arthyperАртериальная гипертензия"Arterial’naya Gipertenziya" ("Arterial Hypertension")1607-419X2411-8524Antihypertensive League10.18705/1607-419X-2020-26-6-665-675arthyper-1924Research ArticleСтатьиArticlesТип личности D, стресс-реактивность и вегетативный баланс у здоровых лиц молодого возраста: гендерные и этнические особенностиPersonality type D, stress reactivity and autonomic balance in healthy young people: gender and ethnic characteristicshttps://orcid.org/0000-0002-0963-4793СуминА. Н.SuminA. N.

Сумин Алексей Николаевич — доктор медицинских наук, заведующий лабораторией коморбидности при сердечно-сосудистых заболеваниях

Сосновый бул., д. 6, Кемерово, 650002

Тел.: 8(3842)64–44–61

Aleksei N. Sumin, MD, PhD, DSc, Head, Laboratory of Comorbidity in Cardiovascular Diseases

6 Sosnoviy avenue, Kemerovo, 650002

Phone: 8(3842)64–44–61

sumian@kemcardio.ruhttps://orcid.org/0000-0001-6717-6818ПрокашкоИ. Ю.ProkashkoI. Yu.

Прокашко Ингрид Юрьевна — кандидат медицинских наук, доцент кафедры нормальной физиологии

Кемерово

Ingrid Yu. Prokashko, MD, PhD, Associate Professor, Department of Normal Physiology  

Kemerovo

proing59@mail.ruhttps://orcid.org/0000-0002-4108-164XЩегловаА. В.ShcheglovaA. V.

Щеглова Анна Викторовна — кандидат медицинских наук, научный сотрудник лаборатории коморбидности при сердечнососудистых заболеваниях

Кемерово

Anna V. Shcheglova, MD, PhD, Researcher, Laboratory of Comorbidity in Cardiovascular Diseases

Kemerovo

nura.karpovitch@yandex.ruФедеральное государственное бюджетное научное учреждение «Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний»РоссияResearch Institute for Complex Issues of Cardiovascular DiseaseRussian FederationФедеральное государственное бюджетное образовательное учреждение высшего образования «Кемеровский государственный медицинский университет» Министерства здравоохранения Российской ФедерацииРоссияKemerovo State Medical UniversityRussian Federation202027122020266665675Copyright © Сумин А.Н., Прокашко И.Ю., Щеглова А.В., 20212021Сумин А.Н., Прокашко И.Ю., Щеглова А.В.Sumin A.N., Prokashko I.Y., Shcheglova A.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://htn.almazovcentre.ru/jour/article/view/1924

Цель исследования — оценить ассоциацию типа личности D со стресс-реактивностью и вегетативным балансом у студентов-медиков в зависимости от пола и национальной принадлежности. Материалы и методы. В исследование включены 188 здоровых студентов в возрасте от 18 до 23 лет (медиана 18,0 ± 1,0 года), русскоязычные и жители Индии. Для определения типа личности D использовали опросник DS-14. Всех обследованных разделили на две группы: с наличием типа личности D (n = 67) и без типа личности D (n = 121). Дополнительно были выделены группы студентов мужского пола с наличием типа D (n = 24) и без типа D (n = 63), и женского пола с типом D (n = 43) и без типа D (n = 58). Оценивали психофизическую нагрузочную пробу «Математический счет» и показатели вариационной пульсометрии в состоянии покоя. Результаты. При обследовании студентов-медиков личности D выявлен у 42,6 % девушек и 27,5 % юношей (р = 0,03). При анализе этнических различий у студентов-индийцев тип D выявлен в 42,6 % случаев, у русскоязычных студентов — в 32,8 % (р = 0,21). Среди обследованных не отмечено влияния типа D на тест с устным счетом, как в целом среди обследованных, так и среди юношей и девушек. При проведении логистического регрессионного анализа у юношей выявлена выраженная взаимосвязь индийской национальности с наличием типа личности D (р < 0,001). Заключение. Воздействие разнонаправленных факторов (пол, национальность) может нивелировать влияние типа личности D на изученные психофизиологические механизмы и обусловливать гетерогенность влияния типа личности D на течение заболевания в общей когорте обследованных пациентов.

Objective. To assess the association of personality type D with stress reactivity and autonomic balance among medical students, depending on gender and nationality. Design and methods. The study included 188 healthy students aged 18 to 23 years (median 18,0 ± 1,0 years), Russian speakers and residents of India. To determine the type of personality D used questionnaire DS-14. All examined were divided into two groups: with the presence of personality type D (n = 67) and without personality type D (n = 121). Additionally, groups of male students with type D (n = 24) and without type D (n = 63) and female students with type D (n = 43) and without type D (n = 58) were identified. We evaluated the psychophysical stress test “Mathematical Account” and indicators of variational pulsometry at rest. Results. When examining medical students, personality type D was detected in 27,5 % girls and 42,6 % boys (p = 0,03). When analyzing ethnic differences among Indian students, type D was detected in 42,6 % cases, among Russian-speaking students in 32,8 % (p = 0,21). Among the examined, there was no effect of type D on the test with an oral count, in the whole cohort, as well as in boys and girls. Logistic regression analysis in young men showed a pronounced relationship between Indian nationality and the presence of personality type D (p < 0,001). Conclusions. The influence of multidirectional factors (gender, nationality) can offset the influence of personality type D on the studied psychophysiological mechanisms and determine the heterogeneity of the influence of personality type D on the course of the disease in the general cohort.

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The authors declare that there are no conflicts of interest present.