Pessimistic Reflections in Women with Nonpsychotic Mental Disorders Aged 40–65 Years
Bibliographic record
Abstract
Цель. Изучение клинических и социально-психологических предпосылок возникновения пессимистических размышлений у женщин с непсихотическими психическими расстройствами в возрасте 40–65 лет.Материалы и методы. Проведено сплошное обследование 204 женщин в возрасте 40–65 лет, поступивших в течение года на лечение по поводу непсихотических психических расстройств. При психологическом обследовании использовались Торонтская алекситимическая шкала, Методика измерения уровня тревожности Тейлора; Шкала оценки астении MFI-20; Тест на стрессоустойчивость; Шкала субъективного благополучия.Результаты. Выделены две группы женщин в зависимости от отсутствия (n=118) или наличия (n=86) в течение последнего года разной степени частоты и выраженности пессимистических размышлений, связанных с восприятием себя, своего здоровья, сложившихся отношений в семье и/или на работе, опасениями за будущее, поиском смысла жизни. Женщины с пессимистическими размышлениями отличались более молодым возрастом; более высокими показателями тревожности, алекситимии, менопаузального индекса; низким уровнем стрессоустойчивости и реального субъективного благополучия. У женщин с непсихотическими психическими расстройствами в возрасте 40–65 лет, обнаруживающих пессимистические размышления, можно отметить наличие индикаторов суицидального риска: ситуационные; эмоциональные; когнитивные; реже поведенческие.Заключение. Выявление пессимистических размышлений у женщин, переживающих период возрастных преобразований, необходимо для своевременной их диагностики в структуре психического состояния и оказания психотерапевтической помощи, направленной на превенцию аутодеструктивного поведения и повышение качества жизни. Objective was to study clinical and socio-psychological preconditions for rise of pessimistic reflections in women with nonpsychotic mental disorders aged 40–65 years.Materials and methods. A continuous examination of 204 women aged 40–65 years hospitalized during a year for nonpsychotic mental disorders was conducted. Psychological examination included use of the Toronto Alexithymia Scale, the Taylor Manifest Anxiety Scale, the Multidimensional Fatigue Inventory, Stress Resistance Test, and the Scale of subjective well-being.Results. Two groups of women were distinguished depending on absence (n=118) or presence (n=86) within the last year of pessimistic reflections of various degree of frequency and severity related to oneself, own health, emergent relations in the family and/or at work, apprehension of the future, and search for meaning of life. The women with pessimistic reflections were characterized by younger age; higher indices of anxiety, alexithymia, menopausal index; low level of stress resistance and real subjective well- being. In women with non-psychotic mental disorders aged 40–65 years presenting pessimistic reflections the following indicators of suicide risk may be distinguished: situational; emotional; cognitive; and more seldom behavioral.Conclusions. Identifying the pessimistic reflections in women living through the period of age transformations is necessary for their timely diagnostics in the structure of the female mental health and for the provision of psychotherapeutic care to prevent autodestructive behavior and to heighten the quality of life.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.004 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".