ATTITUDE TO DISEASES AND PSYCHOLOGICAL WELL-BEING OF PERSONS WITH CHRONIC SOMATIC DISEASES

Keywords: internal picture of disease, cognitive ideas about disease, multiple sclerosis, disease acceptance, social and psychological adaptation

Abstract

The purpose of this article is theoretical and empirical study of the features of the relationship between the attitude to a disease and the psychological well-being of persons with chronic somatic disease.

Methods. We have used three psychodiagnostic questionnaires for the research: the illness cognition questionnaire (ICQ) (A. Evers F. Kraaimaat, adaptation by N. Sirota and D. Moskovchenko), Ryff’s scales of psychological well-being (adaptation by M. Lepeshinskyy), the social and psychological adaptation questionnaire (C. Rogers and R. Diamond, adaptation by O. Osnitskyy). Methods of processing empirical data were: Pearson’s correlation analysis, cluster analysis, discriminant analysis and Student’s t-test.

Results. 50 people with multiple sclerosis participated in the study. Positive correlations have been identified between disease acceptance, psychological well-being of these persons and its components (positive relations, autonomy, environmental mastery, personal growth, purpose in life, self-acceptance). Negative correlations have been proved to exist between the feelings helplessness due to disease and their psychological well-being, including its components such as autonomy, environmental mastery, purpose in life, self-acceptance. Positive correlations were identified between the tendency of these persons to positively overestimate the importance of the disease and their psychological well-being, including its components such as environmental mastery, personal growth, self-acceptance. Certain differences were identified in the indicators of psychological well-being of persons with different attitude to their chronic somatic disease.

Conclusions. It has been found that attitude to the disease is an important factor of person’s psychological well-being in case of chronic somatic disease. Persons who have a positive idea about their disease, accept it, realistically perceive the problems and limitations associated with the disease, see opportunities for personal growth have a higher level of psychological well-being and adaptability than those who focus on the negative aspects of the disease, treat it as a source of problems, limitations, subjectively burdensome feelings.

References

1. Hasiuk M.B. (2019) Rol vnutrishnoi kartyny zdorovia v likuvanni ta reabilitatsii somatychnoho khvoroho [The role of the internal health picturein the somatic patient treatment and rehabilitation]. Teoriia i praktyka suchasnoi psykholohii – Theory and practice of modern psychology, 1, 124-128 [in Ukrainian].
2. Kykhtiuk O.V. (2018) Teoretyko-metodolohichni aspekty ta empirychne doslidzhennia vnutrishnoi kartyny khvoroby v klinichnii psykholohii [Theoretical-methodological aspects and empirical study of internal pattern of disease in clinical psychology]. Psykholohichni perspektyvy – Psychological prospects, 31, 131-140 [in Ukrainian]. DOI: https://doi.org/10.29038/2227-1376-2018-31-131-140
3. Lisova O.S. (2002) Vnutrishnia kartyna zdorovia [The internal health picture]. Psykholohiia: zbirnyk naukovykh prats NPU imeni M.P. Drahomanova – Psychology: collection of research papers of M.P. Drahomanov NPU, 15, 69-77 [in Ukrainian].
4. Maksymenko K.S. (2012) Problema prototypu psykholohichnoi dopomohy osobystosti v sytuatsii somatychnoho zakhvoriuvannia [The problem of the prototype of psychological assistance to the individual in the situation of somatic disease]. Problemy suchasnoi psykholohii: zbirnyk naukovykh prats K-PNU imeni Ivana Ohiienka, Instytutu psykholohii im. H.S. Kostiuka NAPN Ukrainy – Problems of modern psychology: collection of research papers of Kamianets-Podilskyi Ivan Ohienko National University, G.S. Kostiuk Institute of psychology at the National Academy of Pedagogical Science of Ukraine, 17, 252-264 [in Ukrainian].
5. Mendelevich V.D. (2001) Klinicheskaja i medicinskaja psihologija [Clinical and medical psychology]. M.: MEDpress [in Russian].
6. Motovilin O.G., Shishkova Iu.A., Surkova E.V. (2014) Ratsionalnyi i emotsionalnyi komponenty otnosheniia k bolezni patsientov s sakharnym diabetom 1 tipa: vzaimosviaz s psikhologicheskim blagopoluchiem [Rational and emotional components of attitude to the disease in patients with type 1 diabetes: relationship with psychological wellbeing]. Sakharnyi diabet – Diabetes mellitus, 3, 60-69 [in Russian].
7. Rasskazova E.I., Kovrov G.V., Palatov S.Iu. (2014) Kognitivnaia sostavliaiushchaia reprezentatsii lecheniia i kachestvo zhizni pri somaticheskikh zabolevaniiakh [Cognitive component of treatment representation and quality of life in case of somatic diseases]. Psikhicheskoe zdorove – Mental health, 1, 43-51 [in Russian].
8. Ryff C., Singer B., Love G. (2004) Positive health: Connecting well-being with biology. Philosophical Transactions of the Royal Society of London. Series B: Biological Sciences. 1449, 1383-1394. DOI: https://doi.org/10.1098/rstb.2004.1521
9. Vasserman L.I., Trifonova E.A., Fedorova E.A. (2008) Vnutrennjaja kartina bolezni v strukture kachestva zhizni u bol’nyh s somaticheskoj patologiej [The internal picture of the disease in the structure of quality of life in patients with somatic pathology]. Sibirskij psihologicheskij zhurnal – Siberian Journal of Psychology, 27, 67-71 [in Russian].
10. Zhang M., Hong L., Lin Y., Zheng S. et al. (2016) Illness perceptions and stress: mediators between disease severity and psychological well-being and quality of life among patients with Crohn’s disease. Patient Prefer Adherence,10, 2387-2396. DOI: 10.2147/PPA.S118413
Published
2020-04-02
Pages
182-189