Psychological rehabilitation of patients with pulmonary tuberculosis at different stages of therapy

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Abstract

The article is devoted to topical issues of psychological rehabilitation of patients with pulmonary tuberculosis and summarizes the practical experience of the authors in the creation of psychological services in the TB clinic. The article focuses on the specifics of psychological assistance at the stage of continuation of TB treatment in the hospital. The theoretical and methodological foundations, principles and objectives of the ongoing psychological work. In the presented model of psychological rehabilitation are taken into account peculiarities of the organization of the treatment process in Phthisiology and identified in the clinical-psychological research on specific features of the response and interpersonal relationships of patients with pulmonary tuberculosis. The necessity of organizing special psycho-correctional programs aimed at overcoming premorbid elements of the system of relations that are considered as psychological risk factors of tuberculosis and relapses.

General Information

Keywords: pulmonary tuberculosis, psychological rehabilitation, premorbid personality characteristics, relationship, therapeutic target

Journal rubric: Empirical Researches

Article type: scientific article

DOI: https://doi.org/10.17759/cpp.2015230204

For citation: Streltsov V.V., Zolotova N.V., Baranova G.V., Akhtyamova A.A. Psychological rehabilitation of patients with pulmonary tuberculosis at different stages of therapy. Konsul'tativnaya psikhologiya i psikhoterapiya = Counseling Psychology and Psychotherapy, 2015. Vol. 23, no. 2, pp. 57–77. DOI: 10.17759/cpp.2015230204. (In Russ., аbstr. in Engl.)

