ПРОГНОСТИЧЕСКОЕ ЗНАЧЕНИЕ РАЗНОНАПРАВЛЕННЫХ СВЯЗЕЙ ПРИВЕРЖЕННОСТИ ЛЕЧЕНИЮ И ЛИЧНОСТНЫХ ОСОБЕННОСТЕЙ БОЛЬНЫХ ТУБЕРКУЛЕЗОМ ЛЕГКИХ

Abstract

In order to improve psychological assistance to male patients with newly diagnosed infiltrative pulmonary TB we studied associations between patient adherence to treatment and personal features of these patients. We supplemented a standard clinical study of hospitalized patients with the author’s method of screening of patient adherence (Lebedev Yu.I. et al., patent no. RU2611398C1). Its results were matched to psychological personal features of 62 male patients with infiltrative pulmonary TB at the time of diagnosis. We established that negative associations between patient adherence and such features as tension, confrontation, distancing, escape-avoidance, aggression, hostility, and negativism might be considered as predictors of unfavourable course of TB and should be targets for psychological impact during treatment. On the other hand, positive associations between patient adherence and such coping strategies as decision-making, positive reassessment, general internality, and the indicators of health, mood, and resilience might be considered as positive predictive signs.