DOI: https://doi.org/10.22263/2312-4156.2025.5.36
O.A. Zhuchenko, R.R. Khusnutdinova
The association between parent-child relationships and the internal disease picture in patients diagnosed with ulcerative colitis
Izhevsk State Medical Academy of the Ministry of Health of the Russian Federation, Izhevsk, Russian Federation
Vestnik VGMU. 2025;24(5):36-42.
Abstract.
Objectives. To identify the association between parent-child relationships and the internal picture of the disease in patients with ulcerative colitis.
Material and methods. Analysis, generalization, interpretation, TOBOL clinical test method for diagnosing the type of attitude to the disease, created by the NIPNI, the author’s questionnaire for determining the relationships in the patient’s parental family, methods of mathematical statistics (descriptive statistics, Kolmogorov-Smirnov criterion, Spearman rank correlation coefficient, ANOVA analysis of variance). The sample consisted of 30 patients of the gastroenterology department of the City Clinical Hospital No. 8 in Izhevsk diagnosed with nonspecific ulcerative colitis (UC) (47% males, 53% females, the average age was 46.7 years).
Results. The importance of childhood experience in shaping attitudes toward the disease was established: physical violence and conflict resolution strategies in the parental family are significant predictors of specific types of attitudes toward UC in adulthood. In addition, socio-demographic factors (education level, age (indirectly, through the duration of the disease)) also demonstrate stable relationships with the types of internal picture of the disease. At the same time, the characteristics of the patient’s current family (composition, cohesion, conflicts) did not show a significant impact on the formation of attitudes toward the disease in this study.
Conclusions. This analysis confirms the importance of psychosocial factors, especially childhood experience, in shaping the patient’s attitude toward a chronic somatic disease, which is important for the development of individualized approaches in psychotherapy and medical support. The results of the study may be of interest to practicing physicians, clinical psychologists, students and teachers of medical universities.
Keywords: internal picture of the disease, ulcerative colitis, patients, parent-child relationships, family, education.
References
1. Kholmogorova AB, Rychkova OV. 40 years of the biopsychosocial model: what’s new? Sotsial'naya Psikhologiya i Obshchestvo. 2017;8(4):8-31. (In Russ.). doi: http://dx.doi.org/10.17759/sps.2017080402
2. Luriya RA. Internal picture of disease and iatrogenic diseases. 4-e izd. Moscow, RF: Meditsina; 1977. 112 р. (In Russ.).
3. Leventhal H. Illness Representations and Coping with Health Threats. In: Taylor E, Singer JE, Baum A, ed. Handbook of psychology and health. Vol 4: Social Psychological Aspects of Health. London: Now York; 1984. URL: https://www.researchgate.net/publication/246416053_Illness_Representations_and_Coping_with_Health_Threats [Accessed 22th October 2025].
4. Jones CL, Jensen JD, Scherr CL, Brown NR, Christy K, Weaver J. The Health Belief Model as an explanatory framework in communication research. Health Communication. 2015;30(6):566-576. doi: http://dx.doi.org/10.1080/10410236.2013.873363
5. Broadbent E, Wilkes C, Koschwanez H, Weinman J, Norton S, Petrie KJ. A systematic review and meta-analysis of the Brief Illness Perception Questionnaire. Psychology and Health. 2015;30(11):1361-185. doi: http://dx.doi.org/10.1080/08870446.2015.1070851
6. Kotsyubinskiy AP, Aristova TA, Dityatkovskiy MA, Gorbunova SL. Methods of psychological diagnosis of patients with endogenous mental disorders: advanced medical technology. Saint Petersburg, RF: Sankt-Peterburgskii nauchno-issledovatel'skii psikhonevrologicheskii institut imeni VM Bekhtereva; 2007. 49 р. (In Russ.).
7. Khusnutdinova RR, Zhuchenko OA. To the question about some psychophysiological characteristics of patients with inflammatory bowel diseases. Molodezhnaya Nauka: Tendentsii Razvitiya. 2024;(3):15-20. (In Russ.).
