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Fomicheva A.V.

Mental Health Research Center

Andreev D.A.

Research Institute for Healthcare Organization and Medical Management of Moscow Health Department

Lyubavskaya A.A.

Center for Neuropsychology «Light inside»

Simonov A.N.

Mental Health Research Centre

Volel’ B.A.

I.M. Sechenov First Moscow State Medical University (Sechenov University);
Mental Health Research Center

Clinical and psychopathological aspects of nosogenic reactions in chronic heart failure

Authors:

Fomicheva A.V., Andreev D.A., Lyubavskaya A.A., Simonov A.N., Volel’ B.A.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2022;122(9): 86‑94

DOI: 10.17116/jnevro202212209186

Read: 2867 times

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Table of contents

CLINICAL AND PSYCHOPATHOLOGICAL ASPECTS OF NOSOGENIC REACTIONS IN CHRONIC HEART FAILURE
CLINICAL AND PSYCHOPATHOLOGICAL ASPECTS OF NOSOGENIC REACTIONS IN CHRONIC HEART FAILURE

To cite this article:

Fomicheva AV, Andreev DA, Lyubavskaya AA, Simonov AN, Volel’ BA. Clinical and psychopathological aspects of nosogenic reactions in chronic heart failure. S.S. Korsakov Journal of Neurology and Psychiatry. 2022;122(9):86‑94. (In Russ.)
https://doi.org/10.17116/jnevro202212209186

Подписка 2026 Журнал неврологии и психиатрии им. С.С. Корсакова (S.S. Korsakov Journal of Neurology and Psychiatry)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To study the typology of nosogenic reactions in chronic heart failure (CHF) with the determination of the contribution of cardiological and personality factors in their formation.

MATERIAL AND METHODS

One hundred and twenty-one patients with nosogenic reactions associated with CHF were examined. Somatic, clinical-psychopathological and psychometric examinations were used.

RESULTS

Three types of nosogenic reactions in CHF have been identifiedSignificantly more frequent were dissociative reactions (76 (62.8%) patients, 40 men, 36 women, mean age 64.4±12.7) with an underestimation of the severity of the somatic condition, which formed in CHF with a short (3.2±3.8 years, p<0.05), but the most severe course. They were associated with hyperthymic, hysterical and schizoid personality radical. Hypochondriacal reactions (28 (23.1%) patients, 18 men, 20 women, mean age 63.4±15.2), due to anxiety about health and excessive fixation on the functioning of the heart, were characteristic of CHF, regardless of the severity of cardiological conditions, with an average duration of the course (4.1±4.2 years). They were observed in patients with anxious and hysterical radicals. Depressive reactions (17 (14%) patients, 8 men, 9 women, mean age 64.3±13.5), had the most protracted character (6.1±3.2 years), formed in patients with anankastic and schizoid radicals, and were noted in chronic heart failure with a long course and moderate severity. Heterogeneous nosogenic reactions in CHF were associated with low adherence to treatment due to maladaptive behavior of the patient, determined by the characteristics of the psychopathological structure.

CONCLUSION

The study demonstrates the influence of the characteristics of a cardiac disease and personality on the clinical and psychopathological features of nosogenic reactions associated with maladaptive behavior of the patient.

Keywords:

chronic heart failure
dissociation
anxiety
depression
accentuation

Authors:

Fomicheva A.V.

Mental Health Research Center

Andreev D.A.

Research Institute for Healthcare Organization and Medical Management of Moscow Health Department

Lyubavskaya A.A.

Center for Neuropsychology «Light inside»

Simonov A.N.

Mental Health Research Centre

Volel’ B.A.

I.M. Sechenov First Moscow State Medical University (Sechenov University);
Mental Health Research Center

Received:

23.05.2022

Accepted:

03.06.2022

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References:

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