Internal Picture of the Disease as a Success Factor of Postoperative Neurorehabilitation in Patients with Pituitary Adenoma

Abstract

In order to study the perception of patients operated on for pituitary adenoma, their disease, the types of response to the disease, as well as the influence of the type of internal picture of the disease ((VKB) on the success of the treatment and rehabilitation process, 52 patients (24 men, 28 women) aged from 32 to 46 years old (mean age – 37,7 ± 1,2 years), operated on for pituitary adenoma Analysis of medical records, interviews, assessment of the patient's condition using a number of rating scales and psychodiagnostic techniques to determine the type of attitude to the disease revealed in patients a high level of nosogenic stress reactions and a significant predominance of a maladaptive attitude towards an intrapsychic disease (92,3%). The presence of the dominant maladaptive type of VKB in patients significantly reduces the socio-psychological adaptation in the postoperative period. Under these conditions, in the process of forming a strategy of postoperative neurorehabilitation for the successful restoration of the psychosocial status of patients with pituitary adenomas, it is necessary to take into account the nature of maladaptive personality reactions.