The effect of chronic stress on indicators of personal and situational anxiety in patients with Graves’ disease

Background. The article provides data on the gender and age characteristics of the state of personal and situational anxiety against the background of chronic stress associated with martial law in patients with Graves’ disease. The purpose was to determine and evaluate the state of anxiety according...

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Main Authors: O.A. Goncharova, V.M. Dubovyk, L.V. Gerasymenko, I.V. Chernyavska
Format: Article
Language:English
Published: Zaslavsky O.Yu. 2025-04-01
Series:Mìžnarodnij Endokrinologìčnij Žurnal
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Online Access:https://iej.zaslavsky.com.ua/index.php/journal/article/view/1516
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author O.A. Goncharova
V.M. Dubovyk
L.V. Gerasymenko
I.V. Chernyavska
author_facet O.A. Goncharova
V.M. Dubovyk
L.V. Gerasymenko
I.V. Chernyavska
author_sort O.A. Goncharova
collection DOAJ
description Background. The article provides data on the gender and age characteristics of the state of personal and situational anxiety against the background of chronic stress associated with martial law in patients with Graves’ disease. The purpose was to determine and evaluate the state of anxiety according to the State-Trait Anxiety Inventory (STAI) in patients with Graves’ disease who are under stress for a long time due to the state of war in the country. Materials and methods. In 53 patients with Graves’ disease, aged 31–73 years, who were treated in the clinic of the State Institution “V. Danilevsky Institute for Endocrine Pathology Problems of NAMSU”, a survey was conducted according to the STAI, which is a mean for self-assessment of the levels of personal and situational anxiety, including under martial law. Results. In the examined group, 41.51 % of patients had Graves’ disease manifestations during military operations. It was found that in 37.74 % of the examined, the state of personal anxiety was maximal, which corresponded to 2 points on the STAI. It was average in 52.83 % of cases and low in only 9.43 %. The mean age in the group with the maximum degree of anxiety was significantly higher than in the subgroups with average (P < 0.001) and low (P < 0.01) levels. It should be noted that there is no probable difference in age indicators between men and women in terms of personal anxiety. The maximum level of personal anxiety is more likely to be detected in women than in men (48.48 vs. 20.0 %, Р < 0.05). The situational anxiety was as follows: high — in 41.51 % of respondents, average — in 43.4 % and low — in 15.09 %. As with the data on personal anxiety, women have the maximum level of situational anxiety more often than men, but these indicators do not reach probable values (48.48 vs. 30.0 %). Conclusions. In 41.51 % of patients with Graves’ disease who were hospitalized over the past year, the disease manifested itself against the background of chronic stress caused by the martial law in the country. Due to this, more than a third of patients with Graves’ disease have the maximum level of both personal and situational anxiety. The degree of increased anxiety on the background of Graves’ disease is probably higher in older patients. The maximum degree of situational anxiety is more often observed in women, but men who have this level are probably younger.
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spelling doaj-art-afcf682d7660488d896c7ac3ebc549e72025-08-20T02:48:39ZengZaslavsky O.Yu.Mìžnarodnij Endokrinologìčnij Žurnal2224-07212307-14272025-04-0121217417810.22141/2224-0721.21.2.2025.15161514The effect of chronic stress on indicators of personal and situational anxiety in patients with Graves’ diseaseO.A. Goncharova0https://orcid.org/0000-0001-5864-5686V.M. Dubovyk1https://orcid.org/0000-0003-4260-6070L.V. Gerasymenko2https://orcid.org/0000-0002-2865-8897I.V. Chernyavska3https://orcid.org/0000-0002-4834-3972Kharkiv National Medical University, Kharkiv, Ukraine; V. Danilevsky Institute for Endocrine Pathology Problems of NAMSU, Kharkiv, UkraineV. Danilevsky Institute for Endocrine Pathology Problems of NAMSU, Kharkiv, UkraineV. Danilevsky Institute for Endocrine Pathology Problems of NAMSU, Kharkiv, UkraineKharkiv National Medical University, Kharkiv, UkraineBackground. The article provides data on the gender and age characteristics of the state of personal and situational anxiety against the background of chronic stress associated with martial law in patients with Graves’ disease. The purpose was to determine and evaluate the state of anxiety according to the State-Trait Anxiety Inventory (STAI) in patients with Graves’ disease who are under stress for a long time due to the state of war in the country. Materials and methods. In 53 patients with Graves’ disease, aged 31–73 years, who were treated in the clinic of the State Institution “V. Danilevsky Institute for Endocrine Pathology Problems of NAMSU”, a survey was conducted according to the STAI, which is a mean for self-assessment of the levels of personal and situational anxiety, including under martial law. Results. In the examined group, 41.51 % of patients had Graves’ disease manifestations during military operations. It was found that in 37.74 % of the examined, the state of personal anxiety was maximal, which corresponded to 2 points on the STAI. It was average in 52.83 % of cases and low in only 9.43 %. The mean age in the group with the maximum degree of anxiety was significantly higher than in the subgroups with average (P < 0.001) and low (P < 0.01) levels. It should be noted that there is no probable difference in age indicators between men and women in terms of personal anxiety. The maximum level of personal anxiety is more likely to be detected in women than in men (48.48 vs. 20.0 %, Р < 0.05). The situational anxiety was as follows: high — in 41.51 % of respondents, average — in 43.4 % and low — in 15.09 %. As with the data on personal anxiety, women have the maximum level of situational anxiety more often than men, but these indicators do not reach probable values (48.48 vs. 30.0 %). Conclusions. In 41.51 % of patients with Graves’ disease who were hospitalized over the past year, the disease manifested itself against the background of chronic stress caused by the martial law in the country. Due to this, more than a third of patients with Graves’ disease have the maximum level of both personal and situational anxiety. The degree of increased anxiety on the background of Graves’ disease is probably higher in older patients. The maximum degree of situational anxiety is more often observed in women, but men who have this level are probably younger.https://iej.zaslavsky.com.ua/index.php/journal/article/view/1516graves’ diseasechronic stresspersonal and situational anxiety
spellingShingle O.A. Goncharova
V.M. Dubovyk
L.V. Gerasymenko
I.V. Chernyavska
The effect of chronic stress on indicators of personal and situational anxiety in patients with Graves’ disease
Mìžnarodnij Endokrinologìčnij Žurnal
graves’ disease
chronic stress
personal and situational anxiety
title The effect of chronic stress on indicators of personal and situational anxiety in patients with Graves’ disease
title_full The effect of chronic stress on indicators of personal and situational anxiety in patients with Graves’ disease
title_fullStr The effect of chronic stress on indicators of personal and situational anxiety in patients with Graves’ disease
title_full_unstemmed The effect of chronic stress on indicators of personal and situational anxiety in patients with Graves’ disease
title_short The effect of chronic stress on indicators of personal and situational anxiety in patients with Graves’ disease
title_sort effect of chronic stress on indicators of personal and situational anxiety in patients with graves disease
topic graves’ disease
chronic stress
personal and situational anxiety
url https://iej.zaslavsky.com.ua/index.php/journal/article/view/1516
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