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Gender differences and defensive coping behavior in patients with inflammatory bowel disorders

Published online by Cambridge University Press:  13 August 2021

N. Chernus*
Affiliation:
Department Of Outpatient Therapy, I.M. Sechenov First Moscow State Medical University: Moscow, Russia, Moscow, Russian Federation
R. Gorenkov
Affiliation:
Scientific Substantiation Of Health Preservation Of The Population Of The Russian Federation, The N. A. Semashko National Research Institute of Public Health, Moscow, Russian Federation
S. .Sivkov
Affiliation:
The Department Of Clinical Pharmacology And Internal Diseases Propaedeutics, the I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation
S. Sivkova
Affiliation:
Department Of Outpatient Therapy, I.M. Sechenov First Moscow State Medical University: Moscow, Russia, Moscow, Russian Federation
A. Sivkov
Affiliation:
The Department Of Clinical Pharmacology And Internal Diseases Propaedeutics, the I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation
T. Savina
Affiliation:
Department Of Outpatient Therapy, I.M. Sechenov First Moscow State Medical University: Moscow, Russia, Moscow, Russian Federation
*
*Corresponding author.

Abstract

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Introduction

Inflammatory bowel disorders (IBD) are chronic diseases with severe course. In this regard, research aimed at identifying adaptive behavior styles potentially significant for individual resilience to disease-related stress is of particular importance

Objectives

The study population included 45 patients with the inflammatory bowel disorders: 19 male, 26 female (mean age 36,0±4,8), whose clinical and experimental psychological characteristics were studied.

Methods

The following methods were used: ‘Life Style Index’ by R. Plutchik, Н. Kellerman, ‘Ways of Coping’ by R. Lazarus, S. Folkman.

Results

The experimental psychological study revealed interdependence of psychological defense mechanisms and coping behaviors. Thus, in female patients, such psychological defense mechanisms as ‘denial r=-0,51’ and ‘compensation г=-0,43’ showed negative correlation with ‘planning problem-solving’ coping strategy and positive correlation with such coping strategies, as ‘escape - avoidance г=0,38’ and ‘confrontation г=0,32’ р<0,05; in male patients, such psychological defense mechanisms as ‘regression г= -0,41;’ and ‘displacement г= -0,30’ demonstrated negative correlation with ‘planning problem-solving’ and ‘exercising self-control’, but positive correlation with such coping strategies, as ‘escape - avoidance г= 0,34’, ‘confrontation г= 0,40;’, р<0,05. Maladaptive attitude towards disease correlated with avoidance reactions in both male and female patients, which is indicated by the central rank position in disease coping structure of ‘confrontation’ coping strategy М=69,3±0,1, along with insufficient utilization of ‘planning problem-solving’ coping strategy М=39.3± 0,1, р< 0,001.

Conclusions

The identified manifestations of psychological maladaptation in both male and female inflammatory bowel disorder patients are moderately pronounced, but require psychotherapeutic correction

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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