References

  1. Ababkov V.A., Baburin I.N., Vasil'eva A.V. i dr. Algoritm kratkosrochnoi psikhoterapii, napravlennoi na razreshenie vnutrilichnostnykh i mezhlichnostnykh konfliktov u bol'nykh s nevroticheskimi rasstroistvami. Metodicheskie rekomendatsii. Saint-Peterburg, NIPNI im. V.M. Bekhtereva. 2012. 22 p.
  2. Aleksander F. Psikhosomaticheskaia meditsina. Printsipy i prakticheskoe primenenie / per. s angl. S. Mogilevskogo. Moscow: Izd-vo EKSMO-Press, 2002. 352 p.
  3. Aleksandrov A.A. Analitiko-katarticheskaia terapiia (AKTA) / Uchebnoe posobie. Saint-Peterburg: izd. SPbMAPO, 2011. 64 p.
  4. Alfeevskii N.A. O nervnykh i psikhologicheskikh iavleniiakh u tuberkuleznykh. Sovre­mennaia psikhiatriia. 1912. № 10. Pp. 707—742.
  5. Baranova G.V., Zolotova N.V., Stolbun Iu.V. Struktura lichnostnykh chert u bol'nykh tuberkulezom legkikh. Meditsinskaia psikhologiia v Rossii. 2012. N 3 (14). Availab­le at: http://medpsy.ru.
  6. Bratus' B.S. Anomalii lichnosti / Moscow: Mysl', 1988. 305 p.
  7. Broitigam V., Kristian P., Rad M. Psikhosomaticheskaia meditsina / Moscow, GEO­TAR Meditsina. 1999. 373 p.
  8. Burenina I.A. Metodicheskie osnovy sovremennoi reabilitatsii (klinicheskaia lektsiia). Vestnik sovremennoi klinicheskoi meditsiny. 2008. Tom 1, vol. 1. Pp. 88—92.
  9. Valiev R.Sh. Lechenie bol'nykh tuberkulezom legkikh s uchetom osobennostei ikh lich­nosti i otnosheniia k bolezni. Problemy tuberkuleza. 1999. № 2. Pp. 27—31.
  10. Vinogradov M.V., Cherkashina I.I., Perel'man M.I. Psikhicheskoe sostoianie bol'nykh s ogranichennymi formami tuberkuleza legkikh. Problemy tuberkuleza. 1991. № 10. Pp. 41—43.
  11. Gnezdilova E.V. Orientirovanie bol'nogo tuberkulezom na izlechenie s pomoshch'iu obrazovatel'noi programmy "Ftiza-shkola". Pul'monologiia, 2001. T. 11, № 1. Pp. 16—19.
  12. Golovakha, E.I., Kronik, A.A. Zhiznennyi put' lichnosti / E.I. Golovakha, A.A. Kronik. Moscow: Nauka, 1987. 280 p.
  13. Delariu V.V., Iudin S.A., Borzenko A.S. Okazanie psikhologicheskoi/psikhoterapevtich­eskoi pomoshchi bol'nym tuberkulezom liudiam (po dannym sotsiologicheskogo issledovaniia). Meditsinskaia psikhologiia v Rossii. 2013. N 1 (18). Available at: http://medpsy.ru (Accessed 27.09.2013).
  14. Dolgikh N.O. Sostoianie situatsionno-lichnostnogo reagirovaniia u vpervye vyiavlen­nykh bol'nykh tuberkulezom i ikh spetsificheskoe lechenie s ispol'zovaniem psikhoterapii: avtoref. dis. … kand. med. nauk. Moscow, 2005. 23 p.
  15. Dolgova Iu.V., Strel'tsov V.V. Issledovanie tipov reagirovaniia vo frustriruiushchei situ­atsii u bol'nykh s vpervye vyiavlennym tuberkulezom legkikh. "Sotsial'nyi mir che­loveka", vypusk 2 / Izhevsk, 2008. Pp. 360—361.
  16. Zolotova N.V, Siresina N.N., Strel'tsov V.V. Struktura bazovykh chert u bol'nykh tuberkulezom legkikh. Iaroslavskii psikhologicheskii vestnik. 2010. № 26. Pp. 174—176.
  17. Isaeva E.R. Psikhologicheskie adaptatsionnye resursy lichnosti v usloviiakh bolezni. Psikhosomaticheskaia meditsina — 2014: Trudy. IKh mezhdunarodnyi kongress. SPb.: Chelovek, 2014. Pp. 44—50.
  18. Kosheleva G.Ia. Kliniko-psikhologicheskie kharakteristiki bol'nykh tuberkulezom legkikh i ikh dinamika v protsesse kompleksnogo lecheniia: avtoref. dis. … kand. med. nauk. L., 1990. 24 p.
  19. Kulikov L.V. Psikhologiia nastroeniia lichnosti: Avtoref. dis. … dokt. psikhol. nauk. Saint-Peterburg, 1997.
  20. Linde N.D. Psikhologicheskoe konsul'tirovanie: teoriia i praktika. Uchebnoe posobie dlia studentov vuzov / Moscow: Aspekt Press, 2011. 255 p.
  21. Lomachenkov V.D., Kosheleva G.Ia. Psikhologicheskie osobennosti muzhchin i zhen­shchin, vpervye zabolevshikh tuberkulezom legkikh, i ikh sotsial'naia adaptatsiia. Problemy tuberkuleza. 1997. № 3. Pp. 9—11.
  22. Lukashova E.N., Igisheva L.N., Kopylova I.F. Psikhologicheskie osobennosti bol'nykh tuberkulezom podrostkov. Problemy tuberkuleza. 2002. № 1. Pp. 39?41.
  23. Liubaeva E.V., Enikolopov S.N. Rol' individual'nykh psikhologicheskikhkharakteristik patsientov v formirovanii priverzhennosti terapii tuberkuleza i VICh. Konsul'tativ­naia psikhologiia i psikhoterapiia. 2011. № 2. Pp. 111—127.
  24. Liuban-Plotstsa B., Pel'dinger V., Kreger F. Psikhosomaticheskii bol'noi na prieme u vracha / Saint-Peterburg. 1996. 256 p.
  25. Moskacheva M.A., Kholmogorova A.B., Garanian N.G., Demidova L.Iu. Aleksitimiia, psikhosomatika i mekhanizmy kommunikatsii. Psikhologicheskie adaptatsionnye resursy lichnosti v usloviiakh bolezni / Psikhosomaticheskaia meditsina — 2014: Trudy. IKh mezhdunarodnyi kongress. Saint-Peterburg: Chelovek, 2014. Pp. 66—71.
  26. Miasishchev V.N. Lichnost' i nevrozy / L.: Meditsina, 1960. 384 p.
  27. Miasishchev V.N. Sootnoshenie psikhicheskogo i somaticheskogo pri obshchikh i sis­temnykh nevrozakh. Voprosy vzaimootnoshenii psikhicheskogo i somaticheskogo v psikhonevrologii i obshchei meditsine. Trudy Gosudarstvennogo nauchno-issle­dovatel'skogo instituta im. V.M. Bekhtereva / L., 1963. T. XXIX. Pp. 193—204.
