Psychological characteristics of the microsocial environment as predictors of remission stability at 1 year in patients with depressive and anxiety neurotic disorders

The study of the prognostic role of individual components of family relationships at different stages of remission in patients with depressive and anxiety neurotic disorders seems to be significant in the context of preventing adverse forms of the course of the disease in this population. The aim of the study was to determine the significance of the psychological characteristics of the microsocial environment of patients with depressive and anxiety neurotic disorders in the formation of remission 1 year after discharge. The study involved 50 patients (17 men, 33 women aged 18 to 61 years) and 50 relatives (16 men, 34 women aged 21 to 67 years). One year after the discharge 49 patients (17 men, 32 women) were available for examination. The microsocial predictors of remission at different stages of its formation are emotional support, order and hierarchy of the family system, a positive attitude of relatives towards the treatment process, the general orientation of the family towards active leisure and a variety of social ties. While the severity of negative feelings or indifference to the patient, the open manifestation of negative feelings in the family is predictively associated with less favorable dynamics of the condition and a greater degree of severity of symptoms in patients 1 year after discharge. Effective treatment of patients with depressive and anxiety neurotic disorders requires a comprehensive, personalized strategy that includes sociocentric interventions in the family and social context.

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