Prevalence of depression in cardiovascular patients in Iran: A systematic review and meta-analysis from 2000 to 2017

Ghaemmohamadi, Mozhgan Sadat; Behzadifar, Meysam; Ghashghaee, Ahmad; Mousavinejad, Nasrin; Ebadi, Faezeh; Shahri, Sahar Sadat Saeedi; Seyedin, Hesam; Behzadifar, Masoud; Bragazzi, Nicola Luigi

doi:10.1016/j.jad.2017.10.026

Cited by 30 publications

(24 citation statements)

References 25 publications

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“…These were different from the prevalence rates reported in other countries, such as 41.5% in Turkey and 71.5% in Pakistan 4,28. The study results also indicated that depression was more prevalent in patients with RA (65.5%) than the other chronic diseases, such as hemodialysis (62%), type II diabetes (54.8%), and cardiovascular diseases (47%) 3,29–31…”

Section: Discussionmentioning

confidence: 58%

<p>Prevalence of depression among Iranian patients with rheumatoid arthritis: a systematic review and meta-analysis</p>

Jamshidi

Gheshlagh

Ebtekar

et al. 2019

OARRR

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Patients with rheumatoid arthritis (RA) are prone to depression due to several factors related to their RA, including chronic and persistent pain, functional disability, economic constraints, and the side effects of RA medication. Previous Iranian studies showed conflicting and inconclusive findings regarding the prevalence of depression among RA patients. Therefore, this systematic review and meta-analysis was conducted to estimate the true prevalence of depression in Iranian patients with RA. Search for eligible articles was performed using the keywords of depression, depressive disorder, dysthymic disorder, major depressive disorder, RA, and Iran, and their possible combinations in the following databases: Scientific Information Database, MagIran, Web of Science/ISI, PubMed, and Scopus. The search was restricted to articles published in Persian and English languages. The meta-analysis was performed using the random effects model, and the data were analyzed using the STATA software version 12. Overall, six articles were selected; the overall prevalence of depression among the Iranian patients with RA was 65.58% (95% CI: 56.53%–74.62%). There were no significant relationships between the prevalence of depression and articles’ methodological quality and year of publication, participants’ age, sample size, and duration of disease. More than half of RA patients suffer from depression. The overlap between the physical symptoms of RA and depression in this group of patients makes it difficult to correctly diagnose depression; therefore, initiative and efforts are required to improve the identification of early depression symptoms in RA patients in order to effectively manage their depression.

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Section: Discussionmentioning

confidence: 58%

<p>Prevalence of depression among Iranian patients with rheumatoid arthritis: a systematic review and meta-analysis</p>

Jamshidi

Gheshlagh

Ebtekar

et al. 2019

OARRR

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“…Hypertension is one of the most common chronic diseases in China and is estimated to have impacted nearly 52% of Chinese over 65 years old . Prospective studies and meta‐analyses including one of our own have shown that hypertension is a risk factor for incident depressive symptoms . The relationship between hypertension and depressive symptoms is biologically plausible given that they share common genetic determinants resulting in hypothalamic‐pituitary‐adrenal axis dysregulation and oxidative stress and low‐grade inflammation .…”

Section: Introductionmentioning

confidence: 99%

“…About 6% of Chinese over 60 years old have depressive symptoms, and its annual rising rate of depression is about 2%. [6][7][8][9] The relationship between hypertension and depressive symptoms is biologically plausible given that they share common genetic determinants resulting in hypothalamic-pituitary-adrenal axis dysregulation and oxidative stress and low-grade inflammation. 4 Hypertension is one of the most common chronic diseases in China and is estimated to have impacted nearly 52% of Chinese over 65 years old.…”

Section: Introductionmentioning

confidence: 99%

“…5 Prospective studies and meta-analyses including one of our own have shown that hypertension is a risk factor for incident depressive symptoms. [6][7][8][9] The relationship between hypertension and depressive symptoms is biologically plausible given that they share common genetic determinants resulting in hypothalamic-pituitary-adrenal axis dysregulation and oxidative stress and low-grade inflammation. 10 These studies implied that lowering blood pressure might be a modifiable factor decreasing the incidence of depressive disorders.…”

Section: Introductionmentioning

confidence: 99%

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Antihypertensive treatment and depressive symptoms in Chinese middle‐aged and older hypertensive adults: A population‐based longitudinal study

Jin

2019

Int J Geriat Psychiatry

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Objectives: Hypertension is a risk factor for depressive disorders. Although the benefits of lowering blood pressure on the subsequent depressive disorders are supported by biological interpretation, the effect of antihypertensive therapies on depressive disorders is not clear. This study aimed to assess whether blood-pressure-lowering treatment have a protective effect on subsequent depressive symptoms in China. Methods:We used data from the nationally representative survey, including 2428 hypertensive participants free from depressive symptoms at baseline in 2011 to 2012. We assessed the depressive symptoms based on the 10-item Center for Epidemiological Studies Depression scale. We conducted Cox proportional hazards regression models to examine the effect of antihypertensive treatment on the incidence of depressive symptoms in 2011 to 2015.Results: In the total sample, all the models resulted in nonsignificant results and an estimated 8% reduction in risk (95% CI, 0Á76-1Á12) in the model adjusted for all covariates for the antihypertensive treatment takers with blood pressure controlled.In the group of urban residents, the antihypertensive treatment takers with blood pressure controlled had lower odds (HR: 0.68; 95% CI, 0Á49-0Á96) of depressive disorders. Conclusion:The protective effect of the antihypertensive therapies might be relative to not only lowering blood pressure per se but also the management of hypertension.We proposed the early intervention to achieve the long-term protective effect of being antihypertensive and the supply of effective and collaborative care of hypertension and depression. K E Y W O R D Saging, antihypertensive treatment, blood pressure lowering, depression, hypertension management

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“…A considerable number of these papers, for example, in case of attention deficit hyperactivity disorder (ADHD; Faraone, Sergeant, Gillberg, & Biederman, 2003; Simon, Czobor, Bálint, Mészáros, & Bitter, 2009; Van Emmerik-van Oortmerssen, 2012; Polanczyk, Willcutt, Salum, Kieling, & Rohde, 2014; Thomas, Sanders, Doust, Beller, & Glasziou, 2015; T. Wang et al, 2017b), mood disorders (Cameron, Sedov, & Tomfohr-Madsen, 2016; Clemente et al, 2015; Ghaemmohamadi et al, 2017; J. Wang et al, 2017a), anxiety disorders (Baxter, Scott, Vos, & Whiteford, 2013; Guo et al, 2016; Miloyan, Bulley, Bandeen-Roche, Eaton, & Gonçalves-Bradley, 2016), psychotic disorders/symptoms (Clancy, Clarke, Connor, Cannon, & Cotter, 2014; Jääskeläinen et al, 2018), substance use (Fan et al, 2017; Feng & Newman, 2016; Hunt, Malhi, Cleary, Lai, & Sitharthan, 2016; Lemstra et al, 2008) or ‘common mental disorders’ in general (Steel et al, 2014) – emphasized that the estimated prevalence differences between countries might be highly influenced by both the assessment protocol (e.g.…”

Section: Introductionmentioning

confidence: 99%

Do you let me symptomatize? The potential role of cultural values in cross-national variability of mental disorders’ prevalence

Kapitány-Fövény

Richman

Demetrovics

et al. 2018

Int J Soc Psychiatry

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Background: Mental disorders may show inherent cross-national variability in their prevalence. A considerable number of meta-analyses attribute this heterogeneity to the methodological diversity in published epidemiological studies. Cultural values are characteristically not assessed in meta-regression models as