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The Internal Psychological Picture of the Disease in Patients in an Ophthalmological Clinic

https://doi.org/10.25016/2782-652X-2024-0-91-37-49

Abstract

Relevance. The internal picture of disease (IPD) is the set of perceptions a person has about their disease; it is the result of the mental evaluation that a patient undertakes as they become aware of their condition. Correcting one’s attitude towards their disease through psychological means creates conditions for improving the patient’s condition, preventing relapses, and alleviating anxiety. Studying the IPD is a crucial task for healthcare professionals and a significant component in analyzing the patient’s disease.

Intention. The aim of the study was to clarify the IPD in patients in an ophthalmological clinic and to prevent anxiety-depressive disorders, neuroses and psychosomatic diseases.

Methodology. The assessment was conducted using the TOBOL questionnaire developed at the Saint Petersburg Research Institute of Phthisiopulmonology. The study involved 300 patients with various ophthalmological conditions. It should be noted that the study was impacted by the COVID-19 pandemic. Each patient was asked to select two statements that best represented their experience from each set of statements and to circle the corresponding numbers on the registration sheet. Average scores were considered across the ophthalmological profile.

Results. The most frequent responses were those characteristic of paranoid and dysphoric (aggressive) types of attitude to the disease. Hypochondriacal and asthenic types were also frequently observed. Conclusion. The methods of personalized individual and group psychoprophylaxis used in the study yielded positive effects in 67 patients (39.9%) of relatively young age.

About the Authors

O. A. Koroev
North Osetian State Medical Academy
Russian Federation

Oleg Alekseevich Koroev – PhD Med. Sci. Associate Prof., Associate Prof. Department of otorhinolaryngology with ophthalmology

40, Pushkinskaya Str., Vladikavkaz



T. T. Alikova
North Osetian State Medical Academy
Russian Federation

Tamara Taimurazovna Alikova – PhD Med. Sci. Associate Prof., Associate Prof. Department of otorhinolaryngology with ophthalmology

40, Pushkinskaya Str., Vladikavkaz



A. O. Koroev
North Osetian State Medical Academy
Russian Federation

Aleksei Olegovich Koroev – PhD Med. Sci., Associate Prof. Department of otorhinolaryngology with ophthalmology

40, Pushkinskaya Str., Vladikavkaz



A. S. Tatrov
North Osetian State Medical Academy
Russian Federation

Aleksandr Sergeevich Tatrov – PhD Med. Sci. Associate Prof., Associate Prof. Department of health organization with psychology and pedagogy

40, Pushkinskaya Str., Vladikavkaz



V. O. Akhpolova
North Osetian State Medical Academy
Russian Federation

Varvara Olegovna Akhpolova– PhD Med. Sci., Vice-rector for strategic and digital development, Associate Prof. Department of normal physiology

40, Pushkinskaya Str., Vladikavkaz



M. A. Sozaeva
North Osetian State Medical Academy
Russian Federation

Melavinka Agubechirovna Sozaeva– PhD Med. Sci. Assistant, Department of otorhinolaryngology with ophthalmology

40, Pushkinskaya Str., Vladikavkaz



I. V. Kaloeva
North Osetian State Medical Academy
Russian Federation

Irina Vital’evna Kaloeva– Assistant, Department of otorhinolaryngology with ophthalmology

40, Pushkinskaya Str., Vladikavkaz



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Review

For citations:


Koroev O.A., Alikova T.T., Koroev A.O., Tatrov A.S., Akhpolova V.O., Sozaeva M.A., Kaloeva I.V. The Internal Psychological Picture of the Disease in Patients in an Ophthalmological Clinic. Bulletin of psychotherapy. 2024;(91):37-49. (In Russ.) https://doi.org/10.25016/2782-652X-2024-0-91-37-49

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ISSN 0132-182X (Print)
ISSN 2782-652X (Online)