PSYCHOLOGICAL FACTORS OF SURVIVAL AND DISEASE COURSE IN WOMEN WITH BREAST CANCER: RESULTS AND PROSPECTS OF THE STUDY

The article presents the results of a study of psychological factors of survival and the course of the disease in women with breast cancer. As a result of a longitudinal study, data were obtained on the relationship of psychological indicators with various variants of the course of the disease, as well as on the dynamics of personal and subjective characteristics with different outcomes of the disease. The authors have outlined further prospects for a longitudinal study on a sample of women with breast cancer with a fiveyear survival rate.В статье приводятся результаты исследования психологических факторов выживаемости и течения болезни у женщин с раком молочной железы. В результате лонгитюдного исследования получены данные о связи психологических показателей с различными вариантами течения болезни, а также о динамике личностных и субъектных характеристик при различных исходах болезни. Авторами обозначены дальнейшие перспективы лонгитюдного исследования на выборке женщин с раком молочной железы при пятилетней выживаемости.Исследование выполнено за счет гранта Российского научного фонда (проект № 19-18-00426)

Рак молочной железы: роль психологической помощи в эффективности лечения

Background. Breast cancer is the most frequently diagnosed and life-threatening cancer in women worldwide. Since the disease diagnosis and treatment have improved greatly over time, quality of life has become an important outcome measure in breast cancer clinical investigations. The goal of the study was to analyze quality of life in women with breast cancer and to conduct a meta-analysis of data indicating the need for psychological support aimed at improving the quality of life in breast cancer patients. Material and methods. The study involved 186 women who were diagnosed with breast cancer no earlier than 6 months from the date of the survey. All patients had a luminal type of tumor. To study the quality of life of women with breast cancer, the sf-36 (36-item short-Form Health survey) questionnaire recommended by the international protocol was used. Results. Comparative analysis of standardized indicators of the quality of life indicats that the quality of life of women with breast cancer is significantly lower than that of women from the population (p<0.05). This result requires attention from both social/psychological services and physicians, due to the fact that the general indicator of the quality of life is associated with the prognosis of survival. The essence of providing psychological support to women with breast cancer is not only to alleviate their moral and psychological suffering, but also to enhance the effect of treatment and, as a result, increase survival. The authors come to the conclusion that it is necessary to include psychological rehabilitation programs in the protocol for treating women with breast cancer to enhance the effect of treatment, improve the quality of life.Введение. Рак молочной железы (РМЖ) занимает лидирующие позиции в структуре онкологической заболеваемости. Возникая внезапно, данная болезнь ставит под угрозу жизнь женщины, приводит к неопределенности будущего, изменению картины мира, снижению социального функционирования. При этом у больных раком молочной железы страдает качество жизни, что напрямую связано с прогнозом течения заболевания и показателями выживаемости. Цель исследования – анализ качества жизни женщин с диагнозом рак молочной железы, а также метаанализ данных, указывающих на необходимость психологического вмешательства в лечение больных, направленного на улучшение качества жизни (КЖ). Материал и методы. В исследование включены 186 женщин с люминальным раком молочной железы, который диагностирован не ранее 6 мес от момента опроса. Для исследования качества жизни больных РМЖ использовался опросник sF-36 (36-item short-Form Health survey), рекомендованный международным протоколом. Результаты. Сравнительный анализ стандартизированных показателей КЖ свидетельствует о том, что качество жизни у больных раком молочной железы значительно ниже, чем у женщин из популяции (р<0,05). Данный результат требует внимания как со стороны социальных и психологических служб, так и со стороны врачей в связи с тем, что общий показатель качества жизни связан с прогнозом выживаемости. Суть оказания психологической помощи женщинам с раком молочной железы состоит не столько в облегчении их моральных и психологических страданий, сколько в усилении эффекта лечения, а значит, повышения выживаемости. Необходимо обязательное включение психологических реабилитационных программ в протокол лечения больных РМЖ для усиления эффекта лечения и улучшения качества жизни

Personality profiles and the "russian soul": Literary and scholarly views evaluated

Many domestic and foreign observers have claimed that Russians have a unique constellation of personality traits that mirrors their distinctive historical and cultural experience. To examine the hypothesized uniqueness of Russian personality, members of the Russian Character and Personality Survey collected data from 39 samples in 33 administrative areas of the Russian Federation. Respondents (N = 7,065) identified an ethnically Russian adult or college-aged man or woman whom they knew well and rated the target using the Russian observer-rating version of the Revised NEO Personality Inventory. The mean personality profile of Russians was very similar to the international average based on 50 different countries, debunking the myth of a unique Russian soul.The small variations from world norms did not converge with depictions of Russian national character in fiction and the scholarly literature. New items intended to capture distinctive, emic aspects of Russian personality provided no new information beyond the familiar Big Five dimensions. Religion, ethnicity, and beliefs about the uniqueness of the Russian character and the malleability of personality traits had little effect on personality ratings. Perceptions of the Russian soul do not seem to be based on the personality traits of Russians

Personality profiles and the "russian soul": Literary and scholarly views evaluated

