Some trends of social and psychological maladaptation of medical university students in wartime

Abstract

Annotation. In aim to study the socio-demographic and socio-psychological features of higher medical education graduates in the context of social-psychological maladaptation in wartime, a survey of 167 higher medical education graduates was conducted using questionnaires and a scale of social-psychological adaptation C. Rogers and R.F. Dymond. Statistical analysis of differences in quantitative traits was performed using the non-parametric Mann-Whitney test, categorized using Fisher's exact test (one-sided) at p<0.05. It was found that under the influence of the stress of war, the social and psychological adaptation of the students worsens in the areas of psychological well-being, microsocial interaction, learning and leisure. Socio-psychological maladaptation among students of higher medical education is more common among women and senior students, while the influence of age and material well-being on the risk of maladaptation turned out to be secondary. As socio-psychological maladaptation deepens in wartime, the specific weight of students with disorders of social functioning, in particular, intensified psychological problems, increases – among students without manifestations of socio-psychological maladaptation, 58.3%, with individual manifestations – 92.0%, with pronounced maladaptation – 90.6%; decrease in communication – 22.3%, 74.7% and 68.7%, respectively; worsening of studies – 47.2%, 59.6% and 87.5% respectively, worsening of relations with relatives – 27.8%, 47.5% and 71.8% respectively; deterioration of relations with friends – 38.8%, 61.6% and 75.0% respectively; deterioration of relations with other people – 74.9%, 71.7% and 78.2% respectively; as well as deterioration of leisure time – 55.5%, 47.5% and 81.2% respectively. At the same time, a certain part of the students without signs of socio-psychological maladaptation even in wartime proved to be able to improve their socio-psychological functioning: general psychological state – 8.4%, communication – 19.4%, education – 16.7%, relations with relatives – 50.0%, relations with friends – 44.5%, relations with other people – 8.4%, leisure – 13.9%. The revealed patterns should be taken into account when developing rehabilitation and preventive measures for higher education students with manifestations of social and psychological maladaptation.