Psychiatric Syndromes Accompanying Hypertension and Diabetes Mellitus:Comparative Analysis of Four Diagnostic Groups

Overview

The paper investigated relationship between hypertension, diabetes mellitus and psychopathologyat the geriatric age. The patients with a chronic somatic disease suffer from psychic disorders ata higher frequency in comparison with a common population, since the occurrence of hypertensionand diabetes mellitus of 2nd type is signifi cantly higher in patients treated at the wards of geriatricpsychiatry, as compared with a common population. The authors examined 380 patients of geriatricpsychiatry in Kroměříž, dividing them into four groups: 1) patients with hypertension, 2) patientswith hypertension complicated with a brain vascular stroke, 3) patients treated for diabetes mellitus,4) patients treated for diabetes mellitus and hypertension. Both sexes were equally represented ineach group, difference in the mean age were not signifi cant. The diagnosis of dementia was mostfrequent in the group of patients with hypertension complicated with the occurrence of stroke, theleast frequency was observed in the group of uncomplicated hypertension. Delirious conditionsaccompanied dementia in 72.2%, but in the group of uncomplicated hypertension, deliriousconditions occurred signifi cantly more often if dementia was not present. The prevalence of anxiousand affective disorders, disorders with delusions, organic personality disorders and hallucinatorydisorders did not differ signifi cantly among the individual examined groups.

Key words:
dementia, depression, delirium, organic psychiatric disorders, hypertension, diabetesmellitus, comorbidity.