Psychological self-regulation of adolescents in conditions of chronic disease
https://doi.org/10.46563/1560-9561-2024-27-2-147-152
Abstract
Introduction. Adolescence is characterized by high specificity and importance of ongoing psychological processes and personal constructs formed against its background. This period of individual development is often described by authors as an intermediate age between childhood and adulthood. Chronic somatic illness at this age increases the risk of pathologizing the course of natural psychological processes. The processes of psychological adaptation and self-regulation of adolescents are of particular importance in conditions of illness.
Purpose is theoretical analysis of the problem of psychological self-regulation of adolescents in conditions of chronic somatic illness.
Results. The normative phenomena occurring in adolescence, as well as the negative effects of the traumatic effects of chronic somatic disease, have been described. There is proposed the model that reflects the connection between stress factors of illness and psychological self-regulation of adolescents. The results of previous empirical studies of the authors are also described, their generalization and a new conceptualization of data within the framework of this problem are proposed.
Conclusion. The main parameters of successful self-regulation of adolescents in conditions of illness are identified as a holistic and coordinated illness and treatment perception, a formed internal picture of the illness, as well as a wide repertoire of coping strategies.
Purpose is theoretical analysis of the problem of psychological self-regulation of adolescents in conditions of chronic somatic illness.
Results. The normative phenomena occurring in adolescence, as well as the negative effects of the traumatic effects of chronic somatic disease, have been described. There is proposed the model that reflects the connection between stress factors of illness and psychological self-regulation of adolescents. The results of previous empirical studies of the authors are also described, their generalization and a new conceptualization of data within the framework of this problem are proposed.
Conclusion. The main parameters of successful self-regulation of adolescents in conditions of illness are identified as a holistic and coordinated illness and treatment perception, a formed internal picture of the illness, as well as a wide repertoire of coping strategies.
About the Authors
Iliya N. Abrosimov
Moscow Institute of Psychoanalysis
Russian Federation
Russian Federation
Vladimir M. Yaltonskiy
Russian University of Medicine
Russian Federation
Russian Federation
References
1. Сирота Н.А., ред. Клиническая психология лечебного процесса. М.: ГЭОТАР-Медиа; 2023. https://doi.org/10.33029/9704-7658-1-CPTP-2023-1-400 https://elibrary.ru/amazxf
2. Свиридова Т.В., Лазуренко С.Б., Венгер А.Л., Фисенко А.П., Долгих А.Г. Психологическая помощь детям с COVID-19 в «красной зоне» в ситуации болезни близких взрослых. Вестник Московского университета. Серия 14: Психология. 2020; 14(4): 4–21. https://doi.org/10.11621/vsp.2020.04.01 https://elibrary.ru/euewbr
3. Горячева Т.Г., Кофанова Е.Б. Отношение к болезни и психологические особенности детей, часто болеющих респираторными заболеваниями. Клиническая и специальная психология. 2016; 5(1): 45–60. https://doi.org/10.17759/psyclin.2016050104 https://elibrary.ru/wghhwf
4. Law G.U., Tolgyesi C.S., Howard R.A. Illness beliefs and self-management in children and young people with chronic illness: a systematic review. Health Psychol. Rev. 2014; 8(3): 362–80. https://doi.org/10.1080/17437199.2012.747123
5. Дозорцева Е.Г. Психологическая травма у подростков с проблемами в поведении. Диагностика и коррекция. М.: Генезис; 2007. https://elibrary.ru/qxqccz
6. Zugelj U., Zupancic M., Komidar L., Kenda R., Varda N.M., Gregoric A. Self-reported adherence behavior in adolescent hypertensive patients: the role of illness representations and personality. J. Pediatr. Psychol. 2010; 35(9): 1049–60. https://doi.org/10.1093/jpepsy/jsq027
7. Венгер А.Л., Лазуренко С.Б., Свиридова Т.В. Стратегия психологической помощи подросткам с тяжелыми хроническими заболеваниями (на примере неспецифического язвенного колита и болезни Крона). В кн.: Теоретические и прикладные проблемы медицинской (клинической) психологии. М.: МГППУ; 2013: 119–20. https://elibrary.ru/uqglfv
8. Oettingen G., Gollwitzer P.M. Self-Regulation in Adolescence. Cambridge: Cambridge University Press; 2015. https://doi.org/10.1017/CBO9781139565790
9. Эльконин Д.Б., Драгунова Т.В., ред. Возрастные и индивидуальные особенности младших подростков. М.: Просвещение; 1967.
