Identity of Patients with Reflux Disease in Connection with Aggression

The study tested the hypothesis of difference of personality identity in patients with gastroesophageal reflux disease (GERD) and healthy individuals and of association of difference with manifestations of aggressiveness. The sample of 75 subjects includes an experimental group of 45 patients, aged 21 to 38 years old (M=27.85, SD=3.21), with an established diagnosis of GERD, 66.7% men and 33.3% women. Control group of 30 normal individuals aged 21 to 32 years (М=26.90, SD=3.87), who do not have a history of GERD, 66.0% men and 40.0% women. The methodological complex includes: Method for the Study of Personal Identity Schneider (MILES); Questionnaire for Objective Measurement of Status Ego-Identity (adaption by Gavrilova, Glushak); ISTA (Tupitsyn et al.); the method “Types of aggressiveness” (Pochebut); Buss-Durkee Hostility Inventory. The diffuse identity was revealed in 48.9% of patient group, the "moratorium" identity status was revealed in 20.0%, while achieved positive identity, premature identity, and pseudo-positive identity were found in 17.7%, 6.7%, and 6.7% of patients, accordingly. The "moratorium" identity status was revealed in 30.0% of normal group, while achieved positive identity, "moratorium" identity, and pseudo-positive identity were found in 26.6%, 23.3%, and 16.7% of patients, accordingly. Also, in GERD patients following connections with different aggression indicators were revealed depending on the identity status: the status of the adopted identity is directly related to the object aggression; the status of a moratorium related with the deficit aggression, the status of achieved identity related with the indirect aggression and guilt. Personal identity indicator corresponds to the status of accepted and diffuse identity. It was revealed that the lower state of personal identity indicator connected to the higher state of the irritation and hostility in patients. The control group did not reveal significant links between the indicators of identity and indicators of aggression.

1. Andreeva G.M. K voprosu o krizise identichnosti v usloviyakh sotsial'nykh transformatsii [On the issue of identity crisis in the context of social transformations]. Psikhologicheskie issledovaniya=Psychological Research, 2011, no. 6 (20), p. 54. (In Russ.).
2. Berkovits L. Agressiya. Prichiny, posledstviya i kontrol' [Aggression: reasons, consequences and control]. Saint-Petersburg: Praim-Evroznak, 2001. 512 p. (In Russ.).
3. Gavrilova T.A., Glushak E.V. Psikhometricheskoe issledovanie shkaly interpersonal'noi identichnosti metodiki ob"ektivnogo izmereniya statusa ego-identichnosti Dzh. Adamsa [Psychometric study of the scale of interpersonal identity of the method of objective measurement of the status of ego-identity by J. Adams]. Psikhologicheskaya diagnostika=Psychological Diagnostics, 2011, no. 3, pp. 3–18. (In Russ.).
4. Grishechkina I.A. Gastroezofageal'naya reflyuksnaya bolezn' – psikhosomaticheskie aspekty [Gastroesophageal reflux disease — psychosomatic aspects]. Farmatsiya i farmakologiya=Pharmacy and Pharmacology, 2015, suppl. 1, pp. 41–42. (In Russ.).
5. Grishechkina I.A. Psikhologicheskie faktory i gastroezofageal'naya reflyuksnaya bolezn' [Psychological factors and gastroesophageal reflux disease]. Omskii nauchnyi vestnik=Omsk Scientific Bulletin, 2011, no. 1 (104), pp. 13–16. (In Russ.).
6.             Ivashkin V.T., Trukhmanov A.S. Evolyutsiya predstavlenii o roli narushenii dvigatel'noi funktsii pishchevoda v patogeneze gastroezofageal'noi reflyuksnoi bolezni [The evolution of ideas about the role of disorders of the motor function of the esophagus in the pathogenesis of gastroesophageal reflux disease]. Rossiiskii zhurnal gastroenterologii, gepatologii, koloproktologii=Russian Journal of Gastroenterology, Hepatology, Coloproctology, 2010, no. 2, pp. 13–19. (In Russ.).
7. Kabanov M.M., Neznanova N.G. (eds.). Ocherki dinamicheskoi psikhiatrii. Transkul'tural'noe issledovanie [Essays on dynamic psychiatry. Transcultural research]. Saint-Petersburg: Publ. of Saint-Petersburg Bekhterev Psychoneurological Research Institute, 2003. 438 p. (In Russ.).
