ارزیابی شخصیت و منبع کنترل در بیماران مبتلا به بیماری‌های کرونر قلب

نوع مقاله : مقاله پژوهشی

نویسندگان

1 استادیار مرکز تحقیقات روان تنی، دانشگاه علوم پزشکی مازندران، ساری، ایران.

2 دانشجوی دکتری روان‌شناسی تربیتی، گروه روان‌شناسی تربیتی، دانشکده روان‌شناسی و علوم تربیتی، دانشگاه سمنان، سمنان، ایران .

چکیده

مقدمه: باتوجه‌به شیوع بالای ابتلا و مرگ و میر ناشی از بیماری‌های کرونر قلب در جهان و مخصوصاً ایران، هدف این مطالعه ارزیابی شخصیت و منبع کنترل در بیماران مبتلا به  بیماری‌های کرونر قلب با افراد سالم است.
 روش: در این مطالعه توصیفی از نوع علی - مقایسه ای، 35 بیمارمرد مبتلا به بیماری کرونرقلب مراجعه کننده به مراکز قلب و عروق بیمارستان‌های شهرساری و 35  نفر از همراهان مرد بیماران، با استفاده از روش نمونه‌گیری در دسترس انتخاب شدند. جهت جمع‌آوری داده‌ها از پرسش‌نامة پنج عامل بزرگ شخصیت (NEO)  و مقیاس کانون کنترل راتر (RLOC) استفاده شد. داده‌ها با استفاده  از  نرم‌افزار SPSS23 و آمار توصیفی و استنباطی، در سطح معنی داری 05. P≤0 مورد تجزیه و تحلیل قرار گرفتند.
نتایج: یافته‌ها نشان داد، بیماران مبتلا به بیماری کرونر قلب در مقایسه با افراد سالم، در چهار عامل شخصیتی روان رنجورخویی (0.007 )، برون گرایی (0.02)، گشودگی (0.04) و توافق (0.02) تفاوت معنی‌دار داشتند؛ اما در عامل وجدانی بودن ( 0.88)‌، بین دو گروه تفاوت معنی‌دار مشاهده نشد. اگر چه تفاوت نمرة منبع کنترل دو گروه گرچه معنی‌دار نبود(0.051)، اما در گروه بیماران، این نمره کمتر از نقطة برش بودکه بیانگر وجود منبع کنترل بیرونی‌تر بیماران مبتلا به بیماری‌های کرونر قلب نسبت به  افراد سالم است.
بحث و نتیجه گیری: این مطالعه نشان داد، بیماران مبتلا به بیماری‌های کرونر قلب و افراد سالم از نظر تیپ‌های شخصیتی روان‌رنجورخویی، برون‌گرایی، گشودگی و توافق  با هم تفاوت دارند. همچنین بیماران نسبت به افراد سالم دارای منبع کنترل بیرونی‌تری هستند؛ لذا پیشنهاد می‌شود، به ویژگی‌ها شخصیتی در بیماران عروق کرونر توجه بیشتری شود.

کلیدواژه‌ها

عنوان مقاله [English]

Evaluation of Personality Type and Source of Control in Patients with Coronary Heart Disease

نویسندگان [English]

  • Maede Bagheri 1
  • Maryam Sotoudeh Asl 2
1 Assistant Professor of Psychology, Semnan Islamic Azad University, Semnan, Iran.
2 PhD student in educational psychology, Department of Educational Psychology, Semnan University, Semnan, Iran.

کلیدواژه‌ها [English]

  • Coronary Heart disease
  • Five-factor model of personality
  • Locus of control