  28. Nechaeva M.V., Antokhin E.Iu., Bardiurkina V.A., Zhorova T.I, Androsov E.I. Vzaimosviaz' klinicheskikh proiavlenii i samostigmatizatsii pri distimii. Nauchno­meditsinskii vestnik Tsentral'nogo Chernozem'ia. 2010. № 41.
  29. Nikolaeva V.V. O psikhologicheskoi prirode aleksitimii. Telesnost' cheloveka: mezhdistsiplinarnoe issledovanie / Moscow, 1993. Pp. 84—93.
  30. Petrov S.P. O psikhike tuberkuleznykh. Sovremennaia psikhiatriia. 1913. № 9. Pp. 673—694.
  31. Poklitar E.A. Tuberkulez, lichnost', psikhoterapiia. "Voprosy mental'noi meditsiny i ekologii". T. 7, № 3. 2001.
  32. Psikhologicheskoe i neiropsikhologicheskoe soprovozhdenie terapii tuberkuleza legkikh: metodicheskoe posobie / N.N. Siresina, V.V. Strel'tsov, N.V. Zolotova [et all]. Moscow, 2007. 73 p.
  33. Rean A.A., Kudashev A.R., Baranov A.A. Psikhologiia adaptatsii lichnosti / Saint-Peter­burg: Praim — EVROZNAK, 2006. 479 p.
  34. Sel'tsovskii P.P., Strel'tsov V.V., Zolotova N.V. Psikhologicheskoe soprovozhdenie ter­apii tuberkuleza legkikh. Nauchnye trudy "K 70-letiiu V.I. Litvinova" / Moscow, MNPTsBT. 2011. Pp. 98—109.
  35. Siresina N.N. Kompleksnyi podkhod k izucheniiu psikhologii lichnosti i vysshikh psikhicheskikh funktsii u bol'nykh tuberkulezom legkikh (diagnostika, sistematika, reabilitatsiia): avtoref. dis. … dokt.psikh.nauk. Tver', 2011. 58 p.
  36. Siresina N.N., Baranova G.V., Strel'tsov V.V., Pankova L.I. Rol' materi v formirovanii patologicheskikh osobennostei lichnosti bol'nykh tuberkulezom legkikh. Sb.
  37. Nauchnykh trudov k 80-letiiu Moskovskogo gorodskogo nauchno-prakticheskogo tsentra bor'by s tuberkulezom / Moscow, 2007. Pp. 138—144.
  38. Sobchik L.N. i dr. Metod standartizirovannogo mnogofaktornogo issledovaniia lichnos­ti v diagnostike nervno-psikhicheskikh narushenii u bol'nykh tuberkulezom / Moscow, 1990. 28 p.
  39. Strel'tsov V.V., Baranova G.V., Siresina N.N., Vasil'eva I.A. Vozmozhnosti optimizatsii psikhologicheskogo sostoianiia bol'nykh tuberkulezom legkikh v protsesse individ­ual'noi psikhologicheskoi korrektsii. Tuberkulez i bolezni legkikh. № 3. 2012. Pp. 31—37.
  40. Strel'tsov V.V., Zolotova N.V. Psikhologicheskaia reabilitatsiia bol'nykh tuberkulezom legkikh v faze intensivnogo lecheniia. Konsul'tativnaia psikhologiia i psikhoterapi­ia. 2013. № 1. Pp. 10—20.
  41. Sukhov V.M., Sukhova E.V. Nekotorye osobennosti kachestva zhizni bol'nykh tuberkulezom legkikh. Problemy tuberkuleza. 2003. № 4. Pp. 29—30.
  42. Sukhova E.V. Povedencheskii otvet bol'nykh na "kleimo" tuberkuleza. Sotsial'naia psikhologiia i obshchestvo. 2015. T. 6, № 1. Pp. 127—136.
  43. Sukhova E.V. Neobkhodimost' psikhologicheskoi korrektsii u bol'nykh tuberkulezom legkikh. Problemy tuberkuleza i boleznei legkikh. 2004. № 10. Pp. 34—36.
  44. Sukhova E.V. "Ftiza-shkola" — sistema kompleksnogo vozdeistviia na bol'nogo tuberkulezom. Problemy tuberkuleza. 2004. № 12. Pp. 35—41.
  45. Sukhova E.V., Sukhov V.M., Kornev A.V. Osobennosti otnosheniia k bolezni bol'nykh tuberkulezom legkikh. Problemy tuberkuleza. 2006. № 5. Pp. 20—23.
  46. Sukhova E.V., Pochanin I.I. Osobennosti lichnosti u bol'nykh s vpervye vyiavlennym tuberkulezom legkikh. Vestnik Samarskogo gosudarstvennogo ekonomicheskogo universiteta. 2010. 1 (63). Pp. 127—131.
  47. Tarabrina N.V. Posttravmaticheskii stress u bol'nykh ugrozhaiushchimi zhizni (onko­logicheskimi) zabolevaniiami. Konsul'tativnaia psikhologiia i psikhoterapiia. 2014. № 1. Pp. 40—63.
  48. Fromm E. Anatomiia chelovecheskoi destruktivnosti / Moscow: AST, 2006. 640 p.
  49. Ellis A., Draiden U. Praktika ratsional'no — emotsional'noi povedencheskoi terapii / M.: Rech'. 348 p.
  50. Epshtein D.Ia. Dusha tuberkuleznogo v osveshchenii khudozhestvennoi i nauchnoi lit­eratury / Kiev, 1929. 39 p.
  51. Day G. L’approchepsychosomatiquedelatuberculosepulmonaire / Lancet (May 12), 1951. Pp. 1025—1028.
  52. Dunbar F. Emotions and Bodily Changes / N.Y. 1949. 604 p.
  53. Laennec R. De l'auscultation mediate ou traite du diagnostic des maladies des paumons et de Coeur / Paris, 1819.

Information About the Authors

Vladimir V. Streltsov, PhD in Psychology, Senior Researcher of the Group for the Study of Psychological Problems of Tuberculosis, Central Research Institute of Tuberculosis, Moscow, Russia, e-mail: vvst-64@mail.ru

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

Galina V. Baranova, PhD in Psychology, Researcher of the Group for the Study of Psychological Problems of Tuberculosis, Central Research Institute of Tuberculosis, Moscow, Russia, e-mail: g_a_l_i_n_a_62@mail.ru

Almira A. Akhtyamova, PhD in Psychology, Senior Researcher of the Group for the Study of Psychological Problems of Tuberculosis, Central research Institute of tuberculosis, Moscow, Russia, e-mail: bliznec18@bk.ru

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