FEATURES OF PERCEIVED SOCIAL SUPPORT OF TRAUMA DEPARTMENT PATIENTS WITH DIFFERENT LEVELS OF DEPRESSION AND POSTTRAUMATIC STRESS DISORDER SYMPTOMS

  • А. М. Крутолевич Franzisk Skorina Gomel State University
Keywords: social support, posttraumatic stress disorder, spinal trauma

Abstract

The recovery and rehabilitation of trauma survivors may be long and challenging. Patients may be prone to psychiatric disorders, cognitive impairments, and decreased quality of life. The psychological state of trauma department patients is associated not only with extent of surgery, type of injury, but also with the risk of possible postoperative complications. In the article was evaluated the levels of post-traumatic stress disorder and depressive symptoms of trauma department patients. The study found that 53% of patients with spinal trauma have depressive symptoms and 55% symptoms of post-traumatic stress disorder. The study showed an inverse relationship between depressive symptoms and all types of social support. The most overt and statistically significant was support from friends and family members (rs = - 0.45 and rs = - 0.47, p = 0.001, accordingly). Concerning to post-traumatic stress disorder (PTSD) symptoms the most overt and statistically significant was support from family members (rs = - 0,35 p = 0,008); other types of perceived social support also have a statistically significant relationship with PTSD symptoms. We also carried out a comparative analysis of patients groups in the trauma department with severe psychopathological symptoms (depression and posttraumatic stress disorder). The group of patients with severe depressive symptoms was statistically significantly different from the group of patients without severe symptoms in terms of support from closest people and friends. And, the group of patients with severe PTSD symptoms was statistically significantly different from the group of patients without severe PTSD symptoms with relative to all types of support. Once again, the study accentuated how important a social support to anyone who has experienced a spinal or limb injury. How subjective the assessment of support from family and friends is, and what factors influence its reduction, to be in the offing in following studies. It can be unambiguously concluded that in the psychological counseling of the trauma department patients, it is necessary to place high emphasis on working with family members.

References

1. Дымова Е.Н., Тарабрина Н.В., Харламенкова Н.Е. Психологическая безопасность и травматический опыт как модуляторы поиска социальной поддержки в трудной жизненной ситуации. Психологический журнал. 2015. № 3 (36). С. 15–27.
2. Коротыш А.И., Терещенко Н.Ф. Проблемы маскированной депрессии в современном социуме. Современные научные исследования и инновации. 2015. № 4 (5). С. 210–215.
3. Смулевич Б.М. Депрессии в общемедицинской практике. Москва : Медицина, 2000. 192 с.
4. Abresch, K. & Bering, R. PTSD following a terrorist attack – a meta-analysis on possible risk factors. Poster zur XI European Conference on Traumatic Stress, Juni 2009, Oslo.
5. Ozer E.J., Best S.R., Lipsey T.L., Weiss D.S. Predictors of posttraumatic stress disorder and symptoms in adults: A meta-analysis. Psychological Bulletin. 2009. No. 1 (129). Pp. 52–73.
6. Brewin C.R., Andrews B., Valentine J.D. Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults. Journal of Consulting and Clinical Psychology. 2000. No. 5 (68). Pp. 748–766.
7. Haber M.G., Cohen J.L., Lucas T., Baltes B.B. The relationship between self-reported received and perceived support: A meta-analytic review. American Journal of Community Psychology. 2007. No. 1–2 (39). Pp. 133–144.
8. Regehr C., Hill J., Knott T. & Sault B. Social support, self-efficacy and trauma in new recruits and experienced firefighters. Stress and Health: Journal of the International Society for the Investigation of Stress. 2003. No. 19. Pp. 189–193.
Published
2021-02-15
Section
SECTION ІІ. MEDICAL PSYCHOLOGY