A COMPREHENSIVE APPROACH TO DISTRIBUTION OF THE PRIMARY AND SECONDARY OPTIONS OF IOPOCHONDRIC STATES IN THE PERSON WITH CARDIOVASCULAR PATHOLOGY
Inna Dema
Zaporizhzhya State Medical University
PDF 25-36 (Українська)

Keywords

cardiovascular catastrophes
hypochondria states
emotional functioning

How to Cite

Dema, I. (2018). A COMPREHENSIVE APPROACH TO DISTRIBUTION OF THE PRIMARY AND SECONDARY OPTIONS OF IOPOCHONDRIC STATES IN THE PERSON WITH CARDIOVASCULAR PATHOLOGY. PSYCHOLOGICAL JOURNAL, 4(9), 25-36. https://doi.org/10.31108/1.2018.9.19.2

Abstract

In order to systematize clinical anamnestic, clinical and psychological and psychopathological data on the delimitation of the primary and secondary variants of the hypochondria in patients undergoing cardiovascular catastrophes, 100 patients with a cardiological pathology with manifestations of hypochondria symptoms who suffered a myocardial infarction, a pulmonary artery thromboembolism and a number similar to the genesis and degree of threat of states. The patients were divided into groups based on the hypochondriaal symptoms presented. The first group included 48 people who were internally determined character hypochondriacal symptoms - primary hypochondria (ehosyntonyy nature of the symptoms, self limiting activity, the absence of an external locus of control behavior). The second group involved 52 individuals with externally determined character of hypochondria symptoms - secondary hypochondria (egodistonic character of symptoms, external limitation of activity, presence of external locus of control over behavior).

To establish the levels and structure of the manifestations of hypochondriaal symptoms in the contingent of the study, as well as to establish the patho-psychological characteristics of the patients, the features of the internal picture of the disease, the spectrum of reactions to the psychogenic factors in the structure of the disease were used: "Questionnaire on the social significance of Serdyuk's illness", questionnaire " mood "," The questionnaire of coping with stress "(Version of the story - Gordeyeva - Osina). For the study of psychopathological manifestations of hypochondria, the clinical scale of general psychopathological symptoms (GPS) in PANSS was used.

According to the results of the study, there are differences between persons with "primary" and "secondary" hypochondria in terms of life history and illnesses related to the traits of personality traumatic personality, which is important in amplifying (potentiating) anomalies of perception of the disease / blocking mechanisms of reduction of irrational ideas, features the course of the disease, which may lead to a negative perception of the disease, peculiarities of family, labor and other specific social conditions of importance in amplification (potentiation) anomalies of the perception of the disease.

In the course of the study systematized clinical-anamnestic, clinical-psychological and psychopathological data on the delimitation of the primary and secondary variants of the hypochondria in patients undergoing cardiovascular catastrophes

 

PDF 25-36 (Українська)

References

Ларева Н. В. Тревога и депрессия у больных пожилого возраста, страдающих артериальной гипертензией и ишемической болезнью сердца / Н. В. Ларева, Т. В. Валова // Сибирский медицинский журнал. – 2013. – № 2 (117). – С. 53–56.

Смулевич А. Б., Дубницкая Э. Б. Современный взгляд на проблему ипохондрии в аспекте клиники и терапии. // Фарматека: международный медицинский журнал. 2006. – № 7 . – С. 71–76.

Bouman T. (2014). Psychological treatments for hypochondriasis: a narrative review. Current Psychiatry Reviews, 10, 58–69.

Channer K. S., Papouchado M, James M. A., Rees J. R. Anxiety and depression in patients with chest pain referred for exercise testing. Lancet. 1985;2:820–823.

Dammen T., Arnesen H., Ekeberg O., Friis S. Psychological factors, pain attribution and medical morbidity in chest-pain patients with and without coronary artery disease. Gen Hosp Psychiatry. 2004;26:463–469.

Gureje O., Ustun, T. B. and Simon, G. E. (1997). The syndrome of hypochondriasis: a cross-national Warwick, H. M. and Marks, I. M. (1988). Behavioural treatment of illness phobia and hypochondriasis. A pilot study of 17 cases. British Journal of Psychiatry, 152, 239–241.

Holder-Perkin V., Wise T.N., Williams D. Hypochondriacal concerns: Management through understanding. Prim Care Companion J Clin Psychiatry. 2000;2(4):117–21

Lipowski Z. J. Somatization: the experience and communications of psychological distress as somatic symptoms. Psychother Psychosom. 1987;47:160–67

Mechanic D. Social psychologic factors affecting the presentation of bodily complaints. N Engl J. Med. 1972;286:1132–39.

Olde Hartman T. C., Borghuis M. S., Lucassen PLBJ, van de Laar F. A., Speckens A. E., van WeeL C.V. Medically unexplained symptoms, somatisation disorder, and hypochondriasis: Course and prognosis. A systematic review. Journal of Psychosomatic Research. 2009;66:363–77.

References (Transliteration):

Lareva, N. V. Trevoga i depressiya u bolnyih pozhilogo vozrasta, stradayuschih arterialnoy gipertenziey i ishemicheskoy boleznyu serdtsa / N. V. Lareva, T. V. Valova // Sibirskiy meditsinskiy zhurnal. – 2013. – # 2 (117). – S. 53 – 56.

Smulevich A. B., Dubnitskaya E.B. Sovremennyiy vzglyad na problemu ipohondrii v aspekte kliniki i terapii. // Farmateka: mezhdunarodnyiy meditsinskiy zhurnal. 2006. - # 7 . - S. 71-76.

Bouman T. (2014). Psychological treatments for hypochondriasis: a narrative review. Current Psychiatry Reviews, 10, 58–69.

Channer K. S., Papouchado M, James M. A., Rees J. R. Anxiety and depression in patients with chest pain referred for exercise testing. Lancet. 1985;2:820–823.

Dammen T., Arnesen H., Ekeberg O., Friis S. Psychological factors, pain attribution and medical morbidity in chest-pain patients with and without coronary artery disease. Gen Hosp Psychiatry. 2004;26:463–469.

Gureje O., Ustun, T. B. and Simon, G. E. (1997). The syndrome of hypochondriasis: a cross-national Warwick, H. M. and Marks, I. M. (1988). Behavioural treatment of illness phobia and hypochondriasis. A pilot study of 17 cases. British Journal of Psychiatry, 152, 239–241.

Holder-Perkin V., Wise T.N., Williams D. Hypochondriacal concerns: Management through understanding. Prim Care Companion J Clin Psychiatry. 2000;2(4):117–21

Lipowski Z. J. Somatization: the experience and communications of psychological distress as somatic symptoms. Psychother Psychosom. 1987;47:160–67

Mechanic D. Social psychologic factors affecting the presentation of bodily complaints. N Engl J. Med. 1972;286:1132–39.

Olde Hartman T.C., Borghuis M.S., Lucassen PLBJ, van de Laar F.A., Speckens A.E., van WeeL C.V. Medically unexplained symptoms, somatisation disorder, and hypochondriasis: Course and prognosis. A systematic review. Journal of Psychosomatic Research. 2009;66:363–77.

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