The state of cognitive functions and psychoemotional status of the hypertensive patients depending on sociability level

N.J. Dotsenko, L.V. Gerasimenko, S.S. Boev, I.A. Shekhunova

Abstract


Background. Numerous studies have demonstrated the role of arterial hypertension as an independent risk factor of development and cognitive disorders progression. Currently, great clinical significance is attached to factors showing protective properties for cognitive functions, such as dynamic physical activity (outside professional duties), sufficient cognitive acti­vity, focused on learning new and wide communication range. In this regard the problem of human activity in communication among hypertensive patients and the relationship between the level of sociability and cognitive functions are of interest. The purpose of the work was to study the influence of sociability level on the development of cognitive impairment and psychoemotional status in hypertensive patients. Materials and methods. 99 patients with hypertensive disease of stage II without comorbid diseases were examined; mean age was 50.34 ± 0.79 years. The average duration of the disease was 8.96 ± 0.61 years. Patients were divided into 3 groups according to the self-estimated level of sociability by visual analogue scale. The number of neuropsychological tests were used to study cognitive impairment and psychoemotional status. Results. The first group involved 22 patients with a low level of sociability (2.55 points by the visual analogue scale), the second group included 42 with an average level of sociability (6.02 points), and the third group included 35 patients with a high level of sociability (8.83 points). It was established the decrease in cognitive functions according to the MoCA test in the patients of examined groups with poor sociability. The portion of patients showing cognitive impairment in the examined groups with different sociability level was 39.5, 50 and 72.7 %, respectively. The correlation analysis allowed reveal moderate relationship between the sociability level and the MoCA test (r = +0.40; p < 0.05), as well as between cognitive impairment according to the MoCA test and anxiety level (r = –0.48; p < 0.01) of all observed patients. According to the Spielberger test and the results of the Beck scale, it was found the increase in reactive anxiety and increase in symptoms of depression with decrease in the level of patients’ sociability by the visual analogue scale. Correlation analysis revealed a significant moderate negative association (r = –0.44; p < 0.05) between the level of sociability and the Spielberger score. Conclusions. Estimation of sociability level is an objective tool for estimating lifestyle activity in hypertensive patients. The dependence of cognitive function deterioration on sociability level in hypertensive patients is established in patients with stage II. With decreasing of sociability level the deterioration of cognitive functions and increased reactive anxiety level and symptoms of depression are observed.

Keywords


cognitive impairment; arterial hypertension; level of sociability

References


Zaharov VV,Vahnina NV. Cognitive impairment in arterial hypertension. Nervnyebolezni. 2013; 3: 16-21. (in Russian).

Chernij VI,Javorskaja VA, BachinskajaNJu. Cerebral ischemia and cognitive impairment: topical issues. For the materials of the conference.Zdorov,jaUkraїni. 2016; 2 (37): 12-13. (in Russian).

Baskys A, HouAC. Vascular dementia: pharmacological treatment approaches and perspectives. Clinical Interventions in Aging.2007; 2 (3): 327-335.

Drozdova YV, Khramtsova VV, HoncharYuA [et all.]. Blood pressure and cognitive function in patients with hypertension in the long term after stroke. Mezhdunarodnyiymeditsinskiyzhurnal. 2015;3: 50-54. (in Russian).

Pilipovich AA. Moderate cognitive impairment ConsiliumMedicum. 2016; №18 (2): 44–49. (in Russian).

Skugarevskij OA. Cognitive deficiency of the second half of life: the field of insoluble contradictions of therapeutic approaches.Nevrol. inejrohirurgija. VostochnajaEvropa. 2013; №1: 58-70. (in Russian).

Vasjura SA. Communicative activity of representatives of different professional groups.IzvestijaRossijskogogosudarstvennogopedagogicheskogouniversitetaim. A.I. Gercena. 2009; 105; 129–136. (in Russian).

On approval and introduction of medical and technological documents on standardization of care in the prevention of cardiovascular diseases. Ministry of Health of Ukraine. Nakaz№564 vіd 13.06.2016./ ofіcіjnijsajt MOZ Ukraїni. – Rezhimdostupu : www.moz.gov.ua. (in Ukrainian).

Gakman AV, BajdjukMJu. Foreign experience recreation and recreational activities with in the leisure of the elderly.Molodijvchenij. 2016; 11(38): 116-119.(in Ukrainian).

