Maier, P.A.
Pavlov First State Medical University of St. Petersburg,
Isaeva E.R.
Pavlov First State Medical University of St. Petersburg
Brazhenko, O.N.
Pavlov First State Medical University of St. Petersburg
Abstract
Background. At the present time, there are insufficient data on the clinical and psychological characteristics of patients with drug-sensitive tuberculosis to form a uniform approach to providing psychological care to this group of patients. The results of the study will help fill in the gaps in the already available information, supplementing it with new data in order to form a programme of psychological support with the start of chemotherapy, taking into account the form of medical care.
Objective. The aim is to study and compare social and individual psychological characteristics, attitudes towards the disease, as well as the compliant behaviour in patients with newly diagnosed drug-sensitive tuberculosis at the start of chemotherapy under various forms of medical care.
Study Participants. The study involved patients aged 26 to 67 years (N = 130, Mage = 42.9 years; SD = 9.6), newly diagnosed with drug-sensitive tuberculosis of the respiratory system (ICD-10: A15–A16) at the beginning of the intensive phase of therapy. The patients were divided into three groups depending on the form of medical care: Group 1 (n36) were at a 24-hour TB hospital; Group 2 (n47) were at a day hospital; Group 3 (n47) received help as outpatients at a TB dispensary.
Methods. Analysis of anamnestic data was carried out. The research also involved such methods for psychodiagnostics as “Type of attitude to illness (TOBOL)”; “Integrative Anxiety Test” (IAT); “Level of compliance”; “Level of social frustration (LSF-1)”.
Results. Psychological portraits of groups of patients are determined depending on the form of medical care, including social, household and clinical and psychological characteristics. Patients in all groups demonstrate a high willingness to follow the recommendations, however, inpatients are less emotionally involved in the treatment process and more frustrated than patients in other groups. There is also evidence that there are no differences between the groups in the level of personality-related anxiety, while anxiety caused by a change in circumstances is more typical for inpatients.
Conclusions. From a psychological point of view, treatment in a day hospital is the optimal form of medical care, since the patient’s usual rhythm of life remains practically unchanged and such patients demonstrate a lower level of frustration, as well as more pronounced compliance than patients in other groups.
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To cite this article:
Maier, P.A., Isaeva E.R., Brazhenko, O.N..
Social and Personal Characteristics of Patients with Drug-Sensitive Tuberculosis at the Start of Chemotherapy under Various Forms of Medical Care. // National Psychological Journal
2025. 2. Pages106-129. doi: 10.11621/npj.2025.0208
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