Mental Disorder in Chronic Heart Failure

Abstract

The aim: analysis of scientific publications on the problem of clinical structure of mental disorders in patients with a chronic heart failure, taking into account cardiological pathology. Material and method: according to the keywords “chronic heart failure”, “mental disorders”, “depression”, “anxiety”, “hypochondria”, “dissociative disorders”, “denial”, “personality”, “coping strategies”, articles were searched in databases MEDLINE/PubMed, Scopus, Webofscience, eLibrary. Conclusion: mental disorders are widespread among patients with chronic heart failure (CHF). They are heterogeneous psychopathological phenomena, the features of which are determined by the specifics of the clinical manifestations of symptoms and the course of the cardiological pathology. Mental disorders in patients with CHF negatively affect the quality of life, lead to an increase in readmission times and a high risk of mortality through maladaptive behavior in illness. At the same time, despite the relevance of the study of mental pathology in CHF, dissociative disorders, leading to the most severe maladaptive disorders of behavior in illness, asthenic disorders, which are one of the most subjectively painful and prognostically significant symptoms, as well as the contribution of personality characteristics to the formation of mental disorders, remain insufficiently studied.