Arterial hypertension as a psychosomatic problem
Garganeeva, N.P.; Temenev, F.F.; Semke, V.I.; Leonov, V.P.
Klinicheskaia Meditsina 82(1): 35-41
2004
ISSN/ISBN: 0023-2149 PMID: 15022594 Document Number: 576284
Current conception of stratification of arterial hypertension (AH) risk comprises a general strategy of its prevention, treatment and prognosis with consideration of personality, medical and social characteristics of the patients. In view of this AH is regarded a psychosomatic problem including somatic, psychic and social aspects. Of importance is AH study in patients with nonpsychotic mental disorders using methods of systemic analysis, multivariate probability models, in particular. The most adequate model is logistic regression. Our study included 1350 patients with borderline conditions. The developed model systems allowed isolation of the most significant somatic, psychic and psychosocial factors which can be applied as additional predictors of AH risk. Also, the results of the analysis may be useful in preventive interventions regarding individual spectrum of AH risk under joint efforts of internists, psychiatrist and psychotherapist.