Mental Health. 2025; Volume 20. Issue 6

Creating conditions for the favorable psycho-emotional development of children with disabilities (CWD) in the educational process is an important aspect of mental health promotion. In light of the growing number of CWD, the discussion about optimal educational models remains highly relevant. The aim of this study was to conduct a comparative assessment of the dynamics of the emotional state of primary school students with disabilities studying in special education classes and under inclusive education models. The research employed the color choice method (Lutoshkin’s technique) to assess emotional state based on color preferences. Results from 148 assessments demonstrated positive changes in students’ emotional status in both educational models: in inclusive settings, there was a decrease in the share of «discomfort» states alongside an increase in «balanced» states, while in special education classes emotional stability was maintained. These findings support the rationale for integrating the strengths of both models, taking into account individual characteristics of children. A promising direction is the development of combined educational formats (e.g., episodic, partial, or hybrid integration).

Keywords: children with disabilities, emotional state, inclusive education, special education, primary school, color diagnostics, mental health, educational model

This article examines modern approaches to ensuring equal employment opportunities for people with disabilities in the Kyrgyz Republic. Based on an analysis of the legal and regulatory framework, government initiatives, international programs, and the activities of civil society organizations, the author highlights the positive developments taking place in the field of inclusive employment. Special attention is given to the accessibility of vocational education, the creation of inclusive organizational culture, the development of handicrafts and small businesses, as well as remote employment opportunities for people with special needs. The article also identifies ongoing challenges in rural and mountainous areas of the country, including shortages of qualified personnel, infrastructure barriers, and a lack of specialized programs. The author concludes that a comprehensive approach involving the state, society, and businesses is essential for further advancing inclusive employment.

Keywords: inclusion, employment, Kyrgyzstan, persons with disabilities, social integration, vocational education, accessible environment, inclusive policy

Emotional burnout among medical workers is one of the most pressing challenges in healthcare, affecting both the professional well-being of specialists and the quality of medical services. This article explores the role of trade union activity in preventing emotional burnout among physicians, based on the implementation of the «Emotional Health» project at Chita State Medical Academy. Using the Maslach and Jackson Burnout Inventory, the authors traced changes across key burnout dimensions: emotional exhaustion, depersonalization, and reduced personal accomplishment. The findings demonstrate the effectiveness of a comprehensive set of preventive interventions, including trainings, lectures, body-oriented practices, and group discussions. The data obtained highlight the substantial potential of trade union initiatives in strengthening the mental health of medical personnel and preventing occupational burnout.

Keywords: emotional burnout, medical workers, trade union, prevention, emotional health, mental well-being, Maslach, occupational stress

Introduction. Alcohol abuse poses a significant threat to workers’ health and the economy, particularly in small enterprises where interpersonal dynamics are close-knit and stress levels are high.

Aim: to identify factors contributing to the spread of alcohol abuse among employees of a small company.

Methods. A total of 25 employees of a design and manufacturing enterprise were surveyed using validated instruments (HADS, ICD-10 criteria for alcohol dependence F10.2, etc.) and statistical data processing (SPSS 17.0, Pearson correlation analysis).

Results. Signs of alcohol dependence according to WHO criteria were found in 28% of respondents. Key contributing factors included personal life problems, workplace alcohol traditions, long absence of vacations, team conflicts, and high psychological workload. Significant correlations were identified between alcohol status, anxiety, depression, and occupational/personal distress factors.

Conclusion. The findings highlight the need for preventive mental health programs and corporate strategies to reduce alcohol consumption in the workplace.

Keywords: alcohol dependence, small business, risk factors, stress, work environment, mental health

Introduction. The beginning of university studies is accompanied by heightened anxiety levels among first-year students due to the need to adapt to a new social environment, academic workload, and assessment systems.

Objective. To examine the dynamics of trait and state anxiety in first-year students from the start of the academic year to the end of the first examination period, and to assess the effectiveness of psychological support.

Methods. The study involved 561 first-year students. The Spielberger–Khanin anxiety scale was used. Group psychological interventions included cognitive-behavioral and body-oriented therapy practices. Statistical analysis was performed using SPSS and Student’s t-test.

Results. A high level of trait anxiety was identified in 33% of students. After psychocorrective work, this level decreased. However, state anxiety increased by the end of the examination period, reflecting a stress response to academic assessments.

