2014 issue 1

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Volume 23, issue 1

Original article

Adjustment to coronary heart disease – The role of individual resources

Jan Tylka2, Elżbieta Anita Bajcar1
1. Uniwersytet Pedagogiczny im. Komisji Edukacji Narodowej w Krakowie, Katedra Psychologii, Kraków, Polska
2. Uniwersytet Pedagogiczny im. Komisji Edukacji Narodowej w Krakowie, Katedra Psychologii, Kraków, Polska 2 Uniwersytet Kardynała Stefana Wyszyńskiego, Instytut Psychologii, Katedra Psychologii Zdrowia, Warszawa, Polska
Postępy Psychiatrii i Neurologii 23 (2014) 32–40
Keywords: Coronary heart disease, Psychosocial adjustment, Psychological attributes

Abstract

Objectives: To extract the group of patients that are homogenous in regards to psycho-
social adjustment to the coronary heart disease and to specify the correlates that help or
inhibit the adjustment process. Methods: The group of 246 male patients with coronary
heart disease were included into the studies. All participants were examined using the
Cardiac Adjustment Scale (Rumbaugh) and NEO-FFI, Multidimensional Health Locus of
Control Scale, The Jenkins Activity Survey in the Polish adaptation. It was also analyzed
the impact of duration of the disease, method of the treatment, numbers of hospitaliza-
tions and the presence of pain. Results: The studies have confirmed that the neuroticism
is the essential correlate of the adjustment. The highest adjustment level was indicated
among patients characterized with low neuroticism and high extraversion. The lowest
adjustment to the disease was observed among those whose neuroticism was accompa-
nied by the belief that other external factors or chance influence their health. Nuisance
resulted from the disease affected the adjustment process among patients characterized
by average and low intensity of neuroticism. Conclusions: The adjustment to the coro-
nary heart disease is the result of the interaction between personality traits and correla-
tes directly resulted from the disease. Patients with relatively higher level of neuroticism
may be at risk of maladjustment and for those patients should be developed early psy-
chological interventions.

Address for correspondence:
Uniwersytet Pedagogiczny, Katedra Psychologii, ul. Podchorążych 2, 30-084 Kraków, Polska.
Adres email: anita.bajcar@wp.pl (E.A. Bajcar).