Psycho-endocrine disorders in adolescents with Graves’ disease
persistent irritability (94.7 %), difficult falling asleep due to anxiety (63.2 %). The results of the anxiety study by the STPI questionnaire revealed that among children with thyrotoxicosis the phenomena of anxiety and negative emotional experiences predominated (p < 0.05), but cognitive activity was lower (p < 0.05) when compared with those of the control group. While in a group of teenagers with toxic goiter, 100 % of children showed a high level of anxiety (range of scores of 24–40), in this group children with a high degree of negative emotional feelings (68.4 %) prevailed; and in the third of children (31.6 %) the average degree of negative emotional experiences was diagnosed. At the same time, in the control group 91.7 % of children had high cognitive activity, but among patients with thyrotoxicosis cognitive level had low activity in 10.5 % and moderate in 89.5 %. The results of the HTM test demonstrated that children with thyrotoxicosis had 2.1–6.4-fold increased indices of insecurity, anxiety, self-distrust, feeling of inferiority, hostility, proneness to conflict, difficulty in communication, depressiveness compared to the control group. Conclusions. Graves’ disease in adolescents has a pronounced effect on their psycho-emotional status and is manifested by anxiety disorder. It is necessary to further study the emotional manifestations and anxiety syndrome in adolescents with Graves’ disease with a view to the integrated approach of endocrinologists and psychologists.
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