Psychological Factors of Emotional Disadaptation in Patients with Facial Movement Disorders



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


Received: 07.09.2022


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.)


  1. Zavaliy L.B., Ramazanov G.R., Rakhmanina A.A. et al. Skriningovaya diagnostika pokazatelei ehmotsional'nogo neblagopoluchiya u patsientov s nevropatiei litsevogo nerva [Screening diagnostics of emotional distress in patients with facial neuropathy]. Rossiiskii nevrologicheskii zhurnal = Russian Neurological Journal, 2022, vol. 27, no. 3, pp. 47–53. DOI: 10.30629/2658-7947-2022-27-3-47-53 (In Russ., abstr. in Engl.).
  2. Kelina M.Y., Meshkova T.A. Aleksitimiya i ee svyaz' s pishchevymi ustanovkami v neklinicheskoi populyatsii devushek podrostkovogo i yunosheskogo vozrasta [Аlexithymia and eating attitudes among adolescent and young girls of non-clinical population]. Klinicheskaya i spetsial'naya psikhologiya = Clinical Psychology and Special Education, 2012, vol. 1, no. 2. URL: (Accessed: 19.12.2022). (In Russ., а in Engl.).
  3. Klimenkova E.N., Kholmogorova A.B. Validizatsiya metodik diagnostiki sotsial'noi trevozhnosti na rossiiskoi podrostkovoi vyborke [Validation of methods of diagnosis of social anxiety on the Russian adolescents]. Konsul'tativnaya psikhologiya i psikhoterapiya = Counseling Psychology and Psychotherapy, 2017, vol. 25, no. 1, pp. 28–39. DOI: 10.17759/cpp.2017250103 (In Russ., а in Engl.).
  4. Nevrologiya: natsional'noe rukovodstvo [Neurology: National leadership] / I. Guseva, A.N. Konovalova, V.I. Skvortsova (eds.). In 2 vol. 2nd ed. Moscow: GEOTAR-Media, 2021. 428 p. (In Russ.).
  5. Razvaliaeva A.Yu., Polskaya N.A. Russkoyazychnaya adaptatsiya metodik «Chuvstvitel'nost' k otverzheniyu iz-za vneshnosti» i «Strakh negativnoi otsenki vneshnosti» [Validating Appearance-based rejection sensitivity and Fear of negative appearance evaluation scales in the Russian sample]. Konsul'tativnaya psikhologiya i psikhoterapiya = Counseling Psychology and Psychotherapy, 2020, vol. 28, no. 4, pp. 118–143. DOI: 10.17759/cpp.2020280407 (In Russ., аbstr. in Engl.).
  6. Tarkhanova P.M. Fizicheskii perfektsionizm kak faktor ehmotsional'noi dezadaptatsii u sovremennoi molodezhi: diss. … kand. psikhol. nauk. [Physical perfectionism as a factor of emotional maladaptation in new generation. PhD (Psychology) Dissertation]. Moscow, 2014. 181 p. (In Russ.).
  7. Kholmogorova A.B., Rakhmanina A.A. Trekhfaktornaya shkala fizicheskogo perfektsionizma — novyi instrument diagnostiki patogennykh standartov vneshnosti v sovremennoi kul'ture [Three-Factor Physical Perfectionism Scale as a new tool for the assessment of the pathogenic appearance standards in the modern culture]. Konsul'tativnaya psikhologiya i psikhoterapiya = Counseling Psychology and Psychotherapy, 2020, vol. 28, no. 4, pp. 98–117. DOI: 10.17759/cpp.2020280406 (In Russ., аbstr. in Engl.).
  8. Kholmogorova A.B., Tarkhanova P.M. Standarty vneshnosti i kul'tura: rol' fizicheskogo perfektsionizma i ego posledstviya dlya zdorov'ya podrostkov i molodezhi [Standards of appearance and culture: the role of physical perfectionism and its consequences for the health of adolescents and young people]. Voprosy psikhologii, 2014, no. 2, pp. 52–64. (In Russ., аbstr. in Engl.).
  9. Khritinin D.F., Dudareva A.P. Pogranichnye psikhicheskie rasstroistva u bol'nykh s deformatsiyami chelyustno-litsevoi oblasti (obzor literatury) [Borderline mental disorders in patients with deformities of the maxillofacial region (literature review)]. Dental Forum, 2007, no. 4, pp. 47–54. (In Russ.).
