The Problem of Psychological Rehabilitation of Persons with Disorders of the Musculoskeletal System Acquired in Adulthood
Abstract
:1. Introduction
- social adaptation and regulation of behavior has a low level of severity in combination with high nervousness (including asthenic type), irritability, emotional instability, and psychosomatic disorders;
- sociability is reduced in comparison with healthy people, which is manifested in increased isolation and increased attention to their own gloomy thoughts;
- self-regulation is manifested in a decrease in the ability to plan and evaluate their results, to model, to program, and to be flexible and independent;
- the level of self-actualization is reduced, which is manifested in the desire to remember the past, lack of need for knowledge, autonomy, and self-understanding;
- reduced severity of hardiness in all indicators: involvement, control, and risk-taking.
2. Materials and Methods
3. Results
3.1. Adaptability
3.2. Personality Traits
3.3. Self-regulation and Self-actualization.
3.4. Hardiness
- (1)
- a high level of neurotic personality;
- (2)
- an average with a tendency towards a low level of sociability and contact;
- (3)
- low level of autonomy;
- (4)
- low level of personal adaptive potential.
4. Discussion
- (1)
- Work with the family. The effectiveness of work aimed at the social integration of persons with lesions of the musculoskeletal system depends on the availability of psychological support for both the family itself and the individual from the family.
- (2)
- Formation of a program of social and psychological rehabilitation and correction. This allows you to designate the goals of the social and psychological rehabilitation of the client according to the state of his psychological status and to develop a detailed plan of rehabilitation measures.The overall objectives of psychoeducation are: expanding and strengthening self-regulation and self-control skills; the disclosure and realization of internal potential and abilities; the expansion and strengthening of communication skills; overcoming negative emotional states; to increase of frustration tolerance; to increase the adaptive capacity of the individual; the definition of life goals and interests; the formation of an active orientation of the person; the formation of a life perspective.
- (3)
- Psychological diagnosis and examination. This helps to identify the degree of the mental disorders and the psychological characteristics of the individual, as well as their rehabilitation potential and the prognosis for a rehabilitation course.As psychodiagnostic factors that determine the effectiveness of psychological rehabilitation and readaptation of persons with disorders of the musculoskeletal system, we distinguish: the subjective assessment of quality of life; social and psychological adaptation; interpersonal relationships; self-regulation and self-control; the prevailing emotional state; indicators of vitality and value-semantic sphere of the individual.Diagnostic data are used not only to build psychocorrection programs, but also to assess the effectiveness of psychological care.
- (4)
- Psychological counseling is aimed at forming an active attitude towards psychocorrectional work, forming motives for self-knowledge and self-development, reducing anxiety, increasing confidence in the possibilities of achieving positive personal changes, and expanding the sphere of awareness of motives. Diagnostic data are used not only to build psychocorrection programs, but also to assess the effectiveness of psychological care.
- (5)
- Psychoprophylaxis involves preventive psychological procedures to prevent negative emotional and behavioral manifestations.
- (6)
- Group psychological training. This assumes an active psychological interaction, reducing the consequences of psycho-traumatic situations and neuropsychic tension, the formation of personal prerequisites for adaptation to new conditions, and the elimination of secondary disorders of the communicative sphere (conflict, aggressiveness, irritability and other non-adaptive behaviors).
- (7)
- Individual psychological correction involves an active psychological impact, which is aimed at overcoming or weakening violations in the emotional state and behavior in order to ensure compliance with the requirements of the social environment and the needs of the individual with a violation of the musculoskeletal system.
5. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Indicators | with Disabilities * | without Disabilities ** | t | p-Value |
---|---|---|---|---|
Adaptability | ||||
Communication needs | 2.2 | 7.2 | −16.414 | ≤ 0.001 |
Neuropsychic stability | 2.5 | 7.5 | −19.334 | ≤ 0.001 |
Adaptive Abilities | 3.1 | 6.2 | −10.691 | ≤ 0.001 |
Freiburg Personal Questionnaire | ||||
Neurotic | 7.9 | 3.5 | 17.676 | ≤ 0.001 |
Sociability | 4.5 | 6.6 | −7.968 | ≤ 0.001 |
Openness | 4.8 | 7.1 | −9.213 | ≤ 0.001 |
Self-regulation style of behavior | ||||
Planning | 5 | 8.6 | −12.845 | ≤ 0.001 |
Independence | 1.5 | 7.8 | −29.598 | ≤ 0.001 |
General level of self-regulation | 18 | 31 | −23.334 | ≤ 0.001 |
Self-actualization of personality | ||||
The need for knowledge | 40 | 61 | −23.901 | ≤ 0.001 |
Autonomy | 42 | 63 | 19.710 | ≤ 0.001 |
Hardiness | ||||
Involvement | 22 | 48 | −44.030 | ≤ 0.001 |
Hardiness | 56 | 104 | −49.136 | ≤ 0.001 |
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Razuvaeva, T.; Gut, Y.; Lokteva, A.; Pchelkina, E. The Problem of Psychological Rehabilitation of Persons with Disorders of the Musculoskeletal System Acquired in Adulthood. Behav. Sci. 2019, 9, 133. https://doi.org/10.3390/bs9120133
Razuvaeva T, Gut Y, Lokteva A, Pchelkina E. The Problem of Psychological Rehabilitation of Persons with Disorders of the Musculoskeletal System Acquired in Adulthood. Behavioral Sciences. 2019; 9(12):133. https://doi.org/10.3390/bs9120133
Chicago/Turabian StyleRazuvaeva, Tatyana, Yuliya Gut, Anna Lokteva, and Evgeniya Pchelkina. 2019. "The Problem of Psychological Rehabilitation of Persons with Disorders of the Musculoskeletal System Acquired in Adulthood" Behavioral Sciences 9, no. 12: 133. https://doi.org/10.3390/bs9120133