Predictors of Depression in Black Women with Hypertension

Abel, Willie M.; Crane, Patricia B.; McCoy, Thomas P.

doi:10.3109/01612840.2013.853331

Cited by 19 publications

(21 citation statements)

References 57 publications

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“…These facts are reflected in what we know about black single mothers, 47% to 70% of whom report depressive symptoms indicative of mild to severe clinical depression in published studies (Atkins, 2010, 2015; Hatcher, 2008; Siefert, Williams, Finlayson, Delva, & Ismail, 2007). This rate is six times the rate of depressive symptoms reported in the general population of US adults (6.9%; NIMH, 2012), up to double the rate reported in black women in general (21% to 39%; Abel & Crane, 2014; Bronder, Speight, Witherspoon, & Thomas, 2014; Makambi, Williams, Taylor, Rosenberg, & Adams-Campbell, 2009), and up to four times the rate reported in elderly African Americans (5.4% to 30%; Pickett, Bazelais, & Bruce, 2013). Despite these facts, black single mothers are rarely identified and treated for depressive symptoms (Atkins, 2015; Beaufont-Lafontant, 2007; Waite & Killian, 2009), and are hesitant to seek treatment or report depressive symptoms to health care providers (Beauboeuf-Lafontant, 2007; Waite & Killian, 2008, 2009).…”

mentioning

confidence: 77%

“…In addition, only one mother gave an active problem-focused response that would indicate seeking professional treatment (i.e., medication) for depression. These more active forms of coping have been typically associated with lower levels of depressive symptoms in black women (Abel & Crane, 2014; Bronder et al, 2014), and African American adults (McDougald et al, 2009; Zea, Belgrave, Townsend, Jarama, & Banks, 1996). According to Folkman and Lazarus (1985), problem-focused coping is used in encounters in which outcomes are appraised as controllable with the potential for effecting change.…”

Section: Discussionmentioning

confidence: 99%

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Coping with Depression in Single Black Mothers

Atkins

2016

Issues in Mental Health Nursing

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Very little information exists in the literature about what black women do when they experience symptoms of depression. The purpose of this descriptive study was to analyze the responses of 208 community-residing black single mothers, aged 18 to 45, to an open-ended question asking, “What do you do to feel better when you are feeling down in the dumps?” The theoretical bases of the Ways of Coping Checklist, were used to facilitate categorizing their responses into a coping scale and then a particular coping profile. Percentages were used to categorize the frequency of the responses into the respective coping scale and to categorize the frequency of the combined responses of each woman into a respective coping profile. Of the 333 responses that the women provided, 327 were useable. Findings indicated that a majority of responses fell into the Escape-Avoidance category (n = 206; 63%), followed by the Seeking Social Support (n = 60, 18.3%), Positive Reappraisal (n = 40; 12.2%), Planful Problem Solving (n = 12; 3.7%), Distancing (n = 3; 1%), and Self-Controlling (n = 6; 1.8%) categories. No responses fit the Confrontive Coping or Accepting Responsibility categories and none of the responses indicated that the women sought professional help. Of the 176 women who provided answers to the study question, more than half (64.2%; n = 113) gave only emotion-focused responses, 2.8% (n = 5) gave only problem-focused responses, 2.8% (n = 5) gave mixed responses, and 30.2% (n = 53) reported social support seeking. Implications for future research, cultural theory, and nursing practice are addressed.

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confidence: 77%

Section: Discussionmentioning

confidence: 99%

Coping with Depression in Single Black Mothers

Atkins

2016

Issues in Mental Health Nursing

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“…Methods used in this study have been reported elsewhere and are briefly described here (12). Inclusion criteria included (a) ages ranging from 18 to 60 years, (b) taking one or more prescription medication(s) for HTN, and (c) English speaking.…”

Section: Methodsmentioning

confidence: 99%

“…The Hill-Bone Compliance to High Blood Pressure Therapy Scale (CHBPTS) is a 14-item tool used to assess antihypertensive medication adherence and has been reported elsewhere (12). In this study, “compliance” was replaced by “adherence” because of the passivity associated with the word “compliance” that hinders the establishment of a working relationship with the person (15, 16).…”