Conclusion. Psychological support contributes to the reduction of trait anxiety and facilitates first-year students’ adaptation. Developing individualized support programs is a relevant strategy for preventing emotional distress in academic settings.

Keywords: first-year students, adaptation, anxiety, psychocorrection, psychological support, student health

Introduction. Emotional burnout (EB) in medical workers (MW) is a complex phenomenon encompassing emotional exhaustion, depersonalization, and reduced personal accomplishment. In the post-pandemic period, research interest has increased in identifying the factors influencing EB and in developing effective prevention strategies.

Objective. To determine the priority areas of modern scientific research on emotional burnout in medical professionals.

Methods. A meta-analysis of articles indexed in the Scopus database for 2024 was conducted.

Results. Three main research directions were identified: (1) analysis of EB components (42.86%), including the prevalence of emotional exhaustion, depersonalization, and reduced professional efficacy; (2) investigation of EB determinants (35.71%), including factors such as sleep disturbances, stress, workplace violence, and job dissatisfaction; (3) evaluation of preventive measures (21.43%), including psychoeducation, coaching, yoga, and online counseling.

Conclusion. Identifying research priorities enables a systematization of current evidence and supports the development of effective interventions for the prevention and management of emotional burnout among medical professionals.

Keywords: emotional burnout, medical workers, stress, prevention, depersonalization, emotional exhaustion

Introduction. Professional burnout is a pressing issue in healthcare, affecting the emotional state, motivation, and performance of medical professionals.

Objective. To assess the prevalence and severity of professional burnout among physicians in therapeutic and surgical specialties and to examine its correlation with stress resilience, motivational attitudes, and conflict behavior styles.

Methods. The study involved 120 physicians. Tools included the Maslach Burnout Inventory (MBI), Cohen & Williamson stress resilience scale, the Thomas Conflict Behavior Test, and A. Rean’s method for assessing motivation for success/fear of failure. Data were analyzed using Student’s t-test and correlation analysis.

Results. Most physicians demonstrated a low level of burnout, with higher scores observed among surgeons. Moderate to strong correlations were found between burnout and factors such as age, workload, and stress resilience. Collaborative behavior in conflict situations predominated, although avoidance and confrontation strategies were also present. Motivation for success prevailed among respondents.

Conclusion. The findings underscore the need for comprehensive assessment of burnout risk factors and implementation of preventive programs aimed at strengthening stress resilience, developing constructive communication skills, and fostering positive motivational attitudes among healthcare professionals.

Keywords: professional burnout, medical professionals, stress resilience, motivation, conflict behavior

Introduction. Student group curators play a key role in implementing educational activities at universities, yet their work is associated with high emotional demands and a risk of professional burnout.

Objective. To assess the psychological state of university student group curators and identify risk factors requiring preventive interventions.

Methods. The study involved 93 curators. The following instruments were used: SCL-90 (psychological distress), a work satisfaction scale, and the Maslach Burnout Inventory (adapted by N.E. Vodopyanova).

Results. Most curators did not exhibit signs of emotional exhaustion or depersonalization, but showed reduced perceived professional accomplishment. Overall job satisfaction was moderate to high. Some symptoms of psychological distress were present, particularly somatization. A risk group of 22 individuals was identified.

Conclusion. The findings highlight the need to implement psychological support programs aimed at maintaining curators’ professional well-being and preventing psychological strain.

Keywords: curator, psychological well-being, professional burnout, higher education, prevention

Introduction. The rapid development of digital technologies and their integration into the educational process have created conditions conducive to the emergence of computer addiction (CA) among students. Those studying IT disciplines are particularly vulnerable due to their intensive interaction with digital environments.

Objective. To analyze the diagnostic and methodological challenges in studying CA and to propose effective strategies and tactics to minimize its risks in the context of IT education.

Methods. Theoretical analysis of relevant literature and synthesis of nearly 30 years of teaching experience in IT disciplines at the university level.

Results. The study highlights the lack of a unified definition of CA and the limited validity of traditional diagnostic tools. The authors propose two main preventive strategies: fostering students’ self-awareness and shifting the focus from digital content consumption to its creation. Practical tactics include promoting face-to-face learning, setting clear goals, involving students in real and team-based projects, and ensuring regular breaks and ergonomic working conditions.

