Absence of association between depression and hypertension: results of a prospectively designed population-based study

Wiehe, Mário; Fuchs, Sandra Costa; Moreira, Leila Beltrami; Moraes, Renan Stoll; Pereira, G M; Gus, Miguel; Fuchs, Flávio Danni

doi:10.1038/sj.jhh.1002017

Cited by 65 publications

(48 citation statements)

References 31 publications

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“…45 The seven studies that screened for major depressive disorder used the following tools: the Composite International Diagnostic Interview (CIDI), 22,43,44,[50][51][52][55][56][57][58][59][60][61] the Mini-International Neuropsychiatric Interview (MINI), [36][37][38][39] and the DSM-IV. 41 The mean quality score was 5.8. Three studies scored fewer than five points.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Most of the surveys included persons 18 years old and older. [22][23][24][25][26][27][28][29][36][37][38]40,41,43,44,[50][51][52][55][56][57][58][59][60][61][62][63] Three studies did not primarily aim to assess the prevalence of depression. 30,35,47 Six national studies were included.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…30,35,47 Six national studies were included. [23][24][25][26][27][28][29][30] Nine studies were conducted in the Southeast region, 22,[31][32][33][43][44][45][50][51][52][53][54][55][56][57][58][59][60][61][62][63] eight in the South region, [31][32][33][34][35][36][37][38][39][40][41][42]46 two in the Northeast region [47][48][49] and one in the Mid-West region of Brazil. [31][32][33] Eight studies were conducted i...…”

Section: Study Characteristicsmentioning

confidence: 99%

“…[31][32][33] Eight studies were conducted in the 1990s. [22][23][24][31][32][33]41,47 All studies used the official census for the sampling frame and employed probability sampling: one study used a random sample from the whole population, 22 whereas the others employed complex sampling, with one or more stages. Two studies had fewer than 1,000 participants.…”

Section: Study Characteristicsmentioning

confidence: 99%

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Prevalence of depression morbidity among Brazilian adults: a systematic review and meta-analysis

Silva

Galvão

Martins

et al. 2014

Rev. Bras. Psiquiatr.

117

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Objective: To estimate the prevalence of depressive symptoms and major depressive disorder, as assessed in population-based cross-sectional studies of Brazilian adults. Methods: We performed a systematic review of the literature. The major databases were searched up through October 2013. Two researchers selected the studies, extracted the data, and assessed their methodological quality. Meta-analyses were performed using random effects. Results: Of the 2,971 records retrieved, we selected 27 studies that assessed the prevalence of depression morbidity in 464,734 individuals (66% women). Eleven different screening tools were used to assess depression morbidity. The prevalence of depressive symptoms was 14% (95% confidence interval [95%CI] 13-16; I 2 = 99.5%), whereas the 1-year prevalence of major depressive disorder was 8% (95%CI 7-10; I 2 = 86.7%), and the lifetime prevalence of major depressive disorder was 17% (95%CI 14-19; I 2 = 91.6%). All rates were higher in women than in men. No causes of heterogeneity could be identified. Conclusion: Depression morbidity was common among Brazilian adults, and affects more women than men. Inconsistencies across studies highlight the need for standardization of future research. Clinicians should routinely investigate for the presence of depression morbidity in this population.

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

See 2 more Smart Citations

Prevalence of depression morbidity among Brazilian adults: a systematic review and meta-analysis

Silva

Galvão

Martins

et al. 2014

Rev. Bras. Psiquiatr.

117

View full text Add to dashboard Cite

show abstract

“…A quantitative review identified that psychological factors could be associate with hypertension, 5 but the isolate contribution of each component has been questioned. 32 To our knowledge, this is the first systematic review addressing the association between stress and hypertension in cohort and case-control studies. We had planned to undertake a meta-analysis, but the heterogeneity between the studies, with regard to design, definition of exposure and outcome and control for confounding, excluded this possibility.…”

