Worries and Fears in the System of Attitudes to Personal Security of Patients with Cardiovascular Diseases

Abstract

This paper presents the results of studying the psychological aspects of attitudes to personal security of patients with coronary artery disease (CAD) and heart defects. The research involved 40 patients aged 45 to 81 years (47.5 % male, 52.5 % female): 20 patients with ischemic heart disease with stable angina and 20 patients with acquired heart defects. In the course of the research conducted with the help of the techniques based on subjective scaling, the attitudes to personal security, including the sources of threats, the consequences of the realization of threats and the assessment of efforts on the counteraction to these threats, posing in the author’s theoretical model as the components of the system of the attitudes to personal security, have been studied. The results show that in the patients with heart diseases, the assessments for a variety of threats, the consequences of their realization and the efforts on the counteraction to them are significantly higher, than in the patients with CAD. In general, the estimates for all the parameters in the group of the patients with CAD were closer to the estimates of healthy people, obtained in the previous studies. In the patients with heart defects, characterized by a greater duration and disease severity, the results of the indicators of the attitudes to personal security, in general, are higher and less differentiated. The conclusion is made that the attitudes to personal security as a part of the system of the psychological attitudes in general, can act as a diagnostic criterion and the indicator of the efficiency of the adaptation in cardiovascular diseases and also can be an independent target of the correctional work in a psychological consultation and psychotherapy of the patients with cardiovascular diseases. In the conclusion the recommendations for the experts who are engaged in the psychological help to the patients with cardiovascular diseases in diagnostic and correctional work with the attitudes to personal security are formulated.