Relationship of psychological characteristics of the perception of illness and the coping strategies of patients with coronary artery disease with the indicators of their purpose-in-life orientation

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Abstract


Aim. To study the relationship of the perception of illness and coping strategies in patients with ischemic heart disease before coronary artery bypass grafting with purpose in life orientation.

Methods. The study included 108 males aged 45 to 73 years with a diagnosis of ischemic heart disease. Clinical and psychological diagnostics included the study of the patient's perception of illness using the Personal Questionnaire of the Bekhterev Institute, the coping strategies were assessed with the Ways of Coping scale developed by Lazarus and Folkman. To study the purpose in life orientation (formation of goals in life, the level of self-realization of a person, meaningfulness and saturation of life in the past and present, plans for the future), the «Purpose-in-Life Test» by D.A. Leont'ev was used.

Results. The study showed the predominance of adaptive variants of the perception of illness and moderate use of both productive and unproductive coping strategies in the studied group, as well as the preservation of aims and guidelines for the future in the situation of preparing for coronary bypass surgery. A positive relationship was found between the indicators of general meaningfulness of life, dedication, satisfaction with the process of activity and achievement of results with the indicators of adaptive variants of the perception of illness and productive coping behavior. Low levels of overall meaningfulness of life, inability to set goals and achieve them, as well as lack of satisfaction from past events, are associated with high rates of maladaptive variants of the perception of illness and the choice of unproductive coping strategies.

Conclusion. A high level of purpose in life orientation in patients with ischemic heart disease can lead to the formation of adaptive variants of the perception of illness variants and productive coping strategies, whereas a low level of purpose in life orientation probably leads to the risks of the formation of maladaptive perception of illness variants and coping strategies.


A V Solodukhin

Scientific Research Institute for Complex Issues of Cardiovascular Diseases; Kemerovo State University

Author for correspondence.
Email: mein11@mail.ru
Kemerovo, Russia; Kemerovo, Russia

O A Trubnikova

Scientific Research Institute for Complex Issues of Cardiovascular Diseases

Email: mein11@mail.ru
Kemerovo, Russia

A V Seryy

Kemerovo State University

Email: mein11@mail.ru
Kemerovo, Russia

M S Yanitskiy

Kemerovo State University

Email: mein11@mail.ru
Kemerovo, Russia

O L Barbarash

Scientific Research Institute for Complex Issues of Cardiovascular Diseases

Email: mein11@mail.ru
Kemerovo, Russia

  1. Sabirova E.Yu., Chicherina E.N., Ehpshteyn A.M. Coronary artery bypass graft in the treatment of coronary heart disease. actual state of the question. Vyatskiy meditsinskiy vestnik. 2012; (4): 49–54. (In Russ.)
  2. Kiseleva M.G. Psychological factors and the course of cardiovascular disease. Natsional'nyy psikhologicheskiy zhurnal. 2012; 1 (7): 124–130. (In Russ.)
  3. Vinokurov E.V., Sobennikov V.S. Depression and cardiological diseases (li­terature review). Acta Biomedica Scientifica. 2017; 2 (4): 63–67. (In Russ.)
  4. Sumin A.N., Osokina A.V., Fedorova N.V. et al. Personality type D and the level of subclinical inflammation markers in CHD patients. Rossiyskiy kardiologicheskiy zhurnal. 2016; (2): 65–70. (In Russ.)
  5. Eremina D.A., Kruglova N.E., Shchelkova O.Yu., Yakovleva M.V. The psychological background for improving the efficiency of patient rehabilitation after coronary bypass surgery. Vestnik Sankt-Peterburgskogo universiteta. Episode 12. «Sociaology». 2014; (1): 54–68. (In Russ.)
  6. Seregina M.Yu. Features of the value and purpose of elderly patients with hypertension. Aktualʹnye problemy i perspektivy razvitiya sovremennoy psikhologii. 2015; (1): 234–238. (In Russ.)
  7. Shtrakhova A.V., Arslanbekova E.V. Motivational component of internal picture of disease as a factor of commitment to therapy in somatic diseases patients with vital threat. Vestnik YUUrGU. Series: Psychology. 2011; 29 (14): 82–89. (In Russ.)
  8. Yakovleva M.V., Lubinskaya E.I., Demchenko E.A. Internal picture of the disease as a factor of adherence to treatment after coronary bypass surgery. Vestnik YUUrGU. Series: Psychology . 2015; 8 (2): 59–70. (In Russ.)
  9. Vasserman L.I., Trifonova E.A., Fedorova V.L. Personal disease picture in quality of life structure in individuals with physical illnesses. Sibirskiy psikhologicheskiy zhurnal. 2008; (27): 67–71. (In Russ.)
  10. Pecherskaya S.A. Psychological time as the psychological aspect of health of the individual. Vestnik GUU. 2014; (21): 292–297. (In Russ.)
  11. Vasilenko T.D., Selin A.V., Mangushev F.Yu. Semantic aspects of corporal experience in a chronic somatic disease. Kurskiy nauchno-prakticheskiy vestnik «Chelovek i ego zdorov’e». 2016; (2): ­116–121. (In Russ.)
  12. Kruglova N.E., Shchelkova O.Yu. Psychological and social factors of labor prognosis in coronary vessel surgery. Vestnik YUUrGU. Series: Psychology. 2016; 9 (3): 55–66. (In Russ.)
  13. Kantemirova R.K. Factors significant for clinical-and-labor prognosis in elderly patients with ischemic heart disease after surgical myocardial revascularization. Adv. Gerontol., 2014, 27 (1), 120–123. PMID: 25051768.
  14. Kantemirova R.K., Fidarova Z.D., Krivenkov S.G. et al. Evaluation of the clinical, psychological and socio-environmental factors, affecting disability of elderly people undergoing surgical myocardial revascularization. Adv.Gerontol., 2014, 27 (2), 382–388. PMID: 25306675.
  15. Солодухин А.В., Серый А.В., Яницкий М.С., Трубникова О.А. Возможности методов когнитивно-
  16. Solodukhin A.V., Seryy A.V., Yanitskiy M.S., Trubnikova O.A. Cognitive behavioral therapy: an option for changing internal picture of disease in patients with coronary artery disease. Fundamental'naya i klinicheskaya meditsina. 2017; 2 (1): 84–90. (In Russ.)
  17. Solodukhin A.V., Maleva O.V., Kukhareva I.N. et al. Behavioral patterns in patients undergoing coronary artery bypass grafting. Kompleksnye problemy serdechno-sosudistykh zabolevaniy. 2017; 6 (4): 14–20. (In Russ.)

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© 2019 Solodukhin A.V., Trubnikova O.A., Seryy A.V., Yanitskiy M.S., Barbarash O.L.

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