Reactivity to psychoemotional stress: clinical aspects in hypertension

Антропова, О. Н.; Осипова, И. В.

doi:10.18705/1607-419x-2018-24-2-145-150

Cited by 4 publications

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“…Эта особенность может пониматься как конституциональная слабость ССС. Вопрос о реактивности на психоэмоциональный стресс при АГ и состоянии предгипертензии описан в обзоре О. Н. Антроповой и И. В. Осиповой [20]. Эти исследователи подчеркивают высокий научно-практический потенциал исследований этой особенности организма при АГ и предгипертензии.…”

Section: особенности психовегетативных отношенийunclassified

Psychosomatic relationships in patients with hypertension

Ларионов

2020

Russ J Cardiol

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В статье с позиции системной концепции психической адаптации и дезадаптации рассмотрены психологические и соматические факторы, связанные с артериальной гипертензией (АГ), и особенности психовегетативных отношений при АГ. Выделены эмоционально-личностные особенности лиц с АГ (поведение, тревожность, алекситимия, невротические черты и когнитивная регуляция эмоций) и отмечено их изменение под влиянием болезни. Отмечены некоторые аспекты приспособления к болезни, приверженности лечению и динамики качества жизни лиц с АГ. С критической точки зрения проанализированы данные исследований и предложены новые пути поиска психосоматических факторов, связанных с АГ. Предлагается сместить акцент с изолированного изучения личностных особенностей, а внимание направить на изучение особенностей психовегетативных отношений при АГ, в частности связи регуляции эмоций (РЭ) с реакцией сердечно-сосудистой системы на стресс. В связи с наличием связи РЭ с изменениями артериального давления и возможности корректировки РЭ в процессе психологической помощи, а следовательно, и лечения АГ, этот подход заслуживает дальнейшего рассмотрения в рамках сотрудничества медицинского персонала и психологов. Ключевые слова: артериальная гипертензия, психосоматические отношения, психосоматические факторы, эмоционально-личностные особенности, регуляция эмоций. Отношения и деятельность: нет. Университет Казимира Великого, Быдгощ, Польша. Ларионов П. М. -докторант кафедры психологии здоровья факультета психо- Psychosomatic relationships in patients with hypertensionLarionov P. M.The article discusses the psychological and somatic factors associated with hypertension (HTN) and the characteristics of psychovegetative relationships in HTN from the perspective of a systemic concept of mental adaptation and maladaptation. Emotional and personality traits of individuals with HTN (behavior, anxiety, alexithymia, neurotic traits and cognitive emotion regulation) were identified and their change under the disease effect was noted. Some aspects of adaptation to the disease, adherence to treatment and changes of life quality in people with HTN are noted. Research data were critically analyzed and new lines of searching for psychosomatic factors associated with HTN were suggested. It was proposed to shift the focus from an isolated study of personality traits, and focus on the study of psychovegetative relationships in HTN, in particular, the relationship of emotion regulation (ER) with the cardiovascular response to stress. Due to the association of ER with blood pressure changes and the opportunity to improve ER through psychological aid, and therefore, treat HTN, this approach deserves further consideration as a part of cooperation between medical workers and psychologists.For citation: Larionov P. M. Psychosomatic relationships in patients with hypertension.

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Section: особенности психовегетативных отношенийunclassified

Psychosomatic relationships in patients with hypertension

Ларионов

2020

Russ J Cardiol

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Possibilities of methods for assessing the severity of occupational stress and determining its role in the formation of individual cardiovascular risk in military personnel of the Navy

Sobolev¹,

Черкашин²,

Vypritsky³

et al. 2022

Russian Military Medical Academy Reports

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The relevance of cardiovascular diseases among the military personnel of the Russian Navy is reflected, as well as the role of occupational stressful load in the formation of cardiovascular risk. The results of a single-stage study were demonstrated, which included 86 men aged 2340 years, in the course of the study they were divided into two groups corresponding to different professional loads. The profile of behavioral factors associated with cardiovascular risk (anthropometric indicators, adherence to smoking, amount of alcohol consumed, food preference), as well as morphological and functional indicators of the system, was studied in servicemen exposed to and not exposed to factors caused by staying in deep-sea technical means, blood circulation. The effectiveness of stress testing was assessed, which included the Reeder self-assessment scale for psychosocial stress, the hospital scale for anxiety and depression, a work stress questionnaire, and a differential assessment of the state of reduced performance. It was revealed that the profile of cardiovascular risk in servicemen of both groups is low, however, there is a significant difference in a number of indicators (the amount of adipose tissue detected by bioimpedansometry, total cholesterol level, an increase in heart rate during psycho-mental test, values of vascular age and the scale of relative cardiovascular risk The most informative technique, which made it possible to identify significant differences between the study groups, is the questionnaire of work stress Ch. Spielberg 1989, adapted by A.B. Leonova and S.B. Velichkovskaya, 2000. It has been determined that the severity of occupational stress factors on the formation of cardiovascular risk in servicemen exposed to factors caused by their stay in deep-sea technical equipment is lower than among servicemen in the control group, which is expressed in lower values of additional methods for assessing stressful impact, as well as in the absence of significant associations between the indicators characterizing the occupational stress-generating load and the indicators of the circulatory system. The importance of the formation of stress resistance is reflected, achieved by high requirements of professional selection, regular training of professional skills, as well as the creation of a favorable professional environment.

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Disadaptive reactions of the cardiovascular system in relation to sleep and coping behavior in students of northern medical institute

2019

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The aim of the study is to assess the relation between hemodynamic parameters and coping behavior and sleep in order to maintain health of students of the northern university. Design and methods. We examined 96 students of the northern medical university (61 females). During academic days, we performed ambulatory monitoring of blood pressure (ABPM) 24 h + 10–120 minutes. We analyzed following parameters: mezors of heart rate (HR), systolic (SBP), diastolic (DBP), and pulse blood pressure (BP), mean BP, Kerdo autonomic index (KI), functional change index (FCI); hypertension time indices of SBP (TI SBP) and DBD (TI DBP) (%), variability of SBP (Var. SBD) and DBD (Var. DBP); night dipping of SBP and DBP (%). We assessed coping behavior. The sleep was assessed using the subjective characteristics of sleep questionnaire and the Epworth sleepiness scale. Statistical analysis was performed using Statistica 10.0 and Excel 2013 software. Results. We found optimal/normal values of mean BP and intersexual differences among students. Female students in all periods showed higher rates of HR and sympathetic influences; males had higher SBD, higher TI SBP during day and night, higher SBP variability at night, and tended to develop isolated systolic hypertension. Parameters and dynamics of the vascular component of BP are in normal ranges. We did not find significant intersexual differences in mechanisms of the vascular regulation. Cardiovascular system regulation in males depended on the sleep and coping, and it was more autonomous from behavior in girls. Conclusions. One of the most effective and affordable ways to prevent cardiovascular diseases during the university education is the consistent training of students in adaptive behavior in a situation of psycho-emotional stress and recommendations on sleep hygiene. Greater efficiency of the learning adaptive coping behavior can be expected in males, and male gender is one of the non-modifiable risk factors for cardiovascular pathology.

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Reactivity to psychoemotional stress: clinical aspects in hypertension

Cited by 4 publications

References 0 publications

Psychosomatic relationships in patients with hypertension

Psychosomatic relationships in patients with hypertension

Possibilities of methods for assessing the severity of occupational stress and determining its role in the formation of individual cardiovascular risk in military personnel of the Navy

Disadaptive reactions of the cardiovascular system in relation to sleep and coping behavior in students of northern medical institute

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