مراجع

  1. Sarrafzadegan N, Mohammadifard N. Cardiovascular Disease in Iran in the Last 40 Years: Prevalence, Mortality, Morbidity, Challenges and Strategies for Cardiovascular Prevention. Archives of Iranian Medicine (AIM). 2019‌; 22(4): 204 -210. PMID:31126179 [In Persian]
  2. Zou H, Tian Q, Chen Y, Cheng C, Fan X. Coping styles mediate the relationship between self-esteem, health locus of control, and health-promoting behavior in Chinese patients with coronary heart disease. Journal of Cardiovascular Nursing. 2017; 32(4): 331-8. https://doi.org/10.1097/JCN.0000000000000357
  3. Virani SS, Alonso A, Benjamin EJ, Bittencourt MS, Callaway CW, Carson AP, et al. Heart Disease and Stroke Statistics - 2020 Update: A Report From the American Heart Association. Circulation. 2020: CIR. 0000000000000757. https://doi.org/10.1161/CIR.0000000000000757
  4. Rosengren A, Smyth A, Rangarajan S, Ramasundarahettige C, Bangdiwala SI, AlHabib KF, et al. Socioeconomic status and risk of cardiovascular disease in 20 low-income, middle-income, and high-income countries: the Prospective Urban Rural Epidemiologic (PURE) study. The Lancet Global Health. 2019; 7(6): e748-e60. https://doi.org/10.1016/S2214-109X(19)30045-2
  5. Gomez MA, Bairey Merz CN, Eastwood JA, Pepine CJ, Handberg EM, Bittner V, et al. Psychological stress, cardiac symptoms, and cardiovascular risk in women with suspected ischemia but no obstructive coronary disease (INOCA). Stress and Health. 2020. https://doi.org/10.1002/smi.2928
  6. Cyr S, Painchaud-Bouchard A-S, Marcil M-J, Rhainds D, Brouillette J, Cyr S, et al. Increased Risk of Coronary Heart Disease in Patients with Anxiety Disorders-A Review of Underlying Biomarkers. Biomedical Journal of Scientific & Technical Research. 2019; 23(1): 17117-23. http://dx.doi.org/10.26717/BJSTR.2019.23.003844
  7. Vaccarino V, Badimon L, Bremner JD, Cenko E, Cubedo J, Dorobantu M, et al. Depression and coronary heart disease: 2018 ESC position paper of the working group of coronary pathophysiology and microcirculation developed under the auspices of the ESC Committee for Practice Guidelines. Eur Heart J. 2019; 28. https://doi.org/10.1093/eurheartj/ehy913
  8. Menon V, Pillai AG, Satheesh S, Kaliamoorthy C, Sarkar S. Factor structure and validity of Type D personality scale among Indian (Tamil-speaking) patients with acute myocardial infarction. Indian Journal of Psychiatry. 2019; 61(6): 572. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_27_19
  9. Sumin A, Raĭkh O, Karpovich A, Korok E, Bezdenezhnykh A, Bokhan I, et al. Personality types in patients with atherosclerosis of different localization: prevalence and clinical features. Klinicheskaia meditsina. 2012; 90(4): 43-9. https://doi.org/10.1186/1471-2261-11-45
  10. André-Petersson L, Schlyter M, Engström G, Tydén P, Hedblad B. Behavior in a stressful situation, personality factors, and disease severity in patients with acute myocardial infarction: baseline findings from the prospective cohort study SECAMI (The Secondary Prevention and Compliance following Acute Myocardial Infarction-study). BMC cardiovascular disorders. 2011; 11(1): 45.
  11. Gidron Y. Psychosocial Factors in Coronary Heart Disease. Behavioral Medicine: Springer; 2019. 59-80.
  12. Daníelsdóttir HB, Jylhävä J, Hägg S, Lu Y, Colodro-Conde L, Martin NG, et al. Neuroticism as a predictor of frailty in old age: a genetically informative approach. Psychosomatic medicine. 2019; 81(9): 799-807. https://doi.org/10.1097/PSY.0000000000000742
  13. Jonasson JM, Hendryx M, Manson JE, Dinh P, Garcia L, Liu S, et al. Personality traits and the risk of coronary heart disease or stroke in women with diabetes–an epidemiological study based on the Women's Health Initiative. Menopause. 2019; 26(10): 1117-24. https://doi.org/10.1097/GME.0000000000001382
  14. Žegura I, Bratko D, Jokić-Begić N, Ivanuša M. Differences in Personality Traits and the Influence of Personality Traits on the Development and Course of Coronary Heart Disease. Cardiologia Croatica. 2019; 14(1-2): 24-33. https://doi.org/10.15836/ccar2019.24
  15. Nero D, Agewall S, Daniel M, Caidahl K, Collste O, Ekenbäck C, et al. Personality traits in patients with myocardial infarction with nonobstructive coronary arteries. The American journal of medicine. 2019; 132(3): 374-81. e1. https://doi.org/10.1016/j.amjmed.2018.11.010
  16. Nowicki S, Duke MP. Foundations of locus of control. Perceived control: theory, research, and practice in the first. 2017; 50: 147-70.
  17. Georgescu D, Duiu A, Cheiban T, Mazilu T, Rotariu A, Toma D, et al. The relationship between locus of control, personal behavior, self-efficacy and resilience. Romanian Journal of Cognitive Behavioral Therapy and Hypnosis. 2019; 6(1-2). Article_2_V6I1-2_RJCBTH_2019.pdf
