kpcczКомплексные проблемы сердечно-сосудистых заболеванийComplex Issues of Cardiovascular Diseases2306-12782587-9537Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”10.17802/2306-1278-2025-14-6S-177-192kpccz-1844Research ArticleОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯ. НейрофизиологияПСИХОФИЗИОЛОГИЧЕСКАЯ РЕАКТИВНОСТЬ В УСЛОВИЯХ ЭМОЦИОНАЛЬНОГО СТРЕССА У ЗДОРОВЫХ ЛИЦ: ВЛИЯНИЕ ТИПА ЛИЧНОСТИ Д, УРОВНЯ ДЕПРЕССИИ И СТРАТЕГИЙ СОВЛАДАНИЯPSYCHOPHYSIOLOGICAL REACTIVITY TO MENTAL STRESS IN HEALTHY INDIVIDUALS: THE INFLUENCE OF PERSONALITY TYPE D, DEPRESSION LEVEL AND COPING STRATEGIEShttps://orcid.org/0000-0002-0963-4793СуминАлексей НиколаевичSuminAlexey N.

доктор медицинских наук заведующий лабораторией коморбидности при сердечно-сосудистых заболеваниях отдела клинической кардиологии федерального государственного бюджетного научного учреждения «Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний», Кемерово, Российская Федерация

PhD, MD, Head of Laboratory of Comorbidity in Cardiovascular Diseases, Department of Clinical Cardiology, Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Disease”, Kemerovo, Russian Federation

an_sumin@mail.ruhttps://orcid.org/0009-0004-3218-3590ЗагорскаяНаталья НиколаевнаZagorskayaNatalia N.

младший научный сотрудник лаборатории коморбидности при сердечно-сосудистых заболеваниях отдела клинической кардиологии федерального государственного бюджетного научного учреждения «Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний», Кемерово, Российская Федерация

Junior Researcher of Laboratory of Comorbidity in Cardiovascular Diseases, Department of Clinical Cardiology, Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Disease”, Kemerovo, Russian Federation

n_zagorskaya@mail.ruhttps://orcid.org/0000-0002-4108-164XЩегловаАнна ВикторовнаShcheglovaAnna V.

кандидат медицинских наук старший научный сотрудник лаборатории коморбидности при сердечно-сосудистых заболеваниях отдела клинической кардиологии федерального государственного бюджетного научного учреждения «Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний», Кемерово, Российская Федерация

PhD, MD, Senior Researcher of Laboratory of Comorbidity in Cardiovascular Diseases, Department of Clinical Cardiology, Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Disease”, Kemerovo, Russian Federation

nura.karpovitch@yandex.ruhttps://orcid.org/0000-0001-6717-6818ПрокашкоИнгрид ЮрьевнаProkashkoIngrid Y.

кандидат медицинских наук доцент кафедры нормальной физиологии имени профессора Н. А. Барбараш федерального государственного бюджетного образовательного учреждения высшего профессионального образования «Кемеровский государственный медицинский университет», Кемерово, Российская Федерация

PhD, Associate Professor of the Department of Normal Physiology, Federal State Budgetary Educational Institution of Higher Education «Kemerovo State Medical University», Kemerovo, Russian Federation

proing59@mail.ruФедеральное государственное бюджетное научное учреждение «Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний»РоссияFederal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”Russian FederationФедеральное государственное бюджетное образовательное учреждение высшего образования «Кемеровский государственный медицинский университет» Министерства здравоохранения Российской ФедерацииРоссияFederal State Budgetary Educational Institution of Higher Education “Kemerovo State Medical University” of the Ministry of Health of the Russian FederationRussian Federation202518032026146S177192Copyright © Сумин А.Н., Загорская Н.Н., Щеглова А.В., Прокашко И.Ю., 20252025Сумин А.Н., Загорская Н.Н., Щеглова А.В., Прокашко И.Ю.Sumin A.N., Zagorskaya N.N., Shcheglova A.V., Prokashko I.Y.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.nii-kpssz.com/jour/article/view/1844Основные положения

Основные положения

Проведено исследование, в ходе которого изучалась взаимосвязь между типом личности Д, а также другими параметрами профиля личности, и психофизиологической реактивностью при воздействии стресса с использованием комплекса биологической обратной связи по ряду физиологических параметров, которые ранее не отслеживались в аналогичных исследованиях. По результатам исследования, у представителей типа личности Д наблюдается более высокая активность симпатоадреналовой системы при воздействии стресса по сравнению с остальной популяцией. Эти данные могут быть полезны при разработке стресс-лимитирующих воздействий. Возможность использования тех или иных психофизиологических маркёров в программах биологической обратной связи для лиц с типом личности Д требует дальнейшего изучения.

 

 

Цель

Цель. Изучить влияние типа личности Д, уровня депрессии, предпочитаемых копинг-стратегий на изменение психофизиологических показателей в условиях эмоционального стресса.

