Personality disorders and cardiovascular diseases (on model of cardiopersonified syndromes)
Abstract
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).
About the Authors
E. S. Ternovaya
I.M. Sechenov First MSMU
Russian Federation
Russian Federation
post-graduate student of the chair of psychiatry and psychosomatics of the Institute of professional education
B. А. Volel
I.M. Sechenov First MSMU
Russian Federation
Russian Federation
MD, prof. of the chair of psychiatry and psychosomatics of the Institute of professional education
E. A. Syrkina
I.M. Sechenov First MSMU
Russian Federation
Russian Federation
Elena Abramovna Syrkina, PhD, assistant prof. of the chair of preventive and emergency cardiology of the Institute of professional education
6–1 B. Pirogovskaya str., Moscow, 119992
8 (499) 248–78–66
I. B. Ardzinba
I.M. Sechenov First MSMU
Russian Federation
Russian Federation
post-graduate student of the chair of preventive and emergency cardiology of the Institute of professional education
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