Email this article 
Gerotranscendence and Treatment Adherence in Elderly Patients with Primary and Recurrent Myocardial Infarction During the Rehabilitation Period
- Authors: Demchenko T.V.1, Isaeva E.R.1, Demchenko E.A.2, Velikanov A.A.2
-
Affiliations:
- Pavlov First State Medical University of Saint-Petersburg
- Almazov National Medical Research Centre
- Issue: No 94 (2025)
- Pages: 59-70
- Section: Medical psychology
- URL: https://bakhtiniada.ru/0132-182X/article/view/353169
- DOI: https://doi.org/10.25016/2782-652X-2025-0-94-59-70
- ID: 353169
Cite item
Full Text
Abstract
Relevance. The relevance of the present study is determined by the global prevalence and high mortality rates associated with cardiovascular diseases (CVD), making this group of disorders one of the most pressing issues in global healthcare. Among all CVDs, ischemic heart disease (IHD) has the highest mortality rate. IHD is closely associated with older age, which further highlights the importance of studying this specific age group.
Objective. To investigate the factors of optimal aging in elderly patients with IHD complicated by myocardial infarction (ICD-10 codes I21 and I22), compared to a conditionally healthy sample of older adults.
Methodology. The following assessment tools were used: The Geriatric Depression Scale (GDS-30), O.Yu. Strizhitskaya’s Questionnaire of Gerotranscendence Indicators (OGI), Wasserman’s “Semantic Differential of Time” technique (SDT), and the Russian Universal Questionnaire for Quantitative Assessment of Treatment Adherence (KOP-25).
Subjects. Elderly patients diagnosed with IHD complicated by myocardial infarction (I21 and I22). Results and Analysis. The following factors of successful aging were identified among elderly patients with IHD and myocardial infarction: primary vs. recurrent cardiac event (−10.716), perception of the future (−3.485), time since the initial (preceding) myocardial infarction (+1.335), level of depression (−0.994), perception of past time (−0.038), and psychological well-being (+0.088). Conclusion. The main psychotherapeutic targets in working with elderly patients with IHD and myocardial infarction are the harmonization of future time perception and normalization of patients’ social functioning.
About the authors
T. V. Demchenko
Pavlov First State Medical University of Saint-Petersburg
Author for correspondence.
Email: dtvperm@yandex.ru
SPIN-code: 8335-7418
assistant of the department of general and clinical psychology 6-8, Leo Tolstoy Str., St. Petersburg, 197022, Russia
E. R. Isaeva
Pavlov First State Medical University of Saint-Petersburg
Email: isajeva@yandex.ru
ORCID iD: 0000-0002-7731-7693
SPIN-code: 3322-6935
Dr. Psycol. Sci. Associate Prof., Head of the Department of General and Clinical Psychology 6-8, Leo Tolstoy Str., St. Petersburg, 197022, Russia
E. A. Demchenko
Almazov National Medical Research Centre
Email: demchenko@almazovcentre.ru
SPIN-code: 7554-6851
Dr. Med. Sci., Head of the Scientific and Clinical Association of Rehabilitation, Prof. of the Department of Internal Medicine of the Institute of Medical Education 2, Akkuratova Str., St. Petersburg, 197341, Russia
A. A. Velikanov
Almazov National Medical Research Centre
Email: arsen.velikanov@gmail.com
PhD Psychol. Sci., Associate Prof., Human Sciences Department, Clinical Psychologist of the Psychotherapy Department 2, Akkuratova Str., St. Petersburg, 197341, Russia
References
- WHO: Health topics: Ageing. URL: https://www.who.int/ru/health-topics/ageing#tab=tab_1 (accessed 01.04.2025).
- Kuzheleva E.A., Fedyunina V.A., Garganeeva A.A. Treatment adherence and quality of life in patients with CVD at the outpatient stage of medical care. Eurasian Cardiological Journal. 2020; (2): 34–40. (In Russ.)
- Petrova T.I., Lubinskaya E.I., Zelenskaya I.A., Demchenko E.A. Treatment adherence in elderly patients with IHD to medication therapy at the pre-hospital stage before myocardial revascularization. Educational Forum “Russian Heart Days”. 2019; Abstract Collection: 231. (In Russ.)
- Pogosova G.V., Belova Yu.S., Roslavtseva A.N. Treatment adherence in patients with arterial hypertension and ischemic heart disease – a key element in reducing cardiovascular mortality. Cardiovascular Therapy and Prevention. 2007; (6): 99–104. (In Russ.)
- Protasov E.A., Velikanov A.A., Tregubenko I.A. [et al.]. Features of patient motivation with ischemic heart disease to participate in an outpatient cardiac rehabilitation program. Cardiology: News, Opinions, Training. 2018; (1): 74–81. (In Russ.)
- Pyshkina L.I., Tyazhelnikov A.A., Kabanov A.A. [et al.]. Risk factors and treatment adherence in patients with cerebrovascular diseases. Journal of Neurology and Psychiatry named after S.S. Korsakov, Special Issue. 2023; (123): 84–89. (In Russ.)
- Smorodskaya I.V., Chernyavskaya T.K. Ischemic heart disease: analysis of medical evidence of death. Russian Cardiological Journal. 2022; (1): Article ID 4637. (In Russ.)
- Sokolova N.Yu. Treatment adherence in patients with stable IHD after various revascularization procedures. Cardiology and Cardiovascular Surgery. 2019; (1): 25–30. (In Russ.)
- Strizhitskaya O.Yu. Gerotranscendence: psychological content and theoretical models. Bulletin of Saint Petersburg University: Psychology and Education. 2017; (3): 268–279. (In Russ.)
- Strizhitskaya O.Yu. Modern and classical studies on aging. St. Petersburg, 2014: 78 p. (In Russ.)
- Strizhitskaya O.Yu. Self-relation and temporal perspective of personality in late adulthood: dissertation PhD in Psychological Sciences. St. Petersburg, 2006: 221 p. (In Russ.)
- Yakovleva M.V., Lubinskaya E.I. Study of treatment adherence after coronary bypass surgery in the context of the internal picture of illness. Psychology – The Science of the Future: Materials of the VI International Conference for Young Scientists, November 19–20. Moscow, 2015: 560–563. (In Russ.)
- Yakovleva M.V., Lubinskaya E.I., Demchenko E.A. The internal picture of illness as a factor in treatment adherence after coronary bypass surgery. Bulletin of South Ural State University. Series “Psychology”. 2015; (2): 59–70. (In Russ.)
- Tornstam L. Gerotranscendence: the contemplative dimension of aging. Journal of Aging Studies. 2017; 11(2): 143–154.
- Tornstam L. Maturing into gerotranscendence. Journal of Transpersonal Psychology. 2011; 43(2): 166–180.
Supplementary files
