Sumin A N, Raĭkh O I, Karpovich A V, Korok E V, Bezdenezhnykh A V, Bokhan I E, Barbarash O L
Klin Med (Mosk). 2012;90(4):43-9.
The aim of the work was to study the influence of D-type personality on clinical characteristics and extent of the pathological process in patients with atherosclerosis (AS) of different localization. A total of 943 patients (774 men and 169 women, mean age 58.6+-3 yr) were examined prior to arterial surgery. D-type personality was identified using a DS-14 questionnaire. The patients were divided into those with D-type personality (n=182) and without it (n=761). The following parameters were recorded: risk factors of AS, severity of clinical symptoms, history of myocardial infarction, acute cerebrovascular accidents, transitory ischemic attacks, concomitant pathology, and echocardiographic measuremnents. AS of non-coronary basins was diagnosed by color duplex scanning or angiograpgy. The number of affected vascular basins with stenosis of 30% or more arteries was detected. D-type personality was revealed in 19.3% of the patients with AS of different localization. It did not correlate with the social status, risk factors, and clinical symptoms. However D-type was associated with AS of extracranial arteries and combined lesions in several vascular basins as well as with the enhanced level of anxiety and depression and impaired quality of life.
这项工作的目的是研究D型人格对不同部位动脉粥样硬化（AS）患者临床特征及病理过程程度的影响。共有943例患者（774例男性和169例女性，平均年龄58.6±3岁）在动脉手术前接受了检查。使用DS - 14问卷确定D型人格。患者被分为有D型人格者（n = 182）和无D型人格者（n = 761）。记录了以下参数：AS的危险因素、临床症状严重程度、心肌梗死病史、急性脑血管意外、短暂性脑缺血发作、伴随疾病以及超声心动图测量结果。非冠状动脉区域的AS通过彩色双功扫描或血管造影诊断。检测出动脉狭窄30%或以上的受累血管区域数量。在不同部位AS患者中，19.3%表现为D型人格。它与社会地位、危险因素及临床症状无关。然而，D型人格与颅外动脉AS、多个血管区域的合并病变以及焦虑和抑郁水平升高及生活质量受损有关。
