Features of psychological status in patients after coronary artery bypass grafting with different duration of outpatient rehabilitation stage

Cover Page

Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Objective. To analyze the characteristics of the psychological status in patients after coronary artery bypass graft (CABG) with different recovery periods.

Materials and methods. The study included 100 men (53.2 ± 5.9 years) who had undergone CABG. Retrospectively, 2 groups were identified: group 1 (n = 58) – patients returned to work 4 months after CABG; group 2 (n = 42) – patients required rehabilitation for more than 4 months. The control group consisted of healthy volunteers (n = 50). All patients were assessed for anxiety levels using the Spielberger–Hanin Anxiety Scale 1 and 4 months after CABG.

Results. Patients after CABG have higher levels of personal and situational anxiety compared to the control group (p = 0.001). Initially, the levels of situational and personal anxiety in patients of the studied groups were comparable (p = 0.936, p = 0.109, respectively). By the 4th month, the level of situational anxiety in group 1 decreased (p = 0.001), while in group 2 the indicator remained unchanged (p = 0.764). Regression analysis established that 82% of the variability of situational anxiety in group 2 was determined by the combined effect of age (β = 0.552; p = 0.001), hypertension (β = 3.341; p = 0.023), previous infarction (β = 7.291; p = 0.001), and the number of bypasses (β = 4.259; p = 0.001).

Conclusions. There is a need to take into account the special role of psychological correction in the system of complex rehabilitation of patients with coronary heart disease who have undergone CABG.

Full Text

Restricted Access

About the authors

Yu. A. Styazhkina

Ural State Medical University

Author for correspondence.
Email: nadeyulya@yandex.ru
ORCID iD: 0009-0008-6259-4592
SPIN-code: 5657-4491
Russian Federation, Yekaterinburg

