
Mental Health Research Center
Cand. Sci. (Psychol.), Associate Professor at the Department of Neuro- and Pathopsychology, the Faculty of Psychology, Lomonosov Moscow State University; Senior Researcher at the Mental Health Research Center
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Illness representations in patients with acute leukemia and lymphoma: a comparative studyTheoretical and Experimental Psychology 2024. 1. p.103-122Esina, L.V. Vybornykh, D.E. Rasskazova, E.I. Gemdzhian, E.G. Zvonkov, Е.E. Lukyanova, I.A. Moiseeva, T.N. Magomedova, A.U.read more1716
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Background. Illness representations determine a patient's successful adaptation in the context of chronic somatic illness.
Objective. The study had its purpose to investigate and compare the illness representations in the patients with acute leukemia and lymphoma.
Study Participants. The study involved 109 respondents: 51 patients with acute leukemia aged 18 to 64 years (Mage = 35.12; SD = 12.90; 28 women) and 58 patients with lymphoma aged 19 to 64 years (Mage = 42.22; SD = 11.17; 41 women).
Methods. The study implemented the following methods: “Illness Perception Questionnaire-Revised” (IPQ-R), “Health Anxiety Inventory” (HAI), “Cognitions About Body and Health Questionnaire” (CABAH), and the “Scale of Assessment of Illness Behavior” (SAIB). Descriptive statistics and group comparison methods (Student's t-test) were used to process quantitative data.
Results. A comparative analysis of the data obtained showed that patients with acute leukemia have more difficulty in identifying the disease, were more certain about the negative impact of the disease and its unstable course, were more likely to overestimate symptom severity, and paid more attention to implementing treatment- and medication-related behaviors compared to patients with lymphomas.
Conclusions. The main targets of psychological work with patients with acute leukemia are their ideas about the disease identity, its unstable course and negative consequences, their tendency to overestimate the symptom severity and underestimate the importance of preventive behavior associated with treatment and medication. Common targets of psychological work with patients with acute leukemia and lymphoma are their ideas about the short-term course of the disease and negative emotional experiences about their disease.
Keywords: acute leukemia; lymphoma; illness/health representations; illness perception; health anxiety; illness behavior
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Satisfaction of Basic Psychological Needs as a Factor in Subjective Well-Being of Cancer Patients Receiving Chemo- And Radiation TherapyTheoretical and Experimental Psychology 2025. 3. p.147–166read more576
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Background. Cancer is associated with significant decline in patients' quality of life. Satisfaction of basic psychological needs for autonomy, competence, and relatedness may serve as an important factor of their subjective well-being during cancer treatment. Different medical and social contexts of treatment during chemo- and radiation therapy create different conditions for both satisfaction and frustration of these needs. The insufficiency of scientific data on predictors of subjective well-being in cancer patients determines the relevance and novelty of the study presented in the article.
Objective. To investigate the relationship between satisfaction of needs for autonomy, competence, and relatedness and subjective well-being in cancer patients undergoing chemotherapy and radiotherapy.
Study Participants. 107 cancer patients (90 women, 17 men) receiving treatment at three specialized oncology centers in Moscow. 52 patients were receiving chemotherapy and 55 were receiving radiotherapy. 59% of the sample were breast cancer patients, while 41% had tumors of other localizations.
Methods. The study implemented a set of screening methods for assessing the subjective well-being in accordance with E. Diener's model: the Satisfaction with Life Scale (E.N. Osin, D.A. Leontiev), the Scale of Positive and Negative Experiences (E.I. Rasskazova, A.A. Lebedeva), as well as the Scale of Satisfaction of Basic Needs in the Context of Treatment (M.S. Kovyazina et al., M.K. Karakurkchi et al.). Statistical analysis was conducted in RStudio and included Student's t-test for group comparisons, Pearson/Spearman correlation analysis.
Results. Analysis of the data obtained in the study showed that patients receiving chemotherapy have a lower level of satisfaction of basic psychological needs for autonomy, competence and relatedness than patients receiving radiation therapy. Satisfaction of basic psychological needs significantly correlates with indicators of subjective well-being; this relationship does not depend on the type of therapy and is found in both groups of patients — receiving chemotherapy and radiation therapy.
Conclusions. The medical and social conditions of patients receiving chemotherapy are more complex that negatively influences their psychological well-being. Although the satisfaction of basic psychological needs is essential for the subjective well-being of patients treated with either chemotherapy or radiotherapy, fulfilling these needs proves more challenging for those on chemotherapy.
Keywords: psycho-oncology; subjective well-being; autonomy need; self-determination theory; chemotherapy; radiotherapy; rehabilitation
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Sensitivity and Specificity of Anxiety and Depression Scales in Patients with Depressive Syndrome in Affective Disorders and SchizophreniaTheoretical and Experimental Psychology 2026. 1. p.114-134read more80
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Background. Screening diagnostics of the risk of depression in healthy controls and various mental illnesses for the purpose of timely seeking specialized help requires the elaboration of critical values of indicators as well as calculation of sensitivity and specificity.
Objectives. The study had its purpose to reveal the critical values of the scales for assessing anxiety, depression, and quality of life in patients with affective disorders and schizophrenia.
Study Participants. 277 individuals participated in the study, including 162 adults without mental illness (control group), 47 patients with affective disorders and depressive syndrome, and 68 patients with schizophrenia.
Methods. For data collecting the following standardized methods were used: The Beck Anxiety and Depression Inventories BAI and BDI-II (Beck et al., 1988; Beck et al., 1996), Center for Epidemiological Studies Depression Scale (Radloff, 1977), SCL-90R (Derogatis, 1983), the Satisfaction With Life Scale, the Scale for Positive and Negative Experiences (Diener et al., 1985; Diener, 2010), the Quality of Life and Satisfaction Questionnaire (Stevanovic, 2011). Data processing methods included descriptive statistics, ROC analysis, calculation of sensitivity and specificity, assessment of reliability and consistency, methods for comparing groups, and correlation analysis.
Results. When assessing the differential abilities of anxiety and depression scales, while comparing patients with depressive syndrome in affective disorders and respondents in the control group, the area under the curve in the ROC analysis was significant and amounted to 0.79–0.87. The maximum values were found for the Beck Depression Inventory, Center for Epidemiological Studies Depression Scale, and the depression subscale of the SCL-90R. The depression subscale of the SCL-90R questionnaire is only slightly inferior in psychodiagnostic capabilities to the Beck Depression Inventory and Center for Epidemiological Studies Depression Scale; however, its cutoff values can be recommended at 11 points and 23 points. The 18 items selected from all the inventories implemented in the study form a scale that allows to distinguish between patients with depressive syndrome in schizophrenia and in affective disorders (Cronbach's alpha 0.91 for affective disorders and 0.93 — for schizophrenia). At a cutoff value of 1.59 points, the sensitivity for distinguishing patients with affective disorders and schizophrenia is 72.3%, and the specificity is 78.1%. A content analysis of the items indicates that patients with affective disorders are more likely to report negative obsessive thoughts, criticism and self-rejection, somatic complaints, and difficulty concentrating.
Conclusions. The clinical cutoff for mild depression on the Beck Depression Inventory is 13 points, and for moderate depression — 19 points. The clinical cutoff point for mild depression on the Center for Epidemiological Studies Depression Scale is 17 points, and for moderate depression — 28 points.
Keywords: psychodiagnostics; sensitivity; specificity; depression; affective disorders; depressive syndrome; schizophrenia
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