Specific psychological features of anxiety disorders in patients with otosclerosis
AbstractThe dissertation study addresses specific psychological features of anxiety disorders in patients with otosclerosis. The research findings as based on theoretical analysis are justified and unveil specific psychological features of anxiety disorders in patients with otosclerosis. The diagnostic criteria for anxiety disorders were chosen according to the DSM-5 international diagnostic classification. Anxiety disorders as resulted from otosclerosis have been proven to cause psychological and emotional disorders which can be accompanied by specific mental and behavioral disorders, and poor social adaptation. The study reveals that patients with otosclerosis who suffer from specific types of anxiety disorders (panic attack, panic disorder, generalized anxiety disorder, social phobia, obsessive-compulsive disorder, posttraumatic stress disorder, agoraphobia, specific phobia) exhibit specific psychological features. This questionnaire was used as a screening instrument and a research method in the determination of the anxiety disorders in patients with otosclerosis, during which it was confirmed to be fully consistent with the tasks assigned. A psychocorrectional program has been developed to overcome and correct of anxiety disorders in patients with otosclerosis, which can be used by psychotherapists and medical psychologists in medical institutions. The proposed sophisticated approach to empirical study of specific psychological features of anxiety disorders in patients with otosclerosis who suffer from hearing impairment can be used not only clinically but also can be used for the provision of psychological support and for selecting risk groups for further psycho-diagnostics and psycho-correction. As a result of factor analysis of the patients under study, a four-factor model was constructed that revealed the different nature of anxiety disorders, and the effectiveness and effectiveness of the psycho-correction program was proved. The dissertation sets forth the proofs of the hypothesis that anxiety disorders arise both as a result of negative effects of otosclerosis and as a result of psychotraumatic experiences associated with otosclerosis and determine the pathological and genetic mechanisms that give rise to psychosomatic pathology in patients with otosclerosis.
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