Distinctive features of psycho-emotional disorders in patients with arterial hypertension living in Poltava, Ukraine

Abstract

Introduction: The recommendations of the European Society of Cardiology on Cardiovascular Prevention emphasize that conflicts and chronic stress increase the risk of arterial hypertension and as a consequence - heart disease in 2.5-4 times (especially among women). Depression is associated with an increase in the number of cardiovascular complications by 1.9 times, and worsen the patients' prognosis by 2.4 times. Inability to express your own anger is associated with growing risk of cardiovascular complications by 2.9 times. Aim: of this study is to analyze the state of mental health of the population in Poltava city and its impact on the rise of blood pressure among patients under study. Materials and methods: In accordance with informed consent we examined 650 respondents of Poltava by the method of M.A. Whooley. To establish the nature of the relationship between the indicators correlation analysis was used. Calculations were carried out using the program «Statistica for Windows. Release 6.0» and spreadsheets Excel 7.0. Results: Weak correlation between high blood pressure and socio-psychological factors is observed among patients with slight rise of blood pressure. A direct strong correlation was noticed among people with high blood pressure. More specifically, between the level of material well-being and high blood pressure (r = 0.96), between the rise of blood pressure and dissatisfaction with their work and wages (r = 0.98), between the rise of blood pressure and tensions in the family (r = 0, 85), between the high numbers of blood pressure and mood deterioration, feeling of depression (r=0.63), and feedback (r=-0.52), between low wages and high blood pressure, stress between the degree of resistance and middle age individuals (r=0.61), and the level of emotional stress (r = 0.7). Conclusions: High blood pressure is directly affected by work intensity, lack of time to rest, low level of social security rights. To support and promote people's health, as well as reducing the risk of disease occurrence it is vital to control the social and psychological factors such as stress and tension of life events.