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Clinical Psychology and Special Education
2025. Vol. 14, no. 4, 19–38
doi:10.17759/cpse.2025140402
ISSN: 2304-0394 (online)

The effect of previous traumatic experiences on emotional maladaptation in patients with cerebral meningioma undergoing stereotactic radiosurgery

 
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Abstract

Context and relevance. The diagnosis of cerebral meningioma can be a traumatic event, despite the benign nature of the tumor. The factor influencing the level of emotional maladaptation is the previous stressful events that reduce the adaptive resources of the individual. Relevance is due to the need to better understand factors affecting psychological well-being of patients in order to develop psychological support measures at all stages of treatment. Objective. The aim of the study was to evaluate the effect of previous traumatic experiences on the level of emotional disadaptation in patients with cerebral meningiomas. Hypothesis. Presence of previous traumatic experiences in the history patients with cerebral meningioma increases severity of emotional disadaptation symptoms prior stereotactic radiosurgery. Methods and materials. 91 patients aged 30 to 85 years with cerebral meningiomas. Psychological diagnostics was performed before stereotactic radiosurgery at the Radiosurgery Center of the Scientific Research Institute of First Aid named after N.V. Sklifosovsky. The modified Holland's “Distress Thermometer” technique, Posttraumatic Stress Disorder Checklist (PCL-5), the Beck Depression Inventory, and the Spielberger–Khanin anxiety scale were used. Results. In patients with additional stressful events, the symptoms of emotional maladaptation are more pronounced in all its components except for situational anxiety after radiosurgery (p = 0.066). In patients with stressful events with different marital status, differences were found in the PCL-5 subscale “Alterations in arousal and reactivity” (p = 0.013). Significant differences in the PCL-5 subscale “Avoidance symptoms” were found between patients undergoing the first and repeated irradiation (p = 0.026). Conclusions. Previous traumatic experiences increase the severity of the symptoms of emotional maladaptation. Marital status is one of the factors influencing the severity of these symptoms. Patients referred to repeated stereotactic radiosurgery show higher rates of avoidance symptoms.

General Information

Keywords: emotional maladaptation, traumatic experience, stressful events, meningioma, stereotactic radiosurgery

Journal rubric: Empirical Research

Article type: scientific article

DOI: https://doi.org/10.17759/cpse.2025140402

Received 21.07.2025

Revised 20.09.2025

Accepted

Published

For citation: Pentsak, Y.Y., Kholmogorova, A.B., Evdokimova, O.L., Grin, A.A. (2025). The effect of previous traumatic experiences on emotional maladaptation in patients with cerebral meningioma undergoing stereotactic radiosurgery. Clinical Psychology and Special Education, 14(4), 19–38. (In Russ.). https://doi.org/10.17759/cpse.2025140402

© Pentsak Y.Y., Kholmogorova A.B., Evdokimova O.L., Grin A.A., 2025

License: CC BY-NC 4.0

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Information About the Authors

Yuliya Y. Pentsak, Medical Psychologist , Scientific Research Institute of First Aid named after N.V. Sklifosovsky, lecturer at the Department of Neuro- and Pathopsychology of Development, Moscow State University of Psychology and Education, Moscow, Russian Federation, ORCID: https://orcid.org/0009-0000-8989-9216, e-mail: pencakyy@mgppu.ru

Alla B. Kholmogorova, Doctor of Psychology, Professor, Dean of the Faculty of Counseling and Clinical Psychology, Moscow State University of psychology and education, Leading Researcher of the Department of Acute Poisoning and Somatopsychiatric Disorders, N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow, Russian Federation, ORCID: https://orcid.org/0000-0001-5194-0199, e-mail: kholmogorova@yandex.ru

Olga L. Evdokimova, Candidate of Science (Medicine), Head of the Radiosurgery Center of Scientific Research, Institute of First Aid named after N.V. Sklifosovsky, Moscow, Russian Federation, ORCID: https://orcid.org/0000-0001-8099-9544, e-mail: liveryevna@yandex.ru

Andrey A. Grin, Doctor of Medicine, Professor, Head of the Scientific Department, Emergency Neurosurgery of Scientific Research Institute of First Aid to named after N.V. Sklifosovsky, Moscow, Russian Federation, ORCID: https://orcid.org/0000-0003-3515-8329, e-mail: grinaa@sklif.mos.ru

Contribution of the authors

Yuliya Yu. Pentsak — development of the concept of the article, data collection and analysis, writ-ing the text.

Alla B. Kholmogorova — development of a methodological framework, monitoring of the research process, participation in the analysis and interpretation of the findings.

Olga L. Evdokimova — writing the text, monitoring of the research process.

Andrey A. Grin — text editing.

All authors participated in the discussion of the results and approved the final text of the manu-script.

Conflict of interest

The authors declare no conflict of interest.

Ethics statement

The study was reviewed and approved by the Ethics Committee of Scientific Research Institute of First Aid named after N.V. Sklifosovsky (report № 5-25, 2025/06/17).

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