FEATURES OF ADAPTATION TO CORONARY HEART DISEASE ASSOCIATED WITH PSYCHOLOGICAL REHABILITATION: LITERATURE REVIEW
Keywords:
coronary heart disease, coping strategies, defense mechanisms, internal picture of the disease, illness perception, adaptation, psychological rehabilitation, psychological intervention
Abstract
Abstract. Coronary heart disease (CHD) is the most common form of heart disease and considered to be one of the most urgent public health problems in advanced countries. Understanding psychological features of patients with coronary artery disease is essential for the development and improvement of psychological rehabilitation techniques. Correctly selected techniques improve life quality, reduce anxiety and stress, thus improving patients' physical condition. Aim. The paper aims to review and compare modern Russian and foreign literature on the psychological adaptation of CHD patients, including coping strategies, defense mechanisms, illness perception and rehabilitation techniques affecting patients’ adaptation to the disease. Conclusion. According to foreign and domestic sources, various techniques are used to assess the psychological features of CHD patients, including coping strategies, defense mechanisms, illness perception, etc. Identifying these features is important for obtaining comprehensive information about patients’ adaptation to the disease and improving rehabilitation techniques. An analysis of coping strategies shows that patients are more likely to use problem-solving strategies, regardless of the surgery performed. The most preferable defense mechanisms are intellectualization and denial. The internal picture of the disease, according to domestic sources, is characterized by anosognosic and ergopathic types. Illness perception, according to foreign sources, includes awareness of the diagnosis; concern about the course of the disease, about its further development and negative impact on life. The most effective psychological interventions are psychotherapy and group psychotherapeutic treatment. A characteristic decrease in anxiety, fear, and depression was revealed, as well as an improvement in the quality of life after psychological rehabilitation.
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References
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25. Laferton J.A., Auer C.J., Shedden-Mora M.C. et al. Optimizing preoperative expectations in cardiac surgery patients is moderated by level of disability: the successful development of a brief psychological intervention. Psychol Health Med. 2016; 21 (3): 272–285. DOI: 10.1080/13548506.2015.1051063
26. Sommaruga M. Cognitive and Behavioral Psychotherapy in Coronary Artery Disease. In: Roncella A., Pristipino C. (eds) Psychotherapy for Ischemic Heart Disease. Springer. Cham. 2016: 159–172. DOI: 10.1007/978-3-319-33214-7_11
27. Aghaei M., Samkhaniyan E., Mahdavi A. et al. Effectiveness of behavioral-cognitive group therapy on depression, anxiety, and stress of patients with coronary heart disease. J Med Life. 2015; 8 (SI 4): 252–257. https://pubmed.ncbi.nlm.nih.gov/28316740/
28. Nikrahan G.R., Suarez L., Asgari K. et al. Positive Psychology Interventions for Patients With Heart Disease: A Preliminary Randomized Trial. Psychosomatics. 2016; 57 (4): 348–358. DOI: 10.1016/j.psym.2016.03.003.
29. Solodukhin A.V., Vidyaeva N.G., Trubnikova O.A. et al. Life-purpose orientations as the target of cognitivebehavioral therapy among patients with coronary artery disease preparing for the coronary bypass surgery. Sibirskiy Psikhologicheskiy Zhurnal = Siberian journal of psychology. 2018; 70: 93–102. (in Russ.). DOI: 10.17223/17267080/70/7
30. Richards S., Anderson L., Jenkinson C. et al. Psychological interventions for coronary heart disease. Cochrane Database of Systematic Reviews. 2017; 4 (CD002902). DOI: 10.1002/14651858.CD002902.pub4
31. Salavati M., Fallahinia G., Vardanjani A.E. et al. Comparison Between Effects of Home Based Cardiac Rehabilitation Programs Versus Usual Care on the Patients Health Related Quality of Life After Coronary Artery Bypass Graft. Glob J Health Sci. 2015; 8 (4): 196–202. DOI: 10.5539/gjhs.v8n4p196
2. Kupper N., Denollet J. Type D Personality as a Risk Factor in Coronary Heart Disease: a Review of Current Evidence. Curr Cardiol Rep. 2018; 20 (11): 104. DOI: 10.1007/s11886-018-1048-x
3. Lundgren O., Garvin P., Jonasson L. et al. Psychological resources are associated with reduced incidence of coronary heart disease. An 8-year follow-up of a community-based Swedish sample. International journal of behavioral medicine. 2015; 22 (1): 77–84. DOI: 10.1007/s12529-014-9387-5.
