Features of formation and target-differentiated psychocorrection of psychological maladaptation in women with non-cancer thyroid disease
Keywords:non-cancer thyroid disease, women, psychological maladjustment, target-differentiated byderective system of medical and psychological measures
In the study conducted assessment factors of formation psychological maladaptation in women with thyroid pathology. It was examined 59 women with hyperthyroidism, 54 – with hypothyroidism and 50 somatic healthy persons. Found basic psychological problems and their psychogenesis factors associated with endocrine disease in women with thyroid disorders, and peculiarities of emotional state depending on the type of hormonal dysfunction. Identified patterns of coping in patients with hypothyroidism and hyperthyroidism. Investigated specificity of response to disease among patients with different types of thyroid pathology. Characterized victim status in relation to the presence of chronic somatic pathology in women with thyroid disease. Studied quality of life of patients with hypothyroidism and hyperthyroidism. In the course of work, it was justified and identified the factors – components of psychological maladaptation of patients with thyreopathies variants of interaction of which determine the mechanisms of its development and clinical and psychological peculiarities of the course: psycho-biological, the basis of which is the effect of hormonal imbalance on the state of the nervous system, and secondary psychogenic that manifests in personally-psychosocial maladaptation of patients. On the basis of the obtained results, the hypothesis concerning the two-factor psychogenesis of psychological maladaptation in the specified contingent was formulated and proved, which became the basis for the development and implementation of endocrinological and medical-psychological practices of a target-differentiated bidecreative system of medical and psychological measures for patients with thyreopathies whose ultimate goal is not only elimination of existing psycho-emotional and personality deformations of patients, but also adaptation and acceptance of oneself in a situation of own illness, acceptance of the responsibility for oneself and one's health, the formation and maintenance of own preservation skills, which led to an increase in the effectiveness of somatotropic treatment and a significant improvement in the quality of life of patients.
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