Prevalence and determinants of depression among patients with hypertension: A cross-sectional comparison study in Ghana and Nigeria

Ademola, Adebowale D.; Boima, Vincent; Odusola, Aina Olufemi; Agyekum, Francis; Nwafor, Chibuike Eze; Salako, Babatunde Lawal

doi:10.4103/njcp.njcp_351_18

Cited by 32 publications

(10 citation statements)

References 3 publications

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“…Also it can be due to the differences in socio-demographic factors, norms and culture of the communities about the nature of the disease might bring this. But the finding is inline with the studies done in China 26.8% [ 22 ], Malaysia, 32% [ 9 ], Nigeria 26.6% [ 18 ] and Hawassa, Ethiopia was 24.19% [ 12 ].…”

Section: Discussionsupporting

confidence: 79%

“…In this study the magnitude of depression was 26.7% [(95%CI (21.9–31.8)]. The finding is lower than the studies done in Afghanistan 58.1% [ 16 ], Kanyakumari, India 41% [ 17 ], Ghana 41.7% [ 18 ], Hadiya zone 37.2% [ 19 ], Addis Ababa, Ethiopia 37.8% [ 20 ]. This discrepancy might be due to the fact that overcrowding is danger to societal mental health of densely populated and its main adverse effect is depression [ 21 ].…”

Section: Discussionmentioning

confidence: 54%

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Depression and its associated factors among adult hypertensive patients attending follow-up in South Gondar zone public hospitals, Ethiopia, 2023

Abate,

Nigat,

Tigabu

et al. 2024

BMC Psychiatry

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Introduction Depression is the most common public health issue affecting the world's population. Like patients with other chronic medical diseases, hypertensive patients experience many intense emotions which increase their risk for the development of depression. This study aimed to assess the magnitude of depression and its associated factors among hypertensive patients in South Gondar zone governmental hospitals, Northwest Ethiopia, 2023. Methods An institutional-based cross-sectional study was used in government hospitals of South Gondar Zone. A total of 311 patients were sampled randomly and included in the study. Statistical Package for Social Sciences (SPSS) version 25 was used for analysis. Data were analyzed mainly by using descriptive statistics and binary logistics regression. Results A total of 311 patients participated with a 100% response rate. Almost half of the participants were female. The mean age of the respondents was 58.85 years. More than 60% of the respondents had a co-morbid illness. Among participants, 83 (26.7%) of hypertensive patients had depression. Being female, age, uneducated, having poor social support, the presence of co-morbid illness and complications, uncontrolled hypertension, having less than or equal to two dietary regimen and duration of hypertension greater than ten years were significantly associated with depression. Conclusion The magnitude of depression was found to be high. This indicated that depression is a common co-morbid illness among hypertensive patients. Healthcare professionals and other stakeholders should consider and diagnose co-morbid diseases like depression among hypertensive patients. It is also better to give particular emphasis to highly vulnerable groups like females, elders, uneducated and those who have poor social support.

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Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 54%

Depression and its associated factors among adult hypertensive patients attending follow-up in South Gondar zone public hospitals, Ethiopia, 2023

Abate,

Nigat,

Tigabu

et al. 2024

BMC Psychiatry

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“…A cross-sectional comparison study in Ghana and Nigeria suggest the prevalence of depression is high among patients with hypertension in Ghana and Nigeria. [ 3 ] Depression affects approximately one-third of hypertensive patients, affecting their quality of life and their prognosis. Thus, effective patient-centered interventions for depression are needed.…”

Section: Introductionmentioning

confidence: 99%

“…As a multifactorial pathology that affects between 30% and 40% of the general population, hypertension is also an essential risk factor in cardiovascular disease. A cross-sectional comparison study in Ghana and Nigeria suggest the prevalence of depression is high among patients with hypertension in Ghana and Nigeria [3] . Depression affects approximately one-third of hypertensive patients, affecting their quality of life and their prognosis.…”

