INNER PICTURE OF THE DISEASE AS A FACTOR OF SUCCESSFUL POSTOPERATIVE NEUROREHABILITATION OF PATIENTS WITH PITUITARY ADENOMAS
https://doi.org/10.21886/2219-8075-2013-1-51-55
Abstract
Purpose: To study inner disease image (IDI) and type of disease perception of the operated patients with pituitary adenomas, the impact on the success of the IDI on neurorehabilitation process.
Materials and methods. The study sample consisted of 52 patients (28 females, 24 males) aged 32 to 46 years (37,7 ± 1,2 years old), operated on pituitary adenoma. The following methods were used: medical records analysis, clinical interview, «Method for psychological diagnostics of attitude towards disease».
Results. Most patients have high level of post-traumatic stress reactions caused by pituitary adenoma.
Summary. Patients have a dominant type of maladaptive IDI which significantly reduces the social and psychological adaptation in the postoperative period. In the formation of post-operative neurorehabilitation strategies for the successful recovery of psychosocial status in patients with pituitary adenomas is necessary to consider the nature of maladaptive personality reactions.
About the Authors
I. A. SafonovaRussian Federation
Department of Neurology and Neurosurgery The Faculty of Qualification Increase and Professional Retraining of Specialists,
29 Nakhichevanskiy st., Rostov-on-Don, 344022
I. N. Khmaruk
Russian Federation
Department of Medical Psychology and Psychotherapy The Faculty of Qualification Increase & Professional Retraining of Specialists
29 Nakhichevanskiy st., Rostov-on-Don, 344022References
1. Лурия, Р.А. Внутренняя картина болезни и иатрогенные заболевания [Текст] / Р.А. Лурия. – 4-е изд. – М.: Медицина, 1977. – 112 с.
2. Курчакова, М.С. Психологическая защита и онкология – психофизиологический подход [Текст] / М.С. Курчакова, Н.В. Тарабрина // Сб. тезисов I Международного конгресса «Психосоматическая медицина 2006». – СПб., 2006. – С.121.
3. Андрющенко, А.В. Основные принципы реабилитации онкологических больных [Текст] / А.В. Андрющенко // Материалы VI Всероссийского съезда онкологов (11-13 октября) – М., 2005. – С. 39–40.
4. Вассерман, Л.И. Психологическая диагностика отношения к болезни [Текст]: Пособие для врачей / Л.И. Вассерман, Б.В. Иовлев, Э.Б. Карпова. – СПб.: Изд-во НИПНИ им. В.М. Бехтерева, 2005. – 32 c.
5. Абабков B.A., Бабин C.M., Исурина Г.Л. и соавт. Применение Гиссенского опросника соматических жалоб в клинике пограничных нервно-психических и психосоматических расстройств: Методическое пособие. СПб.: Психоневрол. ин-т, 1993. - 24 c.
6. Jane, J.A. Surgical Management of Pituitary Adenomas [Text] / J.A. Jane, E.R. Laws // Singapore Med J. – Vol 43(6). – 2002. – P. 318-323.
Review
For citations:
Safonova I.A., Khmaruk I.N. INNER PICTURE OF THE DISEASE AS A FACTOR OF SUCCESSFUL POSTOPERATIVE NEUROREHABILITATION OF PATIENTS WITH PITUITARY ADENOMAS. Medical Herald of the South of Russia. 2013;(1):51-55. (In Russ.) https://doi.org/10.21886/2219-8075-2013-1-51-55