BASIC PERSONALITY FACTORS AND PROACTIVE COPING STYLE AS PREDICTORS OF CORONARY DISEASES IN HYPERTENSIVE PATIENTS

Frosina Ristovska

Abstract


In everyday contemporary life the number of people suffering from cardiovascular diseases is increasing. Examinng the role of psychological factors in the development of somatic diseases can improve their understanding. In this study 104 male patients with hypertension were included (55 with coronary disease and 49 without coronary disease). Their mean age is 56.5 years. The study was conducted in the specialized hospital for surgical diseases Zan Mitrev Clinic in Skopje. The following measures were administered: NEO-PI-R, Proactive Coping Inventory, medical reports, medical histories, interviews and admission interviews. The goal was to examine the predictive power of neuroticism, conscientiousness and extraversion as basic personality factors and the proactive coping style in the development of coronary diseases in hypertensive patients. The results show that when the three personality factors and proactive coping (defined multidimensionally) were included in the regression model only neuroticism was a significant predictor of coronary disease. When the separate facets of neuroticism were analyzed only vulnerability was a significant predictor of coronary diseases. Additionally, among the various dimensions of proactive coping, only the typical proactive strategies were a significant predictor of coronary disease. The results explain only a small degree of the complex mechanism involved in the onset of coronary diseases, yet they point out the need for developing preventive programs directed toward overall wellbeing and mental health promotion.

Keywords: basic personality factors, proactive coping, coronary diseases


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