Psychophysiological correlates of attitudes to illness and stressovercoming behavior of patients with ischemic heart disease at the step of preparation for coronary artery bypass gcafting

The aim of the present work was to study the relationship of psychophysiological parameters with indicators of the attitudes to illness and stress-overcoming behavior in patients with coronary heart disease at the stage of preparation for coronary bypass surgery. A clinical and psychological examination of 64 patients, men aged 44 to 73 years (average age 62.1 ± 5.2), with a diagnosis of stable coronary heart disease and undergoing preparation for coronary artery bypass grafting, was carried out. The psychological status was diagnosed using the questionnaire «Type of attitude to the disease», the test «Strategies for coping-behavior» of Lazarus and psychophysiological indicators using the diagnostic complex «Status PF»: complex visual-motor reaction, level of functional mobility of the nervous processes, volume of attention, distribution of attention using the Bourdon Corrective Test, memory 10 numbers test, memory 10 syllables test, memory 10 words test, figurative memory, brain performance. For statistical analysis, the software Statistica 10.0 was used. According to the results of the correlation analysis, it was found that a high level of adaptive harmonious and ergopathic variant of attitudes to illness and productive coping-strategies are associated with high rates of attention and reaction, and a high rate of productive coping-strategies «taking responsibility» is associated with a high level of memory and attention. High rates of unproductive stress-overcoming strategies «Distancing» and «Flight-avoidance» positively correlate with the number of errors in assessing the performance of the brain. Thus, the «targets» of the psycho-correctional effect can be attention and reaction functions to improve indicators of the attitudes to illness indicators, and memory and attention functions in order to form productive stress-overcoming behavior. 

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