The effect of early maladaptive schemes on stress management and psychological adaptation in patients with pulmonary tuberculosis

 
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Abstract

The article is devoted to the study of the influence of the severity of early maladaptive schemes on psychological adaptation in patients with pulmonary tuberculosis. The relevance of the study is due to the importance of identifying personal factors of ineffective stress-coping behavior to determine the trajectory of psychological support. The results of the study are presented, which included 122 patients aged 18–58 (103 (84 %) women and 19 (16 %) men) with pulmonary tuberculosis undergoing inpatient treatment. The following methods were used: the Symptom Check List-90-rRevised, the Questionnaire “Life Style Index”, the Questionnaire “Ways of Coping Behavior” and the Young schema questionnaire. Psychological adaptation of patients depended on the presence of a lower severity of the overall early maladaptive schemes score. The high level of the overall EMS score caused significant tension in the mechanism of psychological defense “regression”, the more rare use of the constructive coping strategy “problem solving planning” and the preference for the following coping methods: escape-avoidance, confrontation and taking responsibility. The severity of early maladaptive schemes influenced the presence of a higher level of obsessive-compulsive disorders, interpersonal sensitivity, depression, anxiety and other psychopathological symptoms. The results of the study indicate the expediency of using an assessment of the severity of early maladaptive schemes upon admission to the hospital for early detection of patients at risk for psychological maladjustment to determine the trajectory of psychological support. The data of the analysis of the identified early maladaptive schemes can be used in providing psychotherapeutic care to patients with pulmonary tuberculosis.

General Information

Keywords: stress, coping strategies, psychological defenses, psychological adaptation, early maladaptive schemes, pulmonary tuberculosis, psychological support

Journal rubric: Empirical and Experimental Research

Article type: scientific article

Received 13.12.2024

Accepted

Published

For citation: Sheloumova, O.S., Baranova, G.V., Zolotova, N.V. (2025). The effect of early maladaptive schemes on stress management and psychological adaptation in patients with pulmonary tuberculosis . Vestnik of Saint Petersburg University. Psychology, 15(4), 633–648. (In Russ.). URL: https://psyjournals.ru/en/journals/vspu_psychology/archive/2025_n4/Sheloumova_Baranova_Zolotova (viewed: 03.03.2026)

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Information About the Authors

Oksana S. Sheloumova, EdD, Research associate of the Laboratory for the Study of Psychological Problems of Tuberculosis, Central Research Institute of Tuberculosis, Moscow, Russian Federation, ORCID: https://orcid.org/0000-0003-2323-2253, e-mail: oksanasheloumova@yandex.ru

Galina V. Baranova, Candidate of Science (Psychology), Researcher of the Group for the Study of Psychological Problems of Tuberculosis, Central Research Institute of Tuberculosis, Moscow, Russian Federation, e-mail: g_a_l_i_n_a_62@mail.ru

Natalya V. Zolotova, Candidate of Science (Psychology), Senior Researcher, Head of the Laboratory for the Study of Psychological Problems of Tuberculosis, Central Research Institute of Tuberculosis, Moscow, Russian Federation, ORCID: https://orcid.org/0000-0003-0048-4394, e-mail: Zolotova_n@mail.ru

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