{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T17:32:13Z","timestamp":1793640733889,"version":"4.5.1"},"reference-count":31,"publisher":null,"issue":"8","license":[{"start":{"date-parts":[[2019,8,8]],"date-time":"2019-08-08T00:00:00Z","timestamp":1565222400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/lib.ossn.ru\/jour\/about\/editorialPolicies#openAccessPolicy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Kardiologiia"],"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Psychosocial risk factors (RFs) play a major role in the development and progression of cardiovascular diseases (CVDs).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Aim<\/jats:bold>\n                    . The COMET study aimed to obtain current data on psychosocial RFs in outpatients with arterial hypertension (AH) and\/or coronary heart disease (CHD) seen in primary care facilities in 30 cities of Russia.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods.<\/jats:bold>\n                    In 2016-2017, a multicenter cross-sectional study was carried out involving 325 physicians from community primary care facilities who enrolled 2,775 patients with AH and\/or CHD \u2265 55 years of age. However, only 73 CHD patients (2.6%) were not hypertensive, therefore, these patients were excluded from the analyses. As a result, current paper is based on the comparison of AH patients (n=1687) vs. participants with both CHD and AH (AH+CHD; n=1015). We collected patients\u2019 socio-demographic data, clinical features, traditional and psychosocial RFs, such as anxiety and depression, stress level, type D personality, and treatment adherence.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results<\/jats:bold>\n                    . The study population (women, 72%; mean age \u00b1 SD, 66.7 \u00b1 7.9 years) had a significant prevalence of psychosocial RF. 43.8% of AH patients and 45.5 % of participants with AH+CHD rated their income as low or very low, a low educational level was reported in 21.6% and 26.0%, respectively (both p=n\/s). Social isolation was uncommon, but it occurred more frequently in AH+CHD patients (8.3% vs. 5.2%, p&lt;0.01). Nevertheless, 40.2% of AH patients and 39.4% of AH+CHD were not married, and 26.0% and 24.6% were living alone, respectively. Elevated stress level was prevalent in more than 60% of patients (67.9% in AH patients vs. 67.7% in AH+CHD patents, p=n\/s), and 63.3% and 64.8% of patients, respectively, reported stressful life events in the preceding year (p=n\/s). Type D personality was more common in AH+CHD patients (41.2% vs. 35.8%; p&lt;0.01). Clinically significant anxiety symptoms were prevalent in 24.7% ofAH patients and in 27.4% ofAH+CHD patients (p=n\/s), and clinically significant depressive symptoms were identified in 13.9% and 20.9%, respectively (p&lt;0.001).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusion.<\/jats:bold>\n                    We obtained current data on psychosocial RFs prevalence in outpatients with the most common CVDs in primary care setting. At the moment, their prevalence remains significant.\n                  <\/jats:p>","DOI":"10.18087\/cardio.2019.8.n469","type":"journal-article","created":{"date-parts":[[2019,8,9]],"date-time":"2019-08-09T06:13:20Z","timestamp":1565331200000},"page":"54-63","source":"Crossref","is-referenced-by-count":18,"title":["Psychosocial Risk Factors in Patients With Most Common Cardiovascular Diseases Such as Hypertension and Coronary Artery Disease (Based on Results From the Russian Multicenter COMET Study)"],"prefix":"10.68900","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4165-804X","authenticated-orcid":true,"given":"N. V.","family":"Pogosova","sequence":"first","affiliation":[{"name":"Federal State Institution \"National Medical Research Center for Cardiology\" of the Ministry of Healthcare of the Russian Federation"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O. Yu.","family":"Sokolova","sequence":"additional","affiliation":[{"name":"Federal State Institution \"National Medical Research Center for Cardiology\" of the Ministry of Healthcare of the Russian Federation"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4274-0667","authenticated-orcid":true,"given":"Yu. M.","family":"Yufereva","sequence":"additional","affiliation":[{"name":"Federal State Institution \"National Medical Research Center for Cardiology\" of the Ministry of Healthcare of the Russian Federation"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9913-2059","authenticated-orcid":true,"given":"A. A.","family":"Kursakov","sequence":"additional","affiliation":[{"name":"Federal State Institution \"National Medical Research Center for Cardiology\" of the Ministry of Healthcare of the Russian Federation"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9794-7484","authenticated-orcid":true,"given":"A. K.","family":"Ausheva","sequence":"additional","affiliation":[{"name":"Federal State Institution \"National Medical Research Center for Cardiology\" of the Ministry of Healthcare of the Russian Federation"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1577-3623","authenticated-orcid":true,"given":"A. A.","family":"Arutyunov","sequence":"additional","affiliation":[{"name":"Federal State Institution \"National Medical Research Center for Cardiology\" of the Ministry of Healthcare of the Russian Federation"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. S.","family":"Kalinina","sequence":"additional","affiliation":[{"name":"Federal State Institution \"National Medical Research Center for Cardiology\" of the Ministry of Healthcare of the Russian Federation"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. V.","family":"Karpova","sequence":"additional","affiliation":[{"name":"Federal State Institution \"National Medical Research Center for Cardiology\" of the Ministry of Healthcare of the Russian Federation"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V. A.","family":"Vygodin","sequence":"additional","affiliation":[{"name":"Federal State Institution \"National Medical Research Center for Cardiology\" of the Ministry of Healthcare of the Russian Federation"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6998-8406","authenticated-orcid":true,"given":"S. A.","family":"Boytsov","sequence":"additional","affiliation":[{"name":"Federal State Institution \"National Medical Research Center for Cardiology\" of the Ministry of Healthcare of the Russian Federation"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0875-0773","authenticated-orcid":true,"given":"R. G.","family":"Oganov","sequence":"additional","affiliation":[{"name":"Federal State Institution \"National Medical Research Center for Cardiology\" of the Ministry of Healthcare of the Russian Federation"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":null,"published-online":{"date-parts":[[2019,8,8]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Piepoli MF, Hoes AW, Agewall S, Albus C, Brotons C, Catapano AL et al. 2016 European Guidelines on cardiovascular disease prevention in clinical practice: The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts)Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR). European Heart Journal. 2016;37(29):2315-81. 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