Psychosocial Characteristics of the Disease in Patients with Tuberculosis

Abstract

Psychological stress was measured using the Patient Health Questionnaire nine-item depression scale (PHQ-9) and the seven-item Generalized Anxiety Disorder scale (GAD-7). These were selected for the study since they are well-validated, frequently used screening tools, which are easy and reliableA comparative analysis of reactions to the disease in children with a turn of tuberculin samples and various forms of active pulmonary tuberculosis showed that in the early period of tuberculosis infection in children aged 10-14 years, 50% have predominantly adaptive types of attitude to this condition, in the structure of which the anosognosic type of attitude to the disease was 15.6%, and in patients with tuberculosis In the lungs, the incidence of adaptive types of disease attitude (TOD), including anosognosic, decreased by 3-5 times. The high significance of the diagnosis as a traumatic and stigmatizing factor has been established. With positive dynamics in the treatment process, anosognosia again came out on top, the defense mechanisms were denial of the disease, detachment from the past and hypersocial behavior.