[PP.03.28] ASSESSMENT OF PSYCHOSOCIAL FACTORS AMONG PATIENTS WITH OR WITHOUT PROVEN ATHEROSCLEROSIS AND ARTERIAL HYPERTENSION

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Abstract

Objective:

Psychosocial factors have proven their importance as a major risk factors for some diseases of a high social importance. Atherosclerosis and its complications is one of the most often reason for morbidity and mortality in developed societies.

Objective:

Aim of the current study is to compare influence of the psychosocial factors in patients with or without atherosclerosis and arterial hypertension.

Design and method:

Current study is a prospective randomized study including 403 patients with or without proven atherosclerosis (angiography data for coronary, carotid or peripheral artery disease) at the mean age of 61,9 ± 7,56 years, 256 (61%) men and 157 (39%) women. Standardized questionnaires have been used to assess: risk factors and co-morbidities (smoking, arterial hypertension, dyslipidemia, DM and family history) and self-assessment for satisfaction of the social position, happiness, freedom and professional realization. The statistical analysis was performed with SPSS v21.

Results:

There was significant difference between studied groups when compared complex assessment for psychosocial factors. In the group without AH and without atherosclerosis the complex assessment for the psychosocial factors was significantly higher than in patients with proven atherosclerosis (81,47 ± 34,98 vs. 55,24 ± 44,06 points respectively). The same was for the group of patients with AH. For patients without proven atherosclerosis and with such (73,44 ± 36,67 vs. 44,92 ± 45,97 points).

Conclusions:

In concusion, there is straight difference among patients with and without proven atherosclerosis concerning psychosocial factors. This difference is significant also in the groups with and without arterial hypertension. Psychosocial factors are one of the most important factors for atherosclerosis and consequence morbidity and mortality and are most important as target for primary and secondary prevention.

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