Original scientific paper
The Biopsychosocial Model of Treatment the Patients with Inflammatory Chronic Bowel Disease
Zlatka Rakovec-Felser
Abstract
We present the organised psychological group interventions for persons with inflammatory bowel disease (ulcerose colitis,
Morbus Crohn). The actual bio-psychosocial model of health and illness is used to explain the situation of chronically
ill patient as stressful life position and their ways of coping with such, health-related problems. Considering that
numerous psychological factors can lead to insufficient illness adaptation and (non) adherence to treatment – and all
those – to much more complications and higher use of therapies, we try to develop for group of those patients effective
model of treatment. The group of 15 gastroenterological patients from treatment in UKC Maribor was included in the
psycho-diagnostic procedure (semi-structural interview, The Freiburg’s Personal Inventory, The Coping Inventory for
Stressful Situations, Health-related Questionnaire of Quality of Life). The data that we had been gathered were significant
to the C-type of coping, found in some other group of chronically ill patients, too. For such persons is typically their
low emotions expressiveness, especially negative emotions (sadness, anger). In interpersonal contacts they usually show
extreme social agreement and low level of assertiveness. So we formed our therapeutic model and its therapeutic aims to
the course of being able to express the emotions, to reach higher personal autonomy, better assertively and self image –
which at the end have all greater influence on the human’s quality of life. After therapeutic model and aims of treatment
has been formed, patients with inflammatory bowel disease were treated in cognitive-behavioural group, where also C.
Roger’s conditions for successful psychotherapy were taken in account and were the part of hole, integrative form of treatment.
Keywords
chronically ill-patient; stress; coping; group treatment
Hrčak ID:
69126
URI
Publication date:
24.6.2011.
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