Study of anxiety and intrapersonal fears in persons with panic disorder when exposed to the method of formation and activation of artificially stable functional connections
https://doi.org/10.25016/2541-7487-2020-0-1-77-84
Abstract
Relevance. It is justified by the need to study panic states in healthy and sick individuals, the difficulty correcting acute and chronic anxiety disorders, and the search for modern, effective and safe methods of correction.
Intention. To study intrapersonal fears and anxiety as components of the current mental state in people with panic disorder when exposed to the method of formation and activation of artificial stable functional connections (ASFC).
Methodology. The sample consisted of 60 individuals with panic disorder (F 41.0 according to ICD-10) in the interattack period, 18 of them participated in the correction program, while 20 healthy individuals were examined as a control group. The dynamics of indicators of the current mental state of the subjects was studied using Taylor questionnaires, questionnaire of current personal fears and Lusher test, and a standardized personality inventory. Formation and activation of ASFC was conducted using rhythmic photostimuli with given frequencies.
The results and discussion. The study of the current mental state of 60 people with panic disorder showed significant excess of normative indicators of anxiety and fears. At the same time, undirected paroxysmal fear was the leading symptom in 100% of cases. The division of the total sample into male (42 %) and female (58 %) subgroups showed a gender difference in the structure of actual intrapersonal fears. Heterogeneous anxiety was revealed in people with panic disorder. 18 patients underwent a course of correction by the method of formation and activation of ASFC. There were significant positive changes in the clinical picture and in indicators of anxiety and intrapersonal fears, also when compared with the control group. The correlation analysis showed disconnection between the indicators of anxiety and fears after the correction course.
Conclusion. Changes in the main components of the current mental state in people with panic disorder are shown: a decrease in the level of anxiety and fears, loss of correlation between them and indicators of the SMIL scale. The positive experience of using the method of formation and activation of ASFC via photostimulation of a given frequency in persons with panic disorder in the interattack period in connection with the correction tasks was revealed.
About the Authors
D. A. FedoriakaRussian Federation
Denis Aleksandrovich Fedoryaka - PhD Student.
9, Academica Pavlova Str., St. Petersburg, 197376
T. N. Reznikova
Russian Federation
Tat’yana Nikolaevna Reznikova - Dr. Med. Sci. Prof., Leading Research Associate.
9, Academica Pavlova Str., St. Petersburg, 197376
N. A. Seliverstova
Russian Federation
Natal’ya Alekseevna Seliverstova - PhD Psychol. Sci., Research Associate.
9, Academica Pavlova Str., St. Petersburg, 197376
References
1. Vorob’eva O.V. Panicheskie ataki (klinika, diagnostika, printsipy lecheniya) [Panic attacks: clinical picture, diagnostics, treatment approaches]. Lechenie zabolevaniinervnoisistemy [Treatment of diseases of the nervous system]. 2015. N 2. Pp. 3-11. (In Russ)
2. Kvashnina G.A. Osobennosti psikhicheskogo sostoyaniya strakha i paniki, ikh klassifikatsionnye algoritmy [Features of the mental condition of fear and panic, their classification algorithms] Vestnik Voronezhskogo gosudarstvennogo tekhnicheskogo universiteta [Bulletin of Voronezh state technical University]. 2009. Vol. 5, N 12. Pp. 244-248. (In Russ)
3. Kudryavtsev G.F. Osobennosti povedeniya lyudei v mestakh ikh massovogo skopleniya [Features of behavior of people in their places of mass gathering] Nauchnyi vestnikMGIIT [Research Bulletin of MSITI]. 2014. N 6. Pp. 61-70. (In Russ)
4. Kulinkovich J.J., Gumenyuk O.V. Faktory i mekhanizmy massovoi paniki pri chrezvychainykh situatsiyakh [Factors and mechanisms of mass panic in emergencies] Nauchno-tekhnicheskie vedomosti Sankt-Peterburgskogo gosudarstvennogo politekhnicheskogo universiteta. Estestvennye i inzhenernye nauki [St. Petersburg state polytechnical university journal. Engineering Science and Technology]. 2013. N 2. Pp. 261-267. (In Russ)
5. Marishchuk V.L., V.I. Evdokimov Povedenie i samoregulyatsiya cheloveka v usloviyakh stressa [Behavior and selfregulation of a human under stress]. Sankt-Peterburg. 2001.259 p. (In Russ.)
6. Nemchin T.A. Sostoyaniya nervno-psikhicheskogo napryazheniya [Neuropsychiatric stress states]. Leningrad. 1983. 166 p. (In Russ.)
