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Medical Psychology in Russia

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Vol 15, No 2 (2023)
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ИСТОРИЯ ПЕРИНАТАЛЬНОЙ ПСИХОЛОГИИ В РОССИИ

2-11 116
Abstract

The article highlights the history of the development of perinatal psychology in Russia, emphasizes the interest in it of medical workers of various specialties, the importance of the formation of perinatal compliance. Examples of the introduction of new forms of perinatal care during childbirth and in the postnatal period in accordance with the theoretical provisions of perinatal psychology are given.

АКТУАЛЬНЫЕ ПРОБЛЕМЫ ПЕРИНАТАЛЬНОЙ ПСИХОЛОГИИ

12-26 214
Abstract

The article discusses current trends in changes in reproductive behavior in women and the social and psychological factors influencing this. The relationship between reproductive strategies, reproductive attitudes and reproductive behavior is characterized. The features of reproductive attitudes and reproductive behavior in modern society are described. The recently emerging phenomenon of "delayed motherhood" is associated with a number of social changes, which result in transformations in the content of women’s age identity. Based on an analysis of materials from psychological counseling of women planning to have a child at a late reproductive age, it is proposed to highlight the reproductive component in the structure of age identity. A socio-psychological portrait of women who postpone motherhood until later in life is presented. It is noted that there is a contradiction between the decrease in the subjective age of modern women by 10—15 years and the preservation of the biological limitation of female reproductive age. Possible ways to optimize reproductive strategies based on the formation of reproductive attitudes that are adequate for modern social conditions are discussed.

27-34 85
Abstract

The article presents the data of the study of neurotic states and the peculiarities of attitudes to pregnancy, childbirth, self-mother and newborn in women whose pregnancy occurred with the help of reproductive technologies. Socio-demographic characteristics are described in detail, confirming that women with impaired reproductive function have a traumatic experience of perinatal losses in anamnesis, demonstrate more responsible behavior during conception and the father of the child is significant for them. They are characterized by neurotic manifestations of a morbid nature (less than -1.28) on the scales of "anxiety", "hysterical type of reaction", "obsessive-phobic disorders" and "vegetative disorders". The reliability of the obtained results is confirmed by statistical criteria (Mann – Whitney U-test and factor analysis data).

35-47 97
Abstract

The article presents the results of a study aimed to identify the peculiarities of the internal picture of pregnancy (IPP) of women with reproductive tract infections (RTI), whose delivery is planned in the obstetric observation. The study involved 60 first-time and second-time women in the third trimester of pregnancy who were first infected with urogenital chlamydia, urogenital trichomoniasis or genital herpes during gestation, as well as 60 conditionally healthy pregnant women. The IPP in pregnant women with RTI includes underscore estimates of pregnancy, a reduced value of the situation of childbirth and motherhood. Women in this group have an increased level of symptoms of anxiety and depression, as well as specific fears associated with the perinatal period. Pregnant women with RTI are less likely to be characterized by constructive motivation for the child born. In the ontogenesis of the motherhood of pregnant women with RTI, a tense, anxious and detached style of interaction with their mother in childhood is more often present. In the early childhood experience of these women, there are violations of the passage of the separation stage with the mother according to the type of dependence preservation. The experience of motherhood in pregnant women with RTI has a generally negative effect on the components of IPP and should be studied further. The results of the study showed the relevance of strengthening measures to prevent the appearance and development of RTI in women during pregnancy. The necessity of organizing psychological assistance to women aimed at increasing adherence to the treatment of acute RTI and following the recommendations of the attending physician, as well as the formation of psychological readiness for the childbirth is shown.

48-56 83
Abstract

This article presents a mathematical analysis of modern foreign studies of social support as a resource of coping and parental stress in motherhood. The empirical study focuses on the study of social support as a factor that comprehensively reduces the negative manifestations of conditions affecting the emotional distress of a woman in normative parenthood at all stages of motherhood. The parameters in the study were parental and everyday stress, parental guilt and the mother's subjective well-being, as well as characteristics of the woman's parental self-perception. The main goal of the study is focused on studying the relationship between social support as a resource for coping with parental and everyday stress, parental guilt, as well as the characteristics of a woman’s self-perception and psycho-emotional well-being. The study involved 216 women aged from 20 to 53 years (M = 37.14), having 1–4 children (M = 1.86, SD = 0.74) with parenthood experience from 0 to 31 years (M = 11.94, SD = 6.46). It was found that social support is a factor in reducing parental and everyday stress, and reduces the manifestations of negative psycho-emotional symptoms in mothers. Acts as a factor in a woman’s positive self-perception in parenthood and allows her to evaluate motherhood as a pleasant and emotionally rewarding experience, making parenthood more comfortable and less labor-intensive, and helps reduce the severity of parental guilt. The results obtained can form the basis for the development of programs for the correction and prevention of parental stress and emotional burnout for women experiencing difficulties in motherhood at all stages of parenthood.

57-63 88
Abstract

The article is devoted to the problem of professional burnout of doctors and nursing staff of the maternity hospital. The technology of conducting a study of professional burnout and the main ways to solve the problem are described.



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ISSN 2219-8245 (Online)