Clinical social characteristics of patients seeking psychotherapeutic care
- Authors: Gatin FF1, Orlov FV2, Alexeeva IN2
-
Affiliations:
- Kazan State Medical Academy
- Chuvash State University named after I.N. Ulyanov
- Issue: Vol 99, No 4 (2018)
- Pages: 691-696
- Section: Social hygiene and healthcare management
- URL: https://bakhtiniada.ru/kazanmedj/article/view/9214
- DOI: https://doi.org/10.17816/KMJ2018-691
- ID: 9214
Cite item
Full Text
Abstract
Aim. The study of social characteristics of patients seeking psychotherapeutic care as well as mental disorders and psychological problems that affected psychotherapeutic encounter.
Methods. 160 subjects (45 males and 115 females) aged 18 to 70 years were examined seeking psychotherapeutic care in Psychotherapeutic Center of Cheboksary. Using the method of continuous sampling by means of a questionnaire specially designed in the Psychotherapeutic Center of Cheboksary for collecting sociodemographic and ethno-cultural data, the social characteristics of patients who consulted a therapist were studied. Mental disorders and psychological problems that affected psychotherapeutic encounter were determined by outpatient records. Statistical processing was carried out using descriptive statistics (mean value - M, standard deviation - SD), χ2 distribution.
Results. Most of those seeking psychotherapeutic care were urban residents with higher and incomplete higher education aged 18 to 30 years, who considered Russian as their native language. Females seek care three times more often, they are mostly married, often divorced and widowed; among males bachelors prevail. About half of respondents sought therapists independently, more often they were healthy people with psychological problems. Only a fifth of respondents consulted a therapist according to the recommendation of a general practitioner, many of them had borderline mental disorders. Patients with schizophrenia and schizotypal disorder are often advised to consult a psychotherapist by relatives, friends and acquaintances. When consulting a therapist, about third of the respondents considered themselves as sick, while only one fifth of those who applied to solve psychological problems, were recognized as healthy by psychotherapists.
Conclusion. Patients seeking psychotherapeutic care differ by sex, marital status, age, level of education, place of residence, religion, employment, nationality; when applying for psychotherapeutic care many respondents were not prone to consider themselves as sick; in most cases psychotherapists qualified their condition as a mental disorder.
Full Text
##article.viewOnOriginalSite##About the authors
F F Gatin
Kazan State Medical Academy
Author for correspondence.
Email: pmp_chgu@mail.ru
Kazan, Russia
F V Orlov
Chuvash State University named after I.N. Ulyanov
Email: pmp_chgu@mail.ru
Cheboksary, Russia
I N Alexeeva
Chuvash State University named after I.N. Ulyanov
Email: pmp_chgu@mail.ru
Cheboksary, Russia
References
- Reshetnikov M.M. Mental health of the population — modern trends and old problems. Natsional’nyy psikhologicheskiy zhurnal. 2015; (1): 9–15. (In Russ.)
- Orlov F.V., Grigor’eva M.V. Psychosomatic nurse. Meditsinskaya sestra. 2014; (6): 7–10. (In Russ.)
- Orlov F.V., Nikolaev E.L. Medico-psychological assistance to a nurse for patients with borderline mental disorders. Meditsinskaya sestra. 2007; (1): 11–12. (In Russ.)
- Karvasarskiy B.D., Nazyrov R.K., Podsadnyy S.A., Chekhlatyy E.I. Theory and practice of psychotherapy in Russia. Psikhiatriya i psikhofarmakologiya. 2001; 2 (1): 12–14. (In Russ.)
- Nikolaev E.L., Orlov F.V. Integration of the biopsychosocial approach into general medical practice: opportunities and perspectives. Sotsial’naya i klinicheskaya psikhiatriya. 2005; 15 (2): 82–84. (In Russ.)
- Golenkov A.V., Demakova T.A., Safronov S.A. et al. Results of the survey of the population about therapists and psychotherapeutic help. Psikhicheskoe zdorov’e. 2013; (12): 23–28. (In Russ.)
- Schnyder N., Panczak R., Groth N., Schultze-Lutter F. Association between mental health-related stigma and active help-seeking: systematic review and meta-analysis. Br. J. Psychiatry. 2017; 210 (4): 261–268. doi: 10.1192/bjp.bp.116.189464.
- Delaryu V.V., Gorbunov A.A. Questioning of the population, primary health care professionals and psychotherapists: what can be done about the prospects of psychotherapy in Russia? Obozrenie psikhiatrii i meditsinskoy psikhologii im. V.M. Bekhtereva. 2011; (3): 52–54. (In Russ.)
- Golenkov A.V. What do nurses know about psychotherapy and psychotherapists? Meditsinskaya sestra. 2014; (6): 3–5. (In Russ.)
- Nikolaev E.L., Orlov F.V. Stages of development of psychotherapy and clinical psychology in the Chuvash Republic. Vestnik psikhiatrii i psikhologii Chuvashii. 2005; (1): 63–67. (In Russ.)
- Bonabi H., Müller M., Ajdacic-Gross V. et al. Mental health literacy, attitudes to help seeking, and perceived need as predictors of mental health service use: A longitudinal study. J. Nerv. Ment. Dis. 2016; 204 (4): 321–324. DOI: 1097/NMD.0000000000000488.
- Wei Y., McGrath P.J., Hayden J., Kutcher S. Mental health literacy measures evaluating knowledge, attitudes and help-seeking: a scoping review. BMC Psychiatry. 2015; 15: 291. doi: 10.1186/s12888-015-0681-9.
- Nikolaev E.L. Pogranichnye psikhicheskie rasstroystva kak klinicheskiy, psikhologicheskiy i sotsiokul’turnyy fenomen (regional’nyy aspekt v Chuvashii). (Borderline mental disorders as a clinical, psychological and sociocultural phenomenon (regional aspect in Chuvashia).) Summary to DrMedSci thesis. Saint Petersburg. 2006; 398 p. (In Russ.)
Supplementary files