  18. Malekzadeh M, Hashemi Mohammad Abad N, Vazir S. Health Related Quality of Life, Perceived Stress, Depression, Perceived Social Support, Coping Strategies and Health Locus of Control in Patients with Gastrointestinal Cancer; A Path Analysis Study. Journal of Clinical Care and Skills. 2019; 1(1): 23-30. https://doi.org/10.52547/jccs.1.1.23 [In Persian]
  19. Kesavayuth D, Poyago-Theotoky J, Zikos V. Locus of control, health and healthcare utilization. Economic Modelling. 2020; 86: 227-38. https://doi.org/10.1016/j.econmod.2019.06.014
  20. Groth N, Schnyder N, Kaess M, Markovic A, Rietschel L, Moser S, et al. Coping as a mediator between locus of control, competence beliefs, and mental health: A systematic review and structural equation modelling meta-analysis. Behaviour research and therapy. 2019; 121: 103442. https://doi.org/10.1016/j.brat.2019.103442
  21. akbari zardkhaneh saeed* yh, peyravi hamid, poursharifi hamid, zeinali shirin, sobhi gharamaleki naser, hassanabadi hamidreza, hamidpour hassan. psychometric properties of 5-dimension personality test (5dpt): an instrument for psychopathology assessments. iranian journal of psychiatry and clinical psychology. 2015; 20(4): 326-338. Psychometric properties of 5-Dimension Personality Test (5DPT): An instrument for psychopathology assessments. [In Persian]
  22. Moshki m GF, Hajizadeh A nd Azadfallah P. Validity and reliability of the multidimensional health locus of control scale for college students. BMC Public Health. 2007; 7(295). https://doi.org/10.1186/1471-2458-7-295 [In Persian]
  23. Elise B, Eynde SV, Egée N, Lamotte M, Van de Borne P, Carole F-H. Are trait emotional competencies and heart rate variability linked to mental health of coronary heart disease patients? Psychological reports. 2020:0033294119898116. https://doi.org/10.1177/0033294119898116
  24. Friedman HS. Neuroticism and health as individuals age. Personality Disorders: Theory, Research, and Treatment. 2019; 10(1): 25. https://doi.org/10.1037/per0000274
  25. Jokela M, Pulkki-Råback L, Elovainio M, Kivimäki M. Personality traits as risk factors for stroke and coronary heart disease mortality: pooled analysis of three cohort studies. Journal of behavioral medicine. 2014; 37(5): 881-9. https://doi.org/10.1007/s10865-013-9548-z
  26. Hagger-Johnson G, Roberts B, Boniface D, Sabia S, Batty GD, Elbaz A, et al. Neuroticism and cardiovascular disease mortality: socioeconomic status modifies the risk in women (UK Health and Lifestyle Survey). Psychosomatic medicine. 2012; 74(6): 596-603. https://doi.org/10.1097/psy.0b013e31825c85ca
  27. Barlow DH, Ellard KK, Sauer-Zavala S, Bullis JR, Carl JR. The origins of neuroticism. Perspectives on Psychological Science. 2014; 9(5): 481-96. https://doi.org/10.1177/1745691614544528
  28. Li, Husheng, et al. "Association of demographics, cardiovascular indicators and disability characteristics with 7-year coronary heart disease incident in persons with disabilities." BMC Public Health. 23.1 (2023): 1370. https://doi.org/10.1186/s12889-023-16297-0
  29. Lefcourt HM. Locus of control: Current trends in theory & research: Psychology Press; 2014.
  30. Pedersen, S. S., & Denollet, J. Type D personality, cardiac events, and impaired quality of life: a review. European Journal of Preventive Cardiology. 2003; 10(4): 241-248. https://doi.org/10.1097/00149831-200308000-00005
  31. Graven LJ, Grant JS, Vance DE, Pryor ER, Grubbs L, Karioth S. Coping styles associated with heart failure outcomes: A systematic review. Journal of Nursing Education and Practice. 2014; 4(2): 227-242. https://doi.org/10.5430/JNEP.V4N2P227
  32. Leventhal H, Weinman J, Leventhal EA, Phillips LA. Health psychology: The search for pathways between behavior and health. Annu. Rev. Psychol. 2008 Jan 10; 59: 477-505. https://doi.org/10.1146/annurev.psych.59.103006.093643
  33. Narita M, Tanji F, Tomata Y, Mori K, Tsuji I. The mediating effect of life-style behaviors on the association between personality traits and cardiovascular disease mortality among. 29,766 community-dwelling Japanese. Psychosomatic medicine. 2020 Jan 1; 82(1): 74-81. https://doi.org/10.1097/psy.0000000000000757
  34. Eysenck HJ. Personality and stress as causal factors in cancer and coronary heart disease. InIndividual differences. stress, and health psychology. 1988 Jul 8; (pp. 129-145). New York: NY: Springer New York. https://doi.org/10.1007/978-1-4612-3824-9_7
  35. Leu H-B, Yin W-H, Tseng W-K, Wu Y-W, Lin T-H, Yeh H-I, et al. Impact of type D personality on clinical outcomes in Asian patients with stable coronary artery disease. Journal of the Formosan Medical Association. 2019; 118(3): 721-9. https://doi.org/10.1016/j.jfma.2018.08.021

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