Depression is linked to uncontrolled hypertension: a case–control study from Karachi, Pakistan

Almas, Aysha; Patel, Junaid; Ghori, Uzma; Ali, Ambreen; Edhi, Ahmed I.; Khan, M. A.

doi:10.3109/09638237.2014.924047

Cited by 50 publications

(40 citation statements)

References 37 publications

(35 reference statements)

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“…A recent case-control study from Pakistan showed a significant association between uncontrolled HT and depression evaluated by HADS. 47 Symonides et al 48 have recently proposed that the suppression of negative emotions adversely affect BP control evaluated by ABPM in treated hypertensive patients. All of these reports support our results.…”

Section: Discussionmentioning

confidence: 99%

Impact of depression on masked hypertension and variability in home blood pressure in treated hypertensive patients

et al. 2015

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This study was conducted to determine the effects of depression and/or insomnia on masked hypertension (MHT) compared with other types of HT and on variability in home-measured blood pressure (HBP) and clinic BP (CBP). Three hundred and twenty-eight hypertensives (132 women) aged 68±10 years were classified into four BP types: controlled HT (CHT), white-coat HT, MHT and sustained HT (SHT), based on CBP (140/90 mm Hg) and morning HBP (135/85 mm Hg) measurements. A score of ⩾16 on the Center for Epidemiologic Studies Depression Scale (CES-D) was defined as depression. The mean values and s.d. of BP were calculated from measurements taken during the 14 consecutive days just before the CES-D evaluation. Compared with the CHT group, the risk of depression was 2.77-fold higher in the SHT group and even higher in the MHT group (7.02-fold). The association between depression and MHT was augmented in the presence of insomnia and was somewhat stronger in women. A HBP variability index defined as s.d./mean BPs in both morning and night time was significantly higher in MHT than in the other BP types, whereas that of CBP was not. Both morning and night-time HBP variability were significantly higher in depressive patients than in non-depressives. These suggest that depression is associated with MHT and that increases both morning and night-time HBP variability but not CBP variability. Physicians should be mindful of mental stresses such as depression in their hypertensive patients when forming strategies to control BP over the diurnal cycle.

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Section: Discussionmentioning

confidence: 99%

Impact of depression on masked hypertension and variability in home blood pressure in treated hypertensive patients

et al. 2015

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“…Os sintomas da depressão podem afetar a QV (24) , a adesão ao tratamento medicamentoso e não medicamentoso de pessoas com hipertensão, além de predispor a hábitos inadequados, devido principalmente as alterações de humor que ela ocasiona (11) , podendo predispor ao aparecimento de complicações.…”

Section: Discussionunclassified

“…Nele, foram incluídos 590 pacientes que se apresentaram em dois ambulatórios com pressão arterial acima de 140/90 mmHg. Os resultados demonstraram que houve associação entre hipertensos não controlados e história de depressão (24) . Em estudo realizado no Rio Grande do Sul, Brasil, com 302 pacientes para verificar a associação entre sintomas de ansiedade ou depressão, HA e seu impacto na QV, utilizando-se os questionários de Beck e o SF-36, demonstrou que a depressão e a ansiedade influenciam negativamente na QV (25) .…”

Section: Discussionunclassified

Depressão E Qualidade De Vida Em Adultos Com Hipertensão

et al. 2017

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DEPRESIÓN Y CALIDAD DE VIDA EN ADULTOS CON HIPERTENSIÓNRESUMEN: El objetivo del estudio fue investigar la relación entre depresión y calidad de vida en adultos con hipertensión. Investigación cuantitativa, con delineado transversal, realizada con 387 adultos con hipertensión entre 2014 y 2015, en 18 Unidades Básicas e Salud de Curitiba, Paraná. Los instrumentos utilizados para evaluar la calidad de vida y depresión fueron, respectivamente, el Medical Outcomes Study 36-Item Short Form Health Survey y el inventario de Beck. Se observó significativa correlación entre los peores puntajes de calidad de vida y la presencia de depresión, con diferencias elevadas entre las medias en los dominios aspectos emocionales (Intervalo de Confianza = 95%: 26,72% -42,08%) y salud mental (Intervalo de Confianza = 95%: 20,21% -28,73%). Conocer dicha relación puede contribuir con el enfermero en la planificación del cuidado al hipertenso, a mejorar los síntomas depresivos y, consecuentemente, en la calidad de vida.

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“…Being directly linked, and having numerous interactions with other health conditions (Almas et al, 2014), mental health cannot be separated from other health domains, and is essential for sustainable human development (Prince et al, 2007). In the Constitution of the World Health Organization, mental health is an integral part of health and well-being (World Health Organisation, 2006).…”

Section: Mental Health Presents Cross-cutting Issues For Health and Dmentioning

confidence: 99%

The importance of global mental health for the Sustainable Development Goals

Votruba

Eaton²,

Prince

et al. 2014

Journal of Mental Health

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Depression is linked to uncontrolled hypertension: a case–control study from Karachi, Pakistan

Abstract: There is association between uncontrolled hypertension and depression that is independent of sociodemographic factors, comorbids and history of hospitalization.

Cited by 50 publications

References 37 publications

Impact of depression on masked hypertension and variability in home blood pressure in treated hypertensive patients

Impact of depression on masked hypertension and variability in home blood pressure in treated hypertensive patients

Depressão E Qualidade De Vida Em Adultos Com Hipertensão

The importance of global mental health for the Sustainable Development Goals

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