PSYCHOLOGICAL STATUS IN HYPERTENSIVE PERSONS OF MILITARY AGE AND THE RELATIONSHIP OF INDIVIDUAL STRESS FACTORS WITH THE PARAMETERS OF DAILY MONITORING OF BLOOD PRESSURE

The aim of the research was to study the psychological status of young men of military age with hypertension (AH) and to identify relationships with clinical data and the results of 24-hour blood pressure monitoring (DBPM).
Materials and methods: 181 young men aged 18 to 27 years inclusive (average 21.3±0.2 years) with a confirmed diagnosis of primary AH were examined. Comprehensive psychological testing was carried out among 26 volunteers using questionnaires recommended by the Ministry of Defense of the Russian Federation for psychological testing of persons called up for military service (Khanin-Spielberg scale (situational (ST) and personal anxiety (LT), “Prognosis” scale (nervous-psychic resistance (NPR), PSM-25 (experience of stress) and the HADS scale (anxiety and depression), studied the relationship between test results among themselves and with DBPM parameters, the value of the level of statistical significance was taken equal to 0.05.
Results. A simple interpretation of a complex of psychological tests showed the psychological well-being of the examined hypertensive individuals. A correlation analysis of scores scored on various psychological scales among themselves confirmed the validity and informativeness of the selected methods. A statistically significant moderate negative correlation was found between the number of points assessing the NS of an individual with the duration of AH, estimated in years, which indicates the protective nature of psychological discharge in relation to AH. Thus, our data showed that NS is the main psychological resource of conscripts and determines the development of AH among military personnel. As one of the methods of safe psychological relaxation, the method of serial drawing was proposed (Sysoeva, Korneeva, 2018).
In addition, moderate positive correlations were found between the scores scored on the scales assessing the experience of stress (PSM-25) and the level of depression (HADS) with the average daily and daily DBP values and the average daily heart rate.
Conclusions. 1. Among the persons of military age with primary hypertension, there was revealed the predominance of low levels of situational, personal anxiety and stress, normal indicators of anxiety and depression, a high degree of neuropsychic stability, which negatively correlated with the duration of hypertensive anamnesis. 2. The results of psychological tests positively correlate with the DBPM parameters that characterize DBP, which allows us to consider the methods of psychological correction among young men of military age as additional non-drug measures.

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