ISSN 2079-6617 (Print)
ISSN 2309-9828 (Online)
Ru | En
Russian Psychological Society
The Faculty of Psychology. Lomonosov Moscow State University.
Main RSS Search

MainAuthors

Korsakova Natalia K.

Ph.D in Psychology
Lomonosov Moscow State University
Moscow, Russia

Articles

Pervichko E.I., Korsakova N.K., Darevskaya M.A. (2019) The role of motivation in the productivity of cognitive activity in patients with arterial hypertension in the middle age-movement practice as a method of self-knowledge and education a creative personality. National Psychological Journal, [Natsional’nyy psikhologicheskiy zhurnal], 12(4), 72–91.

Background. One of the issues of modern health care the frequent arterial hypertension (AH) in people of the so-called middle age. There is a decrease in the productivity of mental activity accompanied by anxiety in the form of «cognitive dissatisfaction» with the corresponding experiences. Features and causes of cognitive dysfunctions in patients with hypertension require special study. Its results are important not only for understanding the central mechanisms of the disease, but also for the development of diagnostic and therapeutic procedures, preventive, correctional and rehabilitation programs. They are determined by the relevance of clinical and psychological studies of the syndromes of cognitive dysfunctions and factors that determine cognitive functioning in hypertension in the middle age.

The Objective is the assessing of motivational and emotional factors to the qualitative characteristics of cognitive activity in the middle-aged patients with AH who are unaware of the medical qualifications of their disease.

Design. The study and interpretation of its results was carried out in accordance with the principles of psychological syndrome analysis (school of L.S. Vygotsky - A.R. Luria - B.V. Zeigarnik). The research program included the diagnosis of emotional and personal characteristics using the Russian-language version of the 16-factor Cattell personality questionnaire (Cattell, Schuerger, 2003; Kapustina, 2006) and the Pictogram methodology (Zeygarnik, 1962; Rubinstein, 1970), diagnostics of general intelligence using the “Raven’s Progressive matrices” (Raven, et al., 2012; Davydov, Chmykhova 2016), and also the study of “qualitative” features of cognitive processes using pathopsychological examination (Zeigarnik, 1986). We examined 48 patients (52.3±6.6 years) with Stage 2 hypertension, Grade 1-2, unaware of the diagnosis and 54 almost healthy people, comparable to patients by gender, age and educational level.

Results. 84% of hypertensive patients with high and medium intelligence showed signs of a decrease in cognitive activity. A meaningful interpretation of the results of the study using the methodological principles of psychological syndrome analysis (the school of L.S. Vygotsky - A.R. Luria - B.V. Zeygarnik) showed that in the structure of disturbances of cognitive processes in hypertension, disturbances in the dynamics of mental processes expressed by labile mental activity and rapid exhaustion, based on a decrease in neurodynamic support of mental activity. Reduced cognitive functioning is also influenced by the emotional and personal characteristics of patients, especially the deficiency of harmony in their motivational sphere. The study of thinking showed the diversity of opinions in 43% of patients and signs of distortion of the generalization process in 24% of patients with hypertension. Correlation analysis data have confirmed the relationship between the frequency of occurrence of these phenomena and the frequency of decrease in the productivity of cognitive activity. Patients with hypertension in the middle age unaware of the presence of this diagnosis, differ from healthy individuals in the greater disharmony of personality traits. They are characterized by a tendency to restrain affect, personal rigidity, lack of flexibility of emotional manifestations, with persistence in achieving goals and overall dominance, and also increasing values on the scales of anxiety and depression. The levels of anxiety and depression are statistically related to the productivity of the cognitive functioning in patients with hypertension.

Conclusion. Using the methodological principles of psychological syndrome analysis showed that the cognitive processes in untreated middle-aged hypertensive patients can be described as cognitive dysfunction syndrome, where two syndrome factors can be considered significant: neurodynamic and motivational ones. The research results contribute to the solution of personal and «actually intellectual» processes correlation in solving problems in normal and pathological conditions. They expand the understanding of the etiology and pathogenesis of hypertension, and allow individualizing strategies for medical and psychological care for patients with hypertension.

Received: 11/30/2019

Accepted: 12/14/2019

Pages: 72-91

DOI: 10.11621/npj.2019.0408

By: ; ; ;

Keywords: syndrome-based approach by L.S.Vygotsky-A.R.Luria-B.V.Zeigarnik; psychological syndrome analysis; syndromic factor; arterial hypertension (AH); cognitive processes; cognitive dysfunctions; cognitive functioning; cognitive disorders; emotional and personal characteristics; motivation;

Available Online: 31.12.2019

Korsakova N.K., Kovyazina M.S. (2015). A new look at an old problem: the category of “syndrome” in psychology. National psychological journal. 2 (18), 66-76.

The paper deals with a complex of issues relating to the current state and use of the category of “syndrome”, which until recently has been inclusive within the field of professional medical use and clinical psychology. However, since late 20th century, this category has been more and more often used when describing the specific manifestations of human psyche in the particular circumstances of life and activity with the absence of disease symptoms and presented a huge list of so-called “psychological syndromes” of the norm. In this connection, there arise a number of issues concerning the relations of new approaches to understanding the category of “syndrome” with past performances, and also research methodology, which determines task setting, the unit of analysis of human psyche and psychological syndrome-making determinants. The authors assume the answer to these questions lie in the methodology by L.S.Vygotsky and further syndrome analysis method by A.R. Luria. The paper provides a brief history of the notion of “syndrome” and its transition from medical study to psychology with the developed meaning based on the structure of higher mental functions in the neuropsychological paradigm. The basic structural components of the syndrome in system-dynamic relationship are discussed. Special attention is paid to the problem of “factor” as a common syndrome-making state which integrates symptoms into hierarchically organized circuit. Various aspects of the categorization are discussed, i.e. whether it belongs to the norm or pathology.

In the context of the syndrome approach development prospects, new issues of polycausativity syndrome appear in relation to the classical paradigm, with compensatory symptoms, the need for statistical data verification, the role of individual supervision and others to be further included into the paradigm. The main current approaches of studying different syndromes using the potential of the Russian methodology of syndrome analysis, the basic principles of postnonclassical model of scientific rationality are considered.

Received: 02/20/2015

Accepted: 03/02/2015

Pages: 66-76

DOI: 10.11621/npj.2015.0207

By: ; ;

Keywords: syndrome; symptom; factor; clinical psychology; neuropsychology; psychological syndrome;

Available Online: 30.08.2015


About Editorial Board Volumes Authors For Authors Indexing Contacts
CC BY-NC

National Psychological Journal, 2006 - 2020