Complex approach for correction of anxiety disorders in patients with hypothyroidism

Abstract

Сlinical picture of anxiety disorders in the examined patients is represented by panic, anxious and anxious depressive variants of psychopathological symptoms. Program of complex therapy of anxiety disorders in patients with hypothyroidism was developed and tested, based on the data obtained during research. It consisted of using methods of psychotherapy, psychopharmacotherapy and psychoeducation. Results of the study against background of the developed program were as follows: positive dynamics of mental state and rapid reduction of affective symptoms were noted; a significant decrease in anxiety and depression indicators according to Hamilton Anxiety Rating Scale (HAM-A) and Hamilton Depression Rating Scale (HAM-D); decrease in levels of personal and situational anxiety according to the Spielberger-Khanin scale; decrease in the level of expressiveness of neuropsychological tension. Against the background of the study, it was obtained changes in the dynamics of the state of socio-psychological maladaptation and its main factors according to the method of K. Rogers and R. Diamond: decrease in the level of maladaptation in patients with anxious, panic, and anxious depressive syndrome complexes. Positive dynamics of stress-coping behavior against the background of comprehensive therapeutic measures were noted. Observed that quality of life indicator on all scales increased in all clinical groups after comprehensive program of personalized therapy. Keywords: anxiety, thyroid gland, neurotic disorders, complex treatment.