Coping Behavior in the System of Psychosocial Assessment of Patients Waiting for a Heart Transplant

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Abstract

The paper presents the results of the study focusing on coping strategies and personal resources of patients with chronic heart failure (CHF) during the waiting period for heart transplantation (HT). The sample included 105 patients directed to the commission for inclusion in the waiting list of HT (WLHT) in the Almazov National Medical Research Centre. After 6 months of hospitalization, the patients were divided into two groups: those included in WLHT initially who kept their positions (n=55; Group 1), and those who were excluded or not included initially (n=50; Group 2). Methods: The Ways of Coping Questionnaire and Purpose in Life Test. It was found out that the most endorsed coping strategies were confrontation, positive reappraisal and self-control for Group 1, and distancing and escape/avoidance for Group 2. The significant increase in the life purposefulness general score, and subscale scores reflecting goals, time perspective and internal locus of control was observed in Group 1. We conclude that the obtained data can be used in planning psychological work with patients with CHF during the period of waiting for HT.

General Information

Keywords: chronic heart failure (CHF), heart transplantation (HT), coping strategies, personal coping resources

Journal rubric: Empirical Researches

Article type: scientific article

DOI: https://doi.org/10.17759/cpp.2020280210

Funding. This work was supported by RFBR Grant №18-013-00689 А.

For citation: Shindrikov R.Y., Shchelkova O.Y., Demchenko E.A., Milanich Y.M. Coping Behavior in the System of Psychosocial Assessment of Patients Waiting for a Heart Transplant. Konsul'tativnaya psikhologiya i psikhoterapiya = Counseling Psychology and Psychotherapy, 2020. Vol. 28, no. 2, pp. 170–190. DOI: 10.17759/cpp.2020280210. (In Russ., аbstr. in Engl.)

