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

Purpose. To study the features of affective disorders in women with arterial hypertension in combination with metabolic syndrome. Materials and methods. 361 women with arterial hypertension were examined, of which 270 were patients with metabolic syndrome. Verification of metabolic syndrome carried out according to the clinical recommendations of the All-Russian Scientific Society of Cardiology of 2009. A hospital anxiety and depression scale used to identify and assess the severity of affective disorders. Results. A study of the individual severity of affective disorders among examined women with arterial hypertension showed that increased levels of anxiety were generally detected in half 48,3% of the examined women with metabolic syndrome. In a third 28,0% of women surveyed in this group, anxiety disorders subclinically pronounced, and clinically pronounced anxiety occurred in 20,3% of those examined. Increased levels of depression detected in 39.1% of women with metabolic syndrome examined. At the same time, almost a quarter 23,6% of the women examined in this group had depressive disorders of a subclinically pronounced nature, and clinically pronounced depression found in 15.5% of those examined. At the same time, among women with metabolic syndrome, the incidence of depression was statistically significantly higher than the same rate among women without metabolic syndrome. In women with metabolic syndrome, the anxiety rate was also higher, but the differences identified had no statistical significance. Conclusion. The highest incidence of affective disorders was among women with metabolic syndrome. The most frequent metabolic syndrome variant in the group of women with elevated anxiety was three-pronged 44%, and in the group with elevated depression, four-pronged 43%. More often in both groups, there was a combination of metabolic syndrome components such as abdominal obesity, arterial hypertension and lipid metabolism disorders.