Medical Radiology and Radiation Safety. 2018. Vol. 63. No. 5. P. 11–18

RADIATION MEDICINE

DOI: 10.12737/article_5bc8960ba308e0.31051556

Psychophysiological Adaptation of Patients with Local Radiation Injuries

N.A. Metlyaeva, A.Yu. Bushmanov, V.I. Krasnuk, A.A. Davtyan, O.V. Shcherbatykh, L.A. Yunanova, V.V. Koren’kov, D.S. Yunanov

A.I. Burnasyan Federal Medical Biophysical Center, Moscow, Russia. E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

N.A. Metlyaeva – Leading Researcher, Dr. Sc. Med.; A.Yu. Bushmanov – Senior Vice-President, Dr. Sc. Med., Prof.; V.I. Krasnuk – Head of Department No. 2, Dr. Sc. Med.; A.A. Davtyan – Head of Department of Acute Radiation Pathology (hematological), PhD Med.; O.V. Shcherbatykh – Junior Researcher; L.A. Yunanova – Engineer; V.V. Koren’kov – Head of Special Admission Office, PhD Med.; D.S. Yunanov – Engineer

Abstract

Purpose: Assessment of psycho-physiological adaptation of patients with local radiation injuries (LRI), depending on the presence or absence of an established connection with an accident at work in connection with a radiation accident or an incident that has undergone a psychophysiological examination.

Material and methods: Clinical and psychophysiological examination of 57 patients with local radiation injuries was performed, 20 of them, whose LRI s were associated with an accident at work (Group 1) and 37 patients, whose LRI connection was not established with production (Group 2). The mean age of the examined subjects was 41.6 ± 3.1 and 52.0 ± 1.6 years. The psychophysiological examination was carried out using the automated program-methodical complex “Expert”, designed to study the personality of a person, the cognitive and intellectual characteristics of a person using the method of the Multilateral Personality Study is an adaptation of MMPI, the method of Cattell’s 16PF, the Raven test, simple and complex sensorimotor reactions and reaction to a moving object.

Results: Clinical and psychophysiological assessment of personality and the actual mental state of patients with LRI having an established connection to an accident at work in comparison with patients with LRI with an unrelated connection with production allowed to determine the main types of disturbance of psychophysiological adaptation in a kind of anxiety-hypochondriacal type of adaptation disorder with a tendency to dissocial behavior in patients with LRI who have an established connection with an accident at work.

Conclusion: Anxiety-hypochondriacal type of disturbance of psychophysiological adaptation in patients with LRI is caused primarily by concern about the state of physical health, which determined the tension of mental adaptation with a tendency to neglect social norms and rules of behavior, with a tendency to dissocial behavior, psychasthenia, autization, distancing, alienation, affective rigidity, the desire to put the blame on others for the violation of interpersonal relationships, life difficulties and emotions conflicts. The dissocial type of the disturbance of psychophysiological adaptation was revealed mainly in patients with LRI who have established connection with an accident at work.

Key words: local radiation injuries, acute radiation syndrome, psyhaphysiological adaptation, radiation risk

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For citation: Metlyaeva NA, Bushmanov AYu, Krasnuk VI, Davtyan AA, Shcherbatykh OV, Yunanova LA, Koren’kov VV, Yunanov DS. Psychophysiological Adaptation of Patients with Local Radiation Injuries. Medical Radiology and Radiation Safety. 2018;63(5):11-8. Russian.

DOI: 10.12737/article_5bc8960ba308e0.31051556

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