Psychotherapy of Borderline Mental Disorders in Sanatorium-Resort Conditions. Literature Review

A. K. Anna; P. R. Andrey

doi:doi:10.38025/2078-1962-2022-21-1-86-97

Psychotherapy of Borderline Mental Disorders in Sanatorium-Resort Conditions. Literature Review

Published в Bulletin of Rehabilitation Medicine · Volume 21, Issue 1, 2022 · Pages 86–97 · Rubrics: Psychophysiology, Psychodiagnostics and Psychotherapy in Restorative Medicine and Medical Rehabilitation

DOI 10.38025/2078-1962-2022-21-1-86-97

Received: 12.02.2022 Accepted: 20.02.2022 Published: 25.02.2022

Authors

A. K. Anna ¹ iD · P. R. Andrey ² iD

1 Национальный медицинский исследовательский центр реабилитации и курортологии Минздрава России, Москва, Россия

2 Национальный медицинский исследовательский центр реабилитации и курортологии Минздрава России, Москва, Россия

ABSTRACT

Psychotherapeutic methods acceptable for sanatoriums were analyzed in this work due to the high frequency of borderline mental disorders exampled in the general medical practice, including sanatorium- resort institutions, and the frequent prioritization of psychotherapy (compared to psychopharmacology) for the treatment of such conditions; as well as the lack of structure in the systematics of psychotherapeutic methods used in the sanatorium treatment conditions, and the frequent lack of convincing evidence of their eff ectiveness. Aim. Various group and individual methods that can be used for short-term psychotherapy have been studied. In accordance with the modern principles of evidence- based medicine, an assessment of the available evidence of their eff ectiveness was carried out. Material and Methods. The RSCI and Medline electronic databases were used, the search was carried out by keywords (names of relevant techniques and mental dysfunctions, such as anxiety, depression, adjustment disorders, stress states, psychosomatics). The effi cacy and safety evidence levels were evaluated in accordance with the National Standard of the Russian Federation GOST R 56034– 2014. Results. As a result of the work performed, a wide range of psychotherapy methods related to its various directions, applicable in sanatorium- resort conditions (most of them are also suitable for hospitals / rehabilitation centers) is analyzed. Some of them have a high level of evidence, while others have less convincing data, which is often associated with the diffi culty of reproducing them in experimental conditions. Conclusion. The information provided may be useful to specialists working in sanatoriums, rehabilitation centers and hospitals, for solving issues of organizing and improving the quality of psychotherapeutic care for patients with concomitant borderline mental disorders as well as for further scientifi c research.

KEYWORDS

psychotherapy sanatorium-resort levels of evidence of effectiveness psychotherapy in sanatoriums borderline mental disorders somatic diseases somatic hospital methods of short-term psychotherapy psychosomatics Acknowledgments: The study had no sponsorship

Information Text References

Authors:

1. Национальный медицинский исследовательский центр реабилитации и курортологии Минздрава России, Москва, Россия

2. Национальный медицинский исследовательский центр реабилитации и курортологии Минздрава России, Москва, Россия

Type:

Article

Pages:

from 86 to 97

Status:

Published

Language:

Russian

Keywords:

psychotherapy, sanatorium-resort, levels of evidence of effectiveness, psychotherapy in sanatoriums, borderline mental disorders, somatic diseases, somatic hospital, methods of short-term psychotherapy, psychosomatics Acknowledgments: The study had no sponsorship

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