V. Sadovnichaja, Russian Federation
Moscow State University Clinical PsychologyPresenter of 5 Presentations
EPP0017 - Changes in illness representations in patients with somatoform disorder after group-analysis therapy: comparisons to psychoeducation program
ABSTRACT
Introduction
Psychological work with cognitive beliefs were shown to be beneficial for patients with somatoform disorders and unexplained somatic complaints (Liu et al., 2019). There is still a question of whether these results are specific or common for different kind of interventions including psychoanalytic psychotherapy (Kaplan, 2014).
Objectives
The aim was to reveal dynamics of illness perception after group analysis psychotherapy comparing to psychoeducation in patients with somatoform disorders.
Methods
100 patients with somatoform disorders were randomized to psychoeducation intervention (48 patients; 15 males and 33 females) and to the group analysis psychotherapy (52 patients; 15 males and 37 females). Before and after treatment they filled Screening for somatoforms symptoms (Rief, Hiller, 2003) and Illness Perception Questionnaire - Revised (Moss-Morris et al., 2002).
Results
2 (Groups) × 2 (Time: Before / After) ANOVA with repeated measures revealed major effect of time with both groups demonstrated equal decrease in somatoform symptoms during treatment (F=101.42, p<.01, η²=.52). Patients from both groups after treatment appraised their illnesses as having shorter duration without cycles, less severe consequences on their lives, reported increase in treatment control, understanding of their illness and decrease in emotional reactions (F=7.13-30.62, p<.01, η²=.07-.24). In group analysis condition only patients demonstrated increased beliefs that psychological and risk factors could impact their illness (interaction: F=4.58-7.24, p<.05, η²=.05-.07).
Conclusions
Patients with somatoform disorders almost equally benefitted from both psychoeducation and group analysis but group analysis psychotherapy led to better awareness of psychological and risk factors of their illness.
EPP0131 - Neurocognitive development in children and their online and offline self-appraisals
ABSTRACT
Introduction
Internet is an important sphere of activity in children 7-11 years old (Finkelhor et al., 2014; Li et al., 2015; Nasi, Koivusilta, 2013) creating a sphere of possible mental health risks (Livingstone et al., 2011). Neurocognitive deficiency could increase these risks online due to control and change replies and activities online.
Objectives
The aim was to study relationship between neurocognitive functioning in children 7-11 years old and their self-appraisals online and offline.
Methods
50 children 7-11 years old (primary school in Russia, 25 males and 25 females) participated in neuropsychological observation (Akhutina, 2016) and filled Dembo-Rubinstein scales of self-appraisals both for Internet and offline (used descriptors: healthy, happy, clever, kind, confident, independent, Cronbach’s alpha=.63-.65).
Results
Difficulties in the functions of programming and control, serial organization, auditory-speech processing are related to better self-appraisals online (r=.30-.35, p<.01) but not offline. Difficulties in functions of the right hemisphere are more strongly related to online self-appraisals (r=.51) than to offline self-appraisals (r=.31). Adjusting for offline self-appraisals, serial organization, auditory-speech processing and functions of the right hemisphere predict difference in offline and online self-appraisals (ΔR²=6.6-13.0%, p<.05).
Conclusions
Neurocognitive deficiency in children 7-11 years old could lead to unrealistic appraisals of themselves online but not offline increasing probability of problem behavior in the Internet. Study is supported by the Russian Foundation for Basic Research, project 19-29-14181mk.
EPP0882 - Concern about chemotherapy in oncological patients first referred to this treatment predicts negative emotions
ABSTRACT
Introduction
Treatment representation is an important factor of motivation and well-being during treatment (Horne, 2002).
Objectives
The aim was to reveal the relationship between treatment representation and well-being in oncological patients first referred to chemotherapy.
Methods
40 oncological patients (10 males, 20-72 years old, mean age 50.49±13.75 years old, localizations included gastrointestinal tract and genitourinary system) first referred to chemotherapy filled Satisfaction with Life Scale (Diener et al., 1985), Scale for Positive and Negative Experiences (Diener et al., 2009), Hospital Anxiety and Depression Scale (Zigmond, Snaith, 1983) and Beliefs about Medication Questionnaire (Horne, 2002) that was slightly modified for the situation of chemotherapy. Disturbance of functioning was assessed in the interview as an opportunity to cope with job, home responsibilities or self-care (1-5-point Likert scale).
