The role of the psychological type of personality in the formation of adherence to treatment of patients with resistant arterial hypertension

Abstract

The article considers the results of analysis of the personality psychological type of patients with resistant arterial hypertension in the formation of adherence to treatment for the purpose of effective blood pressure control by a doctor and a patient. Obtained data is demonstrated that the overwhelming majority of both adherent and non-adherent patients are characterized by “adaptive” types of attitude to disease (harmonic, ergopathic, anosognostic), that is, types without impairment of mental and social adaptation.

Non-adherent patients more often have types of attitude to disease, such as apathetic, melancholic, mixed ergopathic and hypochondriac-sensitive types, which were characterized by indifference to their illness, depressed mood, fear of becoming a burden to relatives, a fear of side effects of medication, which in general may contribute to patients' non-adherence to treatment.

Adherent patients more often have types of attitude to disease, such as harmonic, ergopathic, anosognostic  and mixed ergopathic-anosognostic types, which indicated the patient's desire to save working capacity and unwillingness to assume the role of "patient". The motivation for active continuation of treatment in such patients may be the desire to return to a full-fledged lifestyle, to maintain their ability to work, which in general can contribute to the patient's adherence to treatment.