Subclinical peripheral atherosclerosis in patients with chronic pulmonary disease: the role of psychological distress predisposition
Aim. To assess the association between Type D personality and the severity of subclinical peripheral atherosclerosis in patients with chronic pulmonary disease. Material and methods. In total, 134 patients with chronic pulmonary disease (104 men and 30 women; mean age 58,9±0,5 years, range 44–78 yea...
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| Format: | Article |
| Language: | Russian |
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«FIRMA «SILICEA» LLC
2013-06-01
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| Series: | Российский кардиологический журнал |
| Subjects: | |
| Online Access: | https://russjcardiol.elpub.ru/jour/article/view/380 |
| _version_ | 1797857077746466816 |
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| author | A. N. Sumin E. V. Nedoseikina O. G. Arkhipov |
| author_facet | A. N. Sumin E. V. Nedoseikina O. G. Arkhipov |
| author_sort | A. N. Sumin |
| collection | DOAJ |
| description | Aim. To assess the association between Type D personality and the severity of subclinical peripheral atherosclerosis in patients with chronic pulmonary disease. Material and methods. In total, 134 patients with chronic pulmonary disease (104 men and 30 women; mean age 58,9±0,5 years, range 44–78 years), who participated in the rehabilitation programme at the Topaz Rehabilitation Centre, were examined. All participants underwent spirometry, 6-minute walk test, and clinical and biochemical blood assays. Type D personality was diagnosed using the DS-14 instrument. Colour duplex ultrasound of carotid arteries and leg arteries was used for the assessment of intima-media thickness and ankle-brachial index (ABI). All patients were divided into two groups: with pathologic ABI (<0,90 or >1,40; n=28) and with normal ABI (0,9–1,40; n=106). Results. Both groups were similar by the spirometry results and 6-minute walk test distance (481±16 and 502±8 m, respectively; p=0,217). The DS-14 levels of negative affect were similarly high in both groups (11,8±0,8 and 10,4±0,5; p=0,209); however, in patients with pathologic ABI, the levels of social inhibition were significantly higher (12,4±0,8) than in patients with normal ABI (9,9±0,6; p=0,033). The prevalence of Type D personality was significantly higher (67,9%) in patients with pathologic ABI, compared to their peers with normal ABI (36,8%; p<0,0001). In multilevel logistic regression analyses, only age, Type D personality, and blood leukocyte count were independent predictors of pathologic ABI. Conclusion. In the examined patients with chronic pulmonary disease, 21% had subclinical peripheral atherosclerosis. Patients with pathologic ABI were older and had higher blood levels of total cholesterol, triglycerides, and leukocytes, higher levels of intima-media thickness and social inhibition, and a higher prevalence of Type D personality. The assessment of psychological distress predisposition and its correction could play in important role in the cardiovascular prevention among patients with chronic pulmonary disease. |
| first_indexed | 2024-04-09T20:50:46Z |
| format | Article |
| id | doaj.art-3d4d50393c774a57b562bc631eabb3fd |
| institution | Directory Open Access Journal |
| issn | 1560-4071 2618-7620 |
| language | Russian |
| last_indexed | 2024-04-09T20:50:46Z |
| publishDate | 2013-06-01 |
| publisher | «FIRMA «SILICEA» LLC |
| record_format | Article |
| series | Российский кардиологический журнал |
| spelling | doaj.art-3d4d50393c774a57b562bc631eabb3fd2023-03-29T21:23:20Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202013-06-0103182310.15829/1560-4071-2013-3-18-23380Subclinical peripheral atherosclerosis in patients with chronic pulmonary disease: the role of psychological distress predispositionA. N. Sumin0E. V. Nedoseikina1O. G. Arkhipov2Research Institute of Complex Cardiovascular Problems, Siberian Branch, Russian Academy of Medical Sciences, KemerovoTopaz Rehabilitation Centre, Myski, RussiaTopaz Rehabilitation Centre, Myski, RussiaAim. To assess the association between Type D personality and the severity of subclinical peripheral atherosclerosis in patients with chronic pulmonary disease. Material and methods. In total, 134 patients with chronic pulmonary disease (104 men and 30 women; mean age 58,9±0,5 years, range 44–78 years), who participated in the rehabilitation programme at the Topaz Rehabilitation Centre, were examined. All participants underwent spirometry, 6-minute walk test, and clinical and biochemical blood assays. Type D personality was diagnosed using the DS-14 instrument. Colour duplex ultrasound of carotid arteries and leg arteries was used for the assessment of intima-media thickness and ankle-brachial index (ABI). All patients were divided into two groups: with pathologic ABI (<0,90 or >1,40; n=28) and with normal ABI (0,9–1,40; n=106). Results. Both groups were similar by the spirometry results and 6-minute walk test distance (481±16 and 502±8 m, respectively; p=0,217). The DS-14 levels of negative affect were similarly high in both groups (11,8±0,8 and 10,4±0,5; p=0,209); however, in patients with pathologic ABI, the levels of social inhibition were significantly higher (12,4±0,8) than in patients with normal ABI (9,9±0,6; p=0,033). The prevalence of Type D personality was significantly higher (67,9%) in patients with pathologic ABI, compared to their peers with normal ABI (36,8%; p<0,0001). In multilevel logistic regression analyses, only age, Type D personality, and blood leukocyte count were independent predictors of pathologic ABI. Conclusion. In the examined patients with chronic pulmonary disease, 21% had subclinical peripheral atherosclerosis. Patients with pathologic ABI were older and had higher blood levels of total cholesterol, triglycerides, and leukocytes, higher levels of intima-media thickness and social inhibition, and a higher prevalence of Type D personality. The assessment of psychological distress predisposition and its correction could play in important role in the cardiovascular prevention among patients with chronic pulmonary disease.https://russjcardiol.elpub.ru/jour/article/view/380peripheral atherosclerosischronic pulmonary diseasetype d personality |
| spellingShingle | A. N. Sumin E. V. Nedoseikina O. G. Arkhipov Subclinical peripheral atherosclerosis in patients with chronic pulmonary disease: the role of psychological distress predisposition Российский кардиологический журнал peripheral atherosclerosis chronic pulmonary disease type d personality |
| title | Subclinical peripheral atherosclerosis in patients with chronic pulmonary disease: the role of psychological distress predisposition |
| title_full | Subclinical peripheral atherosclerosis in patients with chronic pulmonary disease: the role of psychological distress predisposition |
| title_fullStr | Subclinical peripheral atherosclerosis in patients with chronic pulmonary disease: the role of psychological distress predisposition |
| title_full_unstemmed | Subclinical peripheral atherosclerosis in patients with chronic pulmonary disease: the role of psychological distress predisposition |
| title_short | Subclinical peripheral atherosclerosis in patients with chronic pulmonary disease: the role of psychological distress predisposition |
| title_sort | subclinical peripheral atherosclerosis in patients with chronic pulmonary disease the role of psychological distress predisposition |
| topic | peripheral atherosclerosis chronic pulmonary disease type d personality |
| url | https://russjcardiol.elpub.ru/jour/article/view/380 |
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