EC Psychology and Psychiatry

Research Article Volume 11 Issue 8 - 2022

Personal Factors Determining the Sustainability of Compliance among Patients with Transient Ischemic Attack

Nikita A Bondarenko*

Communal Non-Profit Enterprise, Department of Neurology, "Kiev City Clinical Hospital No3", Kiev, Ukraine

*Corresponding Author: Nikita A Bondarenko, Communal Non-Profit Enterprise, Department of Neurology, "Kiev City Clinical Hospital No3", Kiev, Ukraine.
Received: June 25, 2022; Published: July 29, 2022



The article is a summary of the results of a pilot phase of an ongoing study to determine the factors that affect the compliance of patients with a Transient Ischemic Attack (TIA). All patients, in addition to the standard comprehensive examination, which included taking anamnesis, recording blood pressure, biochemical tests and MRI, were asked to fill out the MMPI questionnaire (in the abbreviated version of Mini-Mult), as well as the PHQ-9 questionnaire, reflecting the level of depression and the modified Morisky-Green questionnaire, measuring the degree of compliance. Based on factor analysis, it was found that certain personal characteristics of patients predetermine the declarative or real nature of compliance peculiarly already at the stage of discharge from the hospital: patients with psychotic accentuation, as well as with neurotic accentuation, tend to declarative cooperation in the direction of preventing an acute vascular episode (stroke). The former - is due to distrust and a tendency to excitable reactions, and the latter is due to anxiety and the need for sympathy. The same patients who suffer from depression count on cooperation with medical personnel and paramedics (doctor, psychologist, social worker) and responsibly treat the developed conditions and rules of interaction.

Keywords: A Pilot Study; Compliance; Transient Ischemic Attack; Factor Analysis; Stroke Prevention

  1. Bondarenko Nikita A. “The Problem of Compliance in Persons with a Transistor Ischemic Attack”. EC Psychology and Psychiatry3 (2022): 59-63.
  2. Transient ischemic attacks: time to change attitude Acute and Emergency Conditions in the Practice of a Doctor10 (2008).
  3. Lebedeva ER., et al. “Diagnostic criteria for transient ischemic attack”. Neurology, Neuropsychiatry, Psychosomatics2 (2018): 12-19.
  4. Goretska AM. Psychological factors of compliance of patients with essential hypertension. – Manuscript. The thesis for the academic degree of candidate of psychological science, specialty 19.00.04 – medical psychology. Kharkiv Medical Academy of Postgraduate Education of the Ministry of the health of Ukraine. – Kharkiv (2013).
  5. Danilov DS. “Therapeutic cooperation (compliance): the content of the concept, mechanisms of formation and optimization methods”. Neurology, Neuropsychiatry, Psychosomatics 2 (2014): 4-12.
  6. Sobchik LN. “Psychodiagnostics in medicine”. M (2007): 416с.
  7. Morisky DE., et al. “Concurrent and Predictive Validity of Self-Report Measure of Medication Adherence”. Medical Care1 (1986): 67-74.
  8. Harrison V., et al. “Psychological and emotional needs, assessment, and support post-stroke: a multi-perspective qualitative study”. Topics in Stroke Rehabilitation2 (2017): 119-125.
  9. Woranush W., et al. “Preventive Approaches for Post-Stroke Depression: Where Do We Stand? A Systematic Review”. Neuropsychiatric Disease and Treatment 17 (2021): 3359-3377.
  10. Si Larbi M., et al. “Ischemic and Non-ischemic Stroke in Young Adults - A Look at Risk Factors and Outcome in a Developing Country”. Cureus Journal of Medical Science8 (2021): e17079.
  11. Ois A., et al. “Factors Associated With a High Risk of Recurrence in Patients with Transient Ischemic Attack or Minor Stroke”. Stroke 39 (2008): 1717-1721.

Nikita A Bondarenko. Personal Factors Determining the Sustainability of Compliance among Patients with Transient Ischemic Attack. EC Psychology and Psychiatry 11.8 (2022): 29-35.