THE ROLE OF PSYCHOEMOTIONAL STATUS IN PROGNOSIS OF ARTERIAL HYPERTENSION IN YOUNG ADULTS

Abstract

Objective: to evaluate the role of mental and emotional status in predicting of arterial hypertension in young adults.

Materials and methods: a total of 981 volunteers (535 men, 446 women) aged 20 to 29 were examined. By the level of blood pressure (BP) 2 groups were separated: group 1 (n = 842) - with normal BP level (<140/90 mm Hg), group 2 (n = 139) - with arterial hypertension (≥140/90 mm Hg). Th e psychoemotional status of the subjects was assessed using a neuropsychic adaptation test of S.B. Semichov, Situational State-Trait Anxiety Inventory of Charles Spielberger and Y.L. Khanin and the questionnaire “From uncertainty to confidence” N.N. Th e volunteers from the 1 groups were observed second time in 5 years. Th e endpoint of the study was AH.

Results: the incidence of neuropsychic adaptation violations of mental and emotional states among young people was 39.8% (95% CI 36.7-42.8%). High level of situational anxiety presented in 34.3% (95% CI 31.3-37.2%). Self doubt was found in 30.9% of cases (95% CI 28.0-33.8%). Th ere were no significant diff erences in the prevalence of psychoemotional violations depending on BP level. 78 surveyed were withdrawn from the study during the period of observation by the various reasons. Data of 764 patients were included in a second phase. Arterial hypertension was detected in 144 patients (18.8%, 95% CI 16.2-21.7%). Th e relative risk of arterial hypertension in 5 years in people with high level of situational anxiety was 1.64 (95% CI 1.22-2.19), with self-doubt – 1.73 (95% CI 1.29-2.31).

Conclusions: In patients with high level of situational anxiety arterial hypertension developing in 1.44 times and with self doubt — in 1.73 times more likely during next 5 years.