SENSE PRIVATION PHENOMENON IN PATIENTS WITH ANXIETY-DEPRESSIVE DISORDERS

Aim. Determining of sense orientation peculiarities in patients with anxiety anddepressive disorders. Material and Methods. Thirty patients of Regional Psychoneurological Health Center in Lviv with anxiety and depressive disorders were examined. The inclusion criteria for the patients were as follows: age 17-55 years; psychiatric diagnoss: mixed nonpsychotic anxiety and depressive disorder according to the ICD-10 diagnostic criteria; informed consent ofpatients to participate in the study; and the patients' motivation to communicate. The procedure included a detailed study of the clinical and psychological interviews lasting 1.5-2 hours and a history analysis . Conditions of the disease manifestation , first or repeated hospitalization were assessed. Control group consisted of healthy individuals, selected on case-control principle (matching by age, family status, education, rural or urban place of residence). In some cases, anxiety symptoms were accompanied by other neurotic symptoms (obsessivecompulsive disorder, somatoform disorder, reacitive symptoms). We used lifesense orientation test (adopted version of Purpose-in-Life Test, PIL) of James Crambo and Leonard Makholyk (adopted version by D. Leontiev). Statistical processing of results of empiric research was carried out using descriptive, correlative analysis and Statistika 8 software. Results and Discussion. Sense privation phenomenon was revealed in patients with anxiety and depressive disorders;, it was presented by reliably lower indices of life comprehension in comparison with healthy individuals. Existential emptiness can be a background or a co-existing feature of clinical symptoms. Correlation analysis was conducted in the study and control groups. It was found that lack of purpose and meaning of life for patients with anxiety and depressive disorders were closely associated with emotional lack and life dissatisfaction (r=0,67, P=0.0001), reduced effectiveness and productivity (r=0,73, P=0.0001), loss of faith to the freedom of choice (I locus control, r=0,72, P=0.0001), fatalism and lack of sense in planning the future (locus of life control, r=0,79, P=0,0001). Close correlation relationship between test subscales of lifepurpose orientations were recorded also in the control group. Conclusion. As a result of our research, it is found, that analysis of emotional experience of senses and senselessness may have enough exact clinical meaning. In particular, sense privation may act as a definte sign of anxiety-depressive disorders. Key words: lifesense orientations, anxiety-depressive disorders, privation