MALADAPTIVE RESPONSE TO DISEASE AND ITS IMPACT ON THE DYNAMICS OF PAIN SYNDROME IN PATIENTS WITH PSORIATIC ARTHRITIS
Rebrov B.O., Blaginina I.I., Rebrova O.A.
Summary. Summary. A research purpose is to study а life quality, the nature of the psychological response to the disease and assessment of impact on the dynamics of psychosomatic disorders of pain in patients with psoriatic arthritis. In 46 patients with psoriatic arthritis the life quality of questionnaire by HAQ and SF-36 scale were investigated, the nature of the psychological response to the disease by the method of psychological diagnosis types of attitude to the disease severity was assessed. Depending on the type of the relationship to the disease, patients were divided into two groups: Group 1 included 27 patients with inadequate (maladaptive) types of relationships to the disease, and the 2nd — the remaining 19 patients with inadequate response to disease. It was found that patients in Group 1 initially had lower life quality than patients with a favorable attitude to the type of disease, despite the absence of significant differences in the inflammatory process activity. The analysis of pain and inflammatory activity in the dynamics showed a significant improvement in the group of patients without psychosomatic disorders, confirming the impact of inadequate type of psychological response to the disease in the subjective perception of disease severity.
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