MODERN IDEAS OF THE ROLE OF A PSYCHOSOCIAL STRESS IN GENESIS OF ARTERIAL HYPERTENSION (THE REVIEW OF LITERATURE)

Abstract

Summary. It is known that the increased arterial pressure (AP) is one of obligatory parameters of a condition of mobilization readiness (stress). Stress- induced arterial hypertension (AH) is a sharp, usually passing off and labile increase of AP under the influence of psychosocial factors. Stress-induced AH of “a white dressing gown” and AH “on a workplace” (masked) are more often noticed. Connection of AH with uneasiness, depression, social phobia and insomnia has been proved. Patients with AH are characterized by low resistance to stress, bigger stress reactivity, among them are often determined personalities of a D type (a tendency to feel negative distress-induced emotions and tendency to suppress them at social interactions in different situations). Nowadays came to be understood the mechanisms of realization of the damaging action of a psychosocial stress on cardiovascular system and development of AH. It defines need of development of the system of medico-psychological escort of patients with AH, since early stages of a disease.

Keywords

• psychosocial stress, arterial hypertension, development mechanisms, immune inflammation