Patient attitude towards disease as a predictor of its course and outcome

E. A. Zakharyan, E. V. Cherniy
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Abstract

According to a significant amount of scientific research, it is known that the deterioration of public health and the tendency  towards certain types of disease cannot be explained only by conventional factors. It has been proven that a patient’s attitude towards their disease determines their response to the pathology and their adaptation to their new condition. The aim of this  work is to analyze research, views, and beliefs of doctors and psychologists on the influence of a patient’s perception of their  own illness and their attitude towards it on the course of the disease. This review presents an analysis of numerous scientific  works aimed at identifying types of attitudes towards disease that are characteristic of various nosological forms, both mental and somatic. As a result of the literature analysis, a set of conditions and factors that determine the nature and intensity of the influence of attitudes towards disease on its course and outcome were identified. These include the volume and nature  of information about a specific disease, which is understood by the patient according to their intellectual and psychological  readiness to perceive and interpret it; the way in which a doctor provides information about the course of the disease, possible  outcomes, and planned treatment methods; age and gender; the nature and severity of the disease itself, as well as the mental  health of patients.
病人对疾病的态度可预测病程和结果
大量科学研究表明,公众健康状况的恶化和某些类型疾病的趋势不能仅用传统因素来解释。事实证明,病人对疾病的态度决定了他们对病理的反应和对新病情的适应。本文旨在分析医生和心理学家关于病人对自身疾病的认知和态度对疾病进程的影响的研究、观点和信念。这篇综述对大量科学著作进行了分析,旨在确定各种疾病(包括精神疾病和躯体疾病)所特有的对疾病的态度类型。通过文献分析,确定了一系列决定对疾病的态度对疾病过程和结果的影响性质和强度的条件和因素。这些条件和因素包括:关于特定疾病的信息量和性质,病人根据其感知和解释信息的智力和心理准备程度来理解这些信息;医生提供关于疾病过程、可能的结果和计划的治疗方法的信息的方式;年龄和性别;疾病本身的性质和严重程度,以及病人的心理健康状况。
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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