I. F. Grishina

Ural State Medical University

Email: nadeyulya@yandex.ru
ORCID iD: 0009-0005-8643-1825
SPIN-code: 5964-0857

MD, Professor

Russian Federation, Yekaterinburg

N. B. Poletaeva

Ural State Medical University

Email: nadeyulya@yandex.ru
ORCID iD: 0000-0001-7674-2893
SPIN-code: 1718-3018

Candidate of Medical Sciences, Associate Professor

Russian Federation, Yekaterinburg

T. F. Peretolchina

Ural State Medical University

Email: nadeyulya@yandex.ru
ORCID iD: 0009-0001-5289-9711
SPIN-code: 8942-7547

MD, Professor

Russian Federation, Yekaterinburg

References

  1. Старичкова А.А., Хидирова Л.Д., Цыганкова О.В. и др. Сравнительная оценка психокогнитивного статуса у коморбидных больных пожилого возраста в зависимости от наличия постковидного синдрома. Международный журнал сердца и сосудистых заболеваний. 2023; 11 (37): 25–34 [Starichkova A.A., Khidirova L.D., Tsygankova O.V. et al. Comparative analysis of psycho-cognitive status in elderly patients with comorbidities depending on the presence of postCOVID syndrome. International Heart and Vascular Disease Journal. 2023; 37 (11): 25–34 (in Russ.)]. doi: 10.24412/23111623-2023-37-25-34
  2. Herrmann C., Brand-Driehorst S., Buss U. et al. Effects of anxiety and depression on 5-year mortality in 5057 patients referred for exercise testing. J Psychosom Res. 2000; 48: 455–62. doi: 10.1016/S0022-3999(99)00086-0
  3. Deter H.C., Albert W., Weber C. et al. Does Anxiety Affect Survival in Patients with Coronary Heart Disease? J Clin Med. 2023; 12 (6): 2098. doi: 10.3390/jcm12062098
  4. Кубарева М.И., Ибатов А.Д. Психосоциальные факторы и ишемическая болезнь сердца. Терапевтический архив. 2019; 91 (12): 70–4 [Kubareva M.I., Ibatov A.D. Psychosocial factors and coronary heart disease. Therapeutic Archive. 2019; 91 (12): 70–4 (in Russ.)]. doi: 10.26442/00403660.2019.12.000086
  5. Иванов С.В. Психические расстройства, связанные с хирургическими вмешательств ми на открытом сердце. Психиатрия и психофармакотерапия. 2005; 7 (3): 122–8 [Ivanov S.V. Psihicheskie rasstrojstva, svyazannye s hirurgicheskimi vmeshatel'stv mi na otkrytom serdce. Psihiatriya i psihofarmakoterapiya. 2005; 7 (3): 122–8 (in Russ.)].
  6. Bagheri Nesami M., Shorofi S.A., Jafari A. et al. The Relationship Between Stressors and Anxiety Levels After CABG in Sari, Iran. Iran Red Crescent Med J. 2016; 18 (5): e25407. doi: 10.5812/ircmj.25407
  7. Jannati M., Aslani A. Management of anxiety and depression in post coronary artery bypass graft surgery. J Mind Med Sci. 2023; 10 (1): 34–41. doi: 10.22543/2392-7674.1360
  8. Дедов Д.В. Влияние аортокоронарного шунтирования на показатели качества жизни и прогноз больных ишемической болезнью сердца. Врач. 2021; 32 (8): 79–83 [Dedov D. Influence of aortocoronary bypass on quality of life indicators and prognosis of patients with coronary heart disease. Vrach. 2021; 32 (8): 79–83 (in Russ.)]. doi: 10.29296/25877305-2021-08-15
  9. Speilberger C., Gorsuch R., Lushene R. Test Manual for the State Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press, 1970; 280.
  10. Ханин Ю.Л. Краткое руководство к применению шкалы реактивной личностной тревожности Ч. Д. Спилбергера. Ленинград: ЛНИИФК, 1976; 40 с. [Hanin Yu. L. Kratkoe rukovodstvo k primeneniyu shkaly reaktivnoj lichnostnoj trevozhnosti Ch.D. Spilbergera. Leningrad: LNIIFK, 1976; 40 р. (in Russ.)].
  11. Великанов А.А., Демченко Е.А., Круглова Н.Е. и др. Психологические факторы в прогнозе социально-трудовой реабилитации больных ишемической болезнью сердца. Вестник Санкт-Петербургского университета. Социология. 2012; 3: 3–19 [Velikanov A.A., Demchenko E.A., Kruglova N.E. et al. The Psychological Factors in the Prognosis of Socio-labor Rehabilitation of Patients with Ischemic Heart Disease. Vestnik Sankt-Peterburgskogo universiteta. Sociologiya. 2012; 3: 3–19 (in Russ.)].
  12. Аронов Д.М., Бубнова М.Г. Проблемы внедрения новой системы кардиореабилитации в России. Российский кардиологический журнал. 2013; 4: 14–22 [Aronov D.M., Bubnova M.G. Challenges of the implementation of a new cardiac rehabilitation system in Russia. Russian Journal of Cardiology. 2013; 4: 14–22 (in Russ.)]. doi: 10.15829/1560-4071-2013-4-14-22
  13. Арутюнов Г.П, Крылова А., Колесникова Е.А. и др. Кардиореабилитация. 2-е изд. М.: МЕДпресс-информ, 2014; 336 с. [Arutyunov G.P., Krylova A., Kolesnikova E.A., et al. Kardioreabilitaciya. 2-e izd. M.: MEDpress-inform, 2014; 336 р. (in Russ.)].
  14. Modica M., Castiglioni P., Minotti A., et al. Psychological Profile in Coronary Artery By-Pass Graft Patients vs. Valve Replacement Patients Entering Cardiac Rehabilitation after Surgery. Sci Rep. 2018; 8: 14381. doi: 10.1038/s41598-018-32696-5.
  15. Ajtahed S.S., Rezapour T., Etemadi S. Efficacy of Neurocognitive Rehabilitation After Coronary Artery Bypass Graft Surgery in Improving Quality of Life: An Interventional Trial. Front Psychol. 2019; 10: 1759. doi: 10.3389/fpsyg.2019.01759
  16. de Tournay-Jetté E., Dupuis G., Denault A. et al. The benefits of cognitive training after a coronary artery bypass graft surgery. J Behav Med. 2012; 35: 557–68. doi: 10.1007/s10865-011-9384-y
  17. Dewi I.P., Dewi K.P., Tanojo T. et al. Pearls of exercise-based cardiac rehabilitation frame in post coronary artery bypass graft surgery (CABG). Anaesthesia Pain & Intensive Care. 2021; 25 (3): 367–75. doi: 10.35975/apic.v25i3.1383.
  18. Еремина Д.А., Демченко Е.А., Щелкова О.Ю. и др. Когнитивное функционирование больных ИБС как фактор эффективности реабилитации после коронарного шунтирования: разработка программы и предварительные результаты исследования. Вестник Санкт-Петербургского университета. Социология. 2015; 4: 66–86 [Eremina D.A., Demchenko E.A., Shchelkova O.Yu. et al. The dynamics of cognitive functions in patients with CHD during rehabilitation after coronary bypass surgery: methodology and preliminary results of the study. Vestnik Sankt-Peterburgskogo universiteta. Sociologiya. 2015; 4: 66–86 (in Russ.)].
  19. Bishop S.J., Duncan J., Lawrence A.D. State Anxiety Modulation of the Amygdala Response to Unattended Threat-Related Stimuli. J Neurosci. 2004; 24: 10364–8. doi: 10.1523/JNEUROSCI.2550-04.2004
  20. Николаев Е.Л., Лазарева Е.Ю. Психотерапия и психологическая помощь больным сердечно-сосудистыми заболеваниями. Вестник психиатрии и психологии Чувашии. 2015; 11 (1): 57–76 [Nikolaev E.L., Lazareva E.Yu. Psychotherapy and psychological intervention for patients with cardiovascular diseases. The Bulletin of Chuvash Psychiatry and Psychology. 2015; 11 (1): 57–76 (in Russ.)].
  21. Tully P.J., Baker R.A. Depression, anxiety, and cardiac morbidity outcomes after coronary artery bypass surgery: a contemporary and practical review. J Geriatr Cardiol. 2012; 9 (2): 197–208. doi: 10.3724/SP.J.1263.2011.12221
  22. Sawalha O., Ariza-Vega P., Alhalaiqa F. et al. Psychological Discomfort in Patients Undergoing Coronary Artery Bypass Graft (CABG) in West Bank: A Cohort Study. J Clin Med. 2024; 13 (7): 2027. doi: 10.3390/jcm13072027
  23. Chaudhury S., Sharma S., Pawar A.A. et al. Psychological Correlates of Outcome after Coronary Artery Bypass Graft. Med J Armed Forces India. 2006; 62 (3): 220–3. doi: 10.1016/S0377-1237(06)80004-3

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2025 Russkiy Vrach Publishing House