Issue: 2020, Vol. 25, No. 3-4

E. V. Pchelintseva, K. A. Blinova, N. P. Lapochkina

PSYCHOLOGICAL PECULIARITIES OF ADAPTATION IN WOMEN SUFFERED FROM BREAST CANCER IN COMBINATION WITH COMORBID PATHOLOGY

Keywords

psychological adaptation, breast cancer.

Abstarct

Objective – to study copying mechanisms in life difficulties overcoming in patients with breast cancer (BC) in the presence of concomitant pathology. Material and methods. 82 patients (average age – 43,2 ± 5,3 years), who were treated in Ivanovo regional oncological clinic in 2017–2019, were enrolled in the study. Duration of oncological disease in examined persons was amounting to more than one year (81,1 %). Lazarus-Folkman copying test was used in order to examine copying mechanisms, means of overcoming difficulties in different spheres of mental activities. All women with BC were divided into three groups: 30 women without comorbid somatic or mental disorders composed the first group; 26 persons with hypertonic disease (I stage – 8 ones and II stage – 18 ones) formed the second group; and 24 women with gynecological diseases composed the third group. Results and discussion. More than half of women in all groups (55 % - in the first group, 64,5 % - in the second group, 62,9 % - in the third group) chose copying strategy «escape/avoid», which was directed to the diminishment of traumatic situation significance. The strategy «confrontation copying» was registered rarely: 21 % - in the first group, 15,7 % – in the second group, 13,5 % – in the third group. The tactics of «self-control» and «responsibility acceptance» was marked in the less part of the examined persons. The consolidated behavioral pattern was the ground for disordered adaptation in women of all groups. Conclusions. Trustworthy alterations in the selection of the tactics of overcoming difficulties in various spheres of mental activity in dependence on comorbid pathology presence were not revealed in the patients with breast cancer.

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