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

Abstract

<jats:p>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.</jats:p>

The experience of a medical psychologist in a center for treatment of patients with new coronavirus infection (COVID-19)

“…На уровне статистической тенденции выявлена взаимосвязь конфликтности и уровня реактивной тревожности, других значимых закономерностей выявлено не было. Можно предположить, что конфликтность и приверженность лечению в меньшей степени связаны с сохранностью когнитивной сферы и эмоционально-аффективными нарушениями и в большей степени детерминированы системой значимых отношений пациента, осведомленностью о заболевании, стратегиями совладания со стрессом болезни и личностными особенностями, что было неоднократно показано с больными других нозологических групп [17][18][19].…”