Психотерапия в системе лечения больных ревматоидным артритом (с позиций биопсихосоциального подхода)
Диссертация
Практическая значимость работы. Обоснована необходимость психотерапии в лечении психических расстройств у больных РА и в комплексной терапии РА, определены основные терапевтические мишени, выработаны рекомендации по условиям организации и методам психотерапевтического вмешательства. Доказана принципиальная эффективность психотерапии в улучшении качества жизни больных РА. Определена избирательная… Читать ещё >
Содержание
- ОСНОВНЫЕ ОБОЗНАЧЕНИЯ И СОКРАЩЕНИЯ
- Глава 1. РЕВМАТОИДНЫЙ АРТРИТ КАК ПСИХОСОМАТИЧЕСКОЕ ЗАБОЛЕВАНИЕ. ПСИХОЛОГИЧЕСКИЕ ВМЕШАТЕЛЬСТВА ПРИ ЛЕЧЕНИИ И РЕАБИЛИТАЦИИ БОЛЬНЫХ РЕВМАТОИДНЫМ АРТРИТОМ. ОБЗОР ЛИТЕРАТУРЫ
- 1. 1. Психосоциальные факторы этиопатогенеза ревматоидного артрита
- 1. 2. Психосоциальные последствия ревматоидного артрита
- 1. 3. Психотерапия больных ревматоидным артритом
- Глава 2. МАТЕРИАЛ И МЕТОДЫ ИССЛЕДОВАНИЯ
- 2. 1. Методология исследования
- 2. 2. Материал и этапы исследования
- 2. 2. 1. Изучение исходного статуса больных основной и контрольной групп (до начала психотерапии)
- 2. 2. 2. Изучение статуса больных ревматоидным артритом в динамике от начала психотерапии
- 2. 3. Методы исследования
- 2. 3. 1. Клиническое исследование психиатра
- 2. 3. 2. Клиническое исследование ревматолога
- 2. 3. 3. Психологическое исследование
- 2. 3. 4. Исследование субъективных оценок эффектов психотерапии
- 2. 3. 5. Статистические методы
- 3. 1. Субъективная потребность больных ревматоидным артритом в психологической помощи
- 3. 1. 1. Мотивация на получение психологической помощи и ожидания от психотерапии у больных ревматоидным артритом
- 3. 1. 2. Субъективные ожидания больных ревматоидным артритом от психологической помощи
- 3. 1. 3. Обобщение данных: субъективная потребность больных ревматоидным артритом в психологической помощи
- 3. 2. Субъективные жалобы больных ревматоидным артритом
- 3. 2. 1. Стиль коммуникаций больных ревматоидным артритом в психодиагностической ситуации
- 3. 2. 2. Спектр жалоб и стиль их предъявления у больных ревматоидным артритом
- 3. 3. Психические расстройства у больных ревматоидным артритом
- 3. 3. 1. Распространенность психических расстройств у больных ревматоидным артритом
- 3. 3. 2. Типы психических расстройств у больных ревматоидным артритом
- 3. 4. Психологические особенности больных ревматоидным артритом
- 3. 4. 1. Исследование личности больных ревматоидным артритом по тесту Люшера
- 3. 4. 2. Исследование ответов личности на фрустрируюгцую ситуацию у больных ревматоидным артритом по методике Розенцвейга
- 3. 4. 3. Исследование личности больных ревматоидным артритом репертуарным тестом ролевых конструктов (Реп — тест)
- 3. 4. 4. Исследование перцептуально-когнитивной оценки себя с болезнью (ревматоидным артритом) посредством Шкал субъективных оценок и удовлетворенности (ШСУ)
- 3. 4. 5. Исследование алекситимии у больных ревматоидным артритом 212 посредством алекситимических шкал
- 3. 4. 6. Исследование нонкомплайенса с медикаментозным лечением у больных ревматоидным артритом
- 3. 4. 7. Исследование неблагоприятного влияния болезни на социальные аспекты качества жизни при ревматоидном артрите
- 4. 1. Измерение общих эффектов психотерапии
- 4. 1. 1. Экспертные и психодиагностические оценки динамики психического и соматического статуса
- 4. 1. 2. Субъективные оценки эффектов психотерапии
- 4. 2. Измерение специфических эффектов психотерапии
- 4. 2. 1. «Фактор участия» больных ревматоидным артритом в курсе психотерапии: предикторы и достигнутые эффекты
- 4. 2. 2. «Фактор метода» в психотерапии больных ревматоидным артритом: достигнутые эффекты
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