Saratov JOURNAL of Medical and Scientific Research

Distinctive features of psychological status for patients with various forms of coronary heart disease

Year: 2019, volume 15 Issue: №3 Pages: 744-749
Heading: Cardiology Article type: Original article
Authors: Kodochigova A.l., Kirichuk V.F., Sinkeev M.S., Bogdanova T.M., Olenko E.S., Filonenko E.V., Slyusarenko Yu.A., Dolgov A.A., Ilyin A.A.
Organization: Saratov State Medical University

The purpose of the study is: to conduct comparative analysis of personal response characteristics in patients with stable and unstable forms of coronary heart disease, depending on the presence or absence of acute coronary disaster in their history. Materials and Methods. 94 men and women with an established diagnosis of coronary heart disease (CHD), aged 38 to 55 years were examined. All individuals under study were divided into 4 groups: two groups with stable forms of angina pectoris, and two groups with unstable angina pectoris, depending on the presence or absence of myocardial infarction history. The following tools were used to determine personal response characteristics in CHD patients: abbreviated multifactor personality questionnaire; Toronto alexithymic scale and psycho- geometric test. Re-sults. It was found that patients with coronary artery disease had a high level of neurotization, alexithymicity, conformity, pessimism, and low self-esteem, along with sociability, friendliness and desire to avoid conflict situations. Neurotic tendencies, alexithymicity and decreased activity were most pronounced in patients with history of acute coronary catastrophe (p<0.05). Conclusion. The results of the study determine advisability of including the methods of psychological correction of revealed changes in the complex of measures for secondary prevention of cardiovascular events in patients with various forms of coronary heart disease based on a personalized approach.

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