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Aim. To assess the prevalence of personality psychotype D, as well as its complex effect on levels of anxiety and depression, compliance and quality of life in outpatients with CVD. Materials and methods. The open prospective study included patients who were followed up on an outpatient basis at GAUZ TO “City Polyclinic No. 5” in Tyumen during 2016-2019. Everyone included in the study underwent generally accepted methods of clinical examination, as well as special methods of examination: determination of the N-Terminal fragment of the Brain Natriuretic Propeptide (NT-proBNP), assessment of points on the Hospital Anxiety and Depression Scale (HADS), the Morisky Green Test to determine adherence to treatment, conducting a personality psychotype test (DS-14), calculation of the number of points using a questionnaire to determine the quality of life (SF-36). Data analysis was carried out using statistical packages STATISTICA (version 22.0). For all analysis carried out, differences were considered significant at a two-tailed level of significance p < 0.05. Results. In total, the study included 141 patients (44 men and 97 women, mean age 68.9 ± 8.8 years). Personality type D was identified in 31.2% of patients. Individuals with personality psychotype D were characterized by a higher level of anxiety and depression, a lower quality of life on a number of scales by the quality of life questionnaire. Also, for the group with personality psychotype D, there was a multidirectional correlation between quality of life indicators, which was not found in the group without personality psychotype D. More than two thirds of patients with psychotype D were with insufficient adherence or non-adherence to treatment. Psychotype D is also characterized by a higher level of NTproBNP, which indicates a poorer state of the cardiovascular system in these patients, but no correlations were found between the state of the cardiovascular system and the quality of life in patients with personality psychotype D. Conclusion. The selection of patients with personality psychotype D in outpatient practice allows a more rational approach to CVD therapy, including methods of correcting chronic psychological factors, thereby improving the prognosis of patients. |