Section: Stress and Hypertension F Sparrenberger Et Almentioning

confidence: 99%

Does psychosocial stress cause hypertension? A systematic review of observational studies

et al. 2008

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Acute stress promotes transient elevation of blood pressure, but there is no consistent evidence that this effect results in hypertension. In this systematic review of cohort and case-control studies that investigated the association between psychosocial stress and hypertension, we conducted a complete search up to February 2007 in MEDLINE, EMBASE, PSYCINFO and LILACS, through a search strategy that included eight terms to describe the exposure, six related to the design of the studies and one term for outcome. The quality was assessed by the Newcastle-Ottawa Quality Assessment Scale. The selection was done in duplicate by two teams of independent reviewers. Among 82 studies selected in the second phase, only 14 (10 cohort studies and 4 case-control studies), totalling 52 049 individuals, fulfilled the selection criteria. The average quality of the studies was 6.6 ± 1.3 in a 9-point scale. Acute life events were associated with hypertension in one and were not associated in two studies. Five out of seven studies found a significant and positive association between measures of chronic stress and hypertension, with risk ratios ranging from 0.8 to 11.1. Three out of five studies reported high and significant risks of affective response to stress for hypertension, one a significant risk close to a unit and one reported absence of risk. Acute stress is probably not a risk factor for hypertension. Chronic stress and particularly the non-adaptive response to stress are more likely causes of sustained elevation of blood pressure. Studies with better quality are warranted.

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Evaluating Depressive Symptoms Among Low-Socioeconomic-Status African American Women Aged 40 to 75 Years With Uncontrolled Hypertension

et al. 2021

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IMPORTANCE Depression is one of the leading causes of disability in the United States. African American women of low socioeconomic status with uncontrolled hypertension are at risk of having severe depressive symptoms, yet there is limited research about the mental health of this vulnerable population. Data from the Prime Time Sister Circles randomized clinical trial (PTSC-RCT) study can shed light on the prevalence of depressive symptoms among low-socioeconomic-status older African American women with hypertension.OBJECTIVE To determine the prevalence of depressive symptoms among low-socioeconomic-status African American women aged 40 to 75 years with uncontrolled hypertension who receive their care from a federally qualified health center (FQHC) and to identify risk factors associated with depressive symptoms. DESIGN, SETTING, AND PARTICIPANTSCross-sectional analysis of data from the PTSC-RCT of depressive symptomology, measured using an adapted version of the 10-item Center for Epidemiological Studies Depression Scale Revised (CES-D-10). Descriptive statistics were used to characterize the study population. We used logistic regression models to investigate the factors associated with participants with or without symptoms of depression. We used baseline data from the PTSC-RCT study, including 316 African American English-speaking women between ages 40 and 75 years with hypertension (systolic blood pressure Ն140 mm Hg or diastolic Ն90 mm Hg), who received their primary care at a FQHC in Washington, DC, in 2017 and 2018 and were flagged by the FQHC as uncontrolled. MAIN OUTCOMES AND MEASURESWe used the CES-D-10 from the Center for Epidemiologic Studies Depression Scale to measure presence of depressive symptoms.RESULTS A total of 57.0% of the women in the study (180 of 316) scored greater than or equal to 10 on the CES-D-10. Depressive symptoms had a negative association with a postsecondary education (adjusted odds ratio [aOR], 0.492; 95% CI, 0.249-0.968) and a positive association with the number of chronic conditions (aOR, 1.235; 95% CI, 1.046-1.460) and smoking (aOR, 1.731; 95% CI, 1.039-2.881). CONCLUSIONS AND RELEVANCEIn this study of low-income African American women with uncontrolled hypertension, more than half had symptoms of depression that was associated with less than high-school education, chronic conditions, and smoking. Low-income African American women with uncontrolled hypertension should be screened and adequately treated for depressive symptoms.

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Absence of association between depression and hypertension: results of a prospectively designed population-based study

Cited by 65 publications

References 31 publications

Prevalence of depression morbidity among Brazilian adults: a systematic review and meta-analysis

Prevalence of depression morbidity among Brazilian adults: a systematic review and meta-analysis

Does psychosocial stress cause hypertension? A systematic review of observational studies

Evaluating Depressive Symptoms Among Low-Socioeconomic-Status African American Women Aged 40 to 75 Years With Uncontrolled Hypertension

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