8. Kon'kova L.A., Kon'kov A.V. Klinicheskie maski gastroezofageal'noi reflyuksnoi bolezni [Clinical masks of gastroesophageal reflux disease]. Meditsinskii vestnik MVD=Medical Bulletin of the Ministry of Internal Affairs, 2018, no. 3, pp. 43–49. URL: https://www.gastroscan.ru/literature/authors/9769 (Accessed: 17.03.2022) (In Russ.).
9. Kravcova N.A., Katasonova A.V., Dovzhenko A.Yu. Faktory i mekhanizmy razvitiya psikhosomaticheskikh rasstroistv [Factors and mechanisms of development of psychosomatic disorders]. Tikhookeanskii meditsinskii zhurna=Pacific Medical Journal, 2013, vol. 4 (54), pp. 48–55. (In Russ.).
10. Lyamina S.V., Kladovikova O.V. Gastroezofageal'naya reflyuksnaya bolezn': sovremennye tendentsii v diagnostike i lechenii [Gastroesophageal reflux disease: current trends in diagnosis and treatment]. Gastroenterologiya=Gastroenterology, 2018, no. 2, pp. 33–38. URL: https://www.gastroscan.ru/literature/authors/10919 (Accessed: 17.03.2022) (In Russ.).
11. Maev I.V., Kazyulin A.N., Yurenev G.L. et al. Maski gastroezofageal'noi reflyuksnoi bolezni. Itogi 20 let nablyudenii [Masks of gastroesophageal reflux disease. Results of 20 years of observations. Farmateka=Pharmateka, 2018, no. 13, pp. 30–43. DOI: 10.18565/pharmateca.2018.13.30-43 (In Russ., abstr. in Engl.).
12. Miklyaeva A.V. Rumyantseva P.V. Sotsial'naya identichnost' lichnosti: soderzhanie, struktura, mekhanizmy formirovaniya [Social identity of a person: content, structure, formation mechanisms]. Saint-Petersburg: publ. of Herzen University, 2008, 118 p. DOI: 10.31550/1727-2378-2020-19-4-55-60 (In Russ.).
13. Mosiichuk L.N., Demeshkina L.V., Kushnirenko I.V. et al. Psikhologicheskaya dezadaptatsiya patsientov s GERB: obzor i sobstvennye issledovaniya [Psychological maladaptation of patients with GERD: a review and own research]. Gastroenterologiya=Gastroenterology, 2014, no. 4 (54), pp. 23–29. (In Russ.).
14. Odarushchenko O.I. Emotsional'no-lichnostnaya sfera patsientov s gastro-ezofageal'noi reflyuksnoi bolezn'yu [The emotional and personal sphere of patients with gastroesophageal reflux disease]. Voprosy kurortologii, fizioterapii i lechebnoi fizicheskoi kul'tury=Issues of Balneology, Physiotherapy and Therapeutic Physical Culture, 2019, vol. 96, no. 3, pp. 25–30. DOI: 10.17116/kurort20199603125 (In Russ., abstr. in Engl.).
15. Pochebut L.G. Kross-kul'turnaya i etnicheskaya psikhologiya [Cross-Cultural and Ethnic Psychology: A Study Guide]. Saint-Petersburg: Piter, 2012, 336 p. (In Russ.).
16. Razumov A.N., Efendieva M.T., Badtieva V.A. Gastroezofageal'naya reflyuksnaya bolezn' s kardial'nymi proyavleniyami: perspektivy nemedikamentoznykh metodov lecheniya [Gastroesophageal reflux disease with cardiac manifestations: prospects for non-drug treatment methods]. Voprosy kurortologii, fizioterapii i lechebnoi fizicheskoi kul'tury=Issues of Balneology, Physiotherapy and Therapeutic Physical Culture, 2020, vol. 97, no. 1, pp. 75–81. DOI: 10.17116/kurort20209701175 (In Russ., abstr. in Engl.).
17. Romasenko L.V., Makhov V.M., Doronina Yu.A. et al. Psikhosomaticheskie sootnosheniya u patsientov s divertikulyarnoi bolezn'yu i sindromom razdrazhennogo kishechnika [Psychosomatic relationships in patients with diverticular disease and irritable bowel syndrome]. Doktor.Ru, 2020, vol. 19, no. 4, pp. 55–60. DOI: 10.31550/1727-2378-2020-19-4-55-60 (In Russ., abstr. in Engl.).
