Leont'eva V A, Beliaeva G S, Kolesnikova I Iu, Smirnova A A
Klin Med (Mosk). 2007;85(3):51-3.
The article discusses changes in the psychological status and the forming of various types of attitude towards the disease in patients with a favorable and unfavorable course of peptic ulcer (PU). The subjects of the study were 82 patients with exacerbation of PU; among them there were 30 patients with a favorable and 52 patient with a complicated course. Patients with a favorable course of PU did not displayed prominent peaks in SMOL profile, which reflected a relatively benign state of their psychological status. Favorable type of response to the disease--harmonic and anosognostic--with lesser social disadaptation prevailed in these patients. On the contrary, patients with a complicated course of PU displayed a relative increase in the profile on the scales, reflecting a higher tension in combination with diadaptive response to the disesase, which should be taking into account when correcting treatment.
本文讨论了消化性溃疡（PU）病情转归良好和不佳的患者心理状态的变化以及对疾病形成的各种态度类型。研究对象为82例PU病情加重的患者；其中30例病情转归良好，52例病情复杂。病情转归良好的PU患者在SMOL量表中未显示出明显峰值，这反映出他们心理状态相对良好。这些患者中普遍存在对疾病的良好反应类型——和谐性和疾病感缺失，且社会适应不良较少。相反，病情复杂的PU患者在量表上的得分相对增加，这反映出更高的紧张程度以及对疾病的适应不良反应，在调整治疗时应考虑到这一点。