Conclusion. The implementation of these strategies and tactics can significantly reduce the risk of CA and promote a healthy, meaningful approach to digital technology use among students.

Keywords: computer addiction, IT education, students, prevention, digital environment, risk minimization strategies

Amid growing psycho-emotional and physical stress, the demand for effective and accessible methods of comprehensive rehabilitation is increasing. The aim of this study was to assess the impact of the Kazakh physical exercise system «AiKune» on stress resilience, physical activity, and cognitive functions in patients with significant comorbidity. Over a period of six months, 25 participants (mean age – 47.6 years) attended AiKune group sessions lasting 45 minutes three times per week. Upon completion of the course, a statistically significant improvement was observed in physical activity levels (IPAQ), muscle strength (hand dynamometry), reduction in pain (VAS), as well as cognitive performance across a range of neuropsychological assessments (6-CIT, MoCA, LNS, among others). Stress resilience, as measured by the Boston Stress Test, improved by 29.4%. The findings demonstrate the effectiveness of AiKune gymnastics as a universal and accessible method of psychophysical rehabilitation for individuals with multimorbid conditions.

Keywords: AiKune, stress resilience, cognitive function, rehabilitation, comorbidity, physical activity, gymnastics, non-pharmacological intervention, 6-CIT, MoCA, IPAQ

Introduction. Work in addiction rehabilitation exposes professionals to chronic stress and emotional overload, increasing the risk of burnout and the emergence of addictive behaviors among staff.

Objective. To explore the relationship between professional burnout and addictive behavior in rehabilitation center employees, and to identify effective prevention strategies.

Methods. The study involved focus groups and standardized instruments (MBI, Burnout Syndrome Scale), assessing emotional exhaustion, depersonalization, reduced personal accomplishment, and psychological well-being.

Results. A high level of burnout was found in 60% of participants. Key risk factors included chronic stress, lack of supervision, high workloads, and insufficient organizational support. A significant correlation was identified between burnout and a predisposition to addictive behavior.

Conclusion. Preventing professional burnout in addiction rehabilitation requires systemic changes in organizational culture, emphasizing emotional support. Effective tools include regular supervision, stress management programs, and the use of cognitive-behavioral and art therapy methods.

Keywords: professional burnout, addiction, rehabilitation, stress, addictive behavior, prevention, staff support

Introduction. Amid increasing public attention to medical errors and complaints, the issue of criminal liability of healthcare professionals for iatrogenic acts—particularly psychogenic ones — gains critical importance.

Objective. To analyze the specifics of criminal legal qualification of psychogenic iatrogeny resulting from verbal communication between a medical professional and a patient.

Methods. The study uses theoretical legal analysis of current legislation, judicial practice, normative acts, and expert commentary, correlating criminal law provisions with medical ethics and clinical regulations.

Results. The author emphasizes the importance of considering patients’ psychological characteristics in clinical interactions and highlights legal risks related to breaches of communication and ethical standards. Criminal consequences of iatrogenic violations are explored, including the possibility of charges under Russian criminal law for negligence or incitement to suicide.

Conclusion. To reduce legal risks, it is necessary to enhance legal awareness and training of medical professionals in ethical communication, as well as to develop clearer regulatory guidelines for interactions with psychologically vulnerable patients.

Keywords: iatrogeny, psychogenic iatrogeny, criminal liability, medical error, medical ethics, extreme necessity

Introduction. The prevalence of mental and neurotic disorders among law enforcement cadets necessitates a comprehensive analysis of adaptive factors, including stress response and self-regulation.

Objective. To analyze stress response profiles of cadets with different levels of adaptive potential and to identify individual psychological characteristics that either facilitate or hinder professional adaptation.

Methods. The study involved 60 cadets. Diagnostic tools included Y.V. Shcherbatykh’s questionnaires, the Hospital Anxiety and Depression Scale (HADS), and V.I. Morosanova’s self-regulation questionnaire. Cluster, discriminant, and nonparametric statistical methods were applied.

Results. Significant differences were found between adaptive and maladaptive groups in terms of stress levels, anxiety, depression, and self-regulation development. The maladaptive group showed more somatic and emotional stress symptoms, along with lower flexibility and awareness. The adaptive group demonstrated higher modeling and programming capacities in stress conditions.