8. Midenfjord I, Borg A, Törnblom H, Simrén M. Cumulative effect of psychological alterations on gastrointestinal symptom severity in irritable bowel syndrome. American Journal of Gastroenterology. 2021 Apr;116(4):769-779. doi: http://dx.doi.org/10.14309/ajg.0000000000001038
9. Porcelli P, Guidi J, Sirri L, Grandi S, Grassi L, Ottolini F, et al. Alexithymia in the medically ill. Analysis of 1190 patients in gastroenterology, cardiology, oncology and dermatology. General Hospital Psychiatry. 2013 Sep-Oct;35(5):521-527. doi: http://dx.doi.org/10.1016/j.genhosppsych.2013.04.005
10. Keefer L, Taft TH, Kiebles JL, Martinovich Z, Barrett TA, Palsson OS. Gut-directed hypnotherapy significantly augments clinical remission in quiescent ulcerative colitis. Alimentary Pharmacology and Therapeutics. 2013 Oct;38(7):761-771. doi: http://dx.doi.org/10.1111/apt.12449
11. Van Tilburg MA, Palsson OS, Whitehead WE. Which psychological factors exacerbate irritable bowel syndrome? Development of a comprehensive model. Journal of Psychosomatic Research. 2013 Jun;74(6):486-492. doi: http://dx.doi.org/10.1016/j.jpsychores.2013.03.004
12. Drossman DA, Hasler WL. Rome IV-Functional GI Disorders: Disorders of Gut-Brain Interaction. Gastroenterology. 2016 May;150(6):1257-1261. doi: http://dx.doi.org/10.1053/j.gastro.2016.03.035
13. Knowles SR, Austin DW, Sivanesan S, Tye-Din J, Leung C, Wilson J, et al. Relations between symptom severity, illness perceptions, visceral sensitivity, coping strategies and well-being in irritable bowel syndrome guided by the common sense model of illness. Psychology Health and Medicine. 2017 Jun;22(5):524-534. doi: http://dx.doi.org/10.1080/13548506.2016.1168932
14. Gracie DJ, Guthrie EA, Hamlin PJ, Ford AC. Bi-directionality of brain-gut interactions in patients with inflammatory bowel disease. Gastroenterology. 2018 May;154(6):1635-1646. doi: http://dx.doi.org/10.1053/j.gastro.2018.01.027
15. Schumann D, Langhorst J, Dobos G, Cramer H. Randomised clinical trial: yoga vs a low-FODMAP diet in patients with irritable bowel syndrome. Alimentary Pharmacology and Therapeutics. 2018 Jan;47(2):203-211. doi: http://dx.doi.org/10.1111/apt.14400
16. Kuraeva DA. Influence of child-parent relations on the attitude to the disease of adolescents with bronchial asthma. Byulleten' Meditsinskikh Internet-konferentsii. 2013;3(2):195. (In Russ.).
17. Panchenko AV. Features of child-parent relations in families raising young children with autism spectrum disorders. Omskii Psikhiatricheskii Zhurnal. 2019;(2):30-33. (In Russ.).
18. Samoylova MV, Shvets NI. Child-parent relationship in adolescent girls with eating disorders. Molodoi Uchenyi. 2022;(34):87-90. (In Russ.).
19. Mulyukina PS. Study of the relationship between parenting styles and types of internal disease in children and adolescents with diabetes mellitus. Byulleten' Meditsinskikh Internet-konferentsii. 2022;12(6):139. (In Russ.).
20. Vrzhesinskaya OA, Kosheleva OV, Kodentsova VM, Baketova NA, Leonenko SN, Pilipenko VI, i dr. Content of vitamins c, a, e, in and β-carotene in patients with gastrointestinal diseases. Klinicheskaya Meditsina. 2021;99(1):36-42. (In Russ.). doi: http://dx.doi.org/10.30629/0023-2149-2021-99-1-36-42
21. Chapala TV, Ilich M. Relationship of type of temperament with characteristics of psycho-emotional state in women with gastrointestinal diseases. Lichnost' v Menyayushchemsya Mire: Zdorov'e Adaptatsiya Razvitie. 2023;11(3):239-252. (In Russ.). doi: http://dx.doi.org/10.23888/humJ2023113239-252
22. Pilat TL, Kuzmina LP, Lashina EL, Kolyaskina MM, Bezrukavnikova LM, Bessonov VV, i dr. Oatmeal with herbs and flax seed helps to reduce abdominal pain syndrome in gastrointestinal diseases. Dokazatel'naya Gastroenterologiya. 2020;9(2):20-28. (In Russ.). doi: http://dx.doi.org/10.17116/dokgastro2020902120
23. Ellenberg SS. Biostatistics in clinical trials: Part 2. Determining sample sizes for clinical trials. Oncology (Williston Park). 1989 Aug;3(8):39-46.
24. Ulcerative colitis (non-specific ulcerative colitis). Mezhdunarodnyi meditsinskii tsentr ON-KLINIK. URL: https://clck.ru/3Pmbkb [Accessed 22th October 2025].(In Russ.).
25. Styazhkina SN, Farkhutdinova AI, Shakirova RR. Analysis of the prevalence of ulcerative colitis in the Udmurt Republic. Dnevnik Nauki. 2021;(4). URL: https://dnevniknauki.ru/images/publications/2021/4/medicine/Styazhkina_Farkhutdinova_Shakirova.pdf [Accessed 22th October 2025]. (In Russ.).
Submitted 22.09.2025
Accepted 21.10.2025
Information about authors:
Olga A. Zhuchenko – Candidate of psychological sciences, senior lecturer of the Chair of Pedagogy, Psychology and Psychosomatic Medicine, Izhevsk State Medical Academy, Russian Federation, https://orcid.org/0000-0003-0727-3995, e-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра.;
R.R. Khusnutdinova – the 3rd-year student of the General Medicine Faculty, Izhevsk State Medical Academy, Russian Federation.
