BUKOVINIAN STATE MEDICAL UNIVERSITY, CHERNIVTSI, UKRAINE.
RIVNE REGIONAL CENTER OF MENTAL HEALTH, RIVNE, UKRAINE.
Wiad Lek. 2021;74(3 cz 1):455-459.
The aim: To study the influence of anxiety and depressive disorders on life quality of patients with arterial hypertension.
Materials and methods: 55 patients with arterial hypertension (AH) of 2nd stage were examined to reach the goal. Age diapason was 25-73 years, the middle age was 53.56+10.28. There were 58.2% (32) of women and 41.8% (23) of men among the patients.
Results: Results analysis of the investigation of patients with arterial hypertension and anxiety and depressive disorders using the Spielberger-Khanin anxiety inventory showed moderate (30.9%) and high (69.1%) level of trait anxiety. As for the state anxiety the high level of it was confirmed in 74.6% of studied patients and moderate level of state anxiety in 25.5% of patients. During the analysis of gender-based distribution the trait anxiety level was significantly higher in women (p<0.05). Results of PHQ-9 showed subclinical depression level (12.7%), mild (49.1%) and moderate (16.4%). Moderate manifestations of depression were found in 12.7%, severe depression in 9.1% (5 individuals). As for the gender-based distribution, anxiety indicators were significantly higher in women (p<0.01). HADS method did not show significant difference of depression levels of gender-based distribution.
Conclusions: The majority of individuals with arterial hypertension and nonpsychotic mental disorders have a high level of trait and state anxiety. Direct correlation was found between the trait anxiety indicator and depression severity, which were defined according to HADS and PHQ-9 questionnaires. The level of anxiety and depressive episode severity were found to be reliably higher in women in gender-based distribution, that/which was accompanied by decrease in most of the life quality indicators.
研究焦虑和抑郁障碍对 2 期动脉高血压患者生活质量的影响。
为达到目标，对 55 例动脉高血压（AH）患者进行了检查。年龄范围为 25-73 岁，中位年龄为 53.56+10.28。患者中女性占 58.2%（32 人），男性占 41.8%（23 人）。
使用 Spielberger-Khanin 焦虑量表对伴有焦虑和抑郁障碍的动脉高血压患者进行调查的结果分析表明，特质焦虑处于中高度（30.9%）和高度（69.1%）水平。至于状态焦虑，74.6%的研究患者表现出高度状态焦虑，25.5%的患者表现出中度状态焦虑。在分析性别分布时，女性的特质焦虑水平显著更高（p<0.05）。PHQ-9 的结果显示亚临床抑郁水平（12.7%）、轻度（49.1%）和中度（16.4%）。中度抑郁表现见于 12.7%的患者，重度抑郁见于 9.1%（5 人）。至于性别分布，焦虑指标在女性中显著更高（p<0.01）。HADS 方法未显示性别分布的抑郁水平存在显著差异。
大多数患有非精神病性精神障碍和动脉高血压的个体具有高度的特质和状态焦虑。特质焦虑指标与 HADS 和 PHQ-9 问卷定义的抑郁严重程度之间存在直接相关性。在性别分布中，焦虑和抑郁发作严重程度被发现可靠地高于女性，这伴随着大多数生活质量指标的下降。
