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


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.


cognitive impairment; arterial hypertension; level of sociability


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