THE ILLNESS PERCEPTION IN PATIENTS WITH INFLAMMATORY INTESTINAL DISEASES

V. Ogarev, N. A. Sirota, O. Knyazev, V. Polyakova, A. Kanatbek kyzy, A. Babayan, P. S. Akhmerova, N. Bodunova
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Abstract

The course and treatment of various diseases is influenced by such psychological factors as the perception of the illness and self-efficacy in overcoming the disease. Currently, there is an increase in the prevalence of inflammatory bowel disease (IBD) in people of young working age. Along with this, there is a lack of awareness about the perception of patients with IBD of their illness, which in turn may reduce the effectiveness of the treatment provided. The 2021 Clinical Guidelines developed by the Russian Gastroenterological Association mention not only drug treatment, but also psychotherapeutic effects. In this connection, the need to improve the psychological diagnosis and treatment process of patients with IBD is explained. In the course of the study, a comparative analysis of the components of the perception of the illness and self-efficacy in overcoming the disease among patients who perceive their disease as a severe and moderate threat was carried out. The results obtained indicate the need for an integrated approach in accompanying patients with IBD, including both individual psychological counseling and protocols for group psychotherapeutic interventions aimed at correcting the negative perception of the disease, subclinical and clinical levels of anxiety, increasing self-efficacy in relation to overcoming the disease and treatment.
炎症性肠道疾病患者的疾病感知
各种疾病的病程和治疗都受到对疾病的认知和战胜疾病的自我效能等心理因素的影响。目前,在年轻工作年龄人群中,炎症性肠病(IBD)的患病率有所增加。与此同时,缺乏对IBD患者对其疾病的认识,这反过来可能会降低所提供治疗的有效性。俄罗斯胃肠病学协会制定的2021年临床指南不仅提到了药物治疗,还提到了心理治疗效果。因此,需要改进IBD患者的心理诊断和治疗过程。在研究过程中,对将疾病视为严重威胁和中度威胁的患者的疾病感知和克服疾病的自我效能的组成部分进行了比较分析。所获得的结果表明,需要采用综合方法来陪伴IBD患者,包括个人心理咨询和团体心理治疗干预方案,旨在纠正对疾病的负面看法,亚临床和临床焦虑水平,提高与克服疾病和治疗相关的自我效能感。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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