Section: Methodsmentioning

confidence: 99%

The Association between Trust in Health Care Providers and Medication Adherence among Black Women with Hypertension

Abel

Efird

2013

Front. Public Health

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Background: Black women have the highest prevalence of hypertension in the world. Reasons for this disparity are poorly understood. The historical legacy of medical maltreatment of Blacks in the U.S. provides some insight into distrust in the medical profession, refusal of treatment, and poor adherence to treatment regimens.Methods: Black women (N = 80) who were prescribed antihypertensive medications were recruited from urban communities in North Carolina. Study participants completed the Trust in Physician and Hill-Bone Compliance to High Blood Pressure Therapy questionnaires. An exact discrete-event model was used to examine the relationship between trust and medication adherence.Results: Mean age of study participants was 48 ± 9.2 years. The majority of participants (67%) were actively employed and 30% had incomes at or below the federal poverty level. Increasing levels of trust in the health care provider was independently associated with greater medication adherence (PTrend = 0.015).Conclusion: Black women with hypertension who trusted their health care providers were more likely to be adherent with their prescribed antihypertensive medications than those who did not trust their health care providers. Findings suggest that trusting relationships between Black women and health care providers are important to decreasing disparate rates of hypertension.

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“…For example, among diabetic patients, successful treatment of depression improves glycemic control (Anderson et al, 2001) and decreases the risk for heart disease (Higgins, Ritchie, Stetson, Burke, & Looney, 2007). Similarly, untreated depression (i.e., moderate to severe symptoms) has been found to be associated with poorer adherence to both diabetic and hypertensive medications (Abel, Crane, & McCoy, 2014; Ciechanowski et al, 2000; DiMatteo, Lepper, & Croghan, 2000; Schoenthaler, Ogedegbe, & Allegrante, 2009; Wang et al, 2002). …”

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confidence: 99%

Connection between depression and inability to fill prescriptions in rural FQHC patients with chronic disease.

Kb¹,

Jc²,

Kn³

2016

Journal of Rural Mental Health

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The purpose of this paper was to (1) examine the rates of elevated depression symptoms among a sample of rural Federally Qualified Health Center (FQHC) patients with chronic disease and (2) determine if an inability to afford general prescription medications within the past 12 months is a significant predictor of depression symptoms among these patients. These data came from Project EDUCATE, an ongoing five-year study designed to be a large-scale, multifocal examination of the needs and experiences of rural FQHC patients with hypertension and/or diabetes. A total of 497 rural FQHC patients completed surveys (including a series of psychosocial questions, the Multigroup Ethnic Identity Measure and the Center for Epidemiologic Studies Depression scale) as part of phase one of the project; 438 of these with complete data are included in the current analytic sample. Results revealed that 53.0% of the sample screened positive for depression, and over half of those who screened positive reported not being able to afford their prescription medications at least once within the past 12 months (51.3% vs. 26.3% non-depressed). Further, even after controlling for age, ethnic identity attachment, sex, education level, employment status, income, insurance status, recent inability to afford needed medical care, hypertensive status, mental health diagnosis, and family history of mental illness, patients who could not afford to fill their prescriptions in the past 12 months were 2.6 times as likely to screen positive for depression (ORADJ = 2.476, p = 0.002) as those who could afford their medications. Overall, results of this study suggest that, among rural patients diagnosed with chronic disease, depressive symptomatology may be alarmingly high and an inability to afford medications may be an important risk factor for depression symptoms. These results highlight the need for increased attention to prescription medication affordability among rural patients with chronic disease in order to reduce the risk of comorbid depression.

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Predictors of Depression in Black Women with Hypertension

Cited by 19 publications

References 57 publications

Coping with Depression in Single Black Mothers

Coping with Depression in Single Black Mothers

The Association between Trust in Health Care Providers and Medication Adherence among Black Women with Hypertension

Connection between depression and inability to fill prescriptions in rural FQHC patients with chronic disease.

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