Preview

Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations

Advanced search

An expressiveness of alexithymia of HIV patients in the dynamics of the disease

https://doi.org/10.25016/2541-7487-2014-0-3-94-97

Abstract

The results of the study of alexithymia ising the TAS technique and psychological setting ising C. Jung technique in 242 HIV-infected patients (mean age 28.5 ± 2.1 years) are presented. Men and women in the studied sample were equally divided. Control group indicators consisted of 55 survey healthy individuals' data similar to those of patients by gender, age, level of education. The distribution of patients in the study was conducted by CDC classification. 130 (53.7 %) of patients belonged to the «A» clinical and immunological category (stage) (the initial stage of clinical manifestations), 25.6 % (62) - to the «B» stage and 20.7 % (50) - to «C» stage (AIDS). The expected duration of HIV infection in 40.5 % (98) patients was up to 3 years, 37.2 % (90) - 4 to 7 years and 22.3 % (54) - more than 7 years. It is found that at «A» stage the amounts of alexithymic and non- alexithymic patients were about the same (24.2 and 27.3 %, respectively). At «C» stage the alexithymic patients were dominated (63.6 %). It was a significant (p < 0,01) increase in the test data in HIV infection patients both during the progression of the disease, and during the increase of its duration. Probably alexithymia in its pathological form reflects a depression and it can be considered as a defense mechanism, but on the other hand - there is a HIV cytopathogenic effect on the central nervous system. Knowledge of personality characteristics is essential to develop a commitment to perform diagnostic and therapeutic medical prescriptions in affected patients.

About the Authors

V. Yu. Rybnikov
The Nikiforov Russian Center of Emergency and Radiation Medicine, EMERCOM of Russia
Russian Federation
Dr Med. Sci., Dr Psych. Sci., Prof., Deputy Director


I. M. Ulyukin
The Kirov Military Medical Academy
Russian Federation
PhD Med. Sci., researcher


References

1. Bartlett Dzh., Gallant Dzh., Fam P. Klinicheskie aspekty VICh_infektsii [Clinical Aspects of HIV Infection]. Мoskva. 2012. 528 p. (In Russ.)

2. Virus immunodefitsita cheloveka – meditsina [Human immunodeficiency virus: Medicine]. Eds.: N.A. Belyakov, A.G. Rakhmanova. 2nd Ed. St. Petersburg : Baltic Medical Educational Center. 2011. 656 p. (In Russ.)

3. Moskacheva M.A., Kholmogorova A.B., Garanyan N.G., Demidova L.Yu. Aleksitimiya, psikhosomatika i mekhanizmy kommunikatsii [Alexithymia, Psychosomatics and communication mechanisms]. Psikhosomaticheskaya meditsina [Psychosomatic Medicine – 2014: Proceedings of the IX_th Intern. Congr.]. St. Petersburg, 2014. P. 66–71 (In Russ.)

4. Pokrovskii V.V. [et al.]. VICh_infektsiya [HIV infection: Inform. bull. № 36]. Мoskva. 2012. 53 p. (In Russ.)

5. Pokrovskii V.V. [et al.]. Protokoly dispansernogo nablyudeniya i lecheniya bol'nykh VICh_infektsiei [Protocols dispensary observation and treatment of patients with HIV infection]. Epidemiologiya i infektsionnye bolezni [Epidemiology and Infectious Diseases. Current Items]. 2012. N 6, Appl. 48 p. (In Russ.)

6. Prakticheskaya psikhodiagnostika: metodiki i testy [Practical psychological testing. Methods and tests]. Ed. V.Ya. Raygorodskiy. Samara, 1998. 472 p. (In Russ.)

7. Sovet Evropy: Konventsiya o zashchite lichnosti v svyazi s avtomaticheskoi obrabotkoi personal'nykh dannykh [Council of Europe: Convention for the Protection of Individuals with regard to Automatic Processing of Personal Data]. 2nd Ed., Suppl. St. Petersburg, 2002. 36 p. (In Russ.)

8. Ulyukin I.M. Bulan'kov Yu.I., Bolekhan V.N. Klinika, diagnostika i lechenie neiroSPIDa [Clinics, diagnostics and treatment of neuroAIDS]. Mediko_biologicheskie i sotsial'no_psikhologicheskie problemy bezopasnosti v chrezvychainykh situatsiyakh [Medico_biological and socio_psyghological problems of safety in emergency situations]. 2013. N 2. Р. 36–42. (In Russ.)

9. Yunkerov V.I., Grigor'ev S.G. Matematiko_statisticheskaya obrabotka dannykh meditsinskikh issledovanii [Mathematical and statistical processing of data for Medical Research]. St. Petersburg, 2002. 266 p. (In Russ.)

10. Catalan J. Psychological and behavioural factors and the natural history of HIV infection. J._P. Moatti, Y. Souteyrand, A. Prieur, T. Sandford, P. Aggleton (ed.). AIDS in Europe. New challenge for the social science. London: Routledge, 2000. P. 36–44.

11. Grant R.M. [et al.]. Preexposure chemoprophylaxis for HIV prevention in men who have sex with men. N. Engl. J. Med. 2010. Vol. 363, N 27. P. 2587–2599.

12. Taylor G.J., Bagby R.M., Parker J.D. The 20_Item Toronto Alexithymia Scale. IV. Reliability and factorial validity in different languages and cultures. J. Psychosom. Res. 2003. Vol. 55, N 3. P. 277–283.

13.

14.


Review

For citations:


Rybnikov V.Yu., Ulyukin I.M. An expressiveness of alexithymia of HIV patients in the dynamics of the disease. Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations. 2014;(3):94-97. (In Russ.) https://doi.org/10.25016/2541-7487-2014-0-3-94-97

Views: 365


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1995-4441 (Print)
ISSN 2541-7487 (Online)