18. Rukovodstvo po psikhodinamicheskoi diagnostike [Guide to psychodynamic diagnosis] DSM-2. V 2-kh t., 2-e izd. Tom 1 / V. Lindzhardi, N. Mak-Vil'yams (eds.). Moscow: Klass, 2019, 792 p. (In Russ.).
19. Khvan A.A., Zaitsev Yu.A., Kuznetsova Yu.A. Standartizatsiya oprosnika A. Bassa
    i A. Darki [Standardization of the questionnaire by A. Bass and A. Darki]. Psikhologicheskaya diagnostika=Psychological Diagnostics, 2008, no. 1, pp. 35–58. (In Russ.).
20.  Kholmogorova A.B., Rychkova O.V. 40 let biopsikhosotsial'noi modeli: chto novogo? [40 years of the biopsychosocial model: what's new?]. Sotsial'naya psikhologiya i obshchestvo=Social Psychology and Society, 2017, vol. 8, no. 4, pp. 8–31. DOI: 10.17759/sps.2017080402 (In Russ., abstr. in Engl.).
21. Shapovalova V.V. Agressiya u patsientov s reflyuksnoi bolezn'yu [Reflux Patients Aggression]. Student. Aspirant. Issledovatel'=Student. Graduate Student. Researcher, 2016, no. 8 (14), pp. 56–62 (In Russ.).
22. Shipova L.V. Psikhologicheskii analiz fenomena agressii v teorii frustratsii [Psychological analysis of the phenomenon of aggression in the theory of frustration]. Gumanitarnye, sotsial'no-ekonomicheskie i obshchestvennye nauki=Humanities, Socio-economic and Social Sciences, 2014, no. 4, pp. 283–285. (In Russ.).
23. Shneider L.B. Psikhologiya identichnosti: uchebnik i praktikum dlya bakalavriata
    i magistratury [Psychology of identity: textbook and workshop for undergraduate and graduate students]. Moscow: Yurait, 2019, 328 p. (In Russ.).
24. Yurenev G.L., Mironova E.M., Sirovata N.A. et al. Osobennosti psikhoemotsional'nogo statusa i rasstroistva pishchevogo povedeniya u patsientov s gastroezofagal'noi reflyuksnoi bolezn'yu i ozhireniem [Features of psycho-emotional status and eating disorders in patients with gastroesophageal reflux disease and obesity]. Consilicum Medicum, 2021, vol. 23, no. 5, pp. 412–416. DOI: 10.26442/ 20751753.2021.5.200932 (In Russ., abstr. in Engl.).
25. Yurenev G.L., Sirota N.A., Dicheva D.T. et al. Rol' psikhologicheskoi korrektsii
    v kompleksnom lechenii bol'nykh gastroezofagal'noi reflyuksnoi bolezn'yu [The role of psychological correction in the complex treatment of patients with gastroesophageal reflux disease]. Terapevticheskii arkhiv=Therapeutic Archive, 2014, vol. 86, no. 8, pp. 42–49. (In Russ.).
26. Chang C.Y., Lee L.J., Wang J.D. et al. Health-related quality of life in patients with Barrett's esophagus. Health and Quality of Life Outcomes, 2016, vol. 14 (158). DOI 10.1186/s12955-016-0551-2
27. El-Serag H.B., Sweet S., Winchester C.C. et al. Update on the epidemiology of gastrooesophageal reflux disease: a systematic review. Gut, 2014, vol. 63, pp. 871–80. DOI: 10.1136/gutjnl-2012-304269
28. Gyawali C.P., Kahrilas P.J., Savarino E. et al. Modern diagnosis of GERD: the Lyon Consensus. Gut, 2018, vol. 67, no. 7, pp. 1351–1362. DOI: 10.1136/gutjnl-2017-314722
29. Li Y., Fang M., Niu L. et al. Associations among gastroesophageal reflux disease, mental disorders, sleep and chronic temporomandibular disorder: a case-control study. CMAJ: Canadian Medical Association Journal, 2019, vol. 191, issue 33, E909–E915. DOI: 10.1503/cmaj.181535
30. Zhong C., Liu K., Wang K. et al. Developing a diagnostic understanding of GERD phenotypes through the analysis of levels of mucosal injury, immune activation, and psychological comorbidity. Diseases of the Esophagus, 2018, vol. 31, no. 10, pp. 1–8. DOI: 10.1093/dote/doy039