Psychological profile in occupational chronic obstructive pulmonary disease (according to the Buss-Durkee Hostility Inventory and Plutchik- Kellerman-Conte questionnaire)

The assessment of clinical data and psychological profiles in patients with occupational chronic obstructive pulmonary disease (COPD) during its isolated and comorbid course opens new opportunities for evaluating the development, predicting the characteristics of the disease's progression, and adopting a personalized approach to pharmacotherapy for COPD, as well as for developing individual strategies for its primary and secondary prevention. The purpose of the study is to determine the psychological characteristics in COPD during its isolated course and in combination with arterial hypertension (AH). Materials and Methods. The study involved 235 patients: Group 1 (n=60) (control) – healthy volunteers; Group 2 (n=35) – COPD of the first degree of severity; Group 3 (n=50) – COPD of the second degree of severity; Group 4 (n=40) – COPD of the second degree of severity combined with AH; Group 5 (n=50) – isolated course of AH. All patients were tested using two methodologies: the Buss-Durkee Hostility Inventory and the Plutchik-Kellerman-Conte Life Style Index (LSI), described in 1979 based on the psycho-evolutionary theory by R. Plutchik and the structural theory of personality by H. Kellerman, adapted by E.S. Romanova and L.R. Grebennikov. The data from the groups were evaluated using one-way analysis of variance with intergroup comparisons based on Dunnett's test. Results. For the first time, the psychological manifestations in COPD of varying severity during its isolated course and in combination with arterial hypertension have been established. Limitations of the study. The study has regional (Samara Region) and professional (according to the detailing of working conditions in the studied comparison groups) limitations. Conclusions. The impact of industrial dust is a stress factor that leads to the development of pronounced psycho-emotional disorders in occupational chronic obstructive pulmonary disease during its isolated and comorbid course with arterial hypertension. In our opinion, it is necessary to include a comprehensive psychological assessment with a consultation from a psychologist and the use of the Buss-Durkee Hostility Inventory and the Plutchik-Kellerman-Conte Life Style Index, described in 1979 based on the psycho-evolutionary theory by R. Plutchik and the structural theory of personality by H. Kellerman, in the program of in-depth periodic medical examinations for individuals working in contact with industrial aerosols of chemical and fibrogenic nature, which are potentially dangerous for the development of occupational chronic obstructive pulmonary disease. Additionally, this should be included in the medical assistance program for patients with COPD during its isolated and combined course with AH in pulmonology centers and occupational pathology centers at federal and regional levels, taking into account the identified psychological changes and the need for timely psychological correction, including with the use of pharmacological agents.