Preview

Medical Psychology in Russia

Advanced search

Attitude to the disease and the level of subjectivity development in adolescents with diabetes mellitus and neurological diseases

Abstract

This study is devoted to the study of attitudes to the disease and the level of development of subjectivity in adolescents with diabetes mellitus and neurological diseases. The relevance of the study is due to the fact that adolescence is a key period in the formation of subjectivity. The revealed relationships between the attitude to the disease and the features of subjectivity can become the basis for the formation of individual programs for supporting a somatic patient.  The study involved 64 adolescents in whom personality traits, the level of structure outside the situational subjectivity of the personality and types of attitude to the disease were studied.

The results of the study: adolescents with diabetes mellitus are more likely to demonstrate anosognotic, ergopathic, harmonious and sensitive types of attitude to the disease. In adolescents with neurological diseases, ergopathic, sensitive and anxious types of attitude to the disease prevail. In the group of adolescents with diabetes mellitus, the "adaptive maturity" factor was revealed, which combines the following parameters: "self-value-low value" (+0.8620), harmonious type of attitude to the disease (+0.8062) and ergopathic type of attitude to the disease (+0.7259). In the group of adolescents with neurological diseases, the factor "conformity, maladaptability and rigidity" was described, which combines the following parameters: "creativity-standardization" (-0.8305), "mediation-spontaneity" (-0.7580), "self-value-low value" (-0.7150), "activity-reactivity" (-0.7097), and anxious type of attitude to the disease (0.6705). The differences highlighted the need for an individualized approach to supporting adolescents with medical conditions, taking into account their unique needs and characteristics.

About the Authors

Y. S. Kryukova
Vologda Center for Assistance to Children Left Without Parental Care "Flagman"
Russian Federation

Vologda



I. A. Zolotova
Yaroslavl State Medical University
Russian Federation

Yaroslavl



References

1. Rakhmatullina E. N. Subjective experiences of difficulties in adaptation to illness in adolescents with diabetes mellitus of type I. Subjective experiences. Text: immediate // Young Scientist. 2012. № 5 (40). Pp. 384-386. Available at: https://moluch.ru/archive/40/4721/ (accessed: 25.05.2024). (In Russian)

2. Chizhkova M. B., Dolgushina A. A. Types of attitude to illness in patients of the neurological department of the clinical hospital. Medical Sciences. 2023. № 3. Pp. 68-72; Available at: https://science-medicine.ru/ru/article/view?id=1344 (accessed: 27.05.2024) (In Russian)

3. Isaeva L. M. Vliyanie sotsial'noy sredy na formirovaniye vnutrennego kartina bolezniy u podrostkov [The influence of the social environment on the formation of the internal picture of illness in adolescents]. "Psychology and Health". 2019.12(3), P.45-56. (In Russian)

4. Sun Z, Zhang W, Wang J, Zhang Y, Wu Y. The Illness Experiences of Adolescents with Type 1 Diabetes Mellitus: A Qualitative Meta-synthesis. Asian Nurs Res (Korean Soc Nurs Sci). 2024 Aug;18(3):313-321. doi: 10.1016/j.anr.2024.07.004. Epub 2024 Jul 30. PMID: 39084549.

5. Peyrot, M., et al. (2005). Diabetes self-management: a survey of patients' experiences. «Patient Education and Counseling», 56(2), 114-121.

6. Alazmi A, Bashiru MB, Viktor S, Erjavec M. Psychological variables and lifestyle in children with type1 diabetes and their parents: A systematic review. Clin Child Psychol Psychiatry. 2024 Jul;29(3):1174-1194. doi: 10.1177/13591045231177115. Epub 2023 May 30. PMID: 37249210; PMCID: PMC11188552.

7. Ekinci O, Titus JB, Rodopman AA, Berkem M, Trevathan E. Depression and anxiety in children and adolescents with epilepsy: prevalence, risk factors, and treatment. Epilepsy Behav. 2009 Jan;14(1):8-18. doi:10.1016/j.yebeh.

8. Katon, W., et al. The role of emotional health in neurological disorders. «Psychosomatic Medicine», 2022. 84(5), 497-503.

9. Vellman, P., et al. Family dynamics in coping with chronic neurological conditions. «Family Health Journal». 2020. 12(2), 115-126.

10. Folkman S, Moskowitz JT. Coping: pitfalls and promise. Annu Rev Psychol. 2004;55:745-74. doi: 10.1146/annurev.psych.55.090902.141456. PMID: 14744233.

11. Heslon K, Hanson JH, Ogourtsova T. Mental health in children with disabilities and their families: red flags, services' impact, facilitators, barriers, and proposed solutions. Front Rehabil Sci. 2024. Feb 12;5:1347412. doi: 10.3389/fresc.2024.1347412.

12. Zolotova I. A., Vasilyeva L. N., Kryukova Yu. Yaroslavl: Limited Liability Company "Avers Plus", 2025. pp. 67-70. (In Russian)

13. Zolotova I.A. The severity of neurotic states in women in the situation of «burdened» motherhood // Autism and developement disorders. 2024. Vol. 22. No. 1. Pp. 45–51. DOI: https://doi.org/10.17759/autdd.2024220106

14. Shchukina M.A. Psikhologiya samorazvitiya lichnosti [Psychology of personal self-development]. St. Petersburg: St. Petersburg State University Publ., 2015. 348 p. (In Russian)

15. Fetisov B.A., Sirota N.A., Sadzhaya S.T., Yakovleva Y.A. Uncertainty in illness and coping behavior in patients with various somatic diseases // Medical psychology in Russia: network scientific Journal. 2024. T. 16, No. 2(83). P. 4. (In Russian)

16. Buzina T.S., Abdullaeva A.S. Adherence to therapy of styles of self-regulation of behavior in patients with hypertension / T.S. Buzina, A.S. Abdullaeva // Medical (clinical) psychology: historical traditions and modern practice: collection of theses of the VIII All-Russian scientific and practical conference with international participation, Yaroslavl, December 06–07, 2024. Yaroslavl: Limited Liability Company "Avers Plus", 2025. 191 p. ISBN 978-5-9527-0570-8. (In Russian)

17. Shipova N. S. Samorealizatsiya v kontekste tipichnogo i atypichnogo razvitiya [Self-realization in the context of typical and atypical development]. Kostroma: Kostroma State University, 2022. 176 p. ISBN 978-5-8285-1233-1. (In Russian)


Review

For citations:


Kryukova Y.S., Zolotova I.A. Attitude to the disease and the level of subjectivity development in adolescents with diabetes mellitus and neurological diseases. Medical Psychology in Russia. 2025;17(1):11-19. (In Russ.)

Views: 190


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


ISSN 2219-8245 (Online)