Structural aspects of personality typology of patients suffering from cardiovascular pathology associated with type 2 diabetes mellitus

Abstract

BACKGROUND: Diabetes mellitus started as a metabolic disorder, but finished as a vascular pathology, which determines the prognosis and outcomes of disease. The research of personality psychotypes of patients suffering from type 2 diabetes mellitus associated with cardiovascular pathology was undertaken in order to study one of the basic components of system-forming factor of the pathological nervous regulation system. MATERIALS AND METHODS: 148 patients were examined (49 men, 99 women), divided into 2 groups: 1) patients with combined cardiovascular pathology and type 2 diabetes mellitus (monitoring group), 2) patients with cardiovascular pathology without type 2 diabetes mellitus (comparison group). Additional control group: 30 practically healthy volunteers. We conducted a questionnaire and a clarifying interview with profile patients undergoing a planned course of treatment in the therapeutic clinics. The domestic version of the psychological questionnaire test mini-mult AMPQ (Abbreviated Multifactorial Personality Questionnaire), which is an abbreviated form of MMPI, as well as “M. Lusher Color Selection Method” were used. The Nickstormsoftware computer software package “Oskord” (version 1.2) was used for statistical processing of the results. RESULTS: It was found: there are three main psychotypes — asteno-neurotic, epileptoid-exitable, hyperthymic — prevail in the total population of patients suffering from type 2 diabetes mellitus associated with cardiovascular pathology. The most favorable clinical situation is observed in patients with hyperthymic personality type, what demonstrates the systemic level influence of the psychotype. The definition of the personality structure implements a personalized approach to the patient, because it allows you to take into account the characteristics of each psychotype. CONCLUSION: Psychical factors affect the treatment of diabetes and concomitant pathology to the same extent as the treatment itself can affect the psychic state. Such a psychophysiological nature of interaction determines the modeling, possibly organizing role of psychotype components in the work of central link of the nervous regulation pathological system — the basis of the cardiovascular pathology associated with type 2 diabetes mellitus pathogenesis, which requires further scrupulous research, analysis and generalization.