Dynamics of Attitudes Toward Illness Based on the Psychological Status of Patients with Pulmonary Tuberculosis
https://doi.org/10.58838/2075-1230-2026-104-3-64-71
Abstract
The objective: to compare attitudes toward illness (ATIs) based on the psychological status of inpatients with pulmonary tuberculosis (TB).
Materials and methods. ATIs and psychological statuses were evaluated in 189 patients with pulmonary tuberculosis: 143/189 (76%) women and 46/189 (24%) men; mean age: 33.9 ± 10.5 years.
Results. The most prevalent ATIs were ergopathic (39.2%), sensitive (36.5%), anxious (27.0%), and anosognosic (25.9%). Ergopathic and anosognosic ATIs were significantly more frequent in men, while women predominantly demonstrated the anxious type. In patients with psychological distress, ATIs indicative of psychological maladjustment were significantly more frequent. Conversely, ATIs associated with preserved psychological adjustment were more common in patients without psychological distress. After two months of inpatient treatment, positive shifts were observed in most psychological status indicators, with a significant decrease in anxiety-related ATIs and an increase in the frequency of the anosognosic type. In some patients, the observed changes in ATIs were facilitated by psychological interventions aimed at enhancing their coping resources.
About the Authors
N. V. Zolotova
Central Tuberculosis Research Institute
Russian Federation
Russian Federation
Natalya V. Zolotova, Candidate of Psychological Sciences, Head of the Laboratory for Psychological Research in Tuberculosis, Senior Researcher, Department of Phthisiology
2 Yauzskaya alleya, Moscow 107564;
Tel.: +7 (499) 785-90-52
V. V. Streltsov
Central Tuberculosis Research Institute
Russian Federation
Russian Federation
Vladimir V. Streltsov, Candidate of Psychological Sciences, Senior Researcher, Laboratory for Psychological Research in Tuberculosis, Department of Phthisiology
2 Yauzskaya alleya, Moscow 107564;
Tel.: +7 (499) 785-90-52
G. V. Baranova
Central Tuberculosis Research Institute
Russian Federation
Russian Federation
Galina V. Baranova, Candidate of Psychological Sciences, Senior Researcher, Laboratory for Psychological Research in Tuberculosis, Department of Phthisiology
2 Yauzskaya alleya, Moscow 107564;
Tel.: +7 (499) 785-90-52
N. Yu. Kharitonova
Central Tuberculosis Research Institute
Russian Federation
Russian Federation
Nadezhda Yu. Kharitonova, Researcher, Laboratory for Psychological Research in Tuberculosis, Department of Phthisiology
2 Yauzskaya alleya, Moscow 107564;
Tel.: +7 (499) 785-90-52
References
1. Bastrykina O.V., Fomenko L.A. On psychological attitudes toward illness in patients with tuberculosis. Bolshoi Tselevoi Zhurnal o Tuberkuleze. 2000, (in Russ.) URL: http://www.medafarm.ru/doctor/ftiziopulmo/001.shtml. Accessed March 27, 2025
2. Valiev R.Sh. Treatment of patients with pulmonary tuberculosis based on their personality characteristics and attitude toward illness. Problemy Tuberkuleza, 1999, no. 2, pp. 27–31 (In Russ.)
3. Gorbunova N.V. Socio-psychological characteristics of patients with tuberculosis. Young Scientist, 2012; vol. 46, no. 11, pp. 350–353. (In Russ.) URL: https://moluch.ru/archive/46/5609/. Accessed March 27, 2025.
