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Clinical Medicine (Russian Journal)

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Psychotherapy for chronic illnesses: an analysis of psychological support and coping strategies for stress

https://doi.org/10.30629/0023-2149-2025-103-1-5-12

Abstract

Chronic diseases (CD) represent a significant healthcare challenge, affecting the quality of life for millions of people worldwide. Persistent pain, physical limitations, and the need for regular medical intervention can lead to anxiety, depression, and stress among patients. In this context, psychotherapy may become an important component of comprehensive treatment aimed at both the physical and psycho-emotional well-being of the patient. Objective. The aim of this study is to analyze the role of psychotherapy in supporting patients with chronic diseases, as well as to explore effective stress coping strategies. The research focuses on understanding how psychological support can enhance the quality of life for patients, reduce stress levels, and improve treatment outcomes. Material and methods. This study examines various psychotherapeutic approaches: cognitive-behavioral therapy, acceptance and commitment therapy, relaxation techniques, and meditation. The analysis is based on a review of current research and practices in the field of psychotherapy and chronic diseases. Results. The study confirms the effectiveness of cognitive-behavioral therapy and acceptance and commitment therapy in reducing pain, anxiety, and depression levels among patients. Relaxation methods and meditation—specifically progressive muscle relaxation and mindfulness meditation—have shown significance in stress management and improving emotional states. Conclusion. Working with patients suffering from chronic diseases should be comprehensive, encompassing all aspects of psychological and psychotherapeutic support. Acceptance of illness, deep psychological analysis, and urgent support during crisis periods contributes to improving the psycho-emotional state of patients. A holistic approach ensures more complete and effective treatment, enhancing psychological well-being and overall quality of life for patients.

About the Authors

K. E. Kalinina
N.N. Burdenko Voronezh State Medical University of the Ministry of Healthcare of Russia
Russian Federation

Karina E. Kalinina — a 6th-year student

Voronezh



O. S. Byltsova
Saint Petersburg State Pediatric Medical University of the Ministry of Healthcare of Russia
Russian Federation

Olga S. Byltsova — a 6th-year student

Saint Petersburg



E. S. Novikova
Surgut State University
Russian Federation

Elena S. Novikova — 6th-year student

Surgut



S. G. Shikhalieva
Surgut State University
Russian Federation

Sabina G. Shikhalieva — a 6th-year student

Surgut



A. I. Surkov
Military Medical Academy named after S. M. Kirov of the Ministry of Defense of Russia
Russian Federation

Andrei I. Surkov — a 6th-year student

Saint Petersburg



References

1. Hajat C., Stein E. The global burden of multiple chronic conditions: A narrative review. Prev. Med. Rep. 2018;12:284–293. DOI: 10.1016/j.pmedr.2018.10.008

2. Melekhin A.I. The specificity of the psychological functioning of patients with interstitial cystitis. Experimental and Clinical Urology. 2021;14(3):49–59. (In Russian) DOI: 10.29188/2222-8543-2021-14-3-49-59

3. U.S. Department of Health and Human Services. National Institutes of Health. NIH Publication No. 24-MH-8015. Revised 2024.

4. Taranina O.N., Testova S.G., Alekhina A.V. Physical activity in the correction of anxiety and depressive disorders against the background of chronic heart failure in patients of older age groups. Eurasian Union of Scientists. 2020;8–1(77):63–65. (In Russian). DOI: 10.31618/ESU.2413-9335.2020.1.77.962

5. Azatyan N.G. The role of the clinical psychologist in psychocardiological rehabilitation. Medical psychology in Russia. 2020;(4). (In Russian)]. DOI: 10.24412/2219-8245-2020-4-7

6. Shishkova V.N. Simple and effective solutions to correct anxiety and stress. Medical advice. 2023:17(3):161–167. (In Russian). DOI: 10.21518/ms2023-023

7. Melekhin A.I. Cognitive-behavioral psychotherapy for chronic pelvic pain syndrome: specifics of implementation and effectiveness. Experimental and clinical urology. 2020;(1):80–94. (In Russian)]. DOI: 10.29188/2222-8543-2020-12-1-80-94

8. Malygin Y.V., BoevI.V., Malygin V.L., Akhverdova O.A. The effectiveness of cognitive behavioral therapy for comorbid anxiety and depressive disorders. Medical Bulletin of the North Caucasus. 2023;18(3):342–345. (In Russian). DOI: 10.14300/mnnc.2023.18081

9. Day M.A., Ward L.C., Ehde D.M., Thorn B.E., Burns J., Barnier A., Mattingley J.B., Jensen M.P. A Pilot Randomized Controlled Trial Comparing Mindfulness Meditation, Cognitive Therapy, and Mindfulness-Based Cognitive Therapy for Chronic Low Back Pain. Pain Med. 2019;20(11):2134–2148. DOI: 10.1093/pm/pny273

