RESUMO
Statistical data on mental diseases in Ukraine are presented, main trends of development of social psychiatry are outlined, ways for reformation of the social-and-psychiatric service are submitted.
Assuntos
Psiquiatria Comunitária/estatística & dados numéricos , Psiquiatria Comunitária/tendências , Adulto , Humanos , Transtornos Mentais/epidemiologia , Pessoas Mentalmente Doentes/psicologia , Pessoas Mentalmente Doentes/estatística & dados numéricos , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Ucrânia/epidemiologiaRESUMO
An analysis was performed of the conception and content of a new Psychiatric Care Act by making a comparison with data from published literature and the present-day status of the mental health protection service. The main features of the crisis of psychiatry in Ukraine are characterized together with possible ways of resolving it. Main trends in reformation of the psychiatric service are identified that are to be secured by relevant acts of departmental and interdepartmental character based on law. Priority is emphasized to defence of the patients' rights and liberties together with a need for a guarantee of a highly skilled medical care to be provided for mental patients.
Assuntos
Regulamentação Governamental , Serviços de Saúde Mental , Saúde Mental , Humanos , Serviços de Saúde Mental/legislação & jurisprudência , Serviços de Saúde Mental/normas , Serviços de Saúde Mental/tendências , UcrâniaAssuntos
Transtornos Mentais/diagnóstico , Centrais Elétricas , Liberação Nociva de Radioativos , Adulto , Humanos , Masculino , Transtornos Mentais/etiologia , Pessoa de Meia-Idade , Exposição Ocupacional/efeitos adversos , Exposição Ocupacional/estatística & dados numéricos , Síndrome , Fatores de Tempo , UcrâniaRESUMO
320 persons Chernobyl liquidators were examined. The selection was made on the basis of presence of mental disturbances of nonpsychotic level. Five syndromes were revealed: astheno-neurotic (116 cases), astheno-depressive (92 cases), obsessive-phobic (57), astheno-hypochondriac (32), hysteric-hypochondriac (23 persons). The structure of above-mentioned syndromes was determined by combination of different symptoms (there were 40 symptoms). It was found that affective disorders of depressive spectrum are prevalent in all mental manifestations, while vasovegetative disturbances were common in psychosomatic manifestations.
