P02-383 - Typing Mental Attitude Towards Disease Among Women After Mastectomy

Abstract

Object

Types of mental attitude towards disease (TMAtD) of women after mastectomy.

Methods

Cases of 104 women after mastectomy for reason of breast cancer were studied, whereof 72 - after the radical cure (primary group) and 32 - after the partial cure (control group).

PQBRI (personality questionnaire of Bekhterev Research Institute) was used for typing mental attitude towards disease.

Results

Ergopathic TMAtD was revealed with 16,7±3,7% of women from primary group and with 25±4,3% from control group; euphoric TMAtD - with 9,7±3,0% of primary group and 28,1±4,5% of control group; obsessive-phobic TMAtD - with 13,9±3,5% of primary group; vexatious TMAtD - with 20,8±4,1% of primary group and 9,4±2,9% of control group; anosognostic TMAtD - with 11,11±3,1% of primary group and 21,9±4,1% - of control group; neurasthenic TMAtD - with 6,9±2,5% of primary group; “paranoiac” TMAtD - with 11,11±3,1% of primary group; hypochondriacal TMAtD - 9,7±3,0% of primary group and 9,4±2,9% of control group; egocentric TMAtD - 6,3±2,4% of control group.

Among the patients of the primary group vexatious and hypochondriacally TMAtD have prevailed along with obsessive-phobic, paranoiac and neurasthenic TMAtD which occurred, and in the control group - euphoric, ergopathic and anosognostic type (p ≤ 0,05) occurred.

Conclusions

Disadapative TMAtD were observed among all women after mastectomy. Less disadaptative TMAtD were observed among the patients after partial mastectomy. Women after the radical surgery were diagnosed maximum pathological TMAtD. This should be considered at the elaboration of psycho-corrective measures for the given category of patients.