Key result
Primary arterial hypertension in adolescents was associated with moderate (50%) or high (28.6%) state anxiety, which did not differ significantly from the control group.
Why the study?
The frequency of increased anxiety, depression, and alexithymia in adolescents with primary hypertension and the need for a support algorithm were not well established.
What is the frequency of anxiety, depression, and alexithymia in adolescents with primary hypertension compared to controls?
Cross-Sectional (n=91)
What is the frequency of anxiety, depression, and alexithymia in adolescents with primary hypertension compared to controls?
Adolescents with primary hypertension exhibit high rates of anxiety and alexithymia, though not significantly different from controls, highlighting the need for psychological support.
Psychological screening may be warranted in adolescent primary hypertension; leaves open whether integrated support algorithms improve outcomes.
The objective: of this work was to identify the frequency of increased anxiety, depression and alexithymia in adolescents with primary hypertension and to develop an algorithm for their medical and psychological support.Materials and methods. 91 children (21 girls and 70 boys) aged 10 to 17 y.o. (on average 14,65±1,52 y.o.) were examined. Diagnosis was verified by 24-hour blood pressure monitoring using monitors ABM-04 (Meditech,Hungary). Two groups were formed: I – 60 adolescents (11 girls and 49 boys) with stable and labile arterial hypertension and II – 31 adolescents (10 girls and 21 boys) – control group. Psychological study included identification of state and trait anxiety by Spielberger-Khanin test, alexithymia – using Toronto Alexithymia Scale, depression – by Zung Self-Rating depression scale.Results. Moderate statr anxiety was noted in 50%, and high – in 28.6% adolescents with primary hypertension; moderate and high trait anxiety respectively in 59,8% and 35,7%; alexithymia and risk of alexithymia – respectively in 21,4% and 31%, depression only 2,4%. On average, these emotional characteristisc did not differ from those of the control group. Taking into account the given and results of previous researches, the algorithm of medical and psychological support of adolescents with primary hypertension was developed and introduced.Conclusion. In the majority of adolescents with primary hypertension, there is anxiety and/or high anxiety that requires psychological correction.
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Місюра et al. (2018) conducted a cross-sectional in Primary arterial hypertension (n=91). Primary arterial hypertension vs. Normotensive adolescents (control group) was evaluated on Frequency of increased anxiety, depression and alexithymia. Primary arterial hypertension in adolescents was associated with moderate (50%) or high (28.6%) state anxiety, which did not differ significantly from the control group.
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