[Psychological aspects of systemic approach to intra-nosological diagnosis in arterial hypertension].
OBJECTIVE
To evaluate significance of the program of psychological examination of patients with essential hypertension (EH) for clinicians and characterize the patients psychologically.


METHODS
46 EH patients were examined for time of trouble, stress liability, psychological reaction to the disease, factors of vitality. 24-h blood pressure (BP) monitoring was made in 40 patients.


RESULTS
It is shown that in EH more frequent are hypochondriac and anxiodepressive psychological types. "White coat" hypertensive reactions (primarily, a rise of systolic blood pressure by 12.5%, on the average) were observed in any psychological types but more in the hypochondriac type. Time of trouble and stress liability were high and correlated. Cluster analysis has identified patients with the highest mean BP. Their psychological analysis is presented.


CONCLUSIONS
The proposed program of evaluation of psychological features of somatic patients allow to define main psychological factors influencing BP. This program is available for clinicians who are not professional psychologists.
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Shkarin
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Shkarina
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Malygin
D000328:Adult; D001007:Anxiety / Q000175:diagnosis* / Q000209:etiology / Q000523:psychology; D018660:Blood Pressure Monitoring, Ambulatory; D003863:Depression / Q000175:diagnosis* / Q000209:etiology / Q000523:psychology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications* / Q000523:psychology; D008297:Male; D011379:Prognosis; D011581:Psychological Tests; D012720:Severity of Illness Index