4. Nasiłowska-Barud A., Zapolski T., Barud M., Wysokiński A. Overt and Covert Anxiety as a Toxic Factor in Ischemic Heart Disease in Women: The Link Between Psychological Factors and Heart Disease. Medical Science Monitor. 2017; 23: 751–758. DOI: 10.12659/msm.902544
5. Solodukhin A.V., Trubnikova O.A., Seryy A.V. et al. 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. Kazanskii meditsinskii zhurnal = Kazan medical journal. 2019; 100 (2): 214–220. (in Russ.). DOI 10.17816/KMJ2019-214.
6. Ovchinnikov A.A., Sultanova A.N. Features of mechanisms of psychological protection and сoping strategy at patients with coronary heart disease. Journal of Siberian Medical Sciences. 2015; (3): 36. (in Russ.). https://www.elibrary.ru/item.asp?id=26027224
7. Moryś J.M., Bellwon J., Jeżewska M. et al. The evaluation of stress coping styles and type D personality in patients with coronary artery disease. Kardiologia polska. 2015; 73 (7): 557–566. DOI: 10.5603/KP.a2015.0039
8. Yakovleva M.V., Shchelkova O.Yu. Attitude to the disease and treatment of patients with coronary heart disease after coronary bypass surgery. Nauchnye issledovaniya vypusknikov fakul'teta psikhologii SPbGU = Scientific research of graduates of the Faculty of Psychology of St. Petersburg State University. 2014; 2: 349–355. (in Russ.). https://www.elibrary.ru/item.asp?id=21955968
9. Eşlik M., Çetinkaya A. C. Self-Efficacy Perceptions in Coping of the Patients Post-Coronary Artery Bypass Graft Surgery. Turkish Journal of Cardiovascular Nursing. 2019; 10 (22): 41–49. DOI: 10.5543/khd.2019.73644
10. Monirpour N. Post coronary heart diseases depression: role of illness perception and copping strategies. Iranian Journal of Health Psychology. 2016; 1 (1): 49–60 https://www.sid.ir/en/Journal/ ViewPaper.aspx?ID=754734
11. Chauvet-Gelinier J.-C., Bonin, B. Stress, anxiety and depression in heart disease patients: A major challenge for cardiac rehabilitation. Annals of Physical and Rehabilitation Medicine. 2017; 60 (1): 6–12. DOI: 10.1016/j.rehab.2016.09.002
12. Baranskaya L.T., Yemelyanova L.A., Grigorova N.E. Motivational and semantic component of internal pigture of disease in patients with ischemic heart disease. Uralskii meditsinskii zhurnal = Ural Medical Journal. 2018; 12 (167): 42–49. (in Russ.). DOI: 10.25694/URMJ.2018.12.20
13. Mendonça K.M.B, de Andrade T.M. Patients Perception about Coronary Artery Bypass Grafting. Brazilian Journal of Cardiovascular Surgery. 2015; 30 (5): 544–551. DOI: 10.5935/1678-9741.20150060.
14. Boogar I.R., Rezaei A., Mohamadpoor S. Quality of Life in Coronary Heart Disease Patients: The Role of Defense Mechanisms and Alexithymia with Mediation of Psychological Distress. Iranian Journal of Psychiatry and Behavioral Sciences. 2017; 11 (3). DOI: 10.5812/ijpbs.8567.
15. Iakovleva M.V., Lubinskaya C.I. Internal picture of the disease as a factor of adherence to treatment after coronary bypass surgery. Vestnik Yuzhno-Uralskogo gosudarstvennogo universiteta. Seriya: Psikhologiya = Bulletin of the South Ural State University. Series: Psychology. 2015; 8 (2): 59–70. (in Russ.). https://www.elibrary.ru/item.asp?id=23693002
16. Shtrakhova A.V., Semiryazhko A.V. Features and intratseptsii internal picture of illness in patients with painful and painless coronary heart disease. Vestnik Yuzhno-Uralskogo gosudarstvennogo universiteta. Seriya: Psikhologiya = Bulletin of the South Ural State University. Series: Psychology. 2015; 8 (2): 43–58. (in Russ.). https://www.elibrary.ru/item.asp?id=23693001
17. Rasskazova E.I. Russian version of the illness perception questionnaire (IPQ-R): validation in the patients with non-psychotic depressions. Vestnik Moskovskogo universiteta. Seriya 14: Psikhologiya = Moscow University Psychology Bulletin. Series 14. Psychology. 2016; 1: 123–142. (in Russ.). https://www.elibrary.ru/item.asp?id=26020346
18. Pačarić S., Turk T., Erić I. et al. Assessment of the Quality of Life in Patients before and after Coronary Artery Bypass Grafting (CABG): A Prospective Study. Int J Environ Res Public Health. 2020; 17 (4): 1417. DOI: 10.3390/ijerph17041417
19. Esenkova N.Yu. Internal picture of the disease and peculiarities of resilience in patients with coronary heart disease who underwent cardiac surgery. Zhivaya psikhologiya = Russian Journal of Humanistic Psychology. 2018; 5 (2): 173–180. (in Russ.). DOI: 10.18334/lp.5.2.39226
20. Kidd T., Poole L., Leigh E. et al. Health-related personal control predicts depression symptoms and quality of life but not health behaviour following coronary artery bypass graft surgery. J Behav Med. 2016; 39 (1): 120–127. DOI: 10.1007/s10865-015-9677-7
21. Al-Smadi A.M., Ashour A., Hweidi I., et al. Illness perception in patients with coronary artery disease: A systematic review. International Journal of Nursing Practice. 2016; 22 (6): 633–648. DOI: 10.1111/ijn.12494.
