“…Among those studies that have examined the relationship between depression and hypertension, there have been inconsistent results attributed to the lack of consideration of anxiety. A strong relationship between depression and anxiety exists, (Smith et al, 1994;Beekman et al, 2000) and because of the coexistence of these two conditions, considering the effects anxiety is essential in order to accurately discern the relationship between depression and hypertension. Furthermore, psychosocial factors, including social support and increased stress, are related to elevated blood pressure (Cottington et al, 1985;Markovitz et al, 1993;Levenstein et al, 2001;Tsutsumi et al, 2001).…”