Mortality from cardiovascular disease has been a sad number one for many years in a row. Heart disease today is treated not only by cardiology, they often treat their patients in conjunction with psychotherapists.
Among the factors influencing the development of heart disease, the psychological characteristics of patients are of great importance. The majority of cardiovascular diseases are based on complex psychosomatic relationships, including arterial hypertension. The personal characteristics of patients suffering from cardiovascular pathology are also important, these are people of type "A", with an active life position, often actively defending their views, ambitious, deeply experiencing unpleasant situations and problems. They have difficulty understanding and expressing in words the feelings they are experiencing.
Psychotherapists study mental disorders that occur in cardiac patients. Moreover, depression can both precede the development of the disease and occur during the diagnosis. According to statistics, about 20% of cardiac patients suffer from depression, in other diseases this figure is only 5%.
In addition to changes in the emotional sphere, depression negatively affects the functioning of the body: the blood viscosity changes, the vascular center reacts differently, due to this, fluctuations in blood pressure appear, the level of sugar, cholesterol becomes different, etc. By the way, biochemical changes in the body directly affect a person's mood, how brightly he lives emotions. There is still an opinion that positive emotions and impressions are enough to treat depression. Unfortunately, this is a disease and requires medical attention.
Persistent decrease in mood for several weeks for no apparent reason. A person is not happy with anything, it does not bring pleasure that which it previously gave. Often, additional motivation is needed in order to do something, despite the fact that he plans, thinks about it, but problems arise with implementation. Social activity is also changing, it is more and more comfortable to be alone than to communicate with others, sleep and appetite are disturbed. There are many options for depression.
Of course, coronavirus pandemic took people out of the zone of the familiar and stable. Nobody was ready for such serious changes in life. This was reflected in all spheres, both professional, when absolutely new skills and competencies were required and they had to be developed in a very short period of time, so as not to lose the opportunity to work, and on relationships within the family, when people were literally locked with each other all day long. Of course, all this could not but affect the psychological state of a person and, as a result, physical health. So, due to the experience of the unknown, many people have problems with pressure - as a reaction to stress. By the way, the concept of stress has also changed now. If earlier it was a kind of emergency, now we have stress at every step: at work and at home, of varying degrees of depth. Now there is a clear evidence base that chronic stress is more traumatic for a person than some short-term and strong one.
There is a concept of medical truth, this is information that will be communicated to the patient, but it will not worsen his health condition and will not diminish his motivation for treatment. And here it is very important how specialists present this information, in what format. A person is worried only because of what he does not know. And there is a lot of research on patients 'referrals to the League for the Protection of Patients' Rights, precisely because of the low communicative competence of doctors. Most of all, patients are concerned that they cannot receive reliable information about their ailments, how the disease will develop further, what methods of diagnosis and treatment are. Therefore, if you bring the necessary and important information to the patient in an accessible form, this will change his attitude towards what is happening to him, and will increase the desire to be cured as soon as possible. A person perceives and processes information based on his life experience, some specific skills and knowledge. Therefore, he may independently interpret information erroneously.
You need to develop resilience and the ability to adequately cope with stress. This largely depends on how much a person is willing to work on himself, learn something new, and change. After all, all this requires effort, organization, consistency. Health is not only about physical condition, but also psychological, emotional well-being. Therefore, I would like the life of people to be more versatile, not to consist only of work. When the loads are very large and there is little opportunity to switch, get positive emotions, get distracted, then sooner or later a person falls into a funnel of depletion - resources are not restored, the load grows and a vicious circle is obtained, which at a certain stage can trigger a disease. First of all, these are those to which there is a hereditary predisposition, because where it is thin, there it is torn.
The pandemic and, as a result, fear, panic influenced the growth of this category of diseases. On the one hand, attention was drawn away from non-communicable diseases, polyclinics were closed, people could not go to the doctor at their place of residence with pressure, pain in the heart. Unfortunately, the ambulance often brought such people with heart attacks and strokes. In addition, people aged 65+ have been on self-isolation for a long time, and almost all of them have diseases of the cardiovascular system.
On the other hand, the unknown and the fear of catching the virus became additional stress. Everyone knows that to prevent heart and vascular diseases, you need to eat right, move a lot, control blood pressure, etc. But stress is rarely on this list, and it is also a risk factor. Moreover, everyone will have a different reaction to the same event. One will not even notice, the other will worry for a long time and fall into depression. With chronic stress, hypertension, heart disease often occur, and with very strong stress, there is even a heart attack or broken heart syndrome - cardiomyopathy - an acute heart attack-like reaction. Stress provokes early heart disease and exacerbates existing ones. We treat a person, but we cannot put him into remission. Depression is forming, here you cannot do without the help of a psychotherapist.