Psychological Factors of Emotional Disadaptation in Patients with Facial Movement Disorders

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Abstract

The article presents the results of a pilot study of personality factors that affect the severity of symptoms of emotional disadaptation among patients with movement disorders in the face. The study involved 41 patients with an established neurological diagnosis with clinical manifestations in the form of movement disorders in the face. The age of the respondents ranged from 22 to 66 years (mean age – 35.5±9.40). While studying the severity of emotional disadaptation the following have been included: the BFNE scale of fear of negative evaluation, aimed at studying the severity of fear of negative evaluation from others people (Leary, 1983; adaptation of E.N. Klimenkova, A.B. Kholmogorova, 2017), a depression scale aimed at examining the severity of symptoms of depression (Beck, 1961; adaptation of N.V. Tarabrina, 2001) and a Situational inventory of body image dysphoria designed to assess the negative attitude towards one's own body in the context certain situations (SIBID, Cash, 1994; adaptation of L.T. Baranskaya, A.E. Tkachenko, S.S. Tataurova, 2008) To study the psychological factors of emotional maladaptation, we used a three-factor questionnaire of physical perfectionism (A.B. Kholmogorova, A.A. Rakhmanina, 2020), a three-factor questionnaire of perfectionism (N.G. Garanyan, A.B. Kholmogorova , T.Yu. Yudeeva, 2018) and alexithymia scale (Toronto Alexithymia Scale or TAS-20 – G.J. Taylor et al., 1985; E.G. Starostina, 2009). Increased indicators of social anxiety were revealed in 66% of respondents, and moderate or severe symptoms of depression – in 39%; more than a third of respondents (37%) note increased appearance dissatisfaction. Physical appearance perfectionism, perfectionist cognitive style, and externally oriented thinking influenced body dissatisfaction level. In turn, the level of social anxiety depends on the level of socially prescribed perfectionism and the severity of external thinking, and the severity of symptoms of depression depends on the perfectionist’s cognitive style and the difficulty of identifying feelings. The results obtained substantiate the need to organize psychological assistance to this contingent and, on the basis of the developed methodological complex, make it possible to identify patients with an increased risk of emotional maladaptation.

General Information

Keywords: emotional maladaptation, social anxiety, depression, body dissatisfaction, physical perfectionism, perfectionism, alexithymia, facial movement disorders, facial injury

Journal rubric: Empirical Research

Article type: scientific article

DOI: https://doi.org/10.17759/cpse.2022110407

Received: 07.09.2022

Accepted:

For citation: Rakhmanina A.A., Kholmogorova A.B., Zavaliy L.B., Kalantarova M., Petrikov S.S. Psychological Factors of Emotional Disadaptation in Patients with Facial Movement Disorders [Elektronnyi resurs]. Klinicheskaia i spetsial'naia psikhologiia = Clinical Psychology and Special Education, 2022. Vol. 11, no. 4, pp. 159–178. DOI: 10.17759/cpse.2022110407. (In Russ., аbstr. in Engl.)

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Information About the Authors

Anastasiia A. Rakhmanina, Medical Psychologist, Junior Researcher, N.V. Sklifosovsky Research Institute of Emergency Medicine, Moscow, Russia, ORCID: https://orcid.org/0000-0002-7870-402X, e-mail: rakhmanina.a@mail.ru

Alla B. Kholmogorova, Doctor of Psychology, Professor, Dean of the Faculty of Counseling and Clinical Psychology, Moscow State University of Psychology & Education, Leading Researcher, Moscow Research Institute of Psychiatry (A Branch of the National Medical Research Centre for Psychiatry and Narcology), Moscow, Russia, ORCID: https://orcid.org/0000-0001-5194-0199, e-mail: kholmogorova@yandex.ru

Lesya B. Zavaliy, PhD in Medicine, Senior Researcher, Sklifosovsky Research Institute of Emergency Care, Moscow, Russia, ORCID: https://orcid.org/0000-0002-8572-7094, e-mail: zavaliylb@sklif.mos.ru

Marina Kalantarova, Senior Lecturer, Faculty of Clinical and Special Psychology, Moscow State University of Psychology & Education, Medical Psychologist, Sklifosovsky Research Institute of Emergency Care, Moscow, Russia, ORCID: https://orcid.org/0000-0002-5509-7052, e-mail: kalantarovamv@mgppu.ru

Sergey S. Petrikov, Doctor of Medicine, Corresponding Member of the Russian Academy of Sciences, Professor, Director, Sklifosovsky Clinical and Research Institute for Emergency Medicine, Moscow, Russia, ORCID: https://orcid.org/0000-0003-3292-8789, e-mail: petrikovss@sklif.mos.ru

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