Many domestic and foreign observers have claimed that Russians have a unique constellation of personality traits that mirrors their distinctive historical and cultural experience. To examine the hypothesized uniqueness of Russian personality, members of the Russian Character and Personality Survey collected data from 39 samples in 33 administrative areas of the Russian Federation. Respondents (N = 7,065) identified an ethnically Russian adult or college-aged man or woman whom they knew well and rated the target using the Russian observer-rating version of the Revised NEO Personality Inventory. The mean personality profile of Russians was very similar to the international average based on 50 different countries, debunking the myth of a unique Russian soul.The small variations from world norms did not converge with depictions of Russian national character in fiction and the scholarly literature. New items intended to capture distinctive, emic aspects of Russian personality provided no new information beyond the familiar Big Five dimensions. Religion, ethnicity, and beliefs about the uniqueness of the Russian character and the malleability of personality traits had little effect on personality ratings. Perceptions of the Russian soul do not seem to be based on the personality traits of Russians

Personality profiles and the "russian soul": Literary and scholarly views evaluated

Many domestic and foreign observers have claimed that Russians have a unique constellation of personality traits that mirrors their distinctive historical and cultural experience. To examine the hypothesized uniqueness of Russian personality, members of the Russian Character and Personality Survey collected data from 39 samples in 33 administrative areas of the Russian Federation. Respondents (N = 7,065) identified an ethnically Russian adult or college-aged man or woman whom they knew well and rated the target using the Russian observer-rating version of the Revised NEO Personality Inventory. The mean personality profile of Russians was very similar to the international average based on 50 different countries, debunking the myth of a unique Russian soul.The small variations from world norms did not converge with depictions of Russian national character in fiction and the scholarly literature. New items intended to capture distinctive, emic aspects of Russian personality provided no new information beyond the familiar Big Five dimensions. Religion, ethnicity, and beliefs about the uniqueness of the Russian character and the malleability of personality traits had little effect on personality ratings. Perceptions of the Russian soul do not seem to be based on the personality traits of Russians

Personality profiles and the "russian soul": Literary and scholarly views evaluated

Many domestic and foreign observers have claimed that Russians have a unique constellation of personality traits that mirrors their distinctive historical and cultural experience. To examine the hypothesized uniqueness of Russian personality, members of the Russian Character and Personality Survey collected data from 39 samples in 33 administrative areas of the Russian Federation. Respondents (N = 7,065) identified an ethnically Russian adult or college-aged man or woman whom they knew well and rated the target using the Russian observer-rating version of the Revised NEO Personality Inventory. The mean personality profile of Russians was very similar to the international average based on 50 different countries, debunking the myth of a unique Russian soul.The small variations from world norms did not converge with depictions of Russian national character in fiction and the scholarly literature. New items intended to capture distinctive, emic aspects of Russian personality provided no new information beyond the familiar Big Five dimensions. Religion, ethnicity, and beliefs about the uniqueness of the Russian character and the malleability of personality traits had little effect on personality ratings. Perceptions of the Russian soul do not seem to be based on the personality traits of Russians

Personality Profiles and the "Russian Soul": Literary and Scholarly Views Evaluated

Many domestic and foreign observers have claimed that Russians have a unique constellation of personality traits that mirrors their distinctive historical and cultural experience. To examine the hypothesized uniqueness of Russian personality, members of the Russian Character and Personality Survey collected data from 39 samples in 33 administrative areas of the Russian Federation. Respondents (N = 7,065) identified an ethnically Russian adult or college-aged man or woman whom they knew well and rated the target using the Russian observer-rating version of the Revised NEO Personality Inventory. The mean personality profile of Russians was very similar to the international average based on 50 different countries, debunking the myth of a unique Russian soul. The small variations from world norms did not converge with depictions of Russian national character in fiction and the scholarly literature. New items intended to capture distinctive, emic aspects of Russian personality provided no new information beyond the familiar Big Five dimensions. Religion, ethnicity, and beliefs about the uniqueness of the Russian character and the malleability of personality traits had little effect on personality ratings. Perceptions of the Russian soul do not seem to be based on the personality traits of Russians

Personality Profiles and the "Russian Soul": Literary and Scholarly Views Evaluated

Many domestic and foreign observers have claimed that Russians have a unique constellation of personality traits that mirrors their distinctive historical and cultural experience. To examine the hypothesized uniqueness of Russian personality, members of the Russian Character and Personality Survey collected data from 39 samples in 33 administrative areas of the Russian Federation. Respondents (N = 7,065) identified an ethnically Russian adult or college-aged man or woman whom they knew well and rated the target using the Russian observer-rating version of the Revised NEO Personality Inventory. The mean personality profile of Russians was very similar to the international average based on 50 different countries, debunking the myth of a unique Russian soul. The small variations from world norms did not converge with depictions of Russian national character in fiction and the scholarly literature. New items intended to capture distinctive, emic aspects of Russian personality provided no new information beyond the familiar Big Five dimensions. Religion, ethnicity, and beliefs about the uniqueness of the Russian character and the malleability of personality traits had little effect on personality ratings. Perceptions of the Russian soul do not seem to be based on the personality traits of Russians