Psycho-emotional status and quality of life in patients with arterial hypertension and subclinical hypothyroidism: an observational case-control study

Background. Arterial hypertension (AH) is one of the common risk factors for cardiovascular pathologies. Among thyroid disorders, subclinical hypothyroidism (SCH) remains a frequent disease. This explains the relevance of studying the relationship of SCH and AH in patients to determine its impact on the psycho-emotional status and their quality of life. Objective: evaluation of the relationship of subclinical hypothyroidism, psychological status and quality of life in hypertensive patients. Methods. The study was conducted in the settings of the Voronezh City Clinical Emergency Hospital № 1. Two groups of patients were formed: the main group included patients with AH and SCH, the comparison group - patients with AH and euthyroidism (ET). The SF-36 questionnaire, the Spielberger - Khanin Anxiety Scale, and the Zung Depression Scale were used in the study. The results were processed using the Statistica 6.1. Results. The quality of life parameters were lower, and the depression and anxiety levels were higher in patients in the main group. Conclusion. SCH worsens the quality of life of hypertensive patients, contributes to the increase in anxiety and depression level.

subclinical hypothyroidism, euthyroidism, arterial hypertension, quality of life, psycho-emotional status