Gerotranscendence and Treatment Adherence in Elderly Patients with Primary and Recurrent Myocardial Infarction During the Rehabilitation Period
https://doi.org/10.25016/2782-652X-2025-0-94-59-70
Abstract
Relevance. The relevance of the present study is determined by the global prevalence and high mortality rates associated with cardiovascular diseases (CVD), making this group of disorders one of the most pressing issues in global healthcare. Among all CVDs, ischemic heart disease (IHD) has the highest mortality rate. IHD is closely associated with older age, which further highlights the importance of studying this specific age group.
Objective. To investigate the factors of optimal aging in elderly patients with IHD complicated by myocardial infarction (ICD-10 codes I21 and I22), compared to a conditionally healthy sample of older adults.
Methodology. The following assessment tools were used: The Geriatric Depression Scale (GDS-30), O.Yu. Strizhitskaya’s Questionnaire of Gerotranscendence Indicators (OGI), Wasserman’s “Semantic Differential of Time” technique (SDT), and the Russian Universal Questionnaire for Quantitative Assessment of Treatment Adherence (KOP-25).
Subjects. Elderly patients diagnosed with IHD complicated by myocardial infarction (I21 and I22). Results and Analysis. The following factors of successful aging were identified among elderly patients with IHD and myocardial infarction: primary vs. recurrent cardiac event (−10.716), perception of the future (−3.485), time since the initial (preceding) myocardial infarction (+1.335), level of depression (−0.994), perception of past time (−0.038), and psychological well-being (+0.088).
Conclusion. The main psychotherapeutic targets in working with elderly patients with IHD and myocardial infarction are the harmonization of future time perception and normalization of patients’ social functioning.
About the Authors
T. V. Demchenko
Pavlov First State Medical University of Saint-Petersburg
Russian Federation
Russian Federation
Tatyana Vladimirovna Demchenko – assistant of the department of general and clinical psychology
6–8, Leo Tolstoy Str., St. Petersburg
E. R. Isaeva
Pavlov First State Medical University of Saint-Petersburg
Russian Federation
Russian Federation
Elena Rudolfovna Isaeva – Dr. Psycol. Sci. Associate Prof., Head of the Department of General and Clinical Psychology
6–8, Leo Tolstoy Str., St. Petersburg
E. A. Demchenko
Almazov National Medical Research Centre
Russian Federation
Russian Federation
Elena Alekseevna Demchenko – Dr. Med. Sci., Head of the Scientific and Clinical Association of Rehabilitation, Prof. of the Department of Internal Medicine of the Institute of Medical Education
2, Akkuratova Str., St. Petersburg, 197341
A. A. Velikanov
Almazov National Medical Research Centre
Russian Federation
Russian Federation
Arseniy Apetovich Velikanov – PhD Psychol. Sci., Associate Prof., Human Sciences Department, Clinical Psychologist of the Psychotherapy Department
2, Akkuratova Str., St. Petersburg, 197341
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Review
For citations:
Demchenko T.V., Isaeva E.R., Demchenko E.A., Velikanov A.A. Gerotranscendence and Treatment Adherence in Elderly Patients with Primary and Recurrent Myocardial Infarction During the Rehabilitation Period. Bulletin of psychotherapy. 2025;(94):59-70. (In Russ.) https://doi.org/10.25016/2782-652X-2025-0-94-59-70
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