kh.ua/archive/2016/2/1 [In Ukrainian].
Rubinow DR, Schmidt PJ. Sex differences and the neurobiology of affective disorders. Neuropsychopharmacology. 2019;44(1):111‒28. DOI: 10.1038/s41386-018-0148-z. PMID: 30061743.
Walker ER, Druss BG. Rate and Predictors of Persistent Major Depressive Disorder in a Nationally Representative Sample. Community Ment Health J. 2015 Aug;51(6):701‒7. DOI: 10.1007/s10597-014-9793-9. PMID: 25527224.
Deshpande SS, Kalmegh B, Patil PN, Ghate MR, Sarmukaddam S, Paralikar VP. Stresses and Disability in Depression across Gender. Depress Res Treat. 2014;2014:735307. DOI: 10.1155/2014/735307. PMID: 24579042.
Qin X, Sun J, Wang M, Lu X, Dong Q, Zhang L, et al. Gender Differences in Dysfunctional Attitudes in Major Depressive Disorder. Front Psychiatry. 2020;11:86. DOI: 10.3389/fpsyt.2020.00086. Erratum in: Front Psychiatry. 2020;11:541955. PMID: 32180737.