Conclusion. Differentiation of stress response profiles enhances the assessment of cadets’ adaptive potential and supports the inclusion of self-regulation metrics in the evaluation of professional fitness.

Keywords: stress response, cadets, adaptation, self-regulation, anxiety, maladaptation

Introduction. In the context of increasing academic and social demands, the issue of students’ mental health becomes especially relevant.

Objective. To review the most common mental disorders among students and analyze the main contributing factors.

Methods. Theoretical analysis and synthesis of domestic and international research findings on the topic.

Results. The most frequent disorders among students include anxiety and depressive conditions, eating disorders, chronic stress, and somatoform and borderline disorders. Gender-specific differences and associations with academic overload, socio-economic conditions, lifestyle, and stress resilience were identified. Female students more often exhibit subdepressive states and higher anxiety levels. Students with lower resilience show increased risk of disordered eating and psychosomatic symptoms.

Conclusion. Emotional disorders are the most prevalent mental health issue among Russian university students. Prevention and intervention require a comprehensive approach involving mental health education and structured psychological support within educational institutions.

Keywords: mental health, students, anxiety, depression, stress, eating behavior, adaptation

Introduction. Individuals with Fetal Alcohol Spectrum Disorders (FASD) face significant employment challenges due to cognitive, behavioral, and social limitations.

Objective. To review international experiences in employing individuals with FASD and to identify effective strategies and support mechanisms.

Methods. Narrative and scoping review of recent literature sourced from global scientific databases (PubMed, SCOPUS, Web of Science, etc.).

Results. Most evidence comes from Canada, Australia, the UK, and the USA. Successful approaches include individualized support, strength-based placement, family involvement, mentorship, and workplace education. Key barriers include stigma, reluctance to disclose diagnosis, and lack of awareness among employers.

Conclusion. Effective employment of people with FASD requires multisectoral collaboration, inclusive organizational culture, workplace accommodations, and educational initiatives for staff and employers. The recommendations presented may inform the development of national employment programs in Russia.

Keywords: FASD, employment, neurodiversity, stigma, adaptation, support

Introduction. The work of truck drivers in logging enterprises in the Far North is carried out under extreme conditions, requiring high levels of adaptability, emotional stability, and functional reliability.

Objective. To examine the interrelation between functional states, individual-personal characteristics, and adaptive qualities in truck drivers.

Methods. Standardized questionnaires, instrumental methods, Spearman correlation analysis; sample included 108 drivers from a logging enterprise in Arkhangelsk region.

Results. Drivers demonstrating higher levels of self-regulation (programming, evaluation of results), communication skills, and risk propensity showed more favorable functional states. Operator efficiency was associated with emotional stability, flexibility, and self-respect. Statistically significant correlations were established between adaptation parameters and functional effectiveness.

Conclusion. Psychological adaptation of drivers in extreme northern conditions depends on both physical and individual-regulatory traits. Findings may inform psychological screening and selection processes for drivers in demanding work environments.

Keywords: functional state, adaptation, truck driver, emotional stability, regulation, Far North

Introduction. Occupational stress and its consequences significantly impact employees’ mental health and labor productivity. Integrated corporate programs for psychophysiological support are gaining strategic importance.

Objective. To present the approaches and outcomes of Russian Railways’ corporate programs aimed at preserving cognitive health and extending employees’ working longevity.

Methods. Methods included surveys, psychological and instrumental testing (e.g., PDR, RDO, SAN, VR protocols, stress biomarkers), biological and psychophysiological data analysis, remote monitoring, and genetic screening.

Results. The company has implemented a large-scale system of stress prevention and correction, with up to one million assessments conducted annually. Interventions include recovery programs, telemedicine support, VR-based relaxation, and genetic profiling of stress resilience. Participation in VR programs led to reduced cortisol levels and improved psychophysiological metrics in 73% of cases. Personalized approaches have proven effective, including tailored support for high-risk groups such as special military operation (SMO) participants.

Conclusion. The comprehensive approach adopted by Russian Railways for maintaining employees’ cognitive and mental health demonstrates high efficiency and may serve as a model for other high-stress industries.

Keywords: occupational stress, cognitive health, psychophysiology, corporate programs, working longevity, VR technologies