arthyperАртериальная гипертензия"Arterial’naya Gipertenziya" ("Arterial Hypertension")1607-419X2411-8524Antihypertensive League10.18705/1607-419X-2022-28-3-235-242arthyper-2200Research ArticleОБЗОРREVIEWЭффективность психокоррекционных вмешательств в управлении сердечнососудистым рискомEffectiveness of psychocorrective interventions in cardiovascular risk managementhttps://orcid.org/0000-0002-5430-0274БастриковО. Ю.BastrikovO. Yu.

Бастриков Олег Юрьевич — кандидат медицинских наук, доцент кафедры госпитальной терапии

ул. Воровского, д.64, г. Челябинск, 454092

Oleg Yu. Bastrikov, MD, PhD, Associate Professor, Department of Internal Diseases, Associate Professor

64 Vorovskogo str., Chelyabinsk, 454092

obastrikov@yandex.ruhttps://orcid.org/0000-0002-7731-7693ИсаеваЕ. Р.IsaevaE. R.

Исаева Елена Рудольфовна — доктор психологических наук, профессор, заведующая кафедрой общей и клинической психологии

Санкт-Петербург

Elena R. Isayeva, Doctor of Psychology Sciences, Professor, Head, Department of General and Clinical Psychology

St Petersburg

isajeva@yandex.ruhttps://orcid.org/0000-0003-1843-5312ГригоричеваЕ. А.GrigorichevaE. A.

Григоричева Елена Александровна —доктор медицинских наук, профессор кафедры поликлинической терапии и клинической фармакологии

Челябинск

Elena A. Grigoricheva, MD, PhD, DSc, Professor, Department of Out-patient Therapy and Clinical Pharmacology

Chelyabinsk

lenaqriq@rambler.ruhttps://orcid.org/0000-0003-2935-7487ЦейликманВ. Э.TseylikmanV. E.

Цейликман Вадим Эдуардович — доктор биологических наук, профессор, директор Высшей медико–биологической школы

Челябинск

Vadim E. Tseilikman, Doctor of Biology Sciences, Professor, Director, the Higher Medical and Biological School

Chelyabinsk

vadimed@yandex.ruФедеральное государственное бюджетное образовательное учреждение высшего образования «Южно-Уральский государственный медицинский университет» Министерства здравоохранения Российской ФедерацииРоссияSouth-Ural State Medical UniversityRussian FederationФедеральное государственное бюджетное образовательное учреждение высшего образования «Первый Санкт-Петербургский государственный медицинский университет имени академика И.П. Павлова» Министерства здравоохранения Российской ФедерацииRussian FederationPavlov UniversityRussian FederationФедеральное государственное автономное образовательное учреждение высшего образования «Южно-Уральский государственный университет (национальный исследовательский университет)»Russian FederationSouth-Ural State University (National Research University)Russian Federation202214042022283235242Copyright © Бастриков О.Ю., Исаева Е.Р., Григоричева Е.А., Цейликман В.Э., 20222022Бастриков О.Ю., Исаева Е.Р., Григоричева Е.А., Цейликман В.Э.Bastrikov O.Y., Isaeva E.R., Grigoricheva E.A., Tseylikman V.E.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/2200

Цель исследования — обзор литературы, направленный на изучение эффективности психотерапевтических, психофармакологических и психосоциальных вмешательств в профилактике и лечении сердечнососудистых заболеваний (ССЗ).

Материалы и методы

Материалы и методы. Был актуализирован поиск научно-медицинских публикаций с помощью англоязычной электронно-поисковой системы PubMed и отечественной платформы elibrary.ru c акцентом на систематические обзоры, метаанализы и рандомизированные контролируемые исследования.

Результаты

Результаты. Подавляющее число работ сообщают о положительном эффекте психокоррекционных вмешательств не только в отношении регресса психологических синдромов, стресса, но и кардиометаболических показателей (в том числе гиперлипидемии, кардиоваскулярного ремоделирования) и кардиоваскулярных заболеваний/событий. Кроме того, проанализированы зарубежный и отечественный опыт организации психологической и психотерапевтической помощи пациентам общесоматической сети, основанный на интегративной медицине и мультидисциплинарном подходе.

Выводы

Выводы. Результаты обзора подтверждают эффективность некоторых психокоррекционных вмешательств у пациентов с ССЗ. Интеграция психосоциальных и психофармакологических вмешательств в планы лечения (полипрофессиональный подход) является перспективным направлением первичной и вторичной профилактики кардиоваскулярных заболеваний.

Objective

Objective. Literature review aimed to study the effectiveness of psychotherapeutic, psychopharmacological and psychosocial interventions in the prevention and treatment of cardiovascular disease (CVD).

Design and methods

Design and methods. The search of scientific and medical publications was updated using the English language electronic search system PubMed and the domestic platform elibrary.ru with a focus on systematic reviews, metaanalyses, and randomized controlled trials.

Results

Results. An overwhelming number of papers report positive effects of psychocorrective interventions on regression of psychological syndromes, stress, as well as on cardiometabolic parameters (including hyperlipidemia, cardiovascular remodeling) and CVD/events. In addition, we analyzed foreign and domestic experience in organizing psychological and psychotherapeutic care for patients, based on integrative and multidisciplinary approach.

Conclusions

Conclusions. The available evidence supports the effectiveness of some psychocorrective interventions in patients with CVD. The integration of psychosocial and psychopharmacological interventions into treatment approaches (multiprofessional approach) is a promising area of primary and secondary cardiovascular prevention.

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