After analyzing the psychosocial context in which the professional stress appeared and the professional stress appearance in case of ICU personnel, specialized authors propose an antistress program, whose application points are represented by: 1. decrease the action of the stress initiators, specific to the ICU environment (focusing on improvement the unfavorable working condition, but also on controlled reduction of the negative emotional impact, through psychological counseling and psychotherapy, including a climate of mutual peer support); 2. achieving a rigorous psychological and physical recovery, considering the following personal goals: covering the basic psychological needs (affiliation, long-term security and new experience) (Linton) and obtaining an optimal balance between the level of aspirations and possibilities. In cases where the personal resources and the social support – absolutely necessary – are not enough, especially when the first signs of SBO have already appeared, the psychotherapy becomes very appropriate, especially cognitive-behavioral therapy and, in the future, Well Being Psychoterapy. As the avalanche of psyhical stress occurred in the current activity of ICU personnel can only be reduced – SBO appearance can be prevented only in cases where, starting with the psychological examination at the ICU specialty admission, prophylactic measures (rehabilitation) will be undertaken, including our proposed program.

No abstract

No abstract

Friedman and Rosenman are highlighting behavioral type A as a major riskfactor for evolution worsening of myocardial infarction, was first and decisive step for clearly specifying the role of supportive psychosocial factors in etiopathogenesis of the coronary heart disease. Then, the reason that this type of behavior has been highlighted in other psychosomatic diseases (and even some healthy subjects) led to the need to fi nd other psychological variables – of personality, especially – associated with type A and convincing predictive value numerous epidemiological and experimental studies. In the last two decades has been it’s presence in some carriers of type A – which showed clinical and laboratory manifestations of coronary artery disease (including exploration angiographic coronary flow and computerized measurements) – this constant in varying degrees of complex traits emotional underpinning of increased aggression: hostility (cognitive and/or behavioral) – in particular internalized anger (anger-in) and ruminative anger. These variables have the correspondent psychological, somatic plan, vascular hyperreactivity to stress hormones (catecholamines and cortisol in particular) resulting in increased plasma cholesterol, myocardial oxygen consumption, the platelets aggregation etc. In essentially agressive featuters frequently expressed to the many distress “collected” by holders type A, pressed myocardium with pathophysiological changes specific for aggression.

Today, cardiovascular diseases represent a very important issue in the study of human health around the world. We conducted the present taking into account the negative impact that these diseases have on our lives. Our study aims to engage in a psychomedical sense in the behavior of patients with heart problems, negatively influenced on one hand by the alert lifestyle of the contemporary society, and on the other hand of anxiety and depression, most often found in the clinical picture of cardiovascular patients. Objectives. The introduction of psychotherapy treatment sessions for coronary patients with anxiety and depression, observing the interrelations that arise after these sessions. Methods and materials. The study was conducted on a sample consisting of 62 people, men and women with cardiovascular diseases and anxiety and depression. The following questionnaires were used: Hamilton for anxiety and Beck for depression. Patients went through a total of 20 sessions of psychotherapy, custom made for each one, because the same disease can be experienced differently, depending on the patient's psychological reactivity. Results. Following the proposed program of therapy, the results were represented in graphs and statistically analyzed. Debate. A positive role of the psychotherapy sessions is noted, especially in the light and medium phase of depression and anxiety.