Psychic trauma and mental characteristics of patients with multiple sclerosis as predictors of post-traumatic stress disorder and targets for psychotherapy
The article describes the psychological characteristics of the personality of patients with multiple sclerosis (MS), which can be identified as the main targets of psychotherapy for comorbid post-traumatic stress disorder (PTSD). A total of 127 patients with MS were examined, of which 61 patients ha...
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| Format: | Article |
| Language: | Russian |
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Federal State Budget Scientific Institution National Medical Research Center for Psychiatry and Neurology n.a. V.M. Bekhterev Ministry of Health of the Russian Federation
2022-10-01
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| Series: | Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева |
| Subjects: | |
| Online Access: | https://www.bekhterevreview.com/jour/article/view/717 |
| _version_ | 1797698864858267648 |
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| author | M. T. Andreeva T. A. Karavaeva I. V. Kalinin |
| author_facet | M. T. Andreeva T. A. Karavaeva I. V. Kalinin |
| author_sort | M. T. Andreeva |
| collection | DOAJ |
| description | The article describes the psychological characteristics of the personality of patients with multiple sclerosis (MS), which can be identified as the main targets of psychotherapy for comorbid post-traumatic stress disorder (PTSD). A total of 127 patients with MS were examined, of which 61 patients had symptoms of PTSD that developed in connection with the underlying disease. The control group included 67 MS patients resistant to stress. To assess the structure of personality and psyche, Ammon’s I-structural test was used (G. Ammon, 1976, adaptation by Yu. Ya. Tupitsin, V. V. Bocharov, T. V. Alkhazova, E. V. Brodskaya, 1998). To determine the level of resilience, which is defined as the patient’s ability to navigate in a crisis situation and get out of stress with minimal damage to mental and physical health, D.A. Leontiev (D.A. Leontiev, E.I. Rasskazova, 2006).As a result of the study, it was revealed that patients of the main group have significantly lower scores on all scales of the resilience questionnaire («involvement», «control», «risk acceptance»). At the same time, patients with PTSD are characterized by a higher level of destructive and deficient manifestations of selffunctions on the Ammon scale, in contrast to patients in the control group. Decreased characteristics of hardiness, the predominance of deficient and destructive personality structures are predictors of the onset of post-traumatic stress disorder in patients with MS. The revealed psychological phenomena should be the targets of psychoprophylactic and psychotherapeutic influence in complex programs for the treatment and rehabilitation of these patients. |
| first_indexed | 2024-03-12T04:00:11Z |
| format | Article |
| id | doaj.art-eedd55db487d4dbe9e2ecc678e27d066 |
| institution | Directory Open Access Journal |
| issn | 2313-7053 2713-055X |
| language | Russian |
| last_indexed | 2024-03-12T04:00:11Z |
| publishDate | 2022-10-01 |
| publisher | Federal State Budget Scientific Institution National Medical Research Center for Psychiatry and Neurology n.a. V.M. Bekhterev Ministry of Health of the Russian Federation |
| record_format | Article |
| series | Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева |
| spelling | doaj.art-eedd55db487d4dbe9e2ecc678e27d0662023-09-03T11:45:17ZrusFederal State Budget Scientific Institution National Medical Research Center for Psychiatry and Neurology n.a. V.M. Bekhterev Ministry of Health of the Russian FederationОбозрение психиатрии и медицинской психологии имени В.М. Бехтерева2313-70532713-055X2022-10-01563303810.31363/2313-7053-2022-56-3-30-38451Psychic trauma and mental characteristics of patients with multiple sclerosis as predictors of post-traumatic stress disorder and targets for psychotherapyM. T. Andreeva0T. A. Karavaeva1I. V. Kalinin2City Center of MS and Autoimmune DiseasesV.M. Bekhterev National Research Medical Center for Psychiatry and Neurology; Saint-Petersburg State University; Saint-Petersburg State Pediatric Medical University; National Medical Research Center of Oncology Named after N.N. PetrovCity Center of MS and Autoimmune DiseasesThe article describes the psychological characteristics of the personality of patients with multiple sclerosis (MS), which can be identified as the main targets of psychotherapy for comorbid post-traumatic stress disorder (PTSD). A total of 127 patients with MS were examined, of which 61 patients had symptoms of PTSD that developed in connection with the underlying disease. The control group included 67 MS patients resistant to stress. To assess the structure of personality and psyche, Ammon’s I-structural test was used (G. Ammon, 1976, adaptation by Yu. Ya. Tupitsin, V. V. Bocharov, T. V. Alkhazova, E. V. Brodskaya, 1998). To determine the level of resilience, which is defined as the patient’s ability to navigate in a crisis situation and get out of stress with minimal damage to mental and physical health, D.A. Leontiev (D.A. Leontiev, E.I. Rasskazova, 2006).As a result of the study, it was revealed that patients of the main group have significantly lower scores on all scales of the resilience questionnaire («involvement», «control», «risk acceptance»). At the same time, patients with PTSD are characterized by a higher level of destructive and deficient manifestations of selffunctions on the Ammon scale, in contrast to patients in the control group. Decreased characteristics of hardiness, the predominance of deficient and destructive personality structures are predictors of the onset of post-traumatic stress disorder in patients with MS. The revealed psychological phenomena should be the targets of psychoprophylactic and psychotherapeutic influence in complex programs for the treatment and rehabilitation of these patients.https://www.bekhterevreview.com/jour/article/view/717psychotherapy targetscomorbid mental disorderpost-traumatic stress disorder (ptsd)resiliencestress tolerancepsychotherapy targets |
| spellingShingle | M. T. Andreeva T. A. Karavaeva I. V. Kalinin Psychic trauma and mental characteristics of patients with multiple sclerosis as predictors of post-traumatic stress disorder and targets for psychotherapy Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева psychotherapy targets comorbid mental disorder post-traumatic stress disorder (ptsd) resilience stress tolerance psychotherapy targets |
| title | Psychic trauma and mental characteristics of patients with multiple sclerosis as predictors of post-traumatic stress disorder and targets for psychotherapy |
| title_full | Psychic trauma and mental characteristics of patients with multiple sclerosis as predictors of post-traumatic stress disorder and targets for psychotherapy |
| title_fullStr | Psychic trauma and mental characteristics of patients with multiple sclerosis as predictors of post-traumatic stress disorder and targets for psychotherapy |
| title_full_unstemmed | Psychic trauma and mental characteristics of patients with multiple sclerosis as predictors of post-traumatic stress disorder and targets for psychotherapy |
| title_short | Psychic trauma and mental characteristics of patients with multiple sclerosis as predictors of post-traumatic stress disorder and targets for psychotherapy |
| title_sort | psychic trauma and mental characteristics of patients with multiple sclerosis as predictors of post traumatic stress disorder and targets for psychotherapy |
| topic | psychotherapy targets comorbid mental disorder post-traumatic stress disorder (ptsd) resilience stress tolerance psychotherapy targets |
| url | https://www.bekhterevreview.com/jour/article/view/717 |
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