Аннотация:
Summary. Patterns of disease-related psychological response, some of which are anxiety and depression, determine the adherence to treatment, the course and prognosis of the disease. Though an important role of disease-related psychological response is accepted in international guidelines on the management of chronic obstructive pulmonary disease (COPD), this problem and the patients' personality traits require further investigations.The aim of this study was to investigate relationships between COPD-related psychological response and personality disorders (PD) in COPD patients. The study sample included 56 patients (mean age 64.6 ± 8.5 years) admitted to a clinical hospital of I.M. Sechenov's Medical University. All patients were observed by a psychiatrist, psychologist and therapist. Psychometric scales (Beck Depression Inventory scale (BDI), projective psychological questionnaires "Color Relation Test" and "Draw-A-Person test") and the Russian-version SF-36 were used. Basic types of COPD-related psychological response and PD have been determined. In hyponosognostic patients (51.9 [%]), a dissociative PD was predominantly found (34.5 [%] of patients with this response type); in neurotic hypochondria (health-related anxiety) patients (32.1 [%]), histrionic PD prevailed (38.9 [%]); and in depressive patients (8.9 [%]), hypertimic PD was diagnosed more often (60 [%]). Personality traits significantly contributed to the COPD-related psychological response. These results could be used to improving the COPD patient's therapy and rehabilitation.
Овчаренко С.И. «Первый Московский государственный медицинский университет им. И.М. Сеченова»
Галецкайте Я.К. «Первый Московский государственный медицинский университет им. И.М. Сеченова»
Волель Б.А. «Первый Московский государственный медицинский университет им. И.М. Сеченова»
Пушкарев Д.Ф. «Первый Московский государственный медицинский университет им. И.М. Сеченова»
Лас Е.А. «НЦ психического здоровья» РАМН
«Первый Московский государственный медицинский университет им. И.М. Сеченова»
«НЦ психического здоровья» РАМН
Ovcharenko S.I. «Первый Московский государственный медицинский университет им. И.М. Сеченова»
Galetskayte Y.K. Yu. K. «Первый Московский государственный медицинский университет им. И.М. Сеченова»
Volel B.A. «Первый Московский государственный медицинский университет им. И.М. Сеченова»
Pushkarev D.F. «Первый Московский государственный медицинский университет им. И.М. Сеченова»
Las E.A. «НЦ психического здоровья» РАМН
Patterns of personality disorders and disease-related responses in patients with chronic obstructive pulmonary disease
Типология расстройств личности и реагирования на заболевание при хронической обструктивной болезни легких
Текст визуальный электронный
Пульмонология
№ 2 С. 74-80
2013
типы реагирования на болезнь
хроническая обструктивная болезнь легких
расстройства личности
гипонозогнозия
аберрантная ипохондрия
невротическая ипохондрия
тревога за здоровье
депрессия
образ тела
disease-related psychological response
chronic obstructive pulmonary disease
personality disorders
hyponosognosia
neurotic hypochondria
health-related anxiety
depression
Статья
ОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯ
Summary. Patterns of disease-related psychological response, some of which are anxiety and depression, determine the adherence to treatment, the course and prognosis of the disease. Though an important role of disease-related psychological response is accepted in international guidelines on the management of chronic obstructive pulmonary disease (COPD), this problem and the patients' personality traits require further investigations.The aim of this study was to investigate relationships between COPD-related psychological response and personality disorders (PD) in COPD patients. The study sample included 56 patients (mean age 64.6 ± 8.5 years) admitted to a clinical hospital of I.M. Sechenov's Medical University. All patients were observed by a psychiatrist, psychologist and therapist. Psychometric scales (Beck Depression Inventory scale (BDI), projective psychological questionnaires "Color Relation Test" and "Draw-A-Person test") and the Russian-version SF-36 were used. Basic types of COPD-related psychological response and PD have been determined. In hyponosognostic patients (51.9 [%]), a dissociative PD was predominantly found (34.5 [%] of patients with this response type); in neurotic hypochondria (health-related anxiety) patients (32.1 [%]), histrionic PD prevailed (38.9 [%]); and in depressive patients (8.9 [%]), hypertimic PD was diagnosed more often (60 [%]). Personality traits significantly contributed to the COPD-related psychological response. These results could be used to improving the COPD patient's therapy and rehabilitation.