10. Darnall B.D., Mackey S.C., Lorig K., Kao M.C., Mardian A., Stieg R., Porter J., DeBruyne K., Murphy J., Perez L., Okvat H., Tian L., Flood P., McGovern M., Colloca L., King H., Van Dorsten B., Pun T., Cheung M. Comparative Effectiveness of Cognitive Behavioral Therapy for Chronic Pain and Chronic Pain Self-Management within the Context of Voluntary Patient-Centered Prescription Opioid Tapering: The EMPOWER Study Protocol. Pain Med. 2020;21(8):1523–1531. DOI: 10.1093/pm/pnz285

11. Heslop-Marshall K., Baker C., Carrick-Sen D., Newton J., Echevarria C., Stenton C., Jambon M., Gray J., Pearce K., Burns G., De Soyza A. Randomised controlled trial of cognitive behavioural therapy in COPD. ERJ Open Res. 2018;4(4):00094–2018. DOI: 10.1183/23120541.00094-2018

12. Balata M., Gbreel M.I., Elrashedy A.A., Westenfeld R., Pfister R., Zimmer S., Nickenig G., Becher M.U., Sugiura A. Clinical effects of cognitive behavioral therapy in heart failure patients: a meta-analysis of randomized controlled trials. BMC Complement. Med. Ther. 2023;23(1):280. DOI: 10.1186/s12906-023-04117-2

13. Moss-Morris R. Cognitive Behavioural Therapy beneficial for patients with chronic fatigue syndrome. King’s College London. 06 November 2023.

14. Gloster A.T., Haller E., Villanueva J., Block V., Benoy C., Meyer A.H., Brogli S., Kuhweide V., Karekla M., Bader K., Walter M., Lang U. Psychotherapy for Chronic In- and Outpatients with Common Mental Disorders: The “Choose Change” Effectiveness Trial. Psychother. Psychosom. 2023;92(2):124–132. DOI: 10.1159/000529411

15. Lin J., Scott W., Carpenter L., Norton S., Domhardt M., Baumeister H., McCracken L.M. Acceptance and commitment therapy for chronic pain: protocol of a systematic review and individual participant data meta-analysis. Syst. Rev. 2019;8(1):140. DOI: 10.1186/s13643-019-1044-2

16. Splinter M.J., Ikram M.K., Helsper C.W., Bindels P.J.E., de Schepper E.I.T., Licher S. Patient perspectives on telemedicine during the COVID-19 pandemic: a mixed-methods community-based study. BMC Health Serv. Res. 2023;23(1):803. DOI: 10.1186/s12913-023-09794-w

17. Sayegh C.S., Brammer W.A., Wright S.M., Wee C.P., Sherer S. Pilot Study of Group Interpersonal Psychotherapy for Depression Among Young People with ChronicIllness. Am. J. Psychother. 2023;76(3):93–99. DOI: 10.1176/appi.psychotherapy.20210042

18. Toussaint L., Nguyen Q.A., Roettger C., Dixon K., Offenbächer M., Kohls N., Hirsch J., Sirois F. Effectiveness of Progressive Muscle Relaxation, Deep Breathing, and Guided Imagery in Promoting Psychological and Physiological States of Relaxation. Evid. Based Complement. Alternat. Med. 2021;2021:5924040. DOI: 10.1155/2021/5924040

19. Dobos D., Szabó E., Baksa D., Gecse K., Kocsel N., Pap D., Zsombók T., Kozák L.R., Kökönyei G., Juhász G. Regular Practice of Autogenic Training Reduces Migraine Frequency and Is Associated With Brain Activity Changes in Response to Fearful Visual Stimuli. Front. Behav. Neurosci. 2022;15:780081. DOI: 10.3389/fnbeh.2021.780081

20. Goldberg S.B., Riordan K.M., Sun S., Davidson R.J. The Empirical Status of Mindfulness-Based Interventions: A Systematic Review of 44 Meta-Analyses of Randomized Controlled Trials. Perspect. Psychol. Sci. 2022;17(1):108–130. DOI: 10.1177/1745691620968771

21. Bai Z., Chang J., Chen C., Li P., Yang K., Chi I. Investigating the effect of transcendental meditation on blood pressure: a systematic review and meta-analysis. J. Hum. Hypertens. 2015;29(11):653–62. DOI: 10.1038/jhh.2015.6.

22. Zeng X., Chiu C.P., Wang R., Oei T.P., Leung F.Y. The effect of loving-kindness meditation on positive emotions: a meta-analytic review. Front. Psychol. 2015;6:1693. DOI: 10.3389/fpsyg.2015.01693


Review

For citations:


Kalinina K.E., Byltsova O.S., Novikova E.S., Shikhalieva S.G., Surkov A.I. Psychotherapy for chronic illnesses: an analysis of psychological support and coping strategies for stress. Clinical Medicine (Russian Journal). 2025;103(1):5-12. (In Russ.) https://doi.org/10.30629/0023-2149-2025-103-1-5-12

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ISSN 0023-2149 (Print)
ISSN 2412-1339 (Online)