[Quality of life and attitude to the disease in patients with chronic gastritis].

Examination of 118 patients with various morphofunctional types of chronic gastritis for quality of life (QL) and personal attitude (PA) to the disease has revealed that in non-atrophic gastritis QL deteriorates moderately because of the diet, diagnostic procedures and treatment. PA is anxious, neurastenic, sensitive and hypochondriac; in focal atrophic gastritis QL is the same but PA is less negative, primarily adequate; in diffuse atrophic gastritis there are the worst trends in QL because of the disease, abnormal physical activity and routine life, PA is hypochondric, melancholic, neurastenic and egocentric. Thus, therapeutic policy in various morphofunctional types of chronic gastritis should account for personality reactions of the patients and deterioration of life quality. This allows maintenance of social and medical adaptation of the patients, development of adequate mechanisms of psychological defence, adequate treatment compliance.