Malygin V L, Tsygankov D B, Malygin Ya V
Evdokimov State University of Medicine and Dentistry, Moscow, Russia.
Institute of mental health and addictology, Moscow, Russia.
Zh Nevrol Psikhiatr Im S S Korsakova. 2019;119(5):59-64. doi: 10.17116/jnevro201911905159.
To study self-medication and its factors in patients with depressive and neurotic disorders at premorbid stage.
The sample included 131 first-time admitted patients and 85 recurrent patients with depressive or neurotic disorders, who reported taking medication to cope with the symptoms during preadmission period. Lazarus coping strategies test, Shmishek personality test, test on disease attitude and patient activation were used. Social and demographic characteristics, subjective characteristics of disease, medical literacy and behavioral coping strategies were studied.
Over 50% of the patients used self-medication to cope with the symptoms during the preadmission period. Coping anxiety and insomnia was a key motivation to self-medication. Most frequently used medications included tranquilizers and herbal anxiolytics. Misunderstanding of origin of their state, searching for information about treatment of disease via internet, increased emotiveness and tension, lack of their correction with psychotherapy were the factors of self-medication.
研究抑郁和神经症性障碍病前阶段患者的自我药疗及其影响因素。
样本包括131例首次入院的抑郁或神经症性障碍患者以及85例复发患者，这些患者报告在入院前期间服用药物来应对症状。采用了拉扎勒斯应对策略测试、施米舍克人格测试、疾病态度测试和患者主动性测试。研究了社会人口学特征、疾病主观特征、医学素养和行为应对策略。
超过50%的患者在入院前期间使用自我药疗来应对症状。应对焦虑和失眠是自我药疗的关键动机。最常使用的药物包括镇静剂和草药抗焦虑药。对自身状态成因的误解、通过互联网搜索疾病治疗信息、情绪易激动和紧张以及缺乏心理治疗纠正这些情况是自我药疗的因素。