LidijaDajak, Miroslav Mastilica [et al.]. Health-related quality of life and mental health in the process of active and passive ageing. PsychiatriaDanubina. 2016; 28(4): 404-408.

David Carlessа, Kitrina Douglas. The Bristol Active Life Project: Physical Activity and Sport for Mental. Sports-Based Health Interventions. 2015; December: 101-115.

ChallaVenkata Suresh, Nagendar Rao Yeedulapally Influence of various psychological correlates in cardiovascular disease patients. IAIM. 2016; 3(5): Р. 24-28.

Jarett D Berry, Donald M Lloyd-Jones, Daniel B Garside, Renwei Wang, Philip Greenland. Social Avoidance and Long-Term Risk for Cardiovascular Disease Death in Healthy Men: The Western Electric Study. Annals of Epidemiology. 2007; 17: 591–596.

Chernyshkova EV. Medical sotsyalnыe risk prolonhyrovanyya active lifestyle old people. Fundamental'nyeissledovanija. 2012; 3: 358 – 361. (in Russian).

MolchanovaZhI, Sokolova AA, Anischenko LI, authors. The study of cognitive function in patients with neurological profile: Toolkit. Hantyi-Mansiysk: HMGMA; 2013. 38 p. (in Russian).

Nasreddine ZS. The Montreal Cognitive Assessment (MoCA): The Montreal Cognitive Assessment (MoCA): A Brief Screening Tool For Mild Cognitive Impairment. J Am Geriatr Soc. 2005; 53: 695–699.

Besedin AN. Psychology of communication and conflict.Har'kov: HNADU, 2007. 460 p.Uchebnoeposobie(in Russian).

Zhuravleva LA. On the question of classification of types of communication. Mezhdunarodnyjnauchnyjzhurnal «Innovacionnajanauka». 2015; №7: 181-186.

Petersen RC, Caracciolo B, Brayne C [et al.] Mild cognitive impairment: a concept in evolution. Journal of Internal Medicine. 2014; 275: 214-228.

Trusova NA,Levina NO, Levin OS. Dyscirculatory encephalopathy - letztewiese of domestic angioneurology.Sovremennajaterapija v psihiatriiinevrologii. 2016; 2: S. 11-17. (in Russian).

Sviridova NK. Cognitive and emotsiyno and personality disorders in patients with hypertensive encephalopathy. State of cerebral blood flow in arterial hypertension (scientific review and personal observation). Mezhdunarodnyjnevrologicheskijzhurnal. 2016; 1(79): 123 – 130.(in Ukrainian).

Kenneth M. Langa, Deborah A. Levine. The Diagnosis and Management of Mild Cognitive Impairment. A Clinical Review. JAMA. 2014; 312(23): 2551-2561.

TiiaNgandu, Jenni Lehtisalo, Alina Solomon [et al.]. A 2 year multidomain intervention of diet, exercise, cognitive training, and vascular risk monitoring versus control to prevent cognitive decline in at-risk elderly people (FINGER): a randomised controlled trial. The Lancet. 2015; 385(9984): 2255–2263.

Sheung-Tak Cheng, Pizza K. Chow, You-Qiang Song [et al.]. Mental and Physical Activities Delay Cognitive Decline in Older Persons with Dementia. The American Journal of Geriatric Psychiatry. 2014; 22: 63–74.

Kim AS, Juldasheva LR, Poletaev VV. Psychological factors in the structure of the pathomorphosis of essential hypertension. Vestnik KRSU. 2016; 16(3): 8-41. (in Russian).

Kosenkova OI. Psychosocial features of patients with arterial hypertension.Jekologijacheloveka. 2008; 7: 43-46. (in Russian).

Maruta NA. Anxiety disorders in the structure of psychosomatic pathology (clinical manifestations, diagnosis, therapy). Zdorov’jaUkraїni. 2016; 1 (374): 34-35. (in Russian).




DOI: https://doi.org/10.22141/2224-1485.2.52.2017.101295

Refbacks

  • There are currently no refbacks.


Copyright (c) 2017 HYPERTENSION

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

 

© Publishing House Zaslavsky, 1997-2017

 

 Яндекс.МетрикаSeo анализ сайта Рейтинг@Mail.ru