AFFECTIVE DISORDERS IN MEN WITH ARTERIAL HYPERTENSION IN COMBINATION WITH METABOLIC SYNDROME

Abstract

Purpose. To study the features of affective disorders in men with arterial hypertension in combination with metabolic syndrome.
 Materials and methods. 172 men with hypertension examined, including 106 patients with metabolic syndrome. Metabolic syndrome verification carried out according to the clinical recommendations of the All-Russian Scientific Society of Cardiology in 2009. The Hospital Anxiety and Depression Scale (HADS) used to identify and assess the severity of affective disorders.
 Results. The study of the individual severity of anxiety among the surveyed men with hypertension showed that elevated levels of anxiety generally detected in 14.6% of the surveyed men with metabolic syndrome. Anxiety disorders subclinically pronounced in 12,2% of the surveyed men in this group, and clinically pronounced anxiety found in 2,4% of the surveyed. Elevated levels of depression in general detected in 18,3% of the surveyed men with metabolic syndrome. At the same time, almost 11,0% of the surveyed men in this group had depressive disorders of a subclinically pronounced nature, and clinically pronounced depression occurred in 7,3% of the surveyed.
 Conclusion. The frequency of affective disorders in men with hypertension did not depend on the presence of metabolic syndrome. The most frequent variant of metabolic syndrome in the group of men with an increased level of anxiety was four–component (58,3%), and in the group with an increased level of depression - three-component (42,8%). Among men with metabolic syndrome with both elevated levels of anxiety and elevated levels of depression, 3- and 4-component combinations of metabolic syndrome more often detected.