22. Mosleh S.M., Almalik M.M. Illness perception and adherence to healthy behaviour in Jordanian coronary heart disease patients. European Journal of Cardiovascular Nursing. 2016; 15 (4): 223–230. DOI: 10.1177/1474515114563885
23. Paryad E., Balasi L.R., Kazemnejad E., Booraki S. Predictors of Illness Perception in Patients Undergoing Coronary Artery Bypass Surgery. Journal of Cardiovascular Disease Research. 2017; 8 (1): 16–18. DOI: 10.5530/jcdr.2017.1.3.
24. Biondi-Zoccai G., Mazza M., Roever L. et al. Evidence-Based Psychotherapy in Ischemic Heart Disease: Umbrella Review and Updated Meta-Analysis. In: Roncella A., Pristipino C. (eds) Psychotherapy for Ischemic Heart Disease. Springer. Cham. 2016. DOI: 10.1007/978-3-319-33214-7_10
25. Laferton J.A., Auer C.J., Shedden-Mora M.C. et al. Optimizing preoperative expectations in cardiac surgery patients is moderated by level of disability: the successful development of a brief psychological intervention. Psychol Health Med. 2016; 21 (3): 272–285. DOI: 10.1080/13548506.2015.1051063
26. Sommaruga M. Cognitive and Behavioral Psychotherapy in Coronary Artery Disease. In: Roncella A., Pristipino C. (eds) Psychotherapy for Ischemic Heart Disease. Springer. Cham. 2016: 159–172. DOI: 10.1007/978-3-319-33214-7_11
27. Aghaei M., Samkhaniyan E., Mahdavi A. et al. Effectiveness of behavioral-cognitive group therapy on depression, anxiety, and stress of patients with coronary heart disease. J Med Life. 2015; 8 (SI 4): 252–257. https://pubmed.ncbi.nlm.nih.gov/28316740/
28. Nikrahan G.R., Suarez L., Asgari K. et al. Positive Psychology Interventions for Patients With Heart Disease: A Preliminary Randomized Trial. Psychosomatics. 2016; 57 (4): 348–358. DOI: 10.1016/j.psym.2016.03.003.
29. Solodukhin A.V., Vidyaeva N.G., Trubnikova O.A. et al. Life-purpose orientations as the target of cognitivebehavioral therapy among patients with coronary artery disease preparing for the coronary bypass surgery. Sibirskiy Psikhologicheskiy Zhurnal = Siberian journal of psychology. 2018; 70: 93–102. (in Russ.). DOI: 10.17223/17267080/70/7
30. Richards S., Anderson L., Jenkinson C. et al. Psychological interventions for coronary heart disease. Cochrane Database of Systematic Reviews. 2017; 4 (CD002902). DOI: 10.1002/14651858.CD002902.pub4
31. Salavati M., Fallahinia G., Vardanjani A.E. et al. Comparison Between Effects of Home Based Cardiac Rehabilitation Programs Versus Usual Care on the Patients Health Related Quality of Life After Coronary Artery Bypass Graft. Glob J Health Sci. 2015; 8 (4): 196–202. DOI: 10.5539/gjhs.v8n4p196
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Published
2021-07-11
How to Cite
Velikanov, A., & Lisakova, A. (2021). FEATURES OF ADAPTATION TO CORONARY HEART DISEASE ASSOCIATED WITH PSYCHOLOGICAL REHABILITATION: LITERATURE REVIEW. Psychology. Psychophysiology, 14(2), 78-88. https://doi.org/10.14529/jpps210208
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Section
Medical (clinical) psychology
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