7. Reznikova T.N., Fedoriaka D.A., Seliverstova N.A., Mohovikova I.A. Opyt ispol’zovaniya sensornoj impul’snoj stimulyat-sii u bol’nykh s panicheskimi atakami [The experience of using touch pulse stimulation in patients with panic attacks] Vestnik psikhoterapii [The Bulletin of Psychotherapy]. 2018. N 68. Pp. 47-67. (In Russ.)
8. Semivolos V.I. Izuchenie osobennostei vnutrennei kartiny bolezni u bol’nykh rasseyannym sklerozom [The study of the peculiarities of the internal representation of disease in patients with multiple sclerosis] : Abstract dissertation PhD Med. Sci. Sankt-Peterburg. 2009. 27 p. (In Russ)
9. Smirnov V.M., Borodkin Yu.S. Artifitsial’nye stabil’nye funktsional’nye svyazi [Artificially stable functional connections of the human brain]. Moscow. 1979. 192 p. (In Russ.)
10. Sobchik L.N. Standartizirovannyj mnogofaktornyj metod issledovaniya lichnosti (SMIL) [Standardized multifactor method of personality research (SMPR)]. Sankt-Peterburg. 2002. 217 p. (In Russ.)
11. Solov’eva S.L. Psikhologiya ehkstremal’nykh sostoyanii [The Psychology of extreme states]. )]. Sankt-Peterburg, 2003. 128 p. (In Russ.)
12. Tukaev R.D., Zueva O.P., Kuznetsov A.N. Kompleksnaya kognitivno-orientirovannaya psikhoterapiya trevozhnykh rasstroistv s pristupami paniki. Metodika i rezul’taty primeneniya [Complex cognitively-oriented psychotherapy of anxious disorders with panic attacks. Method and results of application] Sotsial’naya i klinicheskaya psikhiatriya [Social and Clinical Psychiatry]. 2010. Vol. 20, N 4. Pp. 87-93. (In Russ.)
13. Fadeev A.V. Kliniko-psikhofiziologicheskii analiz tipichnykh i atipichnykh panicheskikh atak [Clinical and psychophysiological analysis of typical and atypical panic attacks] : Abstract dissertation PhD Med. Sci. Moskva. 2006. 22 p. (In Russ.)
14. Fedoryaka D.A., Reznikova T.N., Seliverstova N.A. Izuchenie sub”ektivnykh oshchushchenii u bol’nykh panicheskimi atakami v strukture vnutrennei kartiny bolezni [The study of subjective sensations in patients with panic attacks in the structure of the internal representation of disease] Vestnik psikhoterapii [The Bulletin of Psychotherapy] 2017. N 62. Pp. 99-110. (In Russ.)
15. Fedoryaka D.A., Reznikova T.N., Seliverstova N.A. Osobennosti psikhicheskogo sostoyaniya bol’nykh s panicheskimi atakami [The current psychic state of patients with panic attacks]. Vestnik Severo-Zapadnogo gosudarstvennogo meditsinskogo universiteta im. I.I. Mechnikova [Herald of the Northwestern state medical university named after I.I. Mechnikov]. 2016. N 4. Pp. 91-96. (In Russ)
16. Sherbatykh YU.V. Psikhologiya strakha. Populyarnaya ehntsiklopediya [Psychology of fear. Popular Encyclopedia]. Moskva. 2007. 512 p. (In Russ.)
17. Yaremtchuk S.V., Sityaeva S.M., Makhova I.J. Proyavleniya paniki v prolongirovannoi ehkstremal’noi situatsii i vozmozhnosti ee diagnostiki [Manifestations and measurement of mass panic reactions in prolonged emergency situations] Mediko-biologicheskie i sotsial’no-psikhologicheskie problemy bezopasnosti v chrezvychainykh situatsiyakh [Medico-Biological and Socio-Psychological Problems of Safety in Emergency Situations]. 2015. N 4. Pp. 77-85. (In Russ.)
18. Yusupov V.V., Korzunin V.K. Rol’ vnushaemosti v razvitii panicheskikh rasstroistv [The role of suggestibility in the development of panic disorders]. Mediko-biologicheskie i sotsial’no-psikhologicheskie problemy bezopasnosti v chrezvychainykh situatsiyakh [Medico-Biological and Socio-Psychological Problems of Safety in Emergency Situations]. 2008. № 1. Pp. 45-49. (In Russ.)
19. Skapinakis P, Lewis G., Davies S. [et al.]. Panic disorder and subthreshold panic in the UK general population: epidemiology, comorbidity and functional limitation. Eur. Psychiatry. 2011. Vol. 26, N 6. Pp. 354-362.
Review
For citations:
Fedoriaka D.A., Reznikova T.N., Seliverstova N.A. Study of anxiety and intrapersonal fears in persons with panic disorder when exposed to the method of formation and activation of artificially stable functional connections. Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations. 2020;(1):77-84. (In Russ.) https://doi.org/10.25016/2541-7487-2020-0-1-77-84