The article highlights the features of the quality of life of students of higher medical education with adjustment disorders. The study, which was conducted from 2019 to 2020, involved 154 foreign students studying at the Dnipro State Medical University. The division into the groups was carried out depending on their stage of study. The group 1 included 110 students of the preparatory department, the group 2 – 44 students of the 1-st and 2-nd years. A semi-structured clinical interview method has been used to assess the clinical picture. The following psychometric methods as the «Quality of life index» according to Mezzich in the adaptation of N.O. Maruta (2004), «Multidimensional Fatigue Inventory» (MFI-20) by E.M. Smets et al. (1994), «Integrative Anxiety Test» developed by A.P. Bizyuk et al. (2005) and Zung self-rating depression scale (1965) have been used for a detailed analysis and objectification of the data. According to the results of the study, it was established that the highest average values in both the group 1 and the group 2 were found out for the next scales of quality of life: “Self-care and independence of actions” and “Interpersonal realization”. The lowest scores for the group 1 were found out only on the «Public and official support» scale, while the Group 2 had the lowest scores evenly distributed among the remaining eight scales. The comparative analysis between groups has shown statistically worse results in the subjects of the group 2 on such scales as: “Mental well-being”, “Working capacity”, “Interpersonal realization”, “General perception of life” and on the integrative index. This indicates a decrease in quality of life indexes during the transition to the next, more difficult stage of education. As a result of the study, it was also established that in the group 1, a moderate correlation was observed for all manifestations of adjustment disorders, while in the group 2, a moderate correlation was found out with asthenia and situational anxiety, and a pronounced correlation with depression. At the same time, it should be noted that a statistically significant (p<0,001) negative correlation with the integrative index was found out for all manifestations of adjustment disorders. It was shown that the manifestations of asthenia, situational anxiety and depression increase, quality of life index decrease. The study of the impact of individual manifestations of adjustment disorders on QoL has shown that the strongest correlation was observed with asthenia (-0,66 (-0,75; -0,54)) among the subjects of the group 1, while in the group 2 – with depression (-0,84 (-0,91; -0,73)). In the comparative analysis between the groups, significantly higher indexes were found out only in the case of depression in the subjects of the group 2 (р=0,002), which indicates a deepening of the pathological process towards the affective register. That is, it could be considered that with the transition to the next stage of education, the number of cases of adjustment disorders increases and their severity increases, which is reflected in quality of life index. Therefore, there is a need to develop further measures for early diagnosis, prevention and correction of adjustment disorders in foreign students of higher medical education.
foreign students,higher education,quality of life,adjustment disorders,psychometry.
«Bulletin of problems biology and medicine» Issue 4 (167), 2022 year, 204-209 pages, index UDK 616.89-008.44:61:378.091:37.046:159.938.3]-092.11-054.6