Section: Introductionmentioning

confidence: 99%

Association between common cardiovascular drugs and depression

Tao

Ren

Zhang

2021

Chinese Medical Journal

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Objective:Cardiovascular diseases are associated with an increased risk of depression, but it remains unclear whether treatment with cardiovascular agents decreases or increases this risk. The effects of drugs on individual usage are also often unknown. This review aimed to examine the correlation between depression and common cardiovascular drugs, develop more potent interventions for depression in cardiovascular patients, and further research on the bio-behavioural mechanisms linking cardiovascular drugs to depression.Data sources:The data in this review were obtained from articles included in PubMed, EMBASE, and Web of Science.Study selection:Clinical trials, observational studies, review literature, and guidelines about depression and cardiovascular drugs were selected for the article.Results:We systematically investigated whether the seven most used cardiovascular drugs were associated with altered risk of incident depression in this literature review. Statins have been proven to have antidepressant effects. Some studies believe angiotensin-converting enzyme inhibitors (ACEIs)/angiotensin receptor blocker (ARB) can exert an antidepressant influence by acting on the renin-angiotensin system, but further clinical trials are needed to confirm this. Beta-blockers have previously been associated with depression, but the current study found no significant association between beta blockers and the risk of depression. Aspirin may have antidepressant effects by suppressing the immune response, but its role as an antidepressant remains controversial. calcium channel blockers (CCBs) can regulate nerve signal transduction by adjusting calcium channels, but whether this effect is beneficial or harmful to depression remains unclear. Finally, some cases have reported that nitrates and diuretics are associated with depression, but the current clinical evidence is insufficient.Conclusions:Statins have been proven to have antidepressant effect, and the antidepressant effects of ACEIs/ARB and aspirin are still controversial. CCBs are associated with depression, but it is unclear whether it is beneficial or harmful. No association has been found with β-blockers, diuretics, and nitrates.

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“…The incidence of hypertension is higher among individuals with depressive symptoms (Ma & Li, 2017). The prevalence of depression among hypertensive patients were from 26.6 to 41.7% (Ademola et al, 2019;Mahmood et al, 2017;Prathibha, Varghese, & Jincy, 2017). Study showed that the prevalence of depression in elderly patients with hypertension living in rural areas was higher.…”

Section: Introductionmentioning

confidence: 90%

The Association Between Depression and Self-Reported Sleep Quality Among Hypertensive Patients in a Rural Area of Central Sulawesi

Lainsamputty¹,

Manitu²,

Abdillah³

2019

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Poor quality of sleep may increase burden of hypertensive patients and worsen quality of life. Recognition of individuals’ sleep quality and its related factors might benefit the outcome of hypertension management. The purpose of this study was to investigate the association between depression and sleep quality among hypertensive patients in rural community. A cross-sectional, correlational study design was performed with 149 accidental samples at two public health care areas. Instruments included Depression Anxiety Stress Scale 42 and Pittsburgh Sleep Quality Index. Almost 78% of participants experienced mild to moderate depression and 98.7% of poor sleepers were identified. Significant determinants of sleep quality were exercises and type 2 diabetes mellitus (DM). Depression was associated to sleep quality but was not identified as a determinant. This study suggests future interventions should be directed to increase regular exercises and controlling co-existing disease particularly type 2 DM should be developed to improve sleep quality. Keywords: Depression, hypertension, sleep quality. Abstrak Kualitas tidur yang buruk dapat memperberat beban pasien hipertensi dan menurunkan kualitas hidup. Mengidentifikasi kualitas tidur individu dan faktor-faktor yang terkait dengannya dapat membantu meningkatkan hasil dari manajemen penyakit hipertensi. Penelitian ini bertujuan untuk menginvestigasi asosiasi depresi dan kualitas tidur pada pasien hipertensi di daerah pedesaan. Desain penelitian menggunakan pendekatan potong lintang dan deskriptif korelasi dengan 149 sampel insidental pada wilayah kerja dua pusat kesehatan masyarakat. Kuesioner yang digunakan yaitu DASS-42 dan PSQI. Hampir 78% partisipan menderita depresi ringan hingga sedang dan presentase kualitas tidur buruk sebanyak 98.7%. Faktor determinan yang signifikan adalah olahraga dan DM tipe 2. Depresi berhubungan secara signifikan dengan kualitas tidur, tetapi tidak teridentifikasi sebagai faktor determinan. Penelitian ini merekomendasikan dilakukannya intervensi untuk meningkatkan kegiatan olahraga yang regular dan pengontrolan penyakit komorbiditas terutama DM tipe 2 untuk meningkatkan kualitas tidur. Kata Kunci: Depresi, hipertensi, kualitas tidur.

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Prevalence and determinants of depression among patients with hypertension: A cross-sectional comparison study in Ghana and Nigeria

Cited by 32 publications

References 3 publications

Depression and its associated factors among adult hypertensive patients attending follow-up in South Gondar zone public hospitals, Ethiopia, 2023

Depression and its associated factors among adult hypertensive patients attending follow-up in South Gondar zone public hospitals, Ethiopia, 2023

Association between common cardiovascular drugs and depression

The Association Between Depression and Self-Reported Sleep Quality Among Hypertensive Patients in a Rural Area of Central Sulawesi

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