scholarly journals Psychological peculiarities of mental patient with the comorbid somatic pathology

2021 ◽  
pp. 52-56
Author(s):  
Yevgen Oprya ◽  
Mykhailo Pustovoyt ◽  
Ellina Melnyk
Keyword(s):  
Diabetes Mellitus ◽  
Mental Disorder ◽  
Self Esteem ◽  
Need For Treatment ◽  
Somatic Illness ◽  
Schizophrenic Patients ◽  
Somatic Disorders ◽  
Somatic Diseases ◽  
Health Parameters

The paper presents the results of a comprehensive psychodiagnostic study of the psychological characteristics of psychotic patients with schizophrenia with somatic disorders. Based on the results of the study, the features of the representation of mental and somatic illness in the minds of schizophrenic patients with somatic disorders were identified. It has been proven that an important role in the pathogenesis of the formation of psychiatric comorbidity in schizophrenia is played by the categories of self-esteem, awareness, perception and attitude to mental and somatic illness. It was revealed that patients with schizophrenia with cardiovascular disease (CVD), with low assessments of all health parameters, assessed themselves as mentally sicker than physically, and patients with schizophrenia with diabetes mellitus type 2 (DM 2) and obesity, with low assessments of all health parameters, assessed themselves as physically sicker than mentally. In addition, patients with CVD and obesity were more aware of the need for treatment of mental illness, while patients with DM 2 were more aware that their environment would consider it necessary to treat a mental disorder. It was also found that patients with schizophrenia with somatic diseases have significantly higher indicators of the level of threat of mental disorder than patients without somatic burden. The results of the study of attitudes towards somatic illness revealed that patients with schizophrenia were characterized by a predominance of maladaptive forms of attitudes toward the disease: anxious, hypochondriac and melancholic (in schizophrenia with CVD), anosognosic and dysphoric (in schizophrenia with diabetes mellitus and obesity), as well as apathetic (in schizophrenia with obesity). It is advisable to use the obtained results as specific targets of psycho-education and psychotherapeutic work and to take into account when developing complex programs for the treatment of schizophrenic patients with comorbid somatic disorders.

scholarly journals Self-esteem and resilience in people with type 2 diabetes mellitus

2017 ◽  
Vol 41 (2) ◽  
pp. 223-231
Author(s):  
Maria de Nazaré de Souza Ribeiro* Maria de Nazaré de Souza Ribeiro* ◽  
Cleisiane Xavier Diniz ◽  
Selma Barboza Perdomo ◽  
Joaquim Hudson de Souza Ribeiro ◽  
Orlando Gonçalves Barbosa ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Self Esteem

scholarly journals Mortality risk and mental disorders: longitudinal results from the Upper Bavarian Study

1995 ◽  
Vol 25 (2) ◽  
pp. 297-307 ◽  
Author(s):  
M. M. Fichter ◽  
J. Rehm ◽  
M. Elton ◽  
H. Dilling ◽  
F. Achatz
Keyword(s):  
Mental Illness ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Mortality Risk ◽  
Odds Ratio ◽  
Excess Mortality ◽  
Somatic Disorder ◽  
Somatic Illness ◽  
Circulatory System Diseases ◽  
Somatic Disorders

SynopsisThe object of the study was the assessment of the mortality risk for persons with a mental disorder in an unselected representative community sample assessed longitudinally. Subjects from a rural area in Upper Bavaria (Germany) participated in semi-structured interviews conducted by research physicians in the 1970s (first assessment) and death-certificate diagnoses were obtained after an interval up to 13 years later. The sample consisted of 1668 community residents aged 15 years and over.Cox regression estimates resulted in an odds ratio of 1·35 (confidence interval 1·01 to 1·81) for persons with a mental disorder classified as marked to very severe. The odds ratio increased with increasing severity of mental illness from 1·04 for mild disorders, 1·30 for marked disorders, to 1·64 for severe or very severe disorders. The relative risk (odds ratio) for persons with a mental disorder only and no somatic disorder was 1·22, for persons with only a somatic disorder 2·00, and for those with both a mental and a somatic disorder 2·13. The presence of somatic illness was responsible for most of the excess mortality. Somatic disorders associated with excess mortality in mental disorders were diseases of the nervous system or sensory organs, diseases of the circulatory system, diseases of the gastrointestinal tract, and diseases of the skeleton, muscles and connective tissue (ICD-8).Thus, while mental illness alone had a limited effect on excess mortality, comorbidity with certain somatic disorders had a significant effect.

