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Sirota, Natalya A.

Moscow State University of Medicine and Dentistry

Publications by Sirota, Natalya A.

Sirota N. A., Moskovchenko D. V., Yaltonsky V. M., Guldan V. V., Yaltonskay A. V. (2016). Strategies and resources for coping with fear of disease progression in women with reproductive system cancer. Psychology in Russia: State of the Art, 9(2), 15-29.

Fear of disease progression is one of the most common sources of psychological distress in patients suffering from chronic diseases. Fear of disease progression is a situationspecific and fully discernible (reportable) emotion based on personal experience of a life-threatening disease. This article presents the results of a study of cancer patients’ coping behavior according to the levels of fear of disease progression experienced. The presence of pronounced fear of disease progression reflects a negative cognitive-affective response to one’s expectations for one’s own future; this response is related to a decrease in adaptive capacity. To determine the particular characteristics of coping strategies and coping resources in women with reproductive-system cancers according to the level of fear of disease progression. A total of 177 women with reproductive-system cancers were examined, among them 59 with breast cancer and 118 with gynecological cancers. Women with reproductive-system cancers have varying sets of coping strategies and coping resources according to their level of fear of disease progression. For each of the differentiated groups, specific characteristics of the strategies of coping with difficult life situations are described, along with cognitive self-regulation strategies specific to the illness and to coping resources. The women exhibiting moderate fear of disease progression significantly more often adhered to problem-oriented strategies of coping with difficult life situations and illness and had an internal locus of control regarding treatment. Patients with a low level of fear of disease progression tended to use strategies of positive reinterpretation of difficult life situations and illness; an external locus of control regarding treatment prevailed in this group. Patients found to have a dysfunctional level of fear of disease progression displayed significantly higher rates of using cognitive-regulation strategies focused on negative aspects of illness, as well as strategies for avoiding difficult life situations. Fear of disease progression is a psychological problem in women with reproductive-system cancers. Higher levels of fear of disease progression are associated with a decrease in the psychosocial adaptation of women suffering from reproductivesystem cancers.

DOI:  10.11621/pir.2016.0202
Pages:  15-29
ThemesClinical psychology
Keywords:  female reproductive-system cancers, fear of disease progression, cognitive strategies for self-regulation in illness, locus of control in illness, self-efficacy in illness and treatment

Available Online: 06.30.2016

Sirota N. A., Fetisov B. A. (2013) Coping behavior of women with breast cancer with visible postsurgery deformity. Psychology in Russia: State of the Art, 6, 77-85

Research was carried out to explore coping strategies in cancer patients. In all, 70 women with breast cancer were studied: 35 of them had visible postsurgery deformity, and 35 did not have visible postsurgery deformity. The purpose of the research was to uncover their preferences for using various strategies and resources to cope with their illness. The results showed that both groups of women had a special set of strategies for coping with stress. The women with visible postsurgery deformity made significantly less use of resources for coping with their illness than did the subgroup of women without visible postsurgery deformity.

DOI:  10.11621/pir.2013.0107
Pages:  77-85
ThemesClinical psychology
Keywords:  coping strategies, coping resources, breast cancer, postsurgery deformity.

Sirota N.A., Yaroslavskaya M.A. (2011). The research of Proactive Coping Behavior of Patients with Chronic Non-Specific Lung Disease. Psychology in Russia: State of the Art, 4, 289-306

The purpose of the research was to study the patterns of using proactive coping and adherences to it’s different types in patients with chronic non-specific lung diseases. Participants of the study (N=180) were 30 to 60 years old. The Proactive Coping Inventory was used to assess the patients’ psychological status. According to the results of the study patients with chronic non-specific lung diseases use different types of proactive coping behavior while solving problematic and stressful situations. The research revealed that patients with bronchial asthma don’t have the skills of independent decision making, definition of objectives, considering of options in solving conflicts or other inconvenient situations sufficiently developed. Patients with chronic obstructive pulmonary disease are less satisfied with the emotional support that they receive from their relatives and closest people, it’s harder for them to reveal their feelings and emotions than for those who suffer from bronchial asthma and healthy ones. The results of the study may be useful in developing educational systems of proactive coping behavior skills for patients with chronic non-specific lung diseases for their health and well-being support.

DOI:  10.11621/pir.2011.0018
Pages:  289-306
ThemesClinical psychology
Keywords:  coping behavior, coping strategies, proactive coping, patients with chronic non-specifi c lung diseases. Introduction