PSYCHOLOGICAL FEATURES OF THE REHABILITATION OF PERSONS WITH UROLITHIASIS

Area of Science:

• Urology
• Psychology
• Health Psychology

Background:

• Urolithiasis (kidney stones) is a prevalent and painful condition impacting quality of life.
• Chronic urolithiasis is associated with significant psychological burdens, including anxiety and depression.
• Effective psychosocial support is crucial for managing the holistic health of patients with urolithiasis.

Purpose of the Study:

• To assess depression and anxiety levels in patients with urolithiasis.
• To develop and evaluate a comprehensive psychological intervention program for these patients.
• To integrate psychological support into the psychosocial care system for urolithiasis patients.

Main Methods:

• 134 patients with renal pelvis stones scheduled for lithotripsy were included.
• Psychological assessments used the Montgomery-Asberg Depression Rating Scale (MADRS) and GAD-7.
• Patients received psychological support from a multidisciplinary team including urologists and psychologists.

Main Results:

• Patients receiving psychological help showed significant reductions in depression and anxiety symptoms, even before procedures.
• Psychological support facilitated better engagement in problem-solving and coping strategies.
• Post-procedure, patients with psychological assistance reported improved psychological well-being, with no severe depression or high anxiety observed.

Conclusions:

• Urolithiasis patients often experience mild to moderate depression and anxiety.
• Psychological interventions, including cognitive training and CBT, effectively reduce these symptoms.
• Psychosocial rehabilitation is vital for improving the outcomes of patients undergoing urolithiasis procedures.