scholarly journals The psychosocial responses and coping strategies of diabetes mellitus type 2 patients of the Ambon culture

2019 ◽  
Vol 31 (4) ◽  
pp. 389
Author(s):  
Rosiana Eva Rayanti ◽  
Natalia Santika Wariunsora ◽  
Simon Pieter Soegijono
Keyword(s):  
Diabetes Mellitus ◽  
Social Support ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Coping Strategies ◽  
Self Esteem ◽  
Public Health Centre ◽  
Psychosocial Responses ◽  
And Coping

A study conduct by the Global of Diabetic Federation showed that the prevalence of type 2 diabetes mellitus (DM) is increasing at the international, national and regional levels. The prevalence of DM at Air Salobar Public Health Centre, Ambon, showed there to be an increase from 128 patients (2015) up to 221 patients (2016). There were changes observed in the physical and psychological responses of the patients with type 2 diabetes mellitus. Objective: To describe the psychosocial responses and coping strategies of the patients with type 2 diabetes mellitus in the context of Ambonese culture. Method: Qualitative and descriptive using the case study approach. There were four participants. The purpose sampling technique used the following criteria: patients with type 2 diabetes mellitus with complications (cataract, stroke, hypertension, heart attack or amputation), sick for > two years, and the patients were Ambonese. The data collection was conducted through observation and in-depth interviews. Results: The participants’ psychosocial responses included resilience, optimism and social support from their family and close relatives, low self-esteem, and anxiety. To adapt to their condition, themale participants tended to use problem-focused coping, while the female participants used emotion-focused coping. The factor that influenced the coping strategies was the diabetes severity, the participant’s individual characteristics and the environment (culture and social support). They believe in traditional medicine such as the Africa leaf, noni fruit, kalabasa leaf, and Alifuru leaf, and that the aforementioned traditional cures are able to reduce their blood glucose. Conclusion: although the participants have low self-esteem, and anxiety, theyhave resilience, optimism, and social support that allows them to endure DM.

scholarly journals The effects of aerobic exercise training on mental health and self-esteem of type 2 diabetes mellitus patients

2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Seyed Reza Mousavi Gilani ◽  
Abdurrashid Khazaei Feizabad
Keyword(s):  
Mental Health ◽  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Exercise Training ◽  
Aerobic Exercise ◽  
Self Esteem ◽  
Physical Symptoms ◽  
Aerobic Exercise Training

Physical and mental health are very closely tied and either of them can exert a significant effect on the other. The aim of the present study was to examine the effects of aerobic exercise training on mental health and self-esteem of type 2 diabetes mellitus patients. 60 participants, aged 40 to 55 years, with blood sugar ranging between 150 to 250 mg/dL participated in the study. They were randomly divided into two groups of 30 patients. The interventional group exercised for twelve weeks, three sessions per week, lasting from 45 to 60 minutes, followed by endurance training on treadmill. Training’s intensity was considered equal to 60-70% of maximum oxygen consumption. According to the results of the study, 12-week aerobic exercise training had significant effects on self-esteem (P=0.001), and mental health (P=0.020), sub-scales of physical symptoms (P=0.001), and anxiety and insomnia (P=0.044). But it had no significant effects on the subscales of depression (P=0.078) and social functioning (P=0.207). Regular aerobic exercise training as an effective strategy plays an important role in improving self-esteem and mental health and also promoting life quality among diabetic patients.

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