HEPATOGENOUS ULCER AND DUODENAL ULCER: FEATURES OF PSYCHOEMOTIONAL STATUS OF PATIENTS
DOI:
https://doi.org/10.11603/1811-2471.2018.v0.i1.8623Keywords:
hepatogenous ulcer, duodenal ulcer, psychological status.Abstract
The purpose of this work was to study the psychological status of the personality of patients with duodenal ulcer and symptomatic hepatogenous ulcer and to identify its differences in these diseases.
Material and Methods. 36 patients were examined, which were divided into two groups: 22 patients with chronic liver diseases and combined pathology of the gastrointestinal tract and 14 patients with peptic ulcer of the duodenum. All patients were given general-clinical examinations, and for assessing the psychological status, a set of questionnaire tests were performed: Luscher test (color choice test), SAN test (differential functional self-assessment), Spielberger's questionnaire (reactive and personal anxiety scale), and Eysenck questionnaire (to determine the level of neuroticism and indicators of extraversion and introversion). Test results were evaluated in points.
Results. By the method of Luscher, both in patients with symptomatic hepatogenous ulcers and duodenal ulcer, a significantly increased anxiety is accompanied by instability of the emotional sphere. The general condition of the patients according to the SAN deteriorates in both groups of patients and is significantly improved under the influence of treatment, although not all indicators are fully normalized. Analyzing the data of Spielberger's technique, we observed increased levels of reactive and personality anxiety in both groups of patients and a significant decrease in them after the treatment. The Eysenck test in both groups of investigated patients shows the unidirectionality of psycho-emotional disorders in patients and their improvement under the influence of treatment. However, according to its results, the psycho-emotional profile of women with duodenal ulcer is affected more significantly than in men, in contrast to patients with hepatogenous ulcers in women and men.
Conclusions. In both groups of examined patients there are marked disorders of the psychoemotional sphere in the form of disturbing and depressive tendencies, instability of the emotional sphere and neuroticism of the person, which should be taken into account during therapy.
References
Volkov, V.S., Smirnova, L.E. (1996). Vliyaniye psikhicheskikh narusheniy na techeniye yazvennoy bolezni [Influence of mental disorders on peptic ulcer disease]. Kliniches- kaya meditsina – Clinical Medicine, 6, 81-82 [in Russian].
Babak, O.Ya., Fadeenko, G.D. (1997). Farmakote rapiya pepticheskikh yazv zheludka i dvenadtsatiperstnoy kishki [Pharmacotherapy of peptic ulcers of the stomach and duodenum]. Kharkov : Osnova, 150 [in Russian].
Ivashkin, V.T., Lapina, T.L., Megro, F. (1999). Helico bacter pylori – revolyutsiya v gastroenterologii [Helicobacter pylori – revolution in gastroenterology]. Moskow: Triada [in Russian].
Grinevich, V.B. (2002). Osobennosti yazvennoy bolezni, ne svyazannoy s Helicobacter pylori [Features of peptic ulcer, not associated with Helicobacter pylori]. Terapevticheskiy arkhiv – Therapeutic archive, 2, 24-27 [in Russian].
Zimmerman, Ya.S., Belousov, F.V. (1999). Psikhosomaticheskaya meditsina i problema yazvennoy bolezni [Psychosomatic medicine and the problem of peptic ulcer]. Klinicheskaya meditsina – Clinical medicine, 8, 9-16 [in Russian].
Vashchenko, M.A., Novikova, O.V. (1982). Ob izmeneniyakh nervnoy sistemy u bolnykh virusnym gepatitom i tsirrozom pecheni [On the changes in the nervous system in patients with viral hepatitis and cirrhosis]. Virusy i virusnyye zabolevaniya – Viruses and viral diseases, 10, 10- 15 [in Russian].
