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[Nosogeny in "silent" myocardial ischemia]
Zhurnal Nevrologii I Psikhiatrii Imeni S.S. Korsakova
|January 1, 1995
Summary
Patients with silent myocardial ischemia show varied psychological reactions, including under-awareness (hyponosognosia) and over-awareness (hypernosognosia) of their condition. These reactions correlate with specific personality traits and anxiety levels, impacting health perception.
Area of Science:
- Cardiology
- Psychology
- Psychosomatic Medicine
Background:
- Ischemic cardiac disease (ICD) can occur without angina pectoris, termed "silent" myocardial ischemia.
- Understanding the psychical reactions to "silent" myocardial ischemia is crucial for comprehensive patient care.
Purpose of the Study:
- To investigate the psychical reactions in patients experiencing "silent" myocardial ischemia.
- To explore the relationship between these reactions, personality traits, and anxiety levels.
Main Methods:
- Psychological investigation of 29 patients with "silent" myocardial ischemia.
- Assessment of psychical reactions, including hyponosognosia and hypernosognosia.
- Correlation analysis with personality features and anxiety.
Main Results:
- Both hyponosognosia (anti-hypochondria) and hypernosognosia (neurotic hypochondria) were observed.
- Hyponosognosia was linked to hyperthymic or expansive schizoid traits; hypernosognosia to hysterical characteristics.
- No differences in somatic state or ischemia severity were found between groups.
- Hypernosognosia correlated with high personal anxiety, while hyponosognosia did not.
Conclusions:
- Psychical reactions to "silent" myocardial ischemia vary significantly based on personality traits.
- Anxiety levels appear to differentiate between hyper- and hyponosognosia.
- Low health preoccupation may involve complex individual features and psychological defense mechanisms.