Anxiety in vibration disease and comorbidity problems

Abstract

When conducting a comprehensive examination of 145 people with various forms of vibration disease (VD) (first degree VD from exposure to local vibration, second degree VD from exposure to local vibration, second degree VD from exposure to local vibration in combination with hypertension, first degree VD from exposure to general vibration, second degree VD from exposure to general vibration, second degree VD from exposure to general vibration in combination with hypertension) and 30 people in the control group during the integrative anxiety test, an increased level of personal anxiety was revealed in patients with VD, both in the local vibration group and in the group of general vibration, as well as in combination with arterial hypertension (AH), regardless of the vibration type. In the study of the structure of personal anxiety, an increase in the level of the asthenic component of anxiety, emotional discomfort,and prospects assessment of more than 6.0 stanines was found. In the study of situational anxiety, the most pronounced changes in its structure were found in patients with vibration disease in combination with hypertension, regardless of the vibration type. In the structure of situational anxiety in patients with second degree VD from exposure to general vibration and in combination with AH, regardless of the vibration type, the levels of the asthenic component of anxiety and prospects assessment were signifi cantly increased, more than 6 stanines. In patients with vibration disease, both from the impact of local and general vibration and in combination with AH, there is a predominance of destructive psychological defenses (denial and projection) over constructive defenses (compensation and rationalization).