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Kirpichenka A.A., Famin F.A.
Psychological peculiarities of patients with cholelithiasis after surgical treatment
Vitebsk State Order of Peoples’ Friendship Medical University, Vitebsk, Republic of Belarus

Vestnik VGMU. 2017;16(5):96-104.

The article deals with the results of psychological examination of the patients with cholelithiasis done on the 1st - 2nd day after the operation. The data were obtained during the clinical interview and the examination with the use of the set of tests. The detection rate of clinically significant situational anxiety was 76%, in 90% of patients an increased level of personal anxiety was revealed. The increased level of depression was noted in 48% of patients. Also 40% of the patients examined demonstrated a tendency to the emergence of intrapersonal conflicts and 46% of patients had a high level of amplitude of sensory responses. In the structure of the personal response of the patients with cholelithiasis in 45,9% of cases an increased sensitivity to all stress factors was determined which created the prerequisites for increasing the level of personal anxiety in the conditions of stress of surgical treatment. At the same time according to the different techniques data it was established that from 36 to 47% of patients with cholelithiasis had the hyponosognostic type of their attitude to the disease. In case of this type of the reaction in the postoperative period with high degree of probability low compliance with non-observance of treatment, dietary regimen and the doctor’s directions is noted, which subsequently decreases the effectiveness of treatment. Patients with cholelithiasis had personal and behavioral similarities with those patients who had non-psychotic mental disorders and cholelithiasis in their anamnesis. The data obtained are considered to be the confirmation of the hypothesis about the role of the mental sphere in the development of cholelithiasis.
Key words: cholelithiasis, anxiety, depression, accentuation of personality traits.


1. Stinton LM, Shaffer EA. Epidemiology of gall bladder disease: cholelithiasis and cancer. Gut Liver. 2012 Apr;6(2):172-87. doi:
2. Zeng Q, He Y, Qiang DC, Wu LX. Prevalence and epidemiological pattern of gallstones in urban residents in China. Eur J Gastroenterol Hepatol. 2012 Dec;24(12):1459-60. doi:
3. Lastochkina LA, Plotnikova EYu, Beloborodova EI, Didkovskaya NI. The indexes of the regulatory systems of the autonomic nervous system in patients with cholelithiasis before and after cholecystectomy. Ros Zhurn Gastroenterologii Gepatologii Koloproktologii. 2007;17(5 S30):107. (In Russ.)
4. Kartashova IG. Psychosomatic ratios at gastrointestinal diseases in practice. Biul Sibir Meditsiny. 2008;(3):43-50. (In Russ.)
5. Akhmadullina GKh. Diagnostics of a psychovegetative state at persons of young age with gastroduodenity and a peptic ulcer of a duodenum. Eksperim Klin Gastroenterol. 2002;(1):114. (In Russ.)
6. Bordin DS, Mazur ES, Belyaeva GS. Complaints as reflection of the mental status of patients at a recurrence of a peptic ulcer of a duodenum. Terapevt Arkh. 2000;72(2):15-6. (In Russ.)
7. Ryaskin VI, Budnevskiy AV. Features of the psychological status of patients with a chronic cholecystitis. Ros Zhurn Gastroenterologii Gepatologii Koloproktologii. 2001;11(5 pril 15):97. (In Russ.)
8. Hamilton M. A rating scale for depression. J Neurol Neurosurg Psychiatry. 1960 Feb;23:56-62.
9. Prokhorov OA, red. Workshop on the psychology of states: ucheb posobie. Saint Petersburg, RF: Rech'; 2004. 480 р. (In Russ.)
10. Batarshev AV. Diagnosis of personality traits and accentuations. Moscow, RF: Psikhoterapiia; 2006. 288 р.

Information about authors:
Kirpichenka A.A. – Doctor of Medical Sciences, associate professor, head of the Chair of Psychiatry & Narcology, Vitebsk State Order of Peoples’ Friendship Medical University;
Famin F.A. – postgraduate of the Chair of Psychiatry & Narcology, Vitebsk State Order of Peoples’ Friendship Medical University.

Correspondence address: Republic of Belarus, 210023, Vitebsk, 27 Frunze ave., Vitebsk State Order of Peoples’ Friendship Medical University, Chair of Psychiatry & Narcology.  E-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра. – Fiodar A. Famin.

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