ASSOCIATIONS OF INVERSIONS OF EMOTIONAL REFLECTION WITH THE CLINICAL CHARACTERISTICS OF ACUTE CORONARY SYNDROM IN PEOPLE LIVING IN THE NORTH
The aim of our research is to study associations between inversions of emotional reflection with the clinical characteristics of acute coronary syndrome in people living in the North. Materials and methods. 269 patients (female n = 57, n = 212 men) with acute coronary syndrome were examined, their average age was 56,0 ± 6,1 years (45-64 years). The complex of diagnostic studies and surveys of patients on a specially designed questionnaire consisting of general questions, the «AUDIT» test and the assessment of the psychological state of the individual was accomplished. Results. The level of emotional support was significantly higher in patients with low and moderate frequency of reversals 37 (33; 41), p <0,01. Associations between the low-level instrumental support, low total score of social support with the development of myocardial infarction in the group of persons with a high frequency of reversals of emotional reflection (r = 0,30, p <0,05 and r = 0,30, p <0,05 ) were detected. The manifestation of alexithymia correlates with the development of myocardial infarction in patients with the high level of inverting (r = 0,26, p <0,05). The direct association of situational anxiety with the severity of coronary lesions on a scale of SYNTAX (r = 0,26, p <0,05) and probable hospital mortality by Grace scale (r = 0,41, p <0,01) in the group with high frequency of inversions was found. With the help of binary logistic regression it was stated that the key factors of the high-level inversions of emotional reflection are male sex, low levels of social integration and the total score of social support (p <0,05); however, other analysed indicators did not significantly affect the dependent variable above. Conclusion. The inversion of emotional reflection is a marker of the neurotization degree of the personality and it can be considered as a risk factor directly associated with the development of acute coronary events in people living in the North. The key factors of the high level of emotional reflections' inversions are male sex, low values of the indicators of social integration and social support.