Worries and Fears in the System of Attitudes to Personal Security of Patients with Cardiovascular Diseases

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Abstract


This paper presents the results of studying the psychological aspects of attitudes to personal security of patients with coronary artery disease (CAD) and heart defects. The research involved 40 patients aged 45 to 81 years (47.5 % male, 52.5 % female): 20 patients with ischemic heart disease with stable angina and 20 patients with acquired heart defects. In the course of the research conducted with the help of the techniques based on subjective scaling, the attitudes to personal security, including the sources of threats, the consequences of the realization of threats and the assessment of efforts on the counteraction to these threats, posing in the author’s theoretical model as the components of the system of the attitudes to personal security, have been studied. The results show that in the patients with heart diseases, the assessments for a variety of threats, the consequences of their realization and the efforts on the counteraction to them are significantly higher, than in the patients with CAD. In general, the estimates for all the parameters in the group of the patients with CAD were closer to the estimates of healthy people, obtained in the previous studies. In the patients with heart defects, characterized by a greater duration and disease severity, the results of the indicators of the attitudes to personal security, in general, are higher and less differentiated. The conclusion is made that the attitudes to personal security as a part of the system of the psychological attitudes in general, can act as a diagnostic criterion and the indicator of the efficiency of the adaptation in cardiovascular diseases and also can be an independent target of the correctional work in a psychological consultation and psychotherapy of the patients with cardiovascular diseases. In the conclusion the recommendations for the experts who are engaged in the psychological help to the patients with cardiovascular diseases in diagnostic and correctional work with the attitudes to personal security are formulated.


About the authors

Mikhail S Ivanov

Kemerovo State University

Author for correspondence.
Email: ivanov.mikail@gmail.com
6 Krasnaya St., Kemerovo, 650000, Russian Federation

Ph.D. in Psychology, Associate Professor of the Psychological Sciences Department, Kemerovo State University (Kemerovo, Russia).

Anton V Solodukhin

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

Email: mein11@mail.ru
6 Krasnaya St., Kemerovo, 650000, Russian Federation; 6 Sosnovyj Blvd, Kemerovo, 650002, Russian Federation

laboratory researcher, Laboratory of Neurovascular Pathology, Research Institute of Complex Problems of Cardiovascular Disease (Kemerovo, Russia).

Svetlana A Pomeshkina

Research Institute for Complex Issues of Cardiovascular Diseases

Email: swetlana.sap2@mail.ru
6 Sosnovyj Blvd, Kemerovo, 650002, Russian Federation

MD, Head of the Rehabilitation Laboratory of Research Institute of Complex Problems of Cardiovascular Disease (Kemerovo, Russia)

Andrey V Seryy

Kemerovo State University

Email: avgrey@yahoo.com
6 Krasnaya St., Kemerovo, 650000, Russian Federation

Doctor Sc. of Psychology, Full Professor, Professor of the Psychological Sciences Department, Kemerovo State University (Kemerovo, Russia).

Mikhail S Yanitsky

Kemerovo State University

Email: direktorspi@kemsu.ru
6 Krasnaya St., Kemerovo, 650000, Russian Federation

Doctor Sc. of Psychology, Full Professor, Head of the Psychological Sciences Department, Director of the Socio-Psychological Institute of Kemerovo State University (Kemerovo, Russia).

Elena V Gorbunova

Research Institute for Complex Issues of Cardiovascular Diseases

Email: e.v.gorbunova@yandex.ru
6 Sosnovyj Blvd, Kemerovo, 650002, Russian Federation

MD, leading researcher of the Laboratory of Heart Rhythm Disturbances and Electrocardiostimulation, Research Institute of Complex Problems of Cardiovascular Disease, Head of the Polyclinic of the Kemerovo Regional Clinical Dispensary named after Academician L.S. Barbarash (Kemerovo, Russia).

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Copyright (c) 2018 Ivanov M.S., Solodukhin A.V., Pomeshkina S.A., Seryy A.V., Yanitsky M.S., Gorbunova E.V.

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