Internal Picture of the Disease and Patterns of Attitude to Treatment in Women with Somatic Disorders
<p><strong>Relevance.</strong> The category of patients with somatization disorders (SD) poses a serious problem for primary health care, where their prevalence reaches 40%. There is an opinion that in modern society there is a phenomenon of stigma, and a stigmatizing at...
| Main Authors: | , , |
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| Format: | Article |
| Language: | Russian |
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Moscow State University of Psychology and Education
2023-12-01
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| Series: | Консультативная психология и психотерапия |
| Online Access: | https://psyjournals.ru/en/journals/cpp/archive/2023_n4/Bogushevskaya_et_al |
| _version_ | 1797335611767521280 |
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| author | J.V. Bogushevskaya A.V. Vasileva A.I. Ivchenko |
| author_facet | J.V. Bogushevskaya A.V. Vasileva A.I. Ivchenko |
| author_sort | J.V. Bogushevskaya |
| collection | DOAJ |
| description |
<p><strong>Relevance.</strong> The category of patients with somatization disorders (SD) poses a serious problem for primary health care, where their prevalence reaches 40%. There is an opinion that in modern society there is a phenomenon of stigma, and a stigmatizing attitude towards the mentally ill persists. Currently, the phenomenon of self–stigmatization is being studied to a greater extent in severe mental disorders: the connection of self–stigmatization with social identity, a sense of self–worth, internal stability, and the ability to cope with stressful situations. The issue of developing destigmatized forms of care for patients with non–psychotic disorders, primarily psychotherapeutic offices in the primary health care network, remains relevant. <strong>The purpose</strong> of the study is to study differences in the severity of self–stigmatization and indicators of attitude towards the disease and treatment in patients with SD who sought help from a psychiatrist or psychotherapist and in women who avoided contacting specialized specialists. <strong>Methods.</strong> Questionnaire for assessing self–stigma I.I. Mikhailova, V.S. Yastrebova, a questionnaire to study attitudes towards the disease and treatment of B.D. Karvasarsky, correlation and regression analysis. The article presents <strong>the results</strong> of an empirical study of the relationships and parameters of motivation for treatment and the level of self–stigmatization in women suffering from somatization disorders with manifestations of «psychiatrist–avoiding behavior», on the basis of which the authors describe models of attitude towards treatment. <strong>Conclusions.</strong> Based on the identified relationships between the parameters of patients’ motivation to seek help from a psychiatrist and the level of self–stigmatization, it was possible to describe models of attitude towards treatment in patients with somatization disorders who have not sought specialized psychiatric help for a long time: «model of denial», «model of fixation», «model of ignoring» , confirmed by the presence of regressive connections and the «dubious benefit» model, justified by the presence of a positive linear correlation. The data obtained will form the basis for the development of a program of psychotherapeutic assistance and clinical and psychological support for patients with CP not only at the inpatient, but also at the outpatient stages of treatment.</p> |
| first_indexed | 2024-03-08T08:40:49Z |
| format | Article |
| id | doaj.art-de7edc078b14459b939bad2dc47a4c86 |
| institution | Directory Open Access Journal |
| issn | 2075-3470 2311-9446 |
| language | Russian |
| last_indexed | 2024-03-08T08:40:49Z |
| publishDate | 2023-12-01 |
| publisher | Moscow State University of Psychology and Education |
| record_format | Article |
| series | Консультативная психология и психотерапия |
| spelling | doaj.art-de7edc078b14459b939bad2dc47a4c862024-02-01T20:13:43ZrusMoscow State University of Psychology and EducationКонсультативная психология и психотерапия2075-34702311-94462023-12-0131410512410.17759/cpp.2023310406Internal Picture of the Disease and Patterns of Attitude to Treatment in Women with Somatic DisordersJ.V. Bogushevskaya0https://orcid.org/0000-0003-4912-4285A.V. Vasileva1https://orcid.org/0000-0002-5116-836XA.I. Ivchenko2Kursk State Medical University (FGBOU VO KSMU of the Ministry of Health of Russia)V.M. Bekhterev National Research Medical Center for Psychiatry and NeurologyKursk State Medical University (FGBOU VO KSMU of the Ministry of Health of Russia) <p><strong>Relevance.</strong> The category of patients with somatization disorders (SD) poses a serious problem for primary health care, where their prevalence reaches 40%. There is an opinion that in modern society there is a phenomenon of stigma, and a stigmatizing attitude towards the mentally ill persists. Currently, the phenomenon of self–stigmatization is being studied to a greater extent in severe mental disorders: the connection of self–stigmatization with social identity, a sense of self–worth, internal stability, and the ability to cope with stressful situations. The issue of developing destigmatized forms of care for patients with non–psychotic disorders, primarily psychotherapeutic offices in the primary health care network, remains relevant. <strong>The purpose</strong> of the study is to study differences in the severity of self–stigmatization and indicators of attitude towards the disease and treatment in patients with SD who sought help from a psychiatrist or psychotherapist and in women who avoided contacting specialized specialists. <strong>Methods.</strong> Questionnaire for assessing self–stigma I.I. Mikhailova, V.S. Yastrebova, a questionnaire to study attitudes towards the disease and treatment of B.D. Karvasarsky, correlation and regression analysis. The article presents <strong>the results</strong> of an empirical study of the relationships and parameters of motivation for treatment and the level of self–stigmatization in women suffering from somatization disorders with manifestations of «psychiatrist–avoiding behavior», on the basis of which the authors describe models of attitude towards treatment. <strong>Conclusions.</strong> Based on the identified relationships between the parameters of patients’ motivation to seek help from a psychiatrist and the level of self–stigmatization, it was possible to describe models of attitude towards treatment in patients with somatization disorders who have not sought specialized psychiatric help for a long time: «model of denial», «model of fixation», «model of ignoring» , confirmed by the presence of regressive connections and the «dubious benefit» model, justified by the presence of a positive linear correlation. The data obtained will form the basis for the development of a program of psychotherapeutic assistance and clinical and psychological support for patients with CP not only at the inpatient, but also at the outpatient stages of treatment.</p>https://psyjournals.ru/en/journals/cpp/archive/2023_n4/Bogushevskaya_et_al |
| spellingShingle | J.V. Bogushevskaya A.V. Vasileva A.I. Ivchenko Internal Picture of the Disease and Patterns of Attitude to Treatment in Women with Somatic Disorders Консультативная психология и психотерапия |
| title | Internal Picture of the Disease and Patterns of Attitude to Treatment in Women with Somatic Disorders |
| title_full | Internal Picture of the Disease and Patterns of Attitude to Treatment in Women with Somatic Disorders |
| title_fullStr | Internal Picture of the Disease and Patterns of Attitude to Treatment in Women with Somatic Disorders |
| title_full_unstemmed | Internal Picture of the Disease and Patterns of Attitude to Treatment in Women with Somatic Disorders |
| title_short | Internal Picture of the Disease and Patterns of Attitude to Treatment in Women with Somatic Disorders |
| title_sort | internal picture of the disease and patterns of attitude to treatment in women with somatic disorders |
| url | https://psyjournals.ru/en/journals/cpp/archive/2023_n4/Bogushevskaya_et_al |
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