Материал и методы

Материал и методы. Испытуемыми явились 79 студентов Кемеровского государственного медицинского университета в возрасте от 18 до 32 лет (средний возраст 20,7 ± 2,4 года). Оценивался психологический статус исследуемых (с помощью опросников DS-14, HADS, WCQ и CSI) с оценкой типа личности Д, уровня депрессии и преобладающих копинг-стратегий. Стресс-тестирование проводилось с помощью комплекса БОСЛАБ, при этом регистрировались электромиограмма, электрокардиограмма, температура тела, дыхание, кожно-гальваническая реакция и фотоплетизмограмма; протокол процедуры включал в себя тест на устный счёт и тест Струпа. Сравнивались результаты стресс-тестов в группах с наличием/отсутствием типа Д и депрессии.

Результаты

Результаты. У всех испытуемых при стресс-тестировании отмечались маркеры симпатической активации по следующим параметрам: увеличение частоты сердечных сокращений и укорочение интервалов R-R (p < 0,001), повышение кожной проводимости (p < 0,001). У лиц с типом личности Д наблюдалось достоверно большее увеличение показателя адекватности процессов регуляции (ПАПР) при выполнении теста на устный счёт (p = 0,026) и теста Струпа (p = 0,031). Наличие как типа личности Д, так и депрессии предрасполагало к выбору дезадаптивных стратегий совладания.

Заключение

Заключение. В когорте испытуемых выявлена высокая распространенность типа личности Д и депрессии. У представителей типа личности Д наблюдались более высокие показатели активации симпатико-адреналовой системы при стрессорном воздействии по сравнению с остальной популяцией. Выявленные данные необходимо учитывать при разработке стресс-лимитирующих воздействий для представителей типа личности Д. Требует дальнейшего изучения возможность использования в этом отношении комплекса психофизиологических показателей в программах биологической обратной связи.

Highlights

Highlights

A study was conducted that examined the relationship between personality type D, as well as other personality profile parameters, and psychophysiological reactivity when exposed to stress using a biofeedback complex for a number of physiological parameters that had not previously been monitored in similar studies. According to the results of the trial, representatives of personality type D have higher activation rates of the sympathetic-adrenal system of stress exposure compared to the rest of the population. When developing stress-limiting effects, these data should be taken into account. The possibility of using a set of psychophysiological parameters in biofeedback programs for individuals with personality type D requires further study.

 

 

Aim

Aim. To examine the influence of personality type D, depression level, preferred coping strategies on changes in psychophysiological parameters during mental stress tests.

Methods

Methods. The study involved 79 students of Kemerovo State Medical University aged 18 to 32 years (mean age 20.7 ± 2.4 years). The patients’ psychological status was assessed (DS-14, HADS, WCQ and CSI questionnaires) with an assessment of personality type D, depression level and prevailing coping strategies. Psychophysiological diagnostics was performed using the BOSLAB complex, electromyogram, electrocardiogram, body temperature, respiration, galvanic skin response and photoplethysmogram were recorded. The stress testing protocol included a mental arithmetic test and a Stroop test. The results of the stress tests were compared in groups with/without type D and depression.

Results

Results. All subjects showed markers of sympathetic activation during stress testing to the following parameters: increased heart rate and shortening of R-R intervals (p < 0.001), increased skin conductivity (p < 0.001). There was a significantly greater increase in Indicator of the Adequacy of processes of Regulation (IAPR) when performing the mental arithmetic test (p = 0,026) and the Stroop test (p = 0,031) in individuals with personality type D. The presence of both type D and depression predisposed to the choice of maladaptive coping strategies.

Conclusion

Conclusion. A high prevalence of personality type D and depression was revealed among the surveyed cohort. Representatives of personality type D have higher activation rates of the sympathetic-adrenal system of stress exposure compared to the rest of the population. This should be taken into account when developing stress-limiting effects. The possibility of using a set of psychophysiological parameters in biofeedback programs for individuals with personality type D requires further study.

Психоэмоциональный стрессТип личности ДСтресс-реактивностьСердечно-сосудистая системаПсихофизиологические показателиMental stressPersonality type DStress reactivityCardiovascular systemPsychophysiological indicatorsThe study was supported by the Russian Federation, specifically the Ministry of Science and Higher Education of the Russian Federation, under the Agreement for providing grant funding in the form of subsidies from the federal budget, dated September 30, 2022, No. 075-15-2022-1202. The study is a part of a comprehensive scientific and technological program of the full innovation cycle, entitled “Development and implementation of technologies in the fields of solid mineral exploration and extraction, industrial safety, bioremediation, and the creation of new products through deep coal processing, all with a gradual reduction of environmental impact and risks to the population’s well-being”. 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The authors declare that there are no conflicts of interest present.