Psychological conditions in patients with pulmonary tuberculosis and mental disorder

Abstract

The article presents the spectrum of psychological conditions in patients with pulmonary tuberculosis in combination with a mental disorder. The purpose of assessing the psychological status of individuals with pulmonary tuberculosis and mental disorders is to create a psychological portrait of these patients. Identification of psychological characteristics makes it possible to select an adequate, targeted program of psychosocial rehabilitation for this category of patients, taking into account their emotional state. Results of psychological assessment of personality: the study has shown that a fairly high percentage of patients with comorbid pathology (pulmonary tuberculosis and mental disorder) have psychological features manifested in anxiety, irritability, suspiciousness, dejection, and immersion in their illness. To a lesser extent, the following were noted: loss of interest in everything or, on the contrary, “going into illness”, a careless attitude towards the disease or extreme suspicion of others. Conclusion. Taking into account the results of the study, in case of such patients, in addition to the main anti-tuberculosis therapy, it is necessary to carry out measures aimed at optimizing the individual’s attitude towards the disease, oneself, the environment, etc. The result of the implementation of targeted rehabilitation, in particular psychotherapeutic work, is the complete satisfaction of the patient’s needs. Individuals in the studied category should feel full-fledged members of society with an adequate attitude towards their disease and towards themselves. In terms of providing medical care, it is necessary to pay special attention to the organization and implementation of complex treatment of patients with comorbid disorders and to carry it out jointly with TB specialists, psychiatrists, and psychologists.