E.L. NIKOLAEV, N.V. VASILIEVA, A.V. GOLENKOV

Chuvash State University named after I.N. Ulyanov, 15 Moskovskiy pr., Cheboksary, Russian Federation, 428015 

Nikolaev E.L. — D. Med. Sc., Head of the Department of Social and Clinical Psychology, tel. (8352) 45-20-31, e-mail: pzdorovie@bk.ru

Vasilieva N.V. — postgraduate student of the Department of Social and Clinical Psychology, tel. (8352) 45-20-31, e-mail: nadezhda1973vas@mail.ru

Golenkov A.V. — D. Med. Sc., Professor, Head of the Department of Psychiatry, Medical Psychology and Neurology, tel. (8352) 563914, e-mail: golenkovav@inbox.ru

The article presents the results of the study of coping in patients with multiple sclerosis. It is determined that in the course of multiple sclerosis patients’ ability to problem analysis and optimism is reduced, emotions are suppressed, avoidance of aggression and minimized cooperation are revealed. Personal inactivity, confusion and submission are intensified, religiosity is increased. The heterogeneity of coping characteristics are observed in male and female patients, as well as in relapsing-remitting and secondary progressive clinical course of the disease.

Key words: multiple sclerosis, coping, coping strategies, relapsing-remitting course, secondary progressive course, religiosity.

REFERENCES

1. Isaeva E.R. Mechanisms of psychological adaptation of the person: modern approaches to the study of coping and psychological defense. Vestnik Sankt-Peterburgskogo universiteta. Seriya 12: Psikhologiya. Sotsiologiya. Pedagogika, 2008, no. 2, pp. 40-46 (in Russ.).
2. Isaeva E.R. Protective and coping style of personality: an analysis of relations between coping and psychological defense. Rossiyskiy nauchnyy zhurnal, 2009, №10, S. 40-46 (in Russ.).
3. Dibrivnaya K.A., Enikolopova E.V., Zubkova Yu.V., Boyko A.N. Features of coping (coping strategies) in patients with multiple sclerosis (Review). Zhurnal nevrologii i psikhiatrii, 2013, vol. 113, no. 2 (2), pp. 48-52 (in Russ.).
4. Lazareva E.Yu., Nikolaev E.L. The system of multi-level adaptation of the person with the disease. Vestnik psikhiatrii i psikhologii Chuvashii, 2012, no. 8, pp. 93-104 (in Russ.).
5. Nikolaev E.L. Pogranichnye rasstroystva kak fenomen psikhologii i kul’tury [Borderline disorder as a phenomenon of psychology and culture]. Cheboksary: Izd-vo Chuvash. un-ta, 2006. 384 p.
6. Nikolaeva O.V., Baburin I.N., Nikolaev E.L., Dubravina E.A. Crease? Attack? Neurosis? Clinical case of attack psychovegetative disturbances in the cardiology hospital. Vestnik psikhoterapii, 2009, no. 30, pp. 86-90 (in Russ.).
7. Petrova E.A., Shmeleva S.V., Golenkov A.V. Psikhologiya [Psychology]. Moscow: Izd-vo RGSU, 2013. 352 p.
8. Vasil’eva N.V., Nikolaev E.L. Individually-personal features of patients with multiple sclerosis. Nevrologicheskiy zhurnal, 2015, vol. XLVII, iss. 1, pp. 67-72 (in Russ.).
9. Matveeva T.V., Mendelevich V.D., Rechanik D.P. The structure of mental disorders in patients with multiple sclerosis. Nevrologicheskiy vestnik, 2002, no. 1-2, pp. 69-73 (in Russ.).
10. Nielsen-Prohl J., Saliger J., Güldenberg V. et al. Stress-stimulated volitional coping competencies and depression in multiple sclerosis. J. Psychosom. Res, 2013, vol. 74, no. 3, pp. 221-226.
11. Goretti B., Portaccio E., Zipoli V. et al. Impact of cognitive impairment on coping strategies in multiple sclerosis. Clin. Neurol. Neurosurg, 2010, vol. 112, no. 2, pp. 127-130. (1)
12. Goretti B., Portaccio E., Zipoli V. et al. Coping strategies, cognitive impairment, psychological variables and their relationship with quality of life in multiple sclerosis. Neurol. Sci, 2010, vol. 31, suppl. 2, pp. 227-230. (2)
13. Haase C.G., Lienemann M., Faustmann P.M. Neuropsychological deficits but not coping strategies are related to physical disability in multiple sclerosis. Eur. Arch. Psychiatry. Clin. Neurosci, 2008, vol. 258, no. 1, pp. 35-39.
14. Ozura A., Erdberg P., Sega S. Personality characteristics of multiple sclerosis patients: a Rorschach investigation. Clin. Neurol. Neurosurg, 2010, vol. 112, no. 7, pp. 629-632.
15. Pantyuk I.V., Buko N.S., Venglinskaya T.V. Biological and psychological factors influencing the rehabilitation potential of patients with multiple sclerosis. Aktual’nye problemy nevrologii i neyrokhirurgii, 2008, iss. 10, pp.185-195 (in Russ.).
16. Churyukanov M.V., Alekseev V.V., Kukushkin N.N., Yakhno N.N. Psychological characteristics of patients with central pain in multiple sclerosis. Nevrologiya, neyropsikhiatriya, psikhosomatika, 2011, no. 2, pp. 42-45 (in Russ.).
17. Karvasarskiy B.D., Ababkov V.A., Vasil’eva A.V. et al. Koping-povedenie u bol’nykh nevrozami i ego dinamika pod vliyaniem psikhoterapii: Posobie dlya vrachey [Coping behavior in patients with neuroses and its dynamics under the influence of psychotherapy: A Guide for Physicians]. Saint Petersburg, 1999. 22 p.