PSYCHOLOGICAL CHARACTERISTICS OF PATIENTS INFLUENCING ON THE COMMITMENT TO IMPLEMENT THE RECOMMENDATIONS OF DENTISTS

The psychological peculiarities of dental patients with periodontal disease are summarized here. Also, the article presents the description of patients with positive and negative dynamics of treatment.

Objective  – to identify relationships between the characteristics of the patient’s personality and their implementation to the recommendations of dentist.

Materials  and Methods. 45 people were examined, an average age of 43 years. The following psychodiagnostic methods were used: 1) the multidimensional questionnaire on health; 2) the test «Diagnosis of interpersonal relationships»; 3) characterological questionnaire by K. Leonhard&T. Shmishek; 4) individually-typological questionnaire by Sobchik L.N.; 5) the questionnaire of self-evaluation status;  6) personality Inventory of Bekhterev Institute. These dental indexes of oral health were measured: 1) CPITN; 2) PMA; 3) Saxer & Muhlemann; 4) Silness & Loe; 5) OHI-S.

Results.  According to the results of two measurements of dental indexes, 3 groups of patients were identified: 1) with good oral hygiene; 2) with poor hygiene and positive dynamics (improving dental health index); 3) with poor hygiene and negative dynamics (deterioration indexes). The interrelation of the recommendations  of a dentist with the personal characteristics of patients was found.

Summary.  Most patients have tried to follow the dentist’s recommendations for oral care, as evidenced by the decline in dental health indexes in the second survey. Differences in personal characteristics of patients, following and not following the recommendations were revealed, also, the gender differences in the groups with improvement and deterioration indexes were found.

1. Sokolova E.T. Perspectives of the system model of compliance. Collection of materials on the results of the All-Russian Scientific and Practical Conference with international participation: Clinical Psychology in Health Care and Education. 2011; 24-31. In Russian.

2. Firsova I.V. The concept of compliance in dental practice: the author’s abstract of the thesis, Doctor of Medical Sciences, Volgograd State Medical University, Federal Agency for Health and Social Development. 2009;52. In Russian.

3. Doctor-patient:communicationandinteraction.–Geneva – Amsterdam–Kiev: WHO.1996; 55. In Russian.

4. AdherencetoLong-TermTherapies:EvidenceforAction. – New-York, WHO.2003 (http://whqlibdoc.who.int/publications/2003/9241545992.pdf).

5. Anisimova N., Clinical and physiological rationale for the use of psychological stress correction method of dental outpatients: Abstract. Dissertations of the candidate of medical sciences. MBOU of HPE MSMSU them. A.I. Evdokimova. 2015; 24. In Russian.

6. Ayer William, Psychology in Dental Practice. St. Petersburg: Peter. 2008; 219. In Russian.

7. Volskaya E.A., Patient compliance. Overview of research trends Journal of Remedium. 2013;11; 6-15. In Russian.

8. Orekhova L.Y., Kudryavtseva T.V., Isaeva E.R., Tachalov V.V., Loboda E.S., Sitkina E.V. Interrelation of the peculiarities of individual oral care from psychological personal characteristics. Stomatology of Slavic states: a collection of works on the materials of the VIII International Scientific and Practical Conference edited by A. V. Tsimbalistova, B. V. Trifonova, A. A. Kopytova. Belgorod: Publishing house «Belgorod» Research Institute «BelSU». 2015; 208-211. In Russian.

9. Sirota N.A., Yaltonskiy V.M., Moskovchenko D.V., Psychological factors of adherence to treatment in patients with breast cancer, Journal of Remedium. 2013; 11; 6-20. In Russian.

10. Binhas E. Comment augmenter l’acceptation des plans de traitement. Dialgue. 1999; 13–15.

11. Fedotova A.V. Compliance. Effective communication doctor-patient. Veynovskie reading. In Russian.

12. Borovsky, E. V., Biology of the oral cavity. M .: The medical book. 2001; 302. In Russian.