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Medical Psychology in Russia

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The scientific journal Medical Psychology in Russia publishes original articles on topical issues of psychology in medical practice.

The main purpose of the publication is to create a scientific platform within which specialists will be able to discuss current problems of fundamental and applied research in the field of medical (clinical) psychology in Russia.

The Scientific and Editorial Board of the online scientific journal Medical Psychology in Russia is guided in its work by international ethical rules of scientific publications, including rules of decency, confidentiality, supervision of publications, consideration of possible conflicts of interest, etc. In its activities, the editorial board follows the recommendations of the Committee on Ethics of Scientific Publications (Committee on Publication Ethics), the Guidelines on Ethics of Scientific Publications (Publishing Ethics Resource Kit) of Elsevier publishing house and, in particular, the Code of Ethics of Scientific Publications, developed and approved by the Committee on Ethics of Scientific Publications (www.publicet.org/code ).

Current issue

Vol 18, No 2 (2026)
View or download the full issue PDF (Russian)

TOPICAL ISSUES IN MEDICAL PSYCHOLOGY

2-11 147
Abstract

Understanding the specifics of medical professionals of various specialties in the field of mental health when the population chooses a specialized specialist who can correctly understand the patient's request and provide him with appropriate assistance is currently becoming an essential factor in assessing the quality of such care in general.

The purpose of the study is to study the behavior of the population of the Russian Federation when choosing specialists who provide assistance in the field of mental health.

Research materials and methods: the study was conducted using a questionnaire on barriers affecting the receipt/non-receipt of mental health care by the population. The sample represents the population of the Russian Federation by gender, age, and education level. The work uses analytical, sociological and statistical methods.

The results of the study showed the existence of a certain gap between the formal legal differences between mental health professionals and their perception by the population. Respondents may overestimate their awareness of this issue, which can lead to systematic errors in choosing a specialist when seeking help in the field of mental health.

Conclusion. Solving the problem of public literacy when choosing a specialist providing mental health care requires targeted efforts to increase public literacy in this area, including a clear explanation of the roles and competencies of each specialist.

12-21 135
Abstract

Relevance. The need for differentiated psychological rehabilitation of military personnel after participation in a special military operation has been substantiated, taking into account the heterogeneity of post-traumatic conditions. Materials and methods. A clinical and psychological examination of 32 military personnel was conducted using the HADS, the Mississippi Scale of Combat PTSD, the IES-R, a brief questionnaire based on the Brief RCOPE, and a structured clinical and psychological examination record card. The analysis was of a pilot descriptive-analytical nature and included the interpretation of average values, correlation relationships, and the operational comparison of quantitative indicators with the data of a clinical and psychological interview in order to identify clinical and psychological profiles of post-traumatic stress disorder.  Results. Four operational profiles were identified: chronic distress, dominance of guilt and shame experiences, religiosity as a coping resource, and a resilient type of adaptation. For each profile, the leading characteristics, priority targets for assistance, and corresponding areas of psychological support were described. Conclusions. The post-traumatic conditions of the surveyed military personnel are heterogeneous, and the total severity of symptoms, the structure of leading experiences, impairments in daily functioning, and coping resources are significant for the initial assistance route. The proposed model is of an applied nature and requires further verification on expanded samples using more rigorous intergroup statistical procedures.

22-34 123
Abstract

Research objective: This work presents the results of the study of attribution of the causes of the disease in a child among parents of children with autism spectrum disorder (ASD) and its relationships with the psychoemotional state of parents and the nature of child-parent relations. Materials and methods: In the study using the Alabama questionnaire of parenting practices (APQ-PR) and psychodiagnostic methods of assessing the attitude to the child's disease and family anxiety, 30 people who are a parent of a child with ASD participated. Results: A significant relationship between the type of attribution mechanism and the psychoemotional characteristics of parents of children with ASD was shown. A positive correlation was established between internalized attribution, increased anxiety levels, and negative subjective states in parents. The study was conducted as part of the state assignment No. 075-03-2024-570/2 dated May 22, 2024.

