| ObjectTo investigate the prevalence of depressive and anxiety symptoms among the essential hypertension patients in community and to do correlative analysis between depression, anxiety and social support,coping style,alexithymia of essential hypertension patients in community,and aim at providing evidence for estabolishing comprehensive therapy model and improving psychosocial factors of essential hypertension in community.MethodEH group: Referencing diagonostic criterion of 2005 Chinese Guidelines for Management of Hypertension,63 hypertensive subjects have been selected,34 males and 29 females,aged 41～75 (57±7.78) years.the level of education is over junior school,in order to understand the questionnaire correctly.No psychotic drugs were taken within three months or the drug were ceased over five half lives.All patients were from Gudang community health service center .Exclude the patientscomplications, ② with other heavy physical diseases or secondary hypertension,③ with neurological diseases and mental diseases history,④psychosis family history,⑤company pregnancy and breast-feed.Health control group: 52 persons were also from same community, 28 males and 24 females,aged 41～75 (57.6±8.39) years.The age,gender,marriage,occupation and education level were matched with essential hypertension group.The research used Hamilton Depression Rating Scale,Hamilton Anxiety Scale,Social support Rating Scale, and Coping Style Questionnaire, Toronto Alexithymia scale.With the uniform guidance and filling methods, the two groups finished the scales.Professional carried through the scale and statistical analysis.Result1. The prevalence of depressive and anxiety symtoms among the essential hypertension patients in community (11.11%, 30.16% respectively) is higher than the controls (0.00%, 7.69% respectively). The difference have statistical significance (p<0.025).Patients with essential hypertension in community have higher scores of HAMD (12.11±4.83) and HAMA (12.59±6.26) than controls (7.96±4.56, 7.25±4.56 respectively).The difference have statistical significance (p<0.001). The result showed positive correlation between scores of HAMD and HAMA and systolic pressure and diastolic pressure of essential hypertension in community. Patients with essential hypertension in community have obvious negative emotions such as depression and anxiety.2. The scores of essential hypertension patients in community in the scales of social support (35.38±6.17), subjective supporting (19.59±4.06), socialsupport use ( 6.79±2.27 ) was lower than that of normal control ( 39.54 ± 6.74, 22.29 ±4.02, 7.71±2.08 respectively ) , The difference have statistical significance ( p<0.001 or p<0.05 ).In objective supporting there was no significant difference between two groups ( p>0.05 ). The result showed the negative correlation between scores of HAMD and social support ( P<0.01) ,objectice supporting ( P<0.01 ) , subjective supporting ( P<0.01 ) , social support use ( P<0.01 ) ; and the negative correlation between scores of HAMA and social support ( P<0.01 ) , subjective supporting ( P<0.01 ) , social support use ( P<0.01 ) of essential hypertension patients in community.3. The scores of solving problem factor of essential hypertension patients in community ( 0.71±0.21 ) was lower than that of normal control ( 0.78 ± 0.19 ) ,but the scores of self-blaming factor ( 0.40±0.24 ) ,fancy factor ( 0.51 ±0.22 ) and withdrawing factor ( 0.52 ±0.20 ) of essential hypertension patients in community was higher than that of normal control ( 0.29 ±0.26, 0.42 ±0.21 , 0.40 ± 0.20 respectively ) . The difference have statistical significance ( p<0.01 or p<0.05 ) . The result showed the negative correlation between scores of HAMD and solving problem factor ( P<0.01) ,but showed the positive correlation between scores of HAMD and self-blaming factor ( P<0.01 ) ,fancy factor ( P<0.01 ) and withdrawing factor ( P<0.01 ) ; and the negative correlation between scores of HAMA and solving problem factor ( P<0.01 ) ,but showed the positive correlation between scores of HAMA and self-blaming factor ( P<0.01 ) ,fancy factor ( P<0.01 ) and withdrawing factor ( P<0.01 ) of essential hypertension patients in community.4. The total level of TAS ( 73.87 ±7.95 ) ,factor I means the ability to describeemotion ( 2.73 ± 0.82 ), factor II means deficient in the ability to describe emotion ,recognize and distinguish between emotion and body feeling (3.02 ± 0.70 ) , factorIV signifies to be used to extroversion thought and lack the ability to reveal inner attitude ,feeling ,wish and desire (2.63 ± 0.68) of essential hypertension patients in community was higher than that of normal control (65.08±9.36,2.33±0.69,2.55 ± 0.65,2.32 ± 0.67 respectively) ,The difference have statistical significance (p<0.001, P<0.01 or p<0.05). In fancy there was no significant difference between two groups ( p>0.05 ) .The result showed the positive correlation between scores of HAMD and TAS ( P<0.01 ), factor I ( P<0.01 ), factor II ( P<0.01 );and the positive correlation between scores of HAMA and TAS ( P<0.01 ), factor I (P<0.01 ), factor II ( P<0.01 )of essential hypertension patients in community.ConclusionEssential hypertension patients in community had obvious negative emotions such as depression and anxiety and showed correlation to social supporting and coping styles and alexithymia.It was an effective way to prevent and treat essential hypertension in community that related psychosocial intervening measures were taken well.
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