Abstract
Objective. Investigation of psycho-emotional conditions in patients with scoliosis. Material and Methods. A total of 275 individuals with an average age of 30 years were enrolled in the study. The study group included 233 patients with scoliosis, and the control group – 42 adolescents aged 15–16 years who had no clinical manifestations of scoliosis and never sought medical attention for complaints of the back pain. Examinees were offered to estimate their current state on a five-point scale. Patient-reported scores were transferred to the corresponding diagnostic factors, which were summarized within scales, and a patient-specific diagram of test results was built. Results. Neurotic conditions were noted in 16 % of patients with scoliosis. Among them obsessive-phobic disorders and neurotic depression prevailed. Neurotic depression is more than three-fold frequent in patients with scoliosis than in conditionally healthy subjects. Neurotic depression is registered even in patients with grade I and II scoliosis. The incidence of psycho-emotional disorders is higher in children than in adults and in women than in men. Conclusion. Data obtained from testing will help in development and implementation of patient-specific program to render psychological aid at different stages of treatment. It will allow to shorten restorative postoperative period, to decrease the occurrence and severity of depressive conditions and the risk of somatic complications, to increase the satisfaction with care, and thus to improve the patient’s quality of life.
Highlights
Neurotic conditions were noted in 16 % of patients with scoliosis
Гендерная социализация девочек-подростков со сколиозом // Хирургия позвоночника
Summary
Основная группа испытуемых – 233 пациента со сколиозом, контрольная – 42 подростка 15–16 лет, не имеющих клинических проявлений сколиоза и никогда не обращавшихся в лечебное учреждение с жалобами на боли в спине. Невротические состояния отмечены у 16 % пациентов со сколиозом. Невротическая депрессия у больных сколиозом встречается более чем в три раза чаще, чем у здоровых. Появление невротической депрессии регистрируется уже у пациентов с I и II ст. Полученные в результате тестирования данные помогут в разработке и осуществлении индивидуальной программы оказания психологической помощи на разных этапах лечения, что позволит сократить восстановительный послеоперационный период, уменьшить частоту и тяжесть возникновения депрессивных состояний, риск соматических осложнений, повысить удовлетворенность лечением, улучшить качество жизни пациентов. Ключевые слова: сколиоз, невротические состояния, депрессия, обсессивно-фобические нарушения.
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