title: [TREATMENT COMPLIANCE IN PATIENTS WITH CHRONIC HEART FAILURE AND COMORBIDITIES].
abstract: Treatment compliance determines to a large degree the effectiveness of therapy of chronic heart failure (CHF). However; individual characteristics of a patient, such as comorbidities and personality status are frequently disregarded. This work was aimed to study clinical and psychological peculiarities of patients with CHF determining treatment compliance taking account of comorbidity.
  
  
  METHODS
  The study included 203 patients (130 men and 73 women) of mean age 61.8 ± 9.6 yr. The following features were evaluated: comorbidity psychological status, compliance with medicamental and non-medicamental treatment of CHF.
  
  
  RESULTS
  Charlson comorbidity index corrected for age was 5.0 ± 2.1. Compliance with non-medicamental (recommendations on self-control and changes in the lifestyle) and medicamental therapy was documented in 37 (18.2%) and 61 (30%) patients respectively. Patients with poor compliance were characterised by disadaptive type of responsiveness, emotional lability and indecisiveness (p < 0.04).
  
  
  CONCLUSIONS
  Poor treatment compliance is to a large extent determined by peculiarities of the personality status.
authors.forename: E V
authors.initials: EV
authors.lastname: Efremova
authors.forename: M V
authors.initials: MV
authors.lastname: Menzorov
authors.forename: L A
authors.initials: LA
authors.lastname: Sabitov
mesh_terms: D003071:Cognition / Q000502:physiology; D015897:Comorbidity; D005260:Female; D006333:Heart Failure / Q000453:epidemiology / Q000628:therapy*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology* / Q000503:physiopathology; D008875:Middle Aged; D010349:Patient Compliance; D012189:Retrospective Studies; D012426:Russia / Q000453:epidemiology