BEHAVIORAL ANOMALIES AS AN ETIOPATHOGENETIC FACTOR IN THE FORMATION OF DISEASES OF THE CARDIOVASCULAR SYSTEM

Abstract

Objective: to study the abnormal behavior of type D as an etiopathogenetic factor in diseases of the cardiovascular system. Materials and methods. 60 people were examined with a diagnosis of “neurocirculatory dystonia according to the hypertonic type “(average age 32.5 years old), who were hospitalized in the clinic, and had high values according to the DS-14 method (14-item Type D Scale). The results were compared with the results of the control sample (n = 60 people), who did not have a history of cardiovascular system diseases. We used: Beck Depression Scale; polychromatic express method “Contrasts”; methodology for assessing emotional discomfort of a person; multilevel personality questionnaire “Adaptability” (level 1 scale); Life Style Index methodology; DS-14 Questionnaire (14-item Type D Scale); Author's questionnaire (“Resentment Responses”); Diagnostic technique for the presence of social stress disorders (social stress). Results. Type D behavior in patients with a hypertensive type of neurocirculatory dystonia is manifested by the following symptoms: at the behavioral level, this is social introversion, suspicion, problems in interpersonal relationships; on the emotional - the accumulation of affects, the formation of dysphoria; at the cognitive level - fixing on internal and external unsolved problems. Conclusion. It is necessary to take into account the mechanisms and reasons for the formation of a type D personality during psychocorrectional and rehabilitation measures with cardiac patients (bibliography: 7 refs).

Keywords

cardiac personality profile / individual psychological characteristics / intrapersonal conflict / psychosomatics / resentment / type D behavior

References

[1] Denollet J. DS-14: standard assessment of negative affectivity, social inhibition, and Type D personality. Psychosom. Med. 2005; 67: 89-97.

[2] Cardiovascular diseases. January 2015; Newsletter 317. @@Сердечно-сосудистые заболевания. Январь 2015. Информационный бюллетень 317.

[3] Volel B. A., Ternovaya E. S., Ermusheva A. A., Syrkina E. A., Ardzinba I. B. Personality disorder and cardiovascular diseases (on the model of arterial hypertension and coronary heart disease). Mental disorders in general medicine. 2014; 1: 4-13.

[4] Svansdottir E., Broek K. C., Karlsson H. D., Gudnason T., Denollet J. Type D personality is associated with impaired psychological status and unhealthy lifestyle in Icelandic cardiac patients: A cross-sectional study. BMC Public Health. 2012 Jan. Availiable from: http://www.biomedcentral.com/1471-2458/12/42

[5] Chermyanin S. V., Lelyakova I. A., et al. Psychological features of patients of cardiological profile with personality type D. Vestnik of Leningrad state University named after A. S. Pushkin. 2017; 2: 43-54. @@Чермянин С. В., Лелякова И. А. и др. Психологические особенности больных кардиологического профиля с типом личности D. Вестник ЛГУ им. А. С. Пушкина. 2017; 2: 43-54.

[6] Popov V. I., Lelyakova I. A. Psychological characteristics of patients with Type D behavior who are treated in a cardiology hospital. In: Obitaemost' korablei. Obespechenie radiatsionnoi i toksikologicheskoi bezopasnosti (Proceedings of the Interdisciplinary Scientific Practical Conference “Shipbuilding in the XXI century: state, problems, prospects”). St. Petersburg; 2014. 192.

[7] Raikh O. I. Personality type D in patients with atherosclerosis of different localization: prevalence, impact on quality of life. P. D. thesis. Kemerovo; 2012. @@Райх О. И. Тип личности Д у больных с атеросклерозом различной локализации: распространенность, влияние на качество жизни. Автореф. дис. … канд. мед. наук. Кемерово; 2012.

RIGHTS & PERMISSIONS

Chermyanin S.V., Kuzina R.K., Roznova I.A.