ПСИХОДИАГНОСТИКА

35-47 127
Abstract

Context and relevance. Internalization of socio-cultural standards of appearance is considered as one of the key factors in the formation of body dissatisfaction and eating disorders. Internalization of sociocultural standards of appearance is understood as the degree to which an individual accepts culturally transmitted ideals of appearance as personally significant, strives to conform to them, and implements behavioral strategies aimed at achieving them. Despite the widespread use of the Sociocultural Attitudes Towards Appearance Questionnaire-4 (SATAQ-4) questionnaire in foreign studies, its Russian-language version remains insufficiently studied. Objective: to pilot adaptation and psychometric verification of the Russian-language version of the SATAQ-4 questionnaire on a non-clinical sample. Materials and Methods: The study involved 80 respondents aged 18 to 30 years (M = 22; SD = 3), 88% of them are women. To assess the construct validity, the scale of assessment of eating behavior (EDI) and the scale of physical perfectionism were used. The psychometric analysis included exploratory factor analysis, calculation of the Cronbach's α coefficient, the Kaiser–Meyer–Olkin coefficient and the Bartlett’s test of sphericity, as well as correlation analysis (Spearman's r). Results: The data suitability indicators for factor analysis were high (KMO = 0.823; χ2 = 1239.651; p < 0.001). The overall internal consistency of the scale was α = 0.906. As a result of the exploratory factor analysis, a five-factor structure was obtained that explains 77.46% of the total variance and partially corresponds to the original model. The identified factors reflect social pressure, internalization of thinness, media influence, internalization of sportiness, and behavioral orientation towards sports. Statistically significant positive correlations of SATAQ-4 indicators with symptoms of eating disorders and physical perfectionism were found. Conclusions. The results obtained indicate good reliability and satisfactory structural validity of the Russian-language version of the SATAQ-4 questionnaire. The revealed features of the factor structure may reflect culturally specific aspects of the perception of body standards in the Russian sample. The methodology can be recommended for use in research practice.

SOCIAL MEDICAL PSYCHOLOGY

48-54 108
Abstract

The article is devoted to a recent internet phenomenon that has rapidly spread among young people. The authors consider "dorking" to be a disorder of drives, classifying it as a pathological disorder of the drive for impressions (satisfaction of sensory cravings). They point out the negative aspects of this disorder, which requires active medical and social preventive measures.

55-65 122
Abstract

The article analyzes the subjective picture of parenting through the prism of parental and everyday stress, attitudes towards intensive parenting, parental guilt and coping resources in 126 parents (79 women, 47 men, age M=39.10 years) from the Central Federal District of the Russian Federation with children under 18 years old. Relevance is due to the increase in intensive parenting in the context of modern stressors affecting psychoemotional well-being. Objective: to study the severity of stress and coping resources. Methods: questionnaires GAPS, IPAQ, PSS-10, PSS, Parent Satisfaction Scale, CRIS, subjective well-being (Shamionov); Statistical analysis: descriptive statistics, Mann–Whitney U-test. Quantitative indicators are presented as mean (M), standard deviation (SD), median (Me), lower (Q1), and upper (Q3) quartiles. The novelty of this study lies in the consideration of parental stress and coping resources in parents. The specificity of stress resistance in men and women is presented. The results of the study demonstrate an adaptive organization of the psychoemotional functioning of parents: a moderate level of daily and parental stress (with a dominant attitude toward stimulating the child's development) is balanced by high satisfaction with the parental role, the resource system, and pronounced subjective well-being.

ORIGINAL RESEARCH

66-78 131
Abstract

The study proposes a method for operationalizing the emergent properties of a dysfunctional family system through the analysis of anomalies in nomothetic psychometric data (AFR, LSI questionnaires, N=121). It was found that the distribution of responses deviates significantly from both normal (violation of CLT) and uniform distribution (violation of PME). These anomalies are interpreted within a bifurcation paradigm: deviation from CLT indicates stochastic concordance, revealing structural-functional coherence (an order parameter manifested by attractors and repellors); deviation from PME indicates intentional selectivity, revealing a socio-psychological attitude (a value-semantic configuration in the form of affirmation and abnegation). The joint manifestation of these patterns forms the emergent architectonics of the family, paving the way for building a typology of dysfunctions and developing systemic diagnostic procedures based on psychometric profiles.

79-93 117
Abstract

The purpose of the study: to develop a structural and dynamic model of value-semantic regulation of activity based on the K. Levin equation to describe the mechanisms of adaptation in conditions of increased stress. Materials and methods: a theoretical and mathematical reconstruction of the equation of behavior has been carried out. Empirical validation was performed on a sample of 1,398 conditionally normal respondents and 120 patients with non-psychotic mental disorders. The three-level assessment of the value-semantic sphere (conscious, preconscious and unconscious levels), the scale of social frustration, the severity multiplier (λ), the indices of deformation of the value-semantic sphere (DVm) were used. Regression and ROC analysis are applied. Results: Regression analysis showed that the coefficient of determination (R2) for the generalized model was 0.779. This indicates that up to 77.9% of the variability in behavioral risk indicators in the clinical sample and in the conditional norm group is associated with predictors included in the model. A statistically significant moderating effect of the interaction between DVm and λ has been confirmed. The prognostic accuracy of the classification of the risk of mental maladaptation is high (AUC=0.902). The thresholds for the transition to unstable adaptation have been identified. Conclusions: The disintegration of the value-semantic sphere is one of the key mechanisms responsible for the risk of mental maladaptation. The model has a fairly high predictive value and is promising for use in decision support systems both in clinical practice (individual selection of therapeutic strategies, rehabilitation planning, monitoring of condition dynamics) and in the management of mental health system resources: personnel (optimizing the workload of specialists, distributing clinical cases by complexity level), financial (prioritization financing of preventive programs for at-risk groups), organizational (planning of the bed fund, patient routing) and time resources (early detection of prodromal conditions for timely intervention).



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