medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/ms2024-100medsovet-8207Research ArticleПРАКТИКАPRACTICEЭффективное воздействие на симптомы стресса и тревоги у пациентов с хроническими заболеваниямиEffective treatment of stress and anxiety symptoms in patients with chronic diseaseshttps://orcid.org/0000-0002-1042-4275ШишковаВ. Н.ShishkovaV. N.

Шишкова Вероника Николаевна, д.м.н., ведущий научный сотрудник, руководитель отдела профилактики когнитивных и психоэмоциональных нарушений; доцент кафедры терапии и профилактической медицины

101000, Москва, Петроверигский переулок, д. 10

127473, Москва, ул. Делегатская, д. 20, стр. 1

Veronika N. Shishkova, Dr. Sci. (Med.), Leading Researcher, Head of the Department for the Prevention of Cognitive and Psychoemotional Events; Associate Professor of the Department of Therapy and Preventive Medicine

10, Petroverigskiy Lane, Moscow, 101990

20, Bldg. 1, Delegatskaya St., Moscow, 127473

veronika-1306@mail.ruНациональный медицинский исследовательский центр терапии и профилактической медицины; Российский университет медициныРоссияNational Medical Research Center for Therapy and Preventive Medicine; Russian University of MedicineRussian Federation20240205202403178184Copyright © Шишкова В.Н., 20242024Шишкова В.Н.Shishkova V.N.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-sovet.pro/jour/article/view/8207

Перенесенный острый или хронический стресс, а также состояние повышенной тревожности представляют собой факторы риска развития и прогрессирования множества распространенных хронических заболеваний, в т. ч. сердечно-сосудистых, эндокринологических, пульмонологических, онкологических и т. д. Особенностью данных состояний в сочетании с хроническими заболеваниями является их значимое влияние на мотивационный аспект приверженности терапии, в т. ч. немедикаментозным методам и здоровому образу жизни, что может многократно увеличивать риски осложненного течения хронического соматического заболевания. Актуальность выявления и коррекции тревожных и стрессовых расстройств в практике врачей амбулаторного звена обусловлена, с одной стороны, высокой частотой встречаемости данных состояний у пациентов с хроническими патологиями, ухудшением качества жизни и увеличением неблагоприятных исходов, а с другой – недостаточным уровнем осведомленности о возможностях их безопасной и эффективной коррекции. Терапевтические методы воздействия на состояния повышенной тревожности, в т. ч. в условиях хронического стресса, включают как медикаментозные, так и немедикаментозные методы, однако их эффективность, доступность и безопасность часто неравнозначны. В настоящей обзорной статье представлены наиболее частые варианты сочетания тревожных расстройств и хронических соматических заболеваний в амбулаторной практике. Рассмотрен вариант безопасной и эффективной борьбы с симптомами стресса и повышенной тревожности современными препаратами на основе растительных компонентов, оказывающими противотревожный, успокоительный и спазмолитический эффекты, которые могут быть рассмотрены как альтернатива применения традиционных анксиолитиков.

Acute or chronic stress, as well as high anxiety condition constitute risk factors leading to the development and progression of many common chronic diseases, including cardiovascular, endocrinological, pulmonary, oncological diseases, etc. A particular feature of these conditions co-occurring with chronic diseases is their significant impact on the motivational aspect of medication compliance, including non-pharmaceutical treatments and a healthy lifestyle, which can increase manyfold the risk for complicated course of chronic somatic disease. On the one hand, the urgent need to identify and manage anxiety and stress disorders in the outpatient practice is caused by high incidence rates of these disorders in patients with chronic pathologies, deteriorated quality of life and increased adverse outcomes, and on the other hand, by inadequate awareness of the options available for safe and efficient correction of these disorders. Therapeutic approaches to the management of high anxiety conditions, in particular those under chronic stress, include both pharmaceutical and non-pharmaceutical treatments, but their efficiency, availability and safety are often not interchangeable. This review article presents the most common variants of anxiety disorders combined with chronic somatic diseases in outpatient practice. A safe and effective option to combat symptoms of stress and high anxiety using modern herbal medicines with anti-anxiety, sedative and antispasmodic effects that can be regarded as alternatives to conventional anxiolytics is considered.

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The authors declare that there are no conflicts of interest present.