The subjective concept of morbidity: its assessment and connection with the motivation for treatment in persons who underwent psychosis
Medication compliance and motivation for treatment, as adaptive- compensatory reactions of patients to the awareness of the fact of their own ill- being, are based on subjective perception of the disorder. To date, there is a shortage of objective methods for assessing the subjective concept of morb...
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| Format: | Article |
| Language: | Russian |
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Federal State Budget Scientific Institution National Medical Research Center for Psychiatry and Neurology n.a. V.M. Bekhterev Ministry of Health of the Russian Federation
2020-07-01
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| Series: | Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева |
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| Online Access: | https://www.bekhterevreview.com/jour/article/view/424 |
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| author | N. B. Lutova M. Y. Sorokin O. V. Makarevich V. D. Wied |
| author_facet | N. B. Lutova M. Y. Sorokin O. V. Makarevich V. D. Wied |
| author_sort | N. B. Lutova |
| collection | DOAJ |
| description | Medication compliance and motivation for treatment, as adaptive- compensatory reactions of patients to the awareness of the fact of their own ill- being, are based on subjective perception of the disorder. To date, there is a shortage of objective methods for assessing the subjective concept of morbidity in psychotic patients.160 inpatients with psychosis in anamnesis were examined: nosologically according ICD-10 80%—F2, 11%—F3, 9%—F0. A self-questionnaire was adapted to the Russian language for determining the subjective meaning and significance of psychosis (Susi). The results of its internal and external (when compared with data on the severity of productive and negative symptoms, subjective assessment of the severity of the condition and treatment motivation of patients) validation are presented.Conclusions. The applicability of the concept of subjective morbidity in patients with mental disorders is shown. The role of the subjective attitude to the disease in case of its perception as a destructive life event is associated in patients with a violation of the structure of motivation for treatment. On the contrary, the ability of patients to form a subjective meaning of the disease can be considered as a guarantee of more intense therapeutic motivation. |
| format | Article |
| id | doaj-art-de81cf5df7c74ce3a2cc9d1636e7a5b0 |
| institution | Matheson Library |
| issn | 2313-7053 2713-055X |
| language | Russian |
| publishDate | 2020-07-01 |
| publisher | Federal State Budget Scientific Institution National Medical Research Center for Psychiatry and Neurology n.a. V.M. Bekhterev Ministry of Health of the Russian Federation |
| record_format | Article |
| series | Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева |
| spelling | doaj-art-de81cf5df7c74ce3a2cc9d1636e7a5b02025-08-03T13:06:37ZrusFederal State Budget Scientific Institution National Medical Research Center for Psychiatry and Neurology n.a. V.M. Bekhterev Ministry of Health of the Russian FederationОбозрение психиатрии и медицинской психологии имени В.М. Бехтерева2313-70532713-055X2020-07-0102737910.31363/2313-7053-2020-2-73-79347The subjective concept of morbidity: its assessment and connection with the motivation for treatment in persons who underwent psychosisN. B. Lutova0M. Y. Sorokin1O. V. Makarevich2V. D. Wied3V.M. Bekhterev National Research Medical Center for Psychiatry and NeurologyV.M. Bekhterev National Research Medical Center for Psychiatry and NeurologyV.M. Bekhterev National Research Medical Center for Psychiatry and NeurologyV.M. Bekhterev National Research Medical Center for Psychiatry and NeurologyMedication compliance and motivation for treatment, as adaptive- compensatory reactions of patients to the awareness of the fact of their own ill- being, are based on subjective perception of the disorder. To date, there is a shortage of objective methods for assessing the subjective concept of morbidity in psychotic patients.160 inpatients with psychosis in anamnesis were examined: nosologically according ICD-10 80%—F2, 11%—F3, 9%—F0. A self-questionnaire was adapted to the Russian language for determining the subjective meaning and significance of psychosis (Susi). The results of its internal and external (when compared with data on the severity of productive and negative symptoms, subjective assessment of the severity of the condition and treatment motivation of patients) validation are presented.Conclusions. The applicability of the concept of subjective morbidity in patients with mental disorders is shown. The role of the subjective attitude to the disease in case of its perception as a destructive life event is associated in patients with a violation of the structure of motivation for treatment. On the contrary, the ability of patients to form a subjective meaning of the disease can be considered as a guarantee of more intense therapeutic motivation.https://www.bekhterevreview.com/jour/article/view/424insightmotivationperceptionself conceptpatient compliancesevere mental disorderschizophrenia |
| spellingShingle | N. B. Lutova M. Y. Sorokin O. V. Makarevich V. D. Wied The subjective concept of morbidity: its assessment and connection with the motivation for treatment in persons who underwent psychosis Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева insight motivation perception self concept patient compliance severe mental disorder schizophrenia |
| title | The subjective concept of morbidity: its assessment and connection with the motivation for treatment in persons who underwent psychosis |
| title_full | The subjective concept of morbidity: its assessment and connection with the motivation for treatment in persons who underwent psychosis |
| title_fullStr | The subjective concept of morbidity: its assessment and connection with the motivation for treatment in persons who underwent psychosis |
| title_full_unstemmed | The subjective concept of morbidity: its assessment and connection with the motivation for treatment in persons who underwent psychosis |
| title_short | The subjective concept of morbidity: its assessment and connection with the motivation for treatment in persons who underwent psychosis |
| title_sort | subjective concept of morbidity its assessment and connection with the motivation for treatment in persons who underwent psychosis |
| topic | insight motivation perception self concept patient compliance severe mental disorder schizophrenia |
| url | https://www.bekhterevreview.com/jour/article/view/424 |
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