Social and Personal Characteristics of Patients with Drug-Sensitive Tuberculosis at the Start of Chemotherapy under Various Forms of Medical Care
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...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Lomonosov Moscow State University
2025-06-01
|
| Series: | Национальный психологический журнал |
| Subjects: | |
| Online Access: | https://npsyj.ru/articles/article/11445/ |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849731390923341824 |
|---|---|
| author | Pavel A. Maier Elena R. Isaeva Olga N. Brazhenko |
| author_facet | Pavel A. Maier Elena R. Isaeva Olga N. Brazhenko |
| author_sort | Pavel A. Maier |
| collection | DOAJ |
| description | 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.
The objective 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.
|
| format | Article |
| id | doaj-art-5d7e412731384fe0bdabf76986443e5f |
| institution | DOAJ |
| issn | 2079-6617 2309-9828 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Lomonosov Moscow State University |
| record_format | Article |
| series | Национальный психологический журнал |
| spelling | doaj-art-5d7e412731384fe0bdabf76986443e5f2025-08-20T03:08:33ZengLomonosov Moscow State UniversityНациональный психологический журнал2079-66172309-98282025-06-0120210612910.11621/npj.2025.0208Social and Personal Characteristics of Patients with Drug-Sensitive Tuberculosis at the Start of Chemotherapy under Various Forms of Medical CarePavel A. Maier 0https://orcid.org/0009-0009-7064-0488Elena R. Isaeva 1https://orcid.org/0000-0002-7731-7693Olga N. Brazhenko 2https://orcid.org/0009-0004-9564-4833I.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare, St. Petersburg, Russian Federation; Saint Petersburg State Budgetary Healthcare Institution “Tuberculosis Dispensary No. 14”, St. Petersburg, Russian FederationI.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare, St. Petersburg, Russian FederationI.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare, St. Petersburg, Russian FederationBackground. 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. The objective 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. https://npsyj.ru/articles/article/11445/complianceadherence to treatmentrespiratory tuberculosisattitude towards the diseasefrustration |
| spellingShingle | Pavel A. Maier Elena R. Isaeva Olga N. Brazhenko Social and Personal Characteristics of Patients with Drug-Sensitive Tuberculosis at the Start of Chemotherapy under Various Forms of Medical Care Национальный психологический журнал compliance adherence to treatment respiratory tuberculosis attitude towards the disease frustration |
| title | Social and Personal Characteristics of Patients with Drug-Sensitive Tuberculosis at the Start of Chemotherapy under Various Forms of Medical Care |
| title_full | Social and Personal Characteristics of Patients with Drug-Sensitive Tuberculosis at the Start of Chemotherapy under Various Forms of Medical Care |
| title_fullStr | Social and Personal Characteristics of Patients with Drug-Sensitive Tuberculosis at the Start of Chemotherapy under Various Forms of Medical Care |
| title_full_unstemmed | Social and Personal Characteristics of Patients with Drug-Sensitive Tuberculosis at the Start of Chemotherapy under Various Forms of Medical Care |
| title_short | Social and Personal Characteristics of Patients with Drug-Sensitive Tuberculosis at the Start of Chemotherapy under Various Forms of Medical Care |
| title_sort | social and personal characteristics of patients with drug sensitive tuberculosis at the start of chemotherapy under various forms of medical care |
| topic | compliance adherence to treatment respiratory tuberculosis attitude towards the disease frustration |
| url | https://npsyj.ru/articles/article/11445/ |
| work_keys_str_mv | AT pavelamaier socialandpersonalcharacteristicsofpatientswithdrugsensitivetuberculosisatthestartofchemotherapyundervariousformsofmedicalcare AT elenarisaeva socialandpersonalcharacteristicsofpatientswithdrugsensitivetuberculosisatthestartofchemotherapyundervariousformsofmedicalcare AT olganbrazhenko socialandpersonalcharacteristicsofpatientswithdrugsensitivetuberculosisatthestartofchemotherapyundervariousformsofmedicalcare |