The internal picture of the disease, time perspective and compliance in stroke survivors

The problem of the study was to identify the features and relationships of such phenomena as the internal picture of the disease, the time perspective and compliance in stroke survivors. The study involved 30 patients who had suffered a stroke and were in the department of medical rehabilitation and neurological department of "S. N. Grinberg City Clinical Hospital" and Murom City Hospital No. 3. Another group is consisted of 30 people suffered from osteochondrosis of the spine. The diagnostic tools included the methods "Type of Relations to the Disease" (L. I. Wasserman, A. Ya. Vux, B. V. Iovlev, E. B. Karpova), "Level of Compliance" (R. V. Kadyrov, O. B. Asriyan, S. A. Kovalchuk), "Time Perspective Inventory" (F. Zimbardo, adapted by A. Syrtsova, E. T. Sokolova, O. V. Mitina). The methods of statistical processing were the Mann-Whitney U-test and Spearman correlation analysis. It was revealed that ergopathic, anosognosic and anxious types of attitudes to the disease predominate in stroke survivors. Patients after a stroke are more focused on getting rid of pain and striving for pleasure in the present, as well as immersed in memories of negative events of the past, than people with spinal osteochondrosis. There were significantly more correlations between the types of attitudes to the disease and the time perspective in stroke survivors than in respondents with osteochondrosis. Different types of attitudes to the disease reveal a positive correlation with Present-Hedonistic. The compliance of stroke survivors is significantly lower than that of patients with osteochondrosis. The more pronounced the harmonic, anosognosic and sensitive types of attitudes to the disease, the less stroke survivors trust the doctor and rely on his recommendations.