PATIENTS WITH CARDIAC CHANNOLOPATHIES AT THE CARDIOLOGY DIVISION OF BOLZANO

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Abstract Dedicated cardiologist–psychologist clinic for patients diagnosed with channelopathy: After Cardiological Assessment and Evaluation, Psychological Assessment and Evaluation is performed with possible management. Psychological Support is offered for both the patient and the family, especially if there is a genetic component present. Focus on anxious–depressive reactions to the disease and activation of the patient‘s resources and of the family and social context. Objective awareness of the clinical picture and psychological support if dysfunctional psychological components are present. The goal is the patient‘s well–being and support in critical moments. 3 Phase of Psychological Assessment and Therapy:In the first phase, which is diagnostic oriented, there is a psychological evaluation about the awareness of the patient‘s illness and the detection of psychological problems, the presence of internal/external resources, risk factors, adherence to sensations and perception of quality of life . Objective: awareness of the pathology and its progression;In the second phase, which is about the therapeutic management, support interviews with the patient and/or caregiver are planned with cognitive/behavioral methods, with a focus on acceptance and adaptation to the disease. Objective: normal mood state and management of dysfunctional emotional reactions to the pathology;Last psychoeducational phase: educational and therapeutic interventions. Objective: learning of functional coping strategies (cognitive, behavioral and emotional) and modification of behavioral risk factors. Alexander, F. (1984). Psychological aspects of medicine. Advances 1:53–60. Allan, R. e Scheidt, S.S. (1996). Heart e Mind: the practice of cardiac psychology. Washington DC: American Psychological Association Beck, A.T. e Steer R.A. (1987). Manual for the revised Beck depression inventory. San Antonio, Texas: The Psycological Corporation. Hughes, J.W. e Stoney, C.M. (2000). Depressed mood is related to high–frequency heart rate variabilità during stressors. Psichosomatic Medicine, 62:796–803. Mauri, A. e Tinti, C. (2006) (A cura di), Psicologia della salute. Contesti di applicazione dell’approccio biopsicosociale. UTET Università.

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