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.
Full Text:PDF (Русский)
Balabolkin MI, Klebanova EM, Kreminskaja VM. Differencial'naja diagnostika i lechenie jendokrinnyh zabolevanij: Rukovodstvo [Differential diagnostics and treatment of endocrine diseases: Guidance]. Moscow: Medicina; 2002. 752 p. (In Russian).
Muratova ShT, Ismailov SI. Influence of Graves’ disease on the psychocognitive state of children and adults (review of literature). Mіzhnarodnij nevrologichnij zhurnal. 2016;5(83):167-171. (In Ukraine). doi: 10.22141/2224-07184.108.40.2066.78483.
Fadeev VV. Thyroid diseases in regions of light iodine deficiency. Moscow: VIDAR; 2005. 240 p. (In Russian).
Citko EV, Korotaev AV, Naumenko EP, Kudlasevich SV. Features of the vegetative regulaation and structural-functional parameters of heart in diffusion toxic craw three months later after thyroidectomia. Problemy zdorov'ja i ekologii. 2013;2(36):70-5. (in Russian).
Benseñor IM, Nunes MA, Diniz M de FS, Santos IS, Brunoni AR, Lotufo PA. Subclinical Thyroid Dysfunction and Psychiatric Disorders. Cross-Sectional Results From the Brazilian Study of Adult Health (ELSA-Brasil). Clin Endocrinol. 2016;84(2):250-6. doi: 10.1111/cen.12719.
Grabe HJ, Völzke H, Lüdermann J, et al. Mental and physical complaints in thyroid disorders in the general population. Acta Psychiatrica Scandinavica. 2005;112(4):286-93. doi: 10.1111/j.1600-0447.2005.00586.x.
Julian LJ. Measures of anxiety: State-Trait Anxiety Inventory (STAI), Beck Anxiety Inventory (BAI), and Hospital Anxiety and Depression Scale-Anxiety (HADS-A). Arthritis Care Res (Hoboken). 2011;63(11):467-72. PMID: 22588767. doi. 10.1002/acr.20561.
Van Wijk CH. The use of Spielberger’s State-Trait Personality Inventory (trait anxiety subscale) with naval subaquatic specialists. Int J Occup Med Environ Health. 2014;27(6):959-66. doi: 10.2478/s13382-014-0321-5.
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution 4.0 International License.
© "Publishing House "Zaslavsky", 1997-2017