ПСИХОПАТОЛОГИЧЕСКИЙ СТАТУС ЗАБОЛЕВАЮЩИХ ТУБЕРКУЛЕЗОМ ОРГАНОВ ДЫХАНИЯ В СВЯЗИ С РАННИМИ ДЕЗАДАПТИВНЫМИ СХЕМАМИ

Abstract

The article provides data of an analytical correlation study based on hospital data on general severity of psychopathological symptoms, maladaptive schemas, and coping strategies in patients with pulmonary TB. The study involved 78 patients with pulmonary TB aged 18 to 60 years who received treatment at the Central TB Research Institute in 2019–2021. There were 61 (78.2%) women and 17 (21.8%) men. Sixty-five (83.3%) patients were new cases, and 13 (16.7%) patients were previously treated cases. We evaluated severity of psychopathological symptoms (SCL-90-R questionnaire), features of coping with stress (the Coping Strategies questionnaire), and severity of emotional and cognitive patterns associated with childhood experience (YSQ-S3R questionnaire). We established that all the above schemas were more severe in patients with high GSI scores. Patients with low GSI scores did not update addiction/helplessness or defectiveness/shame schemas (feelings of helplessness, inferiority, and shame). Patients with high GSI scores maximally updated abandonment/ instability, unrelenting standards/hypercriticalness, negativity/pessimism, and approval-seeking schemas, as well as escape/avoidance and confrontation coping strategies. There were also inverse correlations between confrontation coping strategy and failure, emotion inhibition schemas; planned problem-solving coping strategy and failure, addiction/ helplessness or subjugation schemas. Diagnosis of maladaptive personality traits is important for the prediction and prevention of a patient’s unfavourable reactions to treatment.Keywords: pulmonary TB, psychological characteristics, severity of psychopathological symptoms, early maladaptive schemas, coping strategies