4. Danilov D. Therapeutic collaboration (compliance): Content of the definition, mechanisms of formation, and methods of optimization. Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, Neuropsychiatry, Psychosomatics. 2014;6(2):4-12. (In Russ.). https://doi.org/10.14412/2074-2711-2014-2-4-12
5. Elnikova O.E. Attitude to illness as a research topic. Review of prior research. Comprehensive Child Studies. 2020, vol.2, no. 4, pp. 292–304. (In Russ.) doi:10.33910/2687-0223-2020-2-4-292-304
6. Zolotova N.V., Streltsov V.V., Baranova G.V., Kharitonova N.Yu., Bagdasaryan T.R. Psychological factors influencing the formation of therapeutic cooperation in pulmonary tuberculosis patients undergoing in-patient treatment. Tuberculosis and Lung Diseases. 2020;98(12):34-40. (In Russ.). https://doi.org/10.21292/2075-1230-2020-98-12-34-40
7. Zolotova N.V., Streltsov V.V., Kharitonova N.Yu., Baranova G.V. Satisfaction with inpatient treatment in pulmonary tuberculosis patients with different psychological statuses. CTRI Bulletin. 2025, vol. 9, no. 2, pp. 75-83. (In Russ) https://doi.org/10.57014/2587-6678-2025-9-2-75-83
8. Lazareva E.Yu., Nikolaev E.L. Psychosomatic interrelations in cardiac pathology: current research trends. Vestnik Chuvashskogo universiteta. 2012, no. 3, pp. 429-435. (In Russ)
9. Luria RA. Illness perception and iatrogenic diseases. Moscow: Meditsina; 1977. p. 112.
10. Lubaeva, E.V., Enikolopov, S.N. (2011). The role of individual psychological characteristics of patients in developing of adherence to tuberculosis and HIV therapy. Counseling Psychology and Psychotherapy, 19(2), pp. 111–127. (In Russ.)
11. Myasishchev V.N. Psychology of relations: selected psychological works. 4th ed. Voronezh: MODEK; 2011. p. 398.
12. Petunova S.A. Psychosocially factors of tuberculosis patients’ compliance. Modern Problems of Science and Education. 2015, no. 3, p. 78. (In Russ.)
13. Petunova S.A. Psychosocial characteristics of attitudes toward illness in patients with pulmonary tuberculosis. Vestnik psikhiatrii i psikhologii Chuvashii. 2015, vol. 11, no. 4, pp. 60-78. (In Russ.)
14. Vasserman L.I., Iovlev B.V., Karpova E.B. Psychological assessment of attitudes toward illness: a guide for physicians. Saint-Petesburg: V.M. Bekhterev National Medical Research Center of Psychiatry and Neurology, 2005. p. 32 (In Russ.)
15. Suslova E.S, Nikolaev E.L. Psychological mechanisms of coping in personality maladaptation: cultural aspect. Vestnik Chuvashskogo universiteta. 2006, no. 1, pp. 281-288. (In Russ.)
16. Tarabrina N.V. Workshop on psychology of post-traumatic stress. St. Petersburg: Piter; 2001. p. 272.
17. Uzlov N.D., Gabdrakhmanova N.N. Coping behavior and personality defense mechanisms in patients with pulmonary tuberculosis and anosognostic attitude toward illness [Internet]. Meditsinskaya psikhologiya v Rossii. 2013, vol. 20, no. 3. (In Russ.) URL: http://medpsy.ru. Accessed March 27, 2025.
18. Abitov I.R. Model of psychological disadaptation at psychosomatic and neurotic disorders // Review of European Studies. – 2015. – Vol. 7, № 1. – pp. 136-140. https://doi.org/10.5539/res.v7n1p136
19. Bam K., Bhatt L.P., Thapa R., Dossajee H.K., Angdembe M.R. Illness perception of tuberculosis (TB) and health seeking practice among urban slum residents of Bangladesh: a qualitative study // BMC Res. Notes. – 2014. – № 7. – Р. 572. https://doi.org/10.1186/1756-0500-7-572
20. Kibrisli E., Bez Y., Yilmaz A., Aslanhan H., Taylan M., Kaya H., Tanrikulu A.C., Abakay O. High social anxiety and poor quality of life in patients with pulmonary tuberculosis // Medicine (United States). – 2015. – Vol. 94, № 3. – Р. e413-null. https://doi.org/10.1097/MD.0000000000000413
Review
For citations:
Zolotova N.V., Streltsov V.V., Baranova G.V., Kharitonova N.Yu. Dynamics of Attitudes Toward Illness Based on the Psychological Status of Patients with Pulmonary Tuberculosis. Tuberculosis and Lung Diseases. 2026;104(3):64-71. (In Russ.) https://doi.org/10.58838/2075-1230-2026-104-3-64-71
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