FEATURES OF DREAMS OF PATIENTS WITH ANXIETY-DEPRESSIVE DISORDER IN THE CONDITIONS OF INPATIENT TREATMENT IN THE PSYCHONEUROLOGICAL DEPARTMENT
Notice bibliographique
Résumé
The article analyzes the use of a qualitative approach to the study of dreams of patients in a psychoneurological hospital with anxiety-depressive disorder through a semi-structured interview in order to formulate a strategy for psychotherapeutic treatment. Purpose of the article.The purpose of the article is to analyze the feasibility of using qualitative methods of content analysis and semi-structured interview to identify key motives and content patterns of dream features of patients with symptoms of mixed anxiety-depressive disorder for a better understanding of the selection of a psychotherapeutic intervention strategy. To achieve this goal, the article analyzes such a key aspect as the limitations of the qualitative approach as a scientific method of dream analysis. Methods. Theoretical analysis of scientific literature and semi-structured qualitative method of dream content analysis were used to compare the results of the two groups. The control group consisted of 50 people who agreed to regularly provide a series of dreams (each provided 5 dreams) recorded using a semi-structured interview questionnaire: "The W. Phillips Dream Processing Plan (modified by M. Kompanowicz). The subjects also filled out the Hospital Anxiety and Depression Scale (HADS) and the Toronto Alexithymia Scale (TAS-26) questionnaires - a significant factor in the formation of the control group was the low level of anxiety and depression, as well as the absence of a pronounced level of alexithymia. Results. The general pattern of the predominance of the descending process as the ego's tendency to disintegrate, as well as the predominance of frustration, was noted. The elements in the experience of anxiety and depression that are found in the context of frustration and disintegration are also classic, in particular, the tendency for the emotional state of patients to worsen after dreams is significant; according to the subjects, dreams only increase the feeling of fatality, the depth of the experience of the wasteland, and increase anxiety, and dreams about the death of relatives or the death of the dreamer's Ego are often interpreted as a "bad omen" and a tendency to catastrophize the future. Originality. The possibility of conducting a content analysis of dreams as a qualitative research method is proved, and the key trends and characteristics of dreams of patients with anxiety-depressive disorder are identified, which is useful in formulating a treatment strategy Conclusions and prospects for further scientific research. The findings have identified recurring trends, motives, and patterns in the limited sample studied; the results are not sufficient to establish clear patterns, as the results cannot be generalized due to the high level of contextual subjectivity. Prospects for further research are to compare the dream material of patients with other disorder nosologies
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,003 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,000 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,001 | 0,000 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».