Authors
Ibatov A.D.1, Morozova I.V.2
1. Sechenov University, Faculty of High Nursing Education and Psychological and Social Work, Nursing Department, Moscow.
2. City Clinical Hospital №1 named after. N.I. Pirogov, 1 therapeutic department, Moscow.
Abstract
The definition of anthropometric indicators, the study of the parameters of central hemodynamics, laboratory and instrumental examination were provided; Psychoemotional status was assessed using questionnaires: 1. The Symptom Checklist-90-Revised 2. Hospital Anxiety and Depression Scale. The quality of life was assessed by the Medical Outcomes Study 36-Item Short-form health survey. The characteristics of the pain syndrome were determined by the McGill Pain Questionnaire. Results. An increased level of interpersonal sensitivity, hostility and paranoid thinking among patients with 1 and 2 stages of essential hypertension is revealed. The decrease of quality of life in patients with stage 1, 2, 3 essential hypertension was shown. A deterioration of quality of life at stages 2 and 3 was more expressed. In patients with essential hypertension of stage 1 by the scales of the physical component of health and physical functioning the mean scores were 53.5 ± 8.8 points and 97.1 ± 2.5 points, in patients with the second stage - 48.1 ± 8.6 points and 84.0 ± 15.1 points (p <0.05), with stage 3 - 42.8 ± 11.1 points and 61.0 ± 27.0 points respectively (p <0.05). A significantly higher level of anxiety in patients with stage 1 compared with patients with stage 2 and a higher level of depression in patients with stage 3 compared with patients with stage 2 were shown. A significant decrease in the severity of the pain syndrome in patients with hypertensive disease of the 3rd stage was revealed in comparison with patients with stage 1 and 2. Conclusion. The peculiarities of the psychoemotional status and quality of life of patients with essential hypertension depending on the stage of the disease were established, that has to be considered in treatment.
Keywords: hypertension, anxiety, depression, quality of life.
References
1. Vanchakova N.P. Trevozhnye rasstrojstva u pacientov s gipertonicheskoj bolezn'yu i ishemicheskoj bolezn'yu serdca i opyt ih korrekcii Tenotenom / N.P. Vanchakova, A.P. Popov // Poliklinika. – 2007. - №2. –S. 74-78.
2. Vatutin N.T. Depressivnye rasstrojstva i serdechno-sosudistye zabolevaniya / N.T. Vatutin [i dr.]. // Serce і sudini. – 2012. - №2. – S. 117–126.
3. Zemskova S.E. Zavisimost' urovnya trevogi i depressii bol'nyh s ehssencial'noj arterial'noj gipertoniej ot ih obrazovaniya i dinamika pokazatelej na fone 6-nedel'noj terapii / S.E. Zemskova // Profilakticheskaya medicina. – 2009. – №3. –S. 30 – 31.
4. Karpin V. A. Kompleksnaya terapiya bol'nyh rannimi formami arterial'noj gipertenzii / V. A. Karpin, O.I. SHuvalova, A.V. Burmasova // Lechashchij vrach. - 2012. - №2. – S. 15-18.
5. Majchuk E.YU. Rol' psihoehmocional'nyh narushenij v formirovanii klinicheskoj kartiny gipertonicheskoj bolezni / E.YU. Majchuk, I.A. Makarova, I.V. Morozova // Psihicheskoe zdorov'e. – 2015. -№12. –S. 76-82.
6. Medvedev. V.EH. Psihicheskie rasstrojstva i gipertonicheskaya bolezn' (obzor literatury) / V.EH. Medvedev. // Psihicheskie rasstrojstva v obshchej medicine. – 2007. - №1. –S.37-41.
7. Morozova O.G. Osobennosti formirovaniya golovnoj boli pri arterial'noj gipertenzii / O.G. Morozova, A.YA. YAroshevskij // Mezhdunarodnyj nevrologicheskij zhurnal. – 2009. - Golovnaya bol' (tematicheskij nomer). – S. 47-51.
8. Razvodovskij YU.E. Psihosocial'nyj distress kak faktor riska serdechno-sosudistoj patologii / YU.E. Razvodovskij // Medicinskaya panorama. – 2011. - №9. – S.51-54.
9. Svishchenko E.P. Opyt primeneniya preparata Afobazol® u pacientov s gipertonicheskoj bolezn'yu i trevozhnymi rasstrojstvami (rasshirennyj referat) / E.P. Svishchenko, O.V. Gulkevich // Psihicheskie rasstrojstva v obshchej medicine. – 2014. - №1. – S. 56-60.
10. Sidorov P.I. Osobennosti lichnosti pacientov s arterial'noj gipertoniej i ih zavisimost' ot tyazhesti techeniya zabolevaniya / P.I.Sidorov, A.G.Solov'yov, I.A. Novikova // Psihicheskoe zdorov'e. - 2007. - №2. – S.35-40.
11. Syrkin A.L. Klinicheskie i psihosomaticheskie osobennosti techeniya gipertonicheskoj bolezni v usloviyah hronicheskogo stressa / A.L. Syrkin [i dr.]. // Klinicheskaya medicina. – 2008. - № 2. – S.6-23.
12. Chung O.Y. Baroreflex sensitivity associated hypoalgesia in healthy states is altered by chronic pain / O.Y. Chung [et al.]. // Pain. – 2008. – Vol. 138. – P. 87–97.
13. Ho A.K. Association of anxiety and depression with hypertension control: a US multidisciplinary group practice observational study / A.K. Ho [et al.]. // J Hypertens. – 2015. – Vol.33 (11). – P. 2215-22.
14. Mancia G. Рекомендации по лечению артериальной гипертонии. ESH/ESC 2013 / G. Mancia [et al.]. // Российский кардиологический журнал. – 2014. – Vol.1. –P.7-94.
15. Mensorio M.S. Emotional eating as a mediator between anxiety and cholesterol in population with overweight and hypertension. / M.S. Mensorio [et al.]. // Psychol Health Med. – 2016. – Vol. 23. – P. 1-8.
16. Mucci N. Anxiety, Stress-Related Factors, and Blood Pressure in Young Adults / N. Mucci [et al.]. // Front Psychol. – 2016. – Vol. 7. – P.1682.
17. Tully P.J. Psychiatric correlates of blood pressure variability in the elderly: The Three City cohort study / P.J. Tully, С. Tzourio // Physiol Behav. – 2017. – Vol. 168. – P.91-97.