References

  1. Ababkov V.A., Perre M. Adaptatsiya k stressu. Osnovy teorii, diagnostiki, terapii [Adaptation to stress. Foundations of theory, diagnosis, therapy]. Saint Petersburg: Rech’, 2004. 166 p.
  2. Antsyferova L.I. Lichnost’ v trudnykh zhiznennykh usloviyakh: pereosmyslivanie, preobrazovanie situatsii i psikhologicheskaya zashchita [Personality in difficult living conditions: rethinking, transforming situations and psychological defense]. Psikhologicheskii Zhurnal, 1994. Vol. 15 (1), pp. 3—19.
  3. Vasilyuk F.E. Psikhologiya perezhivaniya (analiz preodoleniya kriticheskikh situatsii) [Psychology of experience (analysis of overcoming critical situations)]. Moscow: Publ. Moskovskii universitet, 1984. 200 p.
  4. Vasserman L.I., Ababkov V.A., Trifonova E.A., et al. Psikhologicheskaya diagnostika sovladayushchego so stressom povedeniya [Psychological assessment of coping behavior]. In Vasserman L.I., Shchelkova O.Yu. (eds.). Psikhologicheskaya diagnostika rasstroistv emotsional’noi sfery i lichnosti: Kollektivnaya monografiya [Handbook of psychological assessment of emotional sphere and personality disorders]. Saint Petersburg: Skifiya-print, 2014, pp. 323—345.
  5. Isaeva E.R. Koping-povedenie i psikhologicheskaya zashchita lichnosti v usloviyakh zdorov’ya i bolezni [Coping behavior and psychological protection of an individual in conditions of health and illness]. Saint Petersburg: Publ. SPbGMU, 2009. 136 p.
  6. Leont’ev D.A. Test smyslozhiznennykh orientatsii (SZhO). 2-e izd [Life meaning orientations test. 2nd ed.]. Moscow: Smysl, 2000. 18 p.
  7. Mareev V.Yu., Fomin I.V., Ageev F.T., et al. Klinicheskie rekomendatsii. Khronicheskaya serdechnaya nedostatochnost’ (KhSN) [Clinical recommendations. Chronic heart failure (CHF)]. Serdechnaya Nedostatochnost’ [Heart Failure], 2017. Vol. 18 (1), pp. 3—40.
  8. Nartova-Bochaver S.K. “Coping behavior” v sisteme ponyatii psikhologii lichnosti [“Coping behavior” in the system of concepts of personality psychology]. Psikhologicheskii Zhurnal, 1997. Vol.18 (5), pp. 20—30.
  9. Frankl V. Chelovek v poiskakh smysla [Man’s Search for Meaning]. Moscow: Progress, 1990. 368 p. (In Russ.).
  10. Shindrikov R.Y., Velikanov A.A., Demchenko E.A., et al. Psikhologicheskie kharakteristiki bol’nykh khronicheskoy serdechnoi nedostatochnost’yu v period ozhidaniya transplantatsii serdtsa [Psychological characteristics in patients with chronic heart failure waiting for heart transplantation]. Uchenye zapiski Sankt- Peterburgskogo gosudarstvennogo meditsinskogo universiteta im. akad. I.P. Pavlova [The Scientific Notes of the I. P. Pavlov St. Petersburg State Medical University], 2017. Vol. 24 (2), pp. 59—65. doi:10.24884/1607-4181-2017-24-2-59-65
  11. Shindrikov R.Yu., Shchelkova O.Yu., Demchenko E.A., et al. Psikhosotsial’nyi status patsientov s khronicheskoi serdechnoi nedostatochnost’yu, ozhidayushchikh transplantatsiyu serdtsa [Psychosocial Status of Patients with Chronic Heart Failure Awaiting Heart Transplantation]. Vestnik Rossiiskogo universiteta druzhby narodov. Seriya: Psikhologiya i pedagogika [RUDN Journal of Psychology and Pedagogics], 2019. Vol. 16 (2), pp. 163—180. doi:10.22363/2313-1683-2019-16-2-163-180
  12. Shchelkova O.Yu., Eremina D.A., Yakovleva M.V., et al. Metodologiya razrabotki sistemnoi modeli prognoza pri serdechno-sosudistykh zabolevaniyakh [Methodology for the development of a systematic prognosis model for cardiovascular diseases]. Vestnik Sankt-Peterburgskogo universiteta. Psikhologiya i pedagogika [Saint Petersburg University Bulletin. Psychology and Education], 2018. Vol. 8 (3), pp. 271—292. doi:10.21638/11701/spbu16.2018.305
  13. Yakovleva M.V. Osobennosti lichnosti i otnosheniya k bolezni patsientov, priverzhennykh i nepriverzhennykh k lecheniyu v vosstanovitel’nom periode posle koronarnogo shuntirovaniya [Features of the personality and the attitude towards the disease of adherent and non-adherent to treatment patients during the recovery period after coronary bypass surgery]. Vestnik psikhoterapii [Bulletin of Psychotherapy], 2016, no. 57 (62), pp. 49—58.
  14. Akhter S., Macrangelo M., Valeroso T., et al. Psychosocial risk as a predictor of survival following LVAD implant. Journal of Heart and Lung Transplantation, 2013. Vol. 32 (4S), p. 132. doi:10.1016/j.healun.2013.01.293
  15. Burker E.J., Evon D.M., Losielle M.M., et al. Coping predicts depression and disability in heart transplant candidates. Journal of Psychosomatic Research, 2005. Vol. 59 (4), pp. 215—222. doi:10.1016/j.jpsychores.2005.06.055
  16. Feldman D., Pamboukian S., Teuteberg J., et al. The 2013 International Society for Heart and Lung Transplantation Guidelines for mechanical circulatory support: executive summary. Journal of Heart and Lung Transplantation, 2013. Vol. 32 (2), pp. 157—187. doi:10.1016/j.healun.2012.09.013
  17. Iakovleva M.V., Shchelkova O.Y., Lubinskaya C.I. Adherence to Treatment in Terms of Coping Behavior in Patients with Coronary Heart Disease after CABG [Elektronnyi resurs]. Journal of Cardiology & Clinical Research, 2016. Vol. 4 (1). Availble at: https://www.jscimedcentral.com/Cardiology/cardiology-4-1055.php (Accessed 20.01.2020).
  18. Ketterer M.W., Mahr G., Goldberg A.D. Psychological factors affecting a medical condition: ischemic coronary heart disease. Journal of Psychosomatic Research, 2000. Vol. 48 (4—5), pp. 357—367. doi:10.1016/S0022-3999(00)00099-4
  19. Korewicki J. Cardiac transplantation is still the method of choice in the treatment of patients with severe heart failure. Cardiology Journal, 2009. Vol. 16 (6), pp. 493—499.
  20. Lazarus R.S., Folkman S. Stress, appraisal and coping. New York: Springer, 1984. 456 р.
  21. Maltby M., Flattery M., Burns B., et al. Psychosocial assessment of candidates and risk classification of patients considered for durable mechanical circulatory support. Journal of Heart and Lung Transplantation, 2014. Vol. 33 (8), pp. 836—841. doi:10.1016/j.healun.2014.04.007
  22. Shapiro P.A., Pereira L.F., Taylor K.E., et al. Post-transplant Psychosocial and Mental Health Care of the Cardiac Recipient. In Sher Y., Maldonado J.R. (eds.). Psychosocial Care of End-Stage Organ Disease and Transplant Patients. Cham, Switzerland: Springer, 2019, pp. 237—244. doi:10.1007/978-3-319-94914-7_21
  23. Sher Y. Mental Health in Chronic and End-Stage Heart Disease. In Sher Y., Maldonado J.R. (eds.). Psychosocial Care of End-Stage Organ Disease and Transplant Patients. Cham, Switzerland: Springer, 2019, pp. 205—214. doi:10.1007/978-3-319- 94914-7_17
  24. Stewart G.C., Stevenson L.W. Keeping left ventricular assist device acceleration on track. Circulation, 2011. Vol. 123, pp. 1559—1568. doi:10.1161/ CIRCULATIONAHA.110.982512

Information About the Authors

Roman Y. Shindrikov, Assistant, Department of General and Clinical Psychology, Pavlov First Saint Petersburg State Medical University, St.Petersburg, Russia, ORCID: https://orcid.org/0000-0003-2942-9217, e-mail: shindrikov@list.ru

Olga Y. Shchelkova, Doctor of Psychology, Head of the Chair of Clinical Psychology & Psychophysiology, St. Petersburg State University, St.Petersburg, Russia, ORCID: https://orcid.org/0000-0001-9444-4742, e-mail: olga.psy.pu@mail.ru

Elena A. Demchenko, Doctor of Medicine, Professor, Head of Research Laboratory for Rehabilitation, Professor of Internal Diseases Department, Almazov National Medical Research Centre, St.Petersburg, Russia, ORCID: https://orcid.org/0000-0002-7173-0575, e-mail: elenademchenko2006@rambler.ru

Yulia M. Milanich, PhD in Psychology, Senior Lecturer, Senior Lecturer, Department of Medical Psychology and Psychophysiology, Saint Petersburg State University, St.Petersburg, Russia, ORCID: https://orcid.org/0000-0003-0042-3612, e-mail: olga.psy.pu@mail.ru

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