Saratov JOURNAL of Medical and Scientific Research
Home

Reduced stress resistance as one of the key psychosocial factors of cardiovascular risk

Year: 2021, volume 17 Issue: №3 Pages: 523-526
Heading: Тhematic supplement Article type: Original article
Authors: Kodochigova A.I., Polidanov M.A., Kondrashkin I.E., Mayskova E.A., Olenko E.S., Bogdanova T.M., Parshina S.S., Lobanov M.E., Blokhin I.S., Sinkeev M.S., Dzheyranova M.O., Kirichuk V.F.
Organization: Saratov State Medical University
Summary:

The purpose of the study is a comparative analysis of the personal reaction characteristics and key factors of cardiovascular risk for patients with stable forms of coronary heart disease through their resistance to the stress agents. Material and Methods. 88 male patients with ischemic heart disease (IHD) were tested by using the generally accepted clinical examination, and the Subbotin, Spielberger — Hanin questionnaires, and also the Toronto Alexithymia Scale; mean age was 50,8 (49,9; 51,3) years. Results. Among the individuals we observed, patients with reduced stress resistance (65,1 %) prevailed, they formed group I, and patients with high stress resistance (34,9 %) formed group II. Patients from group I had higher indicators of anxiety, cholesterol and low-density lipoprotein blood levels, a tendency to alexithymia, lower glomerular filtration rate and more frequent indications in the history of coronary events than representatives of group II. Conclusion. IHD patients with reduced stress resistance need its correction to increase the effectiveness of secondary prevention of this pathology, and to reduce the risk of cardiovascular catastrophes.

Keywords: alexithymia, cardiovascular risks, coronary heart diseases, increased anxiety, stress resistance

Bibliography:
1. Cardiovascular diseases. WHO fact sheet 2015; № 310. URL: http://www.who.int/mediacentre/factsheets/fs317/ru/(date accessed: 09/18/2021).
2. Glushchenko VA, Irklienko EK. Cardiovascular morbidity is one of the most important health problems. Medicine and Healthcare Organization 2019; 4 (1): 56-62.
3. Yusuf S, Hawken S, Ounpu S, et al. On behalf of the INTERHEART Study Investigators. 20. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART Study): case-control study. The Lancet 2004; 364: 37-52. DOI: 10.1016/S0140-6736 (04) 17018-9.
4. Smulevich AB. Psychosomatic disorders in clinical practice. Moscow: MEDpress-inform, 2016; 776 p.
5. Sidorov PI. Algorithm for predicting the risk of coronary heart disease and the role of mental stress in the occurrence of the disease. Russian Journal of Cardiology 2007; 12 (5): 88-91.
6. Bereznyak YuS, Seleznev SB. Clinical and psychological characteristics of patients with ischemic heart disease. Siberian Medical Journal 2017; 32 (1): 87-91.
7. Pogosova NV, Sokolova OYu, Yufereva YuM, et al. Psychosocial risk factors in patients with the most common cardiovascular diseases — arterial hypertension and coronary heart disease (according to the Russian multicenter study Kometa). Cardiology 2019; 59 (8): 54-63.
8. Pogosova NV, Boytsov SA, Oganov RG, et al. Clinical and epidemiological program for the study of psychosocial risk factors in cardiological practice in patients with arterial hypertension and coronary heart disease (Kometa): the first results of a Russian multicenter study. Cardiology 2018; 58 (9): 47-58.
9. Trifonova ЕА. Strategies for coping with stress and human somatic health: theoretical approaches and empirical research. Izvestia of Herzen RGPU 2012; 145: 96-108.
10. Stable coronary heart disease: Clinical recommendation 2020 (04.09.2020)/Approved by the Ministry of Health of the Russian Federation. ICD 10: I20.0,120.1,120.8, I20.9, 25.0, 25.1, 25.2,25.3,25.4,25.5,25.6,25.8,25.9. Yearof approval (frequency of revision): 2020. ID: KR155/1. URL: As of 04.09.2020 on the website of the Ministry of Health of the Russian Federation.
11. Subbotin SV. Resistance to mental stress as a characteristic of the teacher's meta-individuality: PhD diss. Perm, 1993; 152 p.
12. Khanin YuL. A brief guide to the use of the Spielberger scale of reactive and personal anxiety. Leningrad, 1976; 18 p.
13. Martinez-Sanchez F. The Spanish version of the Toronto Alexithymia Scale (TAS-20). Clinica у Salud 1996; 7: 19-32.
14. Mikhel ND, Korsunova EN, Sokolov IM. Psychodynamic and cognitive changes in patients with coronary heart disease. Modern Problems of Science and Education 2015; 3. URL: http://science-education.ru/ru/article/view?id=17403 (date accessed: 10/07/2021).
15. Smulevich AB, Dubnitskaya ЕВ, Voronova El. On the problem of recognizing psychosomatic disorders in general medical practice. Mental Disorders in General Medicine 2017; 3/4: 4-10.
16. Kodochigova Al, Kirichuk VF, Sinkeev MS, etal. Features of the psychological status of patients with various forms of coronary heart disease. Saratov Journal of Medical Scientific Research 2019; 15 (3): 744-9.
17. Kodochigova Al, Kirichuk VF, Sinkeev MS, et al. Psychological characteristics of the personality of patients with coronary artery disease after a heart attack and myocardial revascularization through the prism of alexithymia. Psychosomatic and Integrative Research 2020; 6: 0402.
18. Burlova ES, Provotorov VM. Specificity of treatment of patients with ischemic heart disease and alexithymia in old age. Russian Journal of Cardiology 2004; 2: 30-3.
19. Kodochigova Al, Kirichuk VF, Sinkeev MS, et al. Psychophysiological Characteristics of Male Survivors of Myocardial Infarction. International Journal of Biomedicine 2019; (9) 1: 19-22. DOI: 10.21103/Article 9 (1) _OA2.
20. Korneva VA, Kuznetsova TYu, Tikhova GP Analysis of the influence of traditional risk factors on the development of coronary heart disease in familial hypercholesterolemia. Russian Journal of Cardiology 2017; 5 (145): 104-10.

AttachmentSize
2021_03-1_523-526.pdf383.06 KB
All articles of the authors: Blokhin I.S., Bogdanova Т.M. , Dzheyranova M.O., Kirichuk V.F., Kodochigova A.I. , Kondrashkin I.E., Lobanov M.E., Mayskova E.A. , Olenko E.S., Parshina S.S. , Polidanov M.A., Sinkeev M.S.

No votes yet