Psychotherapeutic targets and personalized program of medical and psychological support of cardiac surgical patients
Abstract
The article presents the experience of differentiation based on the results of a clinical and psychological study of cardiac surgery patients from three clinical groups of the psychotherapeutic target system. The targets are differentiated taking into account the needs of the cardiac surgery patients according to four levels - the level of psychological reactions of the individual to the situation of the operation, the level of its psychopathological manifestations, the level of dysfunctional characteristics of the personality and the level of specificity of social interaction, and are also correlated in detail with six stages of medical and psychological support. This made it possible to personalize the programs and individualize the routes of medical and psychological support for cardiac surgery patients.
About the Authors
O. V. NikolaevaRussian Federation
Olga Vladimirovna Nikolaeva – cardiologist; senior lecturer of the Department of Faculty and Hospital Therapy
F. Gladkov Str., 23 A, Cheboksary, 428000
Moskovsky Ave. 15, Cheboksary, 428015
T. A. Karavaeva
Russian Federation
Tatyana Arturovna Karavaeva – Dr. Med. Sci., Chief Researcher, Head of the Department for Treatment of Borderline Mental Disorders and Psychotherapy; Prof. of the Department of Medical Psychology and Psychophysiology; Prof. of the Department of General and Applied Psychology with a course in biomedical disciplines; Leading Researcher of the Scientific Department of Innovative Methods of Therapeutic Oncology and Rehabilitation
Bekhtereva Str. 3, St. Petersburg, 192019
Universitetskaya nab., 7–9, St. Petersburg, 199034
Litovskaya Str., 2, St. Petersburg, 194100
Leningradskaya Str., 68, Pesochny settlement, St. Petersburg, 197758
References
1. Garanyan N.G., Kholmogorova A.B., Yudeeva T.Yu. Vrazhdebnost kak lichnostnyy faktor depressii i trevogi [Hostility as a personal factor in depression and anxiety]. Psikhologiya: napravleniya mezhdistsiplinarnykh issledovaniy: materialy nauchnoy konferentsii [Psychology: directions of interdisciplinary research: proceedings of a scientific conference]. Moskva. 2003. Pp. 100–114. (In Russ.).
2. Karavaeva T.A. Osnovnye tendentsii izmeneniya psikhoterapevticheskikh i reabilitatsionnykh strategiy pri lechenii nevroticheskikh rasstroystv [The main trends of psychotherapeutic and rehabilitation strategies in the treatment of neurotic disorders]. Obozrenie psikhiatrii i med. psikhologii im. V.M. Bekhtereva [V.M. Bekhterev Review of Psychiatry and Medical Psychology]. 2010. N 3. Pp. 71–74. (In Russ.).
3. Karavaeva T.A., Mikhaylov V.A., Vasileva A.V. [et al.] Razrabotka kompleksnoy personalizirovannoy programmy korrektsii dissomnicheskikh narusheniy v strukture nevroticheskikh rasstroystv [Development of a comprehensive personalized program for the correction of dyssomnic disorders in the structure of neurotic disorders]. Nevrologicheskiy vestnik. Zhurnal im. V.M. Bekhtereva [Neurological Bulletin. Journal named after V.M. Bekhterev]. 2017. Vol. XLIX, N 2. Pp. 31–36. (In Russ.).
4. Karavaeva T.A., Vasileva A.V., Poltorak S.V. Printsipy i algoritmy psikhoterapii trevozhnykh rasstroystv nevroticheskogo urovnya (trevozhno-fobicheskikh, panicheskogo i generalizovannogo trevozhnogo rasstroystv) [Principles and algorithms of psychotherapy for anxiety disorders of the neurotic level (anxiety-phobic, panic and generalized anxiety disorder)]. Obozrenie psikhiatrii i med. psikhologii im. V.M. Bekhtereva [V.M. Bekhterev Review of Psychiatry and Medical Psychology]. 2016. N 4. Pp. 42–51. (In Russ.).
5. Kiseleva M.G. Vliyanie individualno-psikhologicheskikh osobennostey patsientov s serdechno-sosudistymi zabolevaniyami na effektivnost' psikhologicheskogo soprovozhdeniya posleoperatsionnogo vosstanovleniya [Influence of individual psychological patients with cardiovascular diseases on the effectiveness of psychological support of postoperative recovery] : dis. ... PhD Psychol. Sci. Moskva. 2012. 210 p. (In Russ.).
