Morozova Elena Valeryevna, Shmeleva Svetlana Vasilyevna, Sorokoumova Elena Aleksandrovna, Nikishina Vera Borisovna, Abdalina Larisa Vasilyevna
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Glob J Health Sci. 2015 Jan 25;7(3):317-23. doi: 10.5539/gjhs.v7n3p317.
The article is devoted to the subjective reaction of patients at different stages of disabling disease, in the context of the formation of a specific cognitive-emotional and motivational model of "internal picture of disability", depending on the severity of social frustration as the most important deconditioning factor. We wanted to identify psychological determinant of the specificity of adaptive activity of the patient to the situation disabling disease, depending on the level of increase social frustration. Nature of adaptation to the disabling disease depending on the level of increase social frustration expressed by: 1) decrease in self-esteem of patient self-efficacy with an increase in subjective experience of disability; 2) the growing tension of personal protective mechanisms; 3) reductions coping competence, which, depending on the rise of frustration, becomes effective instead of the rational-intelligent, more maladaptive emotional.
本文致力于研究致残性疾病不同阶段患者的主观反应，即在“残疾内在图景”这一特定认知 - 情感和动机模型的形成背景下，该反应取决于作为最重要去条件化因素的社会挫折严重程度。我们希望确定患者对致残性疾病状况适应性活动特异性的心理决定因素，这取决于社会挫折增加的程度。根据社会挫折增加程度，对致残性疾病的适应性质表现为：1）随着残疾主观体验的增加，患者自我效能感的自尊下降；2）个人保护机制的紧张程度不断增加；3）应对能力下降，根据挫折的增加，这种应对能力从理性 - 智能型变为更适应不良的情感型且变得有效。