  10. Barnes M., Abhyankar P., Dimova E. et al. Associations between body dissatisfaction and self-reported anxiety and depression in otherwise healthy men: A systematic review and meta-analysis. PLOS ONE, 2020, vol. 15, no. 2, e0229268. DOI: 10.1371/journal.pone.0229268
  11. Czepczor-Bernat K., Modrzejewska A., Modrzejewska J. et al. A preliminary study of body image and depression among adults during COVID-19: A moderation model. Archives of Psychiatric Nursing, 2022, vol. 36, pp. 55–61. DOI: 10.1016/j.apnu.2021.11.001
  12. Fenwick A.S., Sullivan K.A Potential link between body dysmorphic disorder symptoms and alexithymia in an eating-disordered treatment-seeking sample. Psychiatry Research, 2011, vol. 189, vol. 2, pp. 299–304. DOI: 10.1016/j.psychres.2011.07.011
  13. Fu L., Bundy C., Sadiq S.A. Psychological distress in people with disfigurement from facial palsy. Eye (London), 2011, vol. 25, pp. 1322–1326. DOI: org/10.1038/eye.2011.158
  14. Hamlet C., Williamson H., Hotton M. et al. «Your face freezes and so does your life»: A qualitative exploration of adults’ psychosocial experiences of living with acquired facial palsy. British Journal of Health Psychology, 2021, vol. 26, vol. 3, pp. 977–994. DOI: 10.1111/bjhp.12515
  15. Hewitt P.L., Flett G.L. Multidimensional Perfectionism Scale (MPS): Technical manual. Toronto, Canada: Multi-Health Systems, 2004. 3 p.
  16. Hotton M., Huggons E., Hamlet C. et al. The psychosocial impact of facial palsy: A systematic review. British Journal of Health Psychology, 2020, vol. 25, no. 3, pp. 695–727. DOI: 10.1111/bjhp.12440
  17. Lepesheva S.O., Kholmogorova A.B. Fitness blogging as a new social practice and its implications for young women’s mental health. Cultural-Historical Psychology, 2021, vol. 17, no. 2, pp. 144–154. DOI: 10.17759/chp.2021170214
  18. Levine E., Degutis L., Pruzinsky T. et al. Quality of life and facial trauma: Psychological and body image effects. Annals of Plastic Surgery, 2005, vol. 54, no. 5, pp. 502–510. DOI: 10.1097/
  19. Medina-Gómez M.B., Martínez-Martín M.A., Escolar-Llamazares M.C. et al. Anxiety and body dissatisfaction in university students. Acta Colombiana de Psicología, 2019, vol. 22, no. 1, pp. 13–30. DOI: 10.14718/ACP.2019.22.1.2
  20. Rahtz E., Bhui K., Hutchison I. et al. Are facial injuries really different? An observational cohort study comparing appearance concern and psychological distress in facial trauma and non-facial trauma patients. Journal of Plastic, Reconstructive and Aesthetic Surgery, 2018, vol. 71, vol. 1, pp. 62–71. DOI: 10.1016/j.bjps.2017.08.006
  21. Tebble N.J., Thomas D.W., Price P. Anxiety and self-consciousness in patients with minor facial lacerations. Journal of Advanced Nursing, 2004, vol. 47, no. 4, pp. 417–426. DOI: 10.1111/j.1365-2648.2004.03123.x

Information About the Authors

Anastasiia A. Rakhmanina, Medical Psychologist, Junior Researcher, N.V. Sklifosovsky Research Institute of Emergency Medicine, Moscow, Russia, ORCID:, e-mail:

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:, e-mail:

Lesya B. Zavaliy, PhD in Medicine, Senior Researcher, Sklifosovsky Research Institute of Emergency Care, Moscow, Russia, ORCID:, e-mail:

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:, e-mail:

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:, e-mail:



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