Published with permission of the administration ...

Posted with permission from Russian Medical Journal.

Using psychological Express - diagnosis in the Bureau of Health - Social Expertise

Budnikova LA, clinical psychologist of the Bureau of Medical and Social Expertise № 9, Samara. In Samara region for several years in the medical-social expert commissions (MSEC) participating psychologists. As a rule, they do psychological diagnosis [2] and examine patients when requested by physicians. These psycho used as an additional criterion in case of disputes, if necessary, to strengthen the disability group, while recognizing the patient is not disabled, with a decrease in disability group (in translation from the 1 st to 2 nd and from 2 nd to 3rd), when determining employment references, etc. Daily through the MSEC is up to 30 patients, about half of them (working age) in one year must attend a re-examination, which again may need psychological examination. In this case, not all offices have the opportunity to appoint a patient for a psychological examination for a specific day and time, thereby solving the problem of congestion of the psychologist in one day and not to other employment. Also note that in the ITU's a large percentage osvidetelstvuemyh in one way or another is going through one or more stressful situations related to the disease. In a specialized oncology offices common stressful situations can be divided into three groups: related to the fact of staging a frightening cancer diagnosis and prognosis of the suspected disease. Associated with severe, long-lasting, often very traumatic treatment [10, 82]. Of forced retirement, disability and loss of [9], [11]. In this case, it often is not even on the prestigious high-paying positions, and the availability of work as such. It should also be mentioned that the development of cancer often lead to traumatic events that are experienced as loss of significant object [7, 38-40], [8], [4]. This fact and the lack of rehabilitation measures can contribute to a kind of vicious circle that will lead either to a recurrence of the disease or the inefficiency of rehabilitation measures and to establish the status of disabled patients. Thus, the clinical psychologist who works in the ITU, the need for tools that would allow for psychodiagnostic a large number of fairly gentle osvidetelstvuemyh time. For these purposes, I have become used psychodiagnostic questionnaire-survey. It consists of three sections: 1. "Passport" part - full name, date of survey, № honey. number of certificate and the questionnaire. 2. Complaints - a list of 30 possible violations [7, 113], [10, 23, 48], affecting cognitive functioning (general complaints: headaches, dizziness, weakness, fatigue and sensitivity to weather changes and sleep disturbances : difficulty falling asleep, inversion of sleep, early awakening, no cause of awakening at night, lack of a sense of cheerfulness after sleep, short duration of sleep, shallow sleep, frequent nightmares) or directly characterize it (of cognitive activity: distraction, difficulty concentrating, forgetfulness, difficulty orientation in an unfamiliar place; breach in the social sphere: narrowing the circle of communication, lack of feeling of support and understanding from loved ones, the undesirability of retirement, the changing nature: irritability, tearfulness, overly sensitive, loss of sense of enjoyment of life, fatigue of communication, constant anxiety, the presence of fear, resentment, temper, constant feeling of guilt).