Features of mental health in occupational chronic obstructive pulmonary disease and comorbid conditions

Relevance. Assessment of clinical data and psychological profile in occupational chronic obstructive pulmonary disease (OCOPD) in its isolated and comorbid course opens up new opportunities in assessing the development, predicting the course characteristics and personalized approach to pharmacotherapy of OCOPD, as well as in developing an individual strategy for its primary and secondary prevention.
The aim of the study was to determine the psychological characteristics of OCOPD in its isolated course and combination with arterial hypertension (AH).
Object and methods. The study involved 235 patients: Group 1 (n = 60) (control) – healthy volunteers; Group 2 (n = 35) – OCOPD of the first degree of severity; Group 3 (n = 50) – OCOPD of the second degree of severity; Group 4 (n = 40) – a combination of OCOPD of the second degree of severity and AH; Group 5 (n = 50) – isolated course of AH. All patients were tested using two methods: the Bass-Darkey questionnaire and the Plutchik-Kellerman-Conte Life Style Index (LSI) questionnaire, described in 1979 based on the psychoevolutionary theory of R. Plutchik and the structural theory of personality of H. Kellerman, adapted by E.S. Romanova and L.R. Grebennikov. Group data were assessed using oneway ANOVA with intergroup comparisons using Dunnett's test.
Results. For the first time, the features of psychological manifestations in COPD of varying severity were established in its isolated course and in combination with arterial hypertension. Limitations of the study. The study has regional (Samara Region) and professional (in terms of detailing the working conditions in the comparison groups under study) limitations.
Conclusions. Exposure to industrial dust is a stress factor leading to the development of severe psychoemotional disorders in occupational chronic obstructive pulmonary disease in its isolated and comorbid, combined course with arterial hypertension. In our opinion, it is necessary to include a comprehensive psychological examination with a consultation with a psychologist and the use of the Bass-Darkey questionnaire and a survey using the Plutchik-Kellerman-Conte method - Life Style Index (LSI), described in 1979 on the basis of the psychoevolutionary theory of R. Plutchik and the structural theory of personality of H. Kellerman in the program of in-depth periodic medical examinations of persons working in the Context with industrial aerosols of chemical and fibrogenic nature, potentially dangerous for the formation of occupational chronic obstructive pulmonary disease, and in the program of providing medical care to patients with COPD in its isolated and combined course with hypertension in pulmonology centers and occupational pathology centers at the federal and regional levels, taking into account the identified psychological changes and the need for their timely psychological correction, including the use of pharmacological drugs.

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