The impact of frailty syndrome on the occurrence of anxiety disorders and depression in patients with arterial hypertension

Abstract

Abstract In recent years, there has been an increase in the number of older people, which translates into more frequent diagnosis of frailty among geriatric patients. Anxiety and depressive disorders in geriatric patients very often lead to deterioration of their health and exacerbation of chronic diseases, which results in deterioration of their functioning. The aim of the study was to assess the impact of frailty syndrome on the occurrence of anxiety and depressive disorders among patients with diagnosed hypertension. Material and methods The study included 70 patients with diagnosed hypertension (39 women - 56% and 31 men - 44%, aged between 60 and 92 years). The mean age of those included in the study was 70.3 ± 7.3 years. Results Frailty syndrome was diagnosed in 75.7% of patients participating in the study (77.4% of men and 74.3% of women). Depressive disorders occurred in 28.5% of respondents, including 25.8% of men and 30.8% of women. Anxiety disorders occurred in 24.3% of people, interestingly, men predominated in this group - 32.2%, while there were 17.9% of women with anxiety disorders. It has been shown that in women there is a relationship between the occurrence of frailty and depression in the general frailty syndrome and the physical and psychological domains. However, there is no statistically significant relationship between TFI in the social domain and the occurrence of depression. In this group of respondents, there was a statistically significant correlation between TFI and anxiety only in the psychological domain. There was no correlation between general frailty, physical and social domains and the occurrence of the drug. There is no statistically significant correlation between frailty syndrome and its domains and the occurrence of depressive disorders. A statistically significant relationship appears only between the physical and psychological domains and anxiety. Conclusions In women, weakness in the physical and psychological domain influences the development of depression, while in the case of anxiety it affects only the psychological domain. In men, frailty does not influence the occurrence of depressive disorders. Among men, there is a statistically significant correlation between physical and psychological frailty and anxiety.