International Medical Journal, Vol. 19., Iss. 3, 2013, P. 14−16.
COPING STRATEGIES IN PATIENTS WITH CHRONIC OBSTRUCTIVE DISEASE OF THE LUNGS
Ukrainian State Research Institute for Medical and Social Problems of Disability (Ministry of Health of Ukraine), Dnipropetrovsk
Abstract. Coping strategies were investigated in patients with chronic obstructive disease of the lungs (CODL) aged 54.6+−1.2 with the disease duration 14.4+−0.9 years. Psychological protective mechanisms were assessed using life style index and technique of psychological diagnosis of methods of coping with stress and problem situations adapted by L.I. Wasserman. Personality peculiarities were determined using MMPI modified by F.B. Beresin, emotional state using Freiburg multidimentional personality questionnaire. Among constructive coping strategies the most prevalent were search of social support, decision planning, self control, though their significance was less pronounced among all copings. Relatively constructive coping strategies included responsibility taking, more seldom − positive reassessment. Distance, confrontation coping and escape prevailed among unconstructive copings. Thus, personality and emotional peculiarities, passive and active psychological protection, formation of inner picture of the disease in patients and disabled with CODL should be investigated and assessed at all stages of restorative treatment which will serve the basis for creation of individual rehabilitation programs.
Key words: chronic obstructive disease of the lungs, coping strategies, rehabilitation.