Results
Cronbach’s alphas for Necessity and Concern scales were .69 and .76. Despite high appraisals of necessity of chemotherapy (mean 4.24±.53 on 1-5 Likert scale), concern about it was rather high (2.83±.82). Hierarchical regression analyses revealed that, after adjusting for disturbances in social functioning, concern about chemotherapy (but not its subjective necessity) predicted more severe negative emotions (β=.32, p<.05, ΔR2=10.0%). After control for general level of anxiety and depression, this relationship became weaker but marginally significant (β=.32, p<.10, ΔR2=8.4%).
Conclusions
Concern about chemotherapy in patients first referred to this treatment could be important predictor of well-being demanding for interventions aimed at stabilization of emotional reaction to chemotherapy regardless belief in its necessity.
EPP0883 - Subjective perception of treatment in patients first referred to radiotherapy and its relationship to their well-being
ABSTRACT
Introduction
There are wide-spread fears and expectations about radiotherapy in people referred to it that are not only unrealistic (Shaverdian et al., 2018) but also lead to poorer compliance with doctors and poorer satisfaction with treatment (Dong et al., 2014).
Objectives
The aim was to reveal relationship between different aspects of subjective perception of radiotherapy in patients and their well-being.
Methods
34 patients first referred to radiotherapy, 23-70 years old (mostly females with breast cancer) filled modified version of Beliefs about Medication Questionnaire including items about radiotherapy (Horne et al., 1996), Satisfaction With Life Scale (Diener et al., 1985), Scale of Positive And Negative Experience (Diener et al., 2009).
Results
Six scales were revealed by factor analysis in the structure of beliefs about radiotherapy (Cronbach’s alphas .74-.85): confidence in the effectiveness of radiation therapy, subjective need for it, lack of understanding of it, concern and general negative attitudes towards radiotherapy, doubts about the effectiveness of radiation therapy. Elder patients reported higher need for radiotherapy but also higher concerns about it (r=.35-.37). Concerns about radiotherapy were related to lower satisfaction with life and positive emotions (r=-.44 - -.34) while subjective need of radiotherapy was related to higher health anxiety (r=.71) and lower positive emotions (r=-.41).
Conclusions
Subjective concerns of patients regarding radiotherapy are related to poorer well-being and could be addressed in psychotherapy.
EPP1418 - Relationship to pain and suicidal-related experience: Validation of Discomfort Intolerance Scale и The Pain Catastrophizing Scale in russian female adolescents
ABSTRACT
Introduction
Perception of and relationship to pain are considered as important factors of suicidal behavior (Joiner, 2005, Klonsky & May, 2015, O’Connor & Kirtley, 2018, Galynker, 2017). Some studies of pain demonstrated that there are common mechanisms of emotional and physical pain (DeWall & Baumeister, 2006, MacDonald & Leary, 2005, Eisenberger, Lieberman, & Williams, 2003).
Objectives
The aim was to validate Discomfort Intolerance Scale and Pain Catastrophizing Scale on the female adolescent sample and to reveal their relationship to suicidal experience.
Methods
183 adolescents females (13-21 years old) filled Discomfort Intolerance Scale (Schmidt, Richey, & Fitzpatrick, 2006) and The Pain Catastrophizing Scale (Sullivan, Bishop, & Pivik, 1995). Then they replied to items related to their own or their friends’ suicidal experience.
Results
Factor analysis for PCS explained 73.6% of variance with Cronbach’s alphas .77-.91. Factor analysis of DIS explained 67.1% of variance with Cronbach’s alphas .63-.70. There were no relationships between suicidal-related experience and pain-related experience.
Conclusions
Discomfort Intolerance Scale and Pain Catastrophizing Scale could be used as reliable and valid methods of measuring relationship to pain in studies of adolescents, although we found no associations between them and suicidal intentions.