PMID- 15847320
OWN - NLM
STAT- MEDLINE
DCOM- 20050513
LR  - 20191210
IS  - 1997-7298 (Print)
IS  - 1997-7298 (Linking)
VI  - 104
IP  - 12
DP  - 2004
TI  - [Personality disorders in postoperative period of coronary artery bypass graft 
      surgery].
PG  - 10-7
AB  - Personality disorders (PD) are recognized among key maladaptive factors in 
      postoperative period of coronary artery bypass surgery (CABS). However studies on 
      PD among CABS patients are predominantly under psychological approach and 
      information on clinical features is very limited. A present investigation aimed 
      at assessing clinical features and prognostic value of PD in late post operative 
      period of CABS (from 1 to 3 years). Using psychiatric, cardiological and 
      psychological methods, 48 patients (42 male, mean age 61.3 +/- 8.2 years) with 
      diagnosis of PD and favorable cardiological status after CABS have been assessed. 
      PD in post operative period is an important predictor of unfavorable social and 
      occupational outcome of CABS. Three types of clinical course of PD were singled 
      out: 1) hypohondric personality development; 2) "second life" personality 
      development; 3) "denial of illness" reactions. Pronounced maladaptation was 
      observed in type 1, most severe one--in type 2 and minimal maladaptation or its 
      absence--in type 3. These types were differentiated by different repertoires of 
      psychological defense mechanisms (PMD): type 1 was characterized by a limited 
      number of them with a drift to mature mechanisms; PD of type 2 are featured by a 
      narrow and rigid repertoire of defenses with predomination of immature mechanisms 
      and in type 3 a maximum number of PMD with balanced involvement of mature and 
      immature mechanisms was observed.
FAU - Ivanov, S V
AU  - Ivanov SV
FAU - Syrkin, A L
AU  - Syrkin AL
FAU - Samushiia, M A
AU  - Samushiia MA
FAU - Vecherinina, K O
AU  - Vecherinina KO
FAU - Pecherskaia, M B
AU  - Pecherskaia MB
FAU - Poltavskaia, M G
AU  - Poltavskaia MG
FAU - Shornikov, S B
AU  - Shornikov SB
FAU - Aksel'rod, A S
AU  - Aksel'rod AS
FAU - Beskova, D A
AU  - Beskova DA
FAU - Shabalkin, B V
AU  - Shabalkin BV
FAU - Belov, Iu V
AU  - Belov IuV
FAU - Alshibaia, M M
AU  - Alshibaia MM
FAU - Malashenkov, A I
AU  - Malashenkov AI
FAU - Sigaev, I Iu
AU  - Sigaev IIu
LA  - rus
PT  - Comparative Study
PT  - Journal Article
TT  - Rasstroistva lichnosti v posleoperatsionnom periode aortokoronarnogo 
      shuntirovaniia.
PL  - Russia (Federation)
TA  - Zh Nevrol Psikhiatr Im S S Korsakova
JT  - Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova
JID - 9712194
SB  - IM
MH  - Adaptation, Psychological
MH  - Aged
MH  - *Coronary Artery Bypass
MH  - Defense Mechanisms
MH  - Denial, Psychological
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Personality Disorders/diagnosis/*etiology
MH  - *Postoperative Complications
MH  - Prognosis
MH  - Time Factors
MH  - Treatment Outcome
EDAT- 2005/04/26 09:00
MHDA- 2005/05/14 09:00
CRDT- 2005/04/26 09:00
PHST- 2005/04/26 09:00 [pubmed]
PHST- 2005/05/14 09:00 [medline]
PHST- 2005/04/26 09:00 [entrez]
PST - ppublish
SO  - Zh Nevrol Psikhiatr Im S S Korsakova. 2004;104(12):10-7.