Non-pharmacological correction of psychosomatic disorders

Background. The article touches upon the issues of non-drug correction of post-stress disorders in persons of dangerous professions.

Materials and methods. There were 90 men with a high level of occupational stress aged 35 to 45 years, whose clinical picture was distinguished by the interweaving of neuropsychiatric and cardiovascular disorders. At the same time, the clinical assessment of the mental state of the individuals selected for the study was compared with the results of pathopsychological testing. In the course of the analysis of the level of cardiovascular activity, the methods of electro- and echocardiography were used, using dosed physical activity as an additional test. In the treatment phase itself, the patients, by randomization, were divided into three groups, in which medication was prescribed as the baseline. Along with this, in the first two groups, breathing-relaxation training (as a relaxation technique) or transcutaneous electrical neurostimulation was used separately, in the 3rd – a combination of these methods.

Results. At the first stage of the study, the peculiarities of the nature of neuropsychiatric and cardiovascular shifts, closely intertwined in the observed individuals, were determined. A catamnestic analysis, performed after six months, confirmed the stability of the results achieved in the case of combined exposure.

Conclusion. The developed therapeutic complex provides the proper effectiveness and therapeutic reliability of the effect, and the study itself opens up prospects for optimizing correction programs in post-stress disorders.

1. Agasarov L. G. Reflexotherapy in common diseases of the nervous system. М., 2017. 240 p. (In Russ.)

2. Aivazyan T. A., Zaitsev V. P., Yazykova T. A., et al. Respiratory-relaxation training in the treatment of patients operated on for nonspecific lung diseases. Voprosy resortologii, physiotherapii i LFK. 2015; 3: 4-6. (In Russ.)

3. . Bokova I. A., Agasarov L. G. Innovative complex of correction of post-stress disorders. Lechachachy Vrach. 2021; 5: 14-16. (In Russ.)

4. Drobyshev V. A., Shpagina L. A., Ryavkin S. Yu., et al. Clinical and functional aspects of the therapeutic application of dynamic electroneurostimulation. Ekaterinburg, 2020. 212 p. (In Russ.)

5. Razumov A. N., Vasilenko A. M., Bobrovnitsky I. P., et al. Dynamic electroneurostimulation. Ekaterinburg, 2008. 139 p. (In Russ.)

6. Svintsova G. A. Possibilities of dynamic electroneurostimulation to improve the control of resistant arterial hypertension: Synopsis of a thesis prepared by candidate of medical sciences. М., 2010. 17 p. (In Russ.)