10. Свиридова Т.В., Фисенко А.П., Лазуренко С.Б., Конова С.Р., Комарова О.В., Хитрюк В.В. Социально-психологические риски и здоровье подростков. Российский педиатрический журнал. 2023; 26(5): 337–46. https://doi.org/10.46563/1560-9561-2023-26-5-337-346 https://elibrary.ru/tctjkt
11. Рамси Н., Харкорт Д. Психология внешности. СПб.: Питер; 2009.
12. Давидовский С.В., Игумнов С.А. Самоповреждающее и суицидальное поведение, особенности проявлений. Российский педиатрический журнал. 2022; 25(4): 257. https://doi.org/10.46563/1560-9561-2022-25-4-242-292 https://elibrary.ru/wnvmhy
13. Bogosian A., Moss-Morris R., Hadwin J. Psychosocial adjustment in children and adolescents with a parent with multiple sclerosis: a systematic review. Clin. Rehabil. 2010; 24(9): 789–801. https://doi.org/10.1177/0269215510367982
14. Griva K., Myers L.B., Newman S. Illness perceptions and self-efficacy beliefs in adolescents and young adults with insulin dependent diabetes mellitus. Psychol. Health. 2000; 15(6): 733–50. https://doi.org/10.1080/08870440008405578
15. Ялтонский В.М., Дияжева Л.В., Абросимов И.Н. Совладающее поведение подростков, больных муковисцидозом. Медицинская психология в России. 2011; 6(11): 14. https://elibrary.ru/wekcnd
16. Ялтонский В.М., Абросимов И.Н., Прошина М.В. Восприятие подростками системного хронического заболевания и совладание с ним. Вопросы психического здоровья детей и подростков. 2020; 20(2): 20–6. https://elibrary.ru/smiiyc
17. Law G.U., Tolgyesi C.S., Howard R.A. Illness beliefs and self-management in children and young people with chronic illness: a systematic review. Health Psychol. Rev. 2014; 8(3): 362–80. https://doi.org/10.1080/17437199.2012.747123
18. Leventhal H., Diefenbach M., Leventhal E.A. Illness cognition – using common-sense to understand treatment adherence and affect cognition interactions. Cognit. Ther. Res. 1992; 16(2): 143–63. https://doi.org/10.1007/BF01173486
19. Munson M.R., Floersch J.E., Townsend L. Attitudes toward mental health services and illness perceptions among adolescents with mood disorders. Child Adolesc. Social. Work J. 2009; 26(5): 447–66. https://doi.org/10.1007/s10560-009-0174-0
20. Hagger M., Orbell S. The common sense model of illness self-regulation: A conceptual review and proposed extended model. Health Psychol. Rev. 2022; 16(3): 347–77. https://doi.org/10.1080/17437199.2021.1878050
21. Lima L., Silva V., Lemos M.S. How chronic disease affects children’s views on being ill and healthy: a comparative study. Scand. J. Caring Sci. 2017; 31(4): 922–9. https://doi.org/10.1111/scs.12415
22. Tiggelman D., van de Ven M.O., van Schayck O.C., Kleinjan M., Engels R.C. The common sense model in early adolescents with asthma: longitudinal relations between illness perceptions, asthma control and emotional problems mediated by coping. J. Psychosom. Res. 2017; 77(4): 309–15. https://doi.org/10.1016/j.jpsychores.2014.07.010
23. McGrady M.E., Peugh J.L., Hood K.K. Illness representations predict adherence in adolescents and young adults with type 1 diabetes. Psychol. Health. 2014; 29(9): 985–98. https://doi.org/10.1080/08870446.2014.899361
24. Lansing A.H., Berg C.A. Adolescent self-regulation as a foundation for chronic illness self-management. J. Pediatr. Psychol. 2014; 39(10): 1091–6. https://doi.org/10.1093/jpepsy/jsu067
Review
For citations:
Abrosimov I.N., Yaltonskiy V.M. Psychological self-regulation of adolescents in conditions of chronic disease. Russian Pediatric Journal. 2024;27(2):147-152. (In Russ.) https://doi.org/10.46563/1560-9561-2024-27-2-147-152
Views:
134
Email this article 