EUROMEDICA  Hanover 23-24  Mai 2011	Advanced methods of diagnosis, treatment and prophylactics
	European Academy of Natural Sciences, Hanover European Scientific Society, Hanover

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A personality profile and cognitive functioning was studied in 101 adolescents with essential arterial hypertension (EAH). According to 24 hour ambulatory blood pressure monitoring the adolescents were divided into three groups: 32 patients with white coat hypertension (WCH), 33 adolescents with labile EAH and 36 with stable EAH. Also, 38 healthy adolescents formed a control group.

According to the results of Stroop-color-word testing, it was estimated that adolescents with stable EAH had decreased cognitive functions compared to the control group, and specifically prolongation of Stroop-effect time (66,4 seconds in stable EAH, 45,4 seconds in control, p<0,05). This indicates that the cognitive processes are “target function” of EAH in adolescents.

The psychological characteristics were studied using Mini-Mult test. Both patients with labile and stable EAH showed appearance of neurotic symptoms (table 1). In labile EAH the characteristics were significantly lower than in other groups. It indicates that adolescents with labile and stabile variants of EAH have different role of psychological factors in EAH development.

Table 1. Some of the Mini Mult test scales in adolescents with EAH and control

Scale	Control group (n=38)	WCH (n=32)	Labile EAH (n=31)	Stabile EAH (n=33)	p
1. hypochondria	50,1±10,3	53,1±9,5	67,5±8,1	56,7±7,6	p 1-3<0,05 p 2-3 <0,05
2. depression	57,6±8,6	67,5±5,9	72,3±10,1	66,2±11,5	p 1-2<0,05 p 1-3<0,05 p 1-4<0,05
3. hysteria	51,4±8,9	57,1±5,2	77,1±10,3	62,8±8,4	p 1-3<0,05 p 1-4<0,05 p 3-2,4<0,05
7. psychasthenia	53,5±8,54	66,1±8,9	72,2±7,9	71,6±9,1	p 1-2<0,05 p 1-3<0,05 p 1-4<0,05
9. hypomania	61,4±10,5	55,3±6,3	43,3±9,7	59,4±9,1	p 1-3<0,05 p 3-4<0,05