The special features of response on the disease and victim behavior in women with thyroid pathologies
DOI:
https://doi.org/10.15587/2313-8416.2015.57083Keywords:
type of response on disease, victim behavior, hyperthyroidism, hypothyroidism, psychological maladjustmentAbstract
Thyroid pathologies are characterized with an expressed somatic distress and transformations of psychic sphere. Elimination of hormonal imbalance as pathogenetic mechanism levels the clinic symptomatology to a great extent. That is why the problem of inclination to treatment in endocrinological patients becomes particularly topical.
The aim of research was the study of the special features of response on treatment and manifestations of victim behavior connected with chronic somatic pathology in women with the different types of thyroid pathologies.
Contingent and methods of research. There were used the clinical methodology of diagnostics of the type of an attitude to disease (TAD) and the Andronnikova modified questionnaire of inclination to victim behavior.
Results. Most of all interrogated patients with thyroid pathologies had intrapsychic (49,6 % against 32,0 %) and combined maladjustment (18,6 % against 8,0 %), the lesser part of them had adaptive types of response on disease comparing with healthy women (9,7 % against 40,0 %). The intragroup differences were expressed in prevalence of types with intrapsychic maladjustment in women with hypothyroidism (57,4 % against 42,4 %), and interpsychic and combined at hyperthyroidism (27,1 % against 16,7 % and 22,0 % against 14,8 %). The main types of response on disease in persons with thyroid pathologies were anxious and sensitive (10,6 %), anxious (8,8 %), sensitive (8,8 %) and anosognosic (8,8 %), in healthy women – ergopathic (16,0 %), anosognosic (14,0 %), energopathic and sensitive (12,0 %) and harmonic types (10,0 %).
An intensity of the victim behavior was higher in patients with thyroid pathologies, in women with hyperthyroidism took place aggressive, self-destructive and hypersocial ones, in patients with hypothyroidism – dependent and uncritical types of victimhood that indicated the presence of somatogenic victimhood as a factor of psychological and psychosocial maladjustment.
Conclusions. The established interconnections between the type of response on disease and inclination to the victim behavior have clinical importance for planning medical and psychological measures
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