Attitude towards the disease as a risk marker of violation of adherence in HIV-infected patients
- Authors: Belyaeva V.V.1, Kozyrina N.V.1, Sokolova E.V.1, Kulabukhova E.I.2, Kuimova U.A.1, Goliusova M.D.1
-
Affiliations:
- Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being
- Patrice Lumumba Peoples' Friendship University of Russia
- Issue: Vol 14, No 4 (2024)
- Pages: 41-46
- Section: Original Investigations
- URL: https://journal-vniispk.ru/2226-6976/article/view/282324
- DOI: https://doi.org/10.18565/epidem.2024.14.4.41-6
- ID: 282324
Cite item
Open Access
Access granted
Subscription Access
Abstract
Objective. Assessment of the attitude towards the disease as a risk marker of violation of adherence to follow-up and treatment in HIV-infected patients.
Materials and methods. A total of 169 HIV-positive respondents were interviewed (women – 26.6%, median (Me) age 42 years, Me «experience» of living with HIV – 11 years). All respondents were taking ART, Me treatment duration was 8 years, Me CD4+ lymphocyte count was 679 cells/μl. 40.5% of respondents had experience of using psychoactive substances (including alcohol). The study used the «Type of Attitude Towards the Disease» questionnaire, which allows diagnosing 12 types of attitude towards the disease.
Results. 66.3% of respondents had a «pure» type of attitude to the disease, 26.1% had a mixed type, and 7.6% had a diffuse type. In the structure of the «pure» type, the anosognostic type prevailed - 63.5%, the share of ergopathic was 29.8%, and harmonious – 4.8%. No statistically significant gender differences in the prevailing types of attitude towards the disease were found. In the section on attitude to illness, respondents most often chose the statement «I try not to think about my illness and live a carefree life» – 62.1%. In the section on attitude to treatment – «I would be ready for the most painful and even dangerous treatment, just to get rid of the disease» – 19.8%, in the section on attitude to doctors and medical staff – «I have great respect for the medical profession» – 73.8%. Analysis of the sections of the questionnaire ignored by respondents and, accordingly, dropped out of the analysis showed that most often they concerned attitudes to treatment, with family and friends, and loneliness. Clinical cases of attitude to illness that negatively affected compliance with doctor’s recommendations are presented.
Conclusion. Identification of anosognosic and ergopathic types of attitude to illness helps to predict the occurrence of situations that are risky in relation to compliance with doctor’s recommendations, and also allows to increase the effectiveness of counseling, using an individual approach depending on the type of attitude to illness.
Keywords
Full Text
##article.viewOnOriginalSite##About the authors
Valentina V. Belyaeva
Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being
Author for correspondence.
Email: labora-et-ora@yandex.ru
ORCID iD: 0000-0002-4621-7892
МD, Leading Researcher
Russian Federation, MoscowNadezhda V. Kozyrina
Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being
Email: nad-kozyrina@yandex.ru
ORCID iD: 0000-0001-5134-0054
Cand. Med. Sci., Senior Researcher
Russian Federation, MoscowEkaterina V. Sokolova
Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being
Email: ekaterinasokolova007@rambler.ru
ORCID iD: 0000-0002-2001-8772
Cand. Med. Sci.
Russian Federation, MoscowEkaterina I. Kulabukhova
Patrice Lumumba Peoples' Friendship University of Russia
Email: ekulabukhova@mail.ru
ORCID iD: 0000-0003-3645-7275
Cand. Med. Sci., Infectiologist, Laboratory of the Department of Infectious Diseases with Courses of Epidemiology and Phthisiology
Russian Federation, MoscowUlyana A. Kuimova
Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being
Email: ulyanakuimova@gmail.com
ORCID iD: 0000-0002-1101-151X
Cand. Med. Sci., Researcher
Russian Federation, MoscowMarina D. Goliusova
Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being
Email: mad2501@yandex.ru
ORCID iD: 0000-0002-5325-6857
Infectiologist
Russian Federation, MoscowReferences
- Психологическая диагностика отношения к болезни: Пособие для врачей. Санкт-Петербург, 2005. 33 с. http://www.medpsy.ru/library/ library122.pdf / [Psychological diagnosis of the attitude to the disease: A manual for doctors]. St. Petersburg, 2005. 33 р. (In Russ.). http://www.medpsy.ru/library/ library122.pdf
- Беляева В.В., Соколова Е.В., Козырина Н.В., Куимова У.А., Кулабухова Е.И., Голиусова М.Д. Результаты экспресс-оценки социально-психологической адаптации пациентов, инфицированных ВИЧ Инфекционные болезни в современном мире: эволюция, текущие и будущие угрозы: Сборник трудов XVI Ежегодного Всероссийского Конгресса по инфекционным болезням имени академика В.И. Покровского. Москва, 25–27 марта 2024 г, М.: ММА, 2024: 32–3. / Belyaeva V.V., Sokolova E.V., Kozyrina N.V., Kuimova U.A., Kulabukhova E.I., Goliusova M.D. [The results of an express assessment of the socio-psychological adaptation of patients infected with HIV Infectious diseases in the modern world: evolution, current and future threats: proceedings of the Academician V.I. Pokrovsky XVI Annual All-Russian Congress on Infectious Diseases, Moscow, March 25-27, 2024]. Moscow: Medical Marketing Agency, 2024: 32–3. (In Russ.).
- Ушаков Д.В. На пути к целостному видению человека Психология. Журнал Высшей школы экономики 2020: 17(4): 617–29. doi: 10.17323/1813-8918-2020-4-617-629 / Ushakov D.V. [Psychology is on the way to a holistic vision of a person]. Journal of the Higher School of Economics 2020: 17(4): 617–29. (In Russ.). doi: 10.17323/1813-8918-2020-4-617-629
- Узлов Н.Д. Анозогнозия как защитный механизм и способ совладания с болезнью. Медицинская психология в России: электрон. науч. журн. 2013; 6(23). http://mprj.ru / Uzlov N.D. [Anosognosia as a protective mechanism and a way of coping with the disease]. Medical psychology in Russia: electron. scientific journal. 2013; 6(23). (In Russ.). http://mprj.ru
- Покровский В.В. Лекции по ВИЧ-инфекции. 2-е изд., перераб. и доп. М.: ГЭОТАР-Медиа, 2023. 848 с. / Pokrovsky V.V. [Lectures on HIV infection]. 2nd ed., reprint. and additional Moscow: GEOTAR-Media, 2023. 848 p.
Supplementary files
