Personality disorders and cardiovascular diseases (on model of cardiopersonified syndromes)
The present study is based on a working assumption that personality disorders (somatoperceptive accentuation) and cardiovascular diseases (coronary heart disease, arterial hypertension) are initially independent dimensions and interact throughout the cardiac pathology (as opposed to the opinion that...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | Russian |
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Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)
2022-12-01
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| Series: | Сеченовский вестник |
| Subjects: | |
| Online Access: | https://www.sechenovmedj.com/jour/article/view/715 |
| _version_ | 1797873619547717632 |
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| author | E. S. Ternovaya B. А. Volel E. A. Syrkina I. B. Ardzinba |
| author_facet | E. S. Ternovaya B. А. Volel E. A. Syrkina I. B. Ardzinba |
| author_sort | E. S. Ternovaya |
| collection | DOAJ |
| description | The present study is based on a working assumption that personality disorders (somatoperceptive accentuation) and cardiovascular diseases (coronary heart disease, arterial hypertension) are initially independent dimensions and interact throughout the cardiac pathology (as opposed to the opinion that personality disorder is a predisposition factor for cardiovascular diseases). Objective: to study the interaction of different types of personality disorders (somatoperceptive accentuation) with cardiovascular diseases (on the model of arterial hypertension and coronary heart disease), taking into account the course of heart disease and therapy adherence. Methods: patients with arterial hypertension and coronary heart disease from the department of cardiology underwent cardiological examination using standart techniques, clinical interview with psychiatrist. Criteria for assessing prognosis of cardiovascular disease were developed. Results: 3 specific psychosomatic\cardiopersonified syndromes, formed by interaction of personality disorders and somatic illness, were obtained: the first — with a favorable course of cardiovascular disease, congruent somatoperceptive accentuation (somatotony/neuropathy) of personality disorder; second — with adverse course of cardiovascular disease, provoked by somatopercepive personality disorder (body image aloof); third — with unfavorable course of cardiovascular disease, comorbid neuropathic accentuation of personality disorder. Conclusion: favorable course of cardiovascular disease in condition of congruent somatoperceptive accentuation: personality disorder helps to improve the prognosis of the disease (prevention of complications, high therapy adherence). Unfavorable course in condition of body image aloof\neuropathy: personality disorder is associated with worsening of the prognosis (complications, low therapy adherence). |
| first_indexed | 2024-04-10T01:19:06Z |
| format | Article |
| id | doaj.art-f7ad3ad2312846f08ca0a4538132a541 |
| institution | Directory Open Access Journal |
| issn | 2218-7332 2658-3348 |
| language | Russian |
| last_indexed | 2024-04-10T01:19:06Z |
| publishDate | 2022-12-01 |
| publisher | Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University) |
| record_format | Article |
| series | Сеченовский вестник |
| spelling | doaj.art-f7ad3ad2312846f08ca0a4538132a5412023-03-13T09:51:36ZrusFederal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)Сеченовский вестник2218-73322658-33482022-12-01024248409Personality disorders and cardiovascular diseases (on model of cardiopersonified syndromes)E. S. Ternovaya0B. А. Volel1E. A. Syrkina2I. B. Ardzinba3I.M. Sechenov First MSMUI.M. Sechenov First MSMUI.M. Sechenov First MSMUI.M. Sechenov First MSMUThe present study is based on a working assumption that personality disorders (somatoperceptive accentuation) and cardiovascular diseases (coronary heart disease, arterial hypertension) are initially independent dimensions and interact throughout the cardiac pathology (as opposed to the opinion that personality disorder is a predisposition factor for cardiovascular diseases). Objective: to study the interaction of different types of personality disorders (somatoperceptive accentuation) with cardiovascular diseases (on the model of arterial hypertension and coronary heart disease), taking into account the course of heart disease and therapy adherence. Methods: patients with arterial hypertension and coronary heart disease from the department of cardiology underwent cardiological examination using standart techniques, clinical interview with psychiatrist. Criteria for assessing prognosis of cardiovascular disease were developed. Results: 3 specific psychosomatic\cardiopersonified syndromes, formed by interaction of personality disorders and somatic illness, were obtained: the first — with a favorable course of cardiovascular disease, congruent somatoperceptive accentuation (somatotony/neuropathy) of personality disorder; second — with adverse course of cardiovascular disease, provoked by somatopercepive personality disorder (body image aloof); third — with unfavorable course of cardiovascular disease, comorbid neuropathic accentuation of personality disorder. Conclusion: favorable course of cardiovascular disease in condition of congruent somatoperceptive accentuation: personality disorder helps to improve the prognosis of the disease (prevention of complications, high therapy adherence). Unfavorable course in condition of body image aloof\neuropathy: personality disorder is associated with worsening of the prognosis (complications, low therapy adherence).https://www.sechenovmedj.com/jour/article/view/715arterial hypertensioncoronary heart diseaseadherence to cardiovascular medicationpersonality disordercardiopersonified syndrome |
| spellingShingle | E. S. Ternovaya B. А. Volel E. A. Syrkina I. B. Ardzinba Personality disorders and cardiovascular diseases (on model of cardiopersonified syndromes) Сеченовский вестник arterial hypertension coronary heart disease adherence to cardiovascular medication personality disorder cardiopersonified syndrome |
| title | Personality disorders and cardiovascular diseases (on model of cardiopersonified syndromes) |
| title_full | Personality disorders and cardiovascular diseases (on model of cardiopersonified syndromes) |
| title_fullStr | Personality disorders and cardiovascular diseases (on model of cardiopersonified syndromes) |
| title_full_unstemmed | Personality disorders and cardiovascular diseases (on model of cardiopersonified syndromes) |
| title_short | Personality disorders and cardiovascular diseases (on model of cardiopersonified syndromes) |
| title_sort | personality disorders and cardiovascular diseases on model of cardiopersonified syndromes |
| topic | arterial hypertension coronary heart disease adherence to cardiovascular medication personality disorder cardiopersonified syndrome |
| url | https://www.sechenovmedj.com/jour/article/view/715 |
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