Background and targets of psychological help for women with thyroid pathology
DOI:
https://doi.org/10.15587/2313-8416.2016.58902Keywords:
hypothyroidism, hyperthyroidism, medical and psychological help, psychological targets, thyroid gland, endocrinological diseasesAbstract
In patients with thyroid pathologies takes place the strong layer of psychic displacements of prenosological level that cause psychological maladjustment.
The aim of research was elaboration of the complex measures of medical and psychological help based on the study of the special features of psycho-emotional sphere, coping, types of reaction on disease, somatogenic victimhood and life quality in women with thyroid pathologies.
Contingent. In the research took part the women with diseases of TG – group with thyroid pathologies (GT) attended with its hyper- (59patients, group 1-G1) and hypofunction (54 patients group 2 – G2). For comparison there was formed the group of somatically healthy women (50 patients, control group – CG).
Results. In women with endocrinopathies of TG there were revealed high rates of psychopathological anxiety – mainly in women with hyperthyroidism, and depression and asthenia – in ones with hypothyroidism, predominance of maladaptive coping mechanisms – confusion, emotional discharging, self-incrimination, aggressiveness, deviation and types of reaction on disease with inter- and intrapsychic maladjustment – the domination of anxious, anxious and sensitive, hypochondriac, hypochondriac and sensitive types, high somatogenic victimhood as an inclination to aggressive, self-destructive victim behavior in interrogated with hyperfunction and dependent and noncritical in ones with hypofunction of thyroid gland, the significant decrease of life quality. On the base of received results there were separated targets of medical and psychological influence and were defined interventional measures.
Conclusions. The correction of psychic disorders in patients with hormonal pathology of TG must be realized on two directions: the prescriptions of medicamentous therapy and normalization of physical health that is carried out by doctor-endocrinologist – an operations on psychobiological factor and psychological interventions oriented on the decrease of the negative effects of the secondary psychotraumatization – an influence on the secondary psychogenic factor – carried out by the medical psychologist
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