Когнитивная составляющая репрезентации лечения и качество жизни при соматических заболеваниях
Subjective representations of illness and treatment in chronic somatic illnesses are key factors in patients’ compliance and quality of life. The paper describes the structure and diagnostics of illness and treatment representations in accordance with the models of health and illness self-regulation (Leventhal et al, 2003) and perception of treatment (Horne, 2003). The study of relationship between treatment representation and illness representation and quality of life was based on the data of 98 patients of therapeutic and neurological departments. The subjective necessity and subjective concerns about the treatment correlated with patients’ beliefs about illness duration, controllability and its negative effects. Beliefs about necessity of the medications, but not concerns about medication were associated with reduced quality of life, that was explained by the fact that the patient is taking the role of the "patient" and is negatively thinking about his condition and capabilities. The results suggest that the diagnosis and modification of treatment representation may contribute to compliance and quality of life in patients with chronic somatic illnesses.