6. Klyuzhev V.M., Yakovlev V.N., Man'kov Yu.U. Kliniko-funktsional'nye rezul'taty aortokoronarnogo shuntirovaniya bol'nykh ishemicheskoy bolezn'yu serdtsa i ikh meditsinskaya reabilitatsiya [Clinical and functional results of coronary artery bypass grafting in patients with coronary heart disease and their medical rehabilitation]. Voenno-meditsinskiy zhurnal [Military Medical Journal]. 1993. N6. Pp. 30–35. (In Russ.).
7. Nikolaev E.L. Sovremennye napravleniya issledovaniya pogranichnykh psikhicheskikh rasstroystv [Modern directions of research of borderline mental disorders]. Vestnik psikhiatrii i psikhologii Chuvashii [Bulletin of psychiatry and psychology of Chuvashia]. 2007. N 3. Pp. 8–49. (In Russ.).
8. Nikolaev E.L., Suslova E.S., Aleksandrov D.V. Kliniko-psikhologicheskiy diskurs issledovaniy zdorov'ya [Clinical and psychological discourse of health research]. Vestnik Chuvashskogo universiteta [Bulletin of the Chuvash University]. 2010. N 4. Pp. 164–170. (In Russ.).
9. Nikolaeva O.V., Baburin I.N., Nikolaev E.L., Dubravina E.A. Kriz? Ataka? Nevroz? Klinicheskiy sluchay pristupa psikhovegetativnykh narusheniy v kardiologicheskom statsionare [Crisis? Attack? Neurosis? A clinical case of an attack of psychovegetative disorders in a cardiological hospital]. Vestnik psikhoterapii [Bulletin of psychotherapy]. 2009. N 30 (35). Pp. 86–90. (In Russ.).
10. Osin E.N. Faktornaya struktura kratkoy versii Testa zhiznestoykosti [Factor structure of the short version of the Test of vitality]. Organizatsionnaya psikhologiya [Organizational psychology]. 2013. Vol. 3, N 3. Pp. 42–60. (In Russ.).
11. Rubinshteyn S.Ya. Eksperimental'nye metodiki patopsikhologii i opyt ikh primeneniya . Ch. 1. Praktich. Rukovodstvo [Experimental methods of pathopsychology and experience of their application. Part 1. Practical. Management]. Moskva. 2010. 224 p. (In Russ.).
12. Sirota N. A., Sivakova O. V., Yaltonskiy V. M. Dinamika faktorov riska zabolevaniy serdtsa pod vliyaniem distantsionnogo mediko-psikhologicheskogo konsultirovaniya [Dynamics of risk factors for cardiovascular diseases of additional medical and psychological counseling]. Konsultativnaya psikhologiya i psikhoterapiya [Counseling psychology and psychotherapy]. 2019. Vol. 27, N. 3. Pp. 175–196. (In Russ.).
13. Syrtsova A. Sokolova E.T., Mitina O.V. Metodika Zimbardo po vremennoy perspektive [Zimbardos method of time perspective]. Psikhologicheskaya diagnostika [Psychological diagnostics]. 2007. N. 1. Pp. 85–106. (In Russ.).
14. Tarabrina N.V. Praktikum po psikhologii posttravmaticheskogo stressa [Workshop on the psychology of post-traumatic stress]. Sankt-Peterburg. 2001. 272 p. (In Russ.).
15. Artzi N. Materializing Personalized Medicine. Adv Mater. 2020. Vol. 32, № 13. e1908065. doi: 10.1002/adma.201908065. URL: https://pubmed.ncbi.nlm.nih. gov/32237118/
16. Nikolaev E. Person-centered medicine and the sociocultural approach in psychotherapy. International Journal of Person Centered Medicine. 2011. Vol. 1, N 3. P. 482–485.
17. Pruteanu L.M. Predictors of postsurgical stress among cardiac patients. Rev Med Chir Soc Med Nat Iasi. 2014. Vol. 118 (2). P. 508–513.
18. Zimet G.D., Dahlem N.W. Zimet S.G., Farley G.K. The multidimensional scale of perceived social support. Journal of Personality Assessment. 1988. Vol. 52. P. 30–41.
Review
For citations:
Nikolaeva O.V., Karavaeva T.A. Psychotherapeutic targets and personalized program of medical and psychological support of cardiac surgical patients. Bulletin of psychotherapy. 2021;1(79):121-133. (In Russ.)