Rizik od nastanka metaboličkog sindroma kod bolesnika sa arterijskom hipertenzijom u odnosu na psihološke i biološke faktore rizika

  • Gordana Nikolić University of Niš, Faculty of Medicine, Department of Psychiatry, Niš, Serbia
  • Ivan Tasić University of Niš, Faculty of Medicine, Department of Internal Medicine, Niš, Serbia
  • Olivera Žikić University of Niš, Faculty of Medicine, Department of Psychiatry, Niš, Serbia
  • Suzana Tošić Golubović University of Niš, Faculty of Medicine, Department of Psychiatry, Niš, Serbia
  • Nikola Stojanović University of Niš, Faculty of Medicine, Department of Physiology, Niš, Serbia
  • Maja Simonović University of Niš, Faculty of Medicine, Department of Psychiatry, Niš, Serbia
  • Jelena Kostić University of Niš, Faculty of Medicine, Department of Psychiatry, Niš, Serbia
DOI: https://doi.org/10.2298/VSP180929130N
Ključne reči: metabolički sindrom, hipertenzija, kardiovaskularne bolesti, faktori rizika, ličnost, upitnici, depresija, komorbiditet

Sažetak


Uvod/Cilj. Tip ličnosti i negativne emocionalne reakcije mogu biti značajni za grupisanje bioloških i psiholoških faktora rizika od nastanka karidovaskularnih bolesti kod bolesnika sa arterijskom hipertenzijom (AH). Cilj rad bio je da se istraži da li bolesnici sa AH i psihološkim karakteristikama ličnosti sklonih distresu, sa povišenim nivoima anksioznosti/depresivnosti/agresivnosti, imaju veći rizik od prisustva metaboličkog sindroma (MS) i prediktivnu vrednost ovih parametara od pojave MS. Metode. Ukupno 85 bolesnika bilo je uključeno u opservacionu studiju preseka. Type D Scale (DS-14) je korišćena  u cilju određivanja D (distres) tipa ličnosti, the Hospital Anxiety and Depression Scale (HADS) za određivanje nivoa anksioznosti i depresivnosti, a the Buss Perry Aggression Questionnaire (BPAQ) za utvrđivanje agresivnosti. Ispitivanje bioloških parametara uključivalo je određivanje nivoa krvnog pritiska, lipidnog statusa, indeksa telesne mase (ITM), prisustva dijabetesa melitusa (DM) i MS. Rezultati. Bolesnici D tipa ličnosti imali su veću zastupljenost povišene anksioznosti, agresivnosti i MS u odnosu na one bez D tipa ličnosti. Žene D tipa ličnosti su bile mlađe, imale povišenu anksioznost i veću prevalencu DM u odnosu na one koje nemaju tip D ličnosti. Mulitvarijantna analiza pokazala je da je depresija nezavisan faktor rizika za pojavu MS kod bolesnika sa AH i D tipom ličnosti. Zaključak. Udruženost MS i AH je u korelaciji sa tipom D ličnosti, anksioznošću i depresijom. Rano otkrivanje/lečenje depresije kod bolesnika sa AH i D tipom ličnosti može biti korisno za smanjivanje rizika od metaboličkog sindroma.

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Objavljeno
2021/08/06
Broj časopisa
Vol. 78 Br. 7 (2021): Vojnosanitetski pregled
Rubrika
Originalni članak