Influence of Psychovegetative Symptoms on the Neurological and Therapeutic patients’ Quality of Life
Vyacheslav a. Kutashov, Alexander P. Skorokhodov, Sergey N. Podvigin, Oleg Yu. Shiryaev, Elena A. Balakireva, Igor S. Protasov
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ABSTRACT
Aim: To determine the effect of psychovegetative symptoms on QOL in neurological and therapeutic patients and the profile of the SF-36 test.
Methods: The severity on a ten-point scale of 49 symptoms of the developed questionnaire, which was based on the signs of hysterical syndrome, was compared with the SF-36 test scores in 120 neurological and therapeutic patients. Statistical data processing was carried out using the paired T-Student's criterion and analysis of variance using the Biostat software package. The difference was considered significant at P⩽0.05, P⩽0.01and P⩽0.001.
Results: There is a negative correlation of psychovegetative symptoms with the SF-36 test scales: physical functioning, pain, general health, vitality, social functioning and mental health. Observed a significant increase in the test profile on the general health scale (P=0.004) in patients using the formulation «I have a disease». The symptom «trembling and chills» was significantly correlated with all scales except for the PH scale.
Conclusion: Thus, in the assessment of therapeutic and rehabilitation measures in therapeutic patients using the SF-36 test, it should be borne in mind that an increase in the profile on the scales: «Role physical functioning» and «Role emotional functioning». The «shivering or chilling» symptom is the somatic equivalent of anxiety and depression, and its dynamics can serve as a clinical guideline in reflecting the systemic effects of treatment.
Keywords: Quality of life, psychovegetative symptoms, treatment, rehabilitation.