INFLUENCE OF BEHAVIORAL AND PSYCHO-EMOTIONAL STRESS-POTENTIAL FACTORS DEPENDING ON THE LEVEL OF STRESS IN PATIENTS WITH CEREBROVASCULAR PATHOLOGY
Abstract
To assess the impact of behavioral and psychoemotional stress-potentiating factors depending on the level of vulnerability to stress in patients with cerebrovascular pathology in the dynamics of its development, 383 patients with cerebrovascular pathology of various degrees of manifestation. These degrees were examined to determine the target of medical and psychological assistance (main group): from a high risk of developing the disease due to the presence of cardiovascular risk factors to a vascular catastrophe in history. The study included 122 patients, who were characterized by the presence of cardiovascular diseases with a high risk of developing cerebrovascular disease (group 1); 134 patients with clinical manifestations of cerebrovascular disease in the form of a transient ischemic attack in history (group 2) and 127 patients who had ischemic cerebral stroke (group 3). The inclusion criteria for the study participants were: a high risk or a clinically expanded picture of cerebrovascular disease, which developed against the background of cardiovascular diseases in the form of hypertension and ischemic heart disease, verified by a clinical laboratory method; lack of psychiatric and substance abuse history, disorders of consciousness and psychotic states at the time of inspection. The exclusion criteria were: a history of mental and behavioral disorders, severe concomitant somatic pathology (state of decompensation), severe somatic diseases (except cardiovascular and cerebrovascular disease), which may affect the mental state of patients. As a result, the work revealed a higher level of stress load in patients with cardiovascular risk and cerebrovascular disease compared to conditionally healthy examined patients, which indicates a prognostically greater stress vulnerability of this category of patients and draws attention to the importance of the role of stress in the development of the disease. In the genesis of (psycho) somatic disorders, behavioral and psycho-emotional factors were important, with the latter predominating in the development of pathology. The great importance of stress for cerebrovascular disease indicates the need for medical and psychological assistance in the treatment of such patients.
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References
Cardiovascular Health in Anxiety or Mood Problems Study (CHAMPS): study protocol for a randomized controlled trial / J. Tully Phillip, A. Turnbull Deborah, D. Horowitz John [et al.] // Trials. – 2016. – Vol. 17. – doi: 10.1186/s13063-015-1109-z
Мищенко Т. С. Эпидемиология цереброваскулярных заболеваний и организация помощи больным с мозговым инсультом в Украине / Т. С. Мищенко // Укр. вісн. психоневрології. – 2017. – Т. 25, вип. 1 (90). – С. 22–24.
WHO Mental health in the workplace Information Sheet (updated September 2017). – 2017.
Comorbidity Factors and Brain Mechanisms Linking Chronic Stress and Systemic Illness / V. Duric, S. Clayton, M. L. Leong, Li-L. Yuan // Neural Plast. – 2016. – URL: 5460732. Published online 2016 Feb 8. – doi: 10.1155/2016/5460732
Anxiety, Stress-Related Factors, and Blood Pressure in Young Adults / N. Mucci, G. Giorgi, S. De P. Ceratti [et al.] // Front Psychol. – 2016. – Vol. 7. – URL: 1682. Published online 2016 Oct 28. – doi: 10.3389/fpsyg.2016.01682
Charting the perfect storm: emerging biological interfaces between stress and stroke / G. Kronenberg, J. Schöner, C. Nolte [et al.] // Eur Arch Psychiatry Clin Neurosci. – 2017. – Vol. 267 (6). – P. 487–494. – URL: Published online 2017 Apr 9. – doi: 10.1007/s00406-017-0794-x
Стрес і хвороби системи кровообігу: посіб.; за ред. В. М. Коваленко, В. М. Корнацького. – К.: В. Ю. Коломішин, 2015. – 352 с.
Perceived Stress Is Associated With Subclinical Cerebrovascular Disease in Older Adults / T. Aggarwal Neelum, J. Clark Cari, L. Beck Todd [et al.] // Am J. Geriatr Psychiatry. – 2014. – Vol. 22 (1). – URL: 10.1016/j. jagp.2012.06.001. Published online 2013 Jan 9. – doi 10.1016/j.jagp.2012.06.001
Маркова М. В. Медико-психологічні аспекти розвитку та перебігу хвороб системи кровообігу / М. В. Маркова, В. В. Бабич // Новости медицины и фармации. Неврология и психиатрия. Специализированный выпуск. – 2008. – № 243. – С. 71–74.
Känel R. Acute mental stress and hemostasis: when physiology becomes vascular harm / R. Känel // Thromb Res. – 2015. – Vol. 135, Suppl 1. – P. 52–55. – doi: 10.1016/S0049-3848(15)50444-1
Bossé S. Childhood Trauma, Perceived Stress, and Hair Cortisol in Adults With and Without Cardiovascular Disease / S. Bossé T. , Stalder, B. D’Antono // Psychosom Med. – 2018. – Vol. 80 (4). – P. 393–402. – URL: Published online 2018 Mar 7. – doi: 10.1097/ PSY.0000000000000569
Vaccarino V. Behavioral, emotional and neurobiological determinants of coronary heart disease risk in women / V. Vaccarino, J. Bremner Douglas // Neurosci Biobehav Rev. – 2017. – Vol. 74. – P. 297–309. – doi: 10.1016/j.neubiorev.2016.04.023
Njomboro Progress. Social Cognition Deficits: Current Position and Future Directions for Neuropsychological Interventions in Cerebrovascular Disease // Behav Neurol. – 2017. – URL: 2627487. Published online 2017 Jul 3. – doi: 10.1155/2017/2627487
Smoking History, and Not Depression, is Related to Deficits in Detection of Happy and Sad Faces / K. K. Meyers, N. A. Crane, R. O’Day [et al.] // Addict Behav. – 2015. – Vol. 41. – P. 210–217. – URL: Published online 2014 Oct 23. – doi: 10.1016/j.addbeh.2014.10.012 15. Психодиагностика стресса: практикум; сост. Р. В. Куприянов, Ю. М. Кузьмина. – Казань: КНИТУ, 2012. – 212 с.
