Anxiety and Depressive Disorders in Patients With Arterial Hypertension

Abstract

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.

Predictors of Psychological Well-Being and Quality of Life in Patients with Hypertension: A Longitudinal Study

“…For this reason, the present work aims to (a) investigate the trajectories of Hr-QoL and SWB over time to better clarify their trend over patients with hypertension and MetS and (b) investigate psychological and personality variables (LoC, self-esteem, trait anxiety, Type A and Type D traits) significantly affecting the longitudinal changes over time in Hr-QoL and SWB. We expect that patients will perceive better well-being and quality of life due to the monitoring of their BP, as we can see in previous work [ 39 ], and that the above-mentioned psychological and personality traits will significantly predict this trend; in particular, we expect an impact of self-esteem and internal LoC [ 24 , 26 ], as well as an influence of Type A, Type D behaviors [ 35 , 36 , 37 ] and trait anxiety [ 31 , 32 ] on both mean outcomes (Hr-QoL and SWB) according to previous studies.…”

“…Trait anxiety refers to the individual differences in anxiety-proneness as a personality trait, so persons with higher trait anxiety are more strongly disposed to manifest anxiety state [ 30 ]. In this field, many studies reported high levels of trait anxiety in patients with hypertension [ 31 ]; furthermore, trait anxiety has been associated with poorer Hr-QoL [ 31 ] and lower levels of SWB [ 32 ] in patients with hypertension compared to the general population. However, the causal effect between these pathological conditions and the well-being sphere remains unclear and needs further clarification [ 4 ].…”

Association of Depression with Long-Term Cardiovascular Risks in Older Patients with Obstructive Sleep Apnea

“…Because of various complications and long-term effects of medication, patients with hypertension are often accompanied by depression. 22 , 23 Given the potential impact of long-term complications, reduced quality of life, and impaired self-management of hypertension among individuals with OSA, comorbid hypertension, and depression, it is crucial to emphasize the importance of prognostic evaluation for this population.Additionally, a high AHI has been prevalent in hypertensive patients, 24 which may contribute to a poor prognosis in this population.…”

Longitudinal change of six common inflammatory cytokines and their relationship to anxiety, depression, and cognitive impairment in acute ischemic stroke patients

“…Psychological complications are common in cardiac-cerebral vascular disease patients ( 13 , 14 , 19 ). It has been reported that anxiety, depression, and cognitive impairment rates can range from 20.4 to 39.2%, 26.2 to 31.2%, and 18.6 to 43.2%, respectively, among AIS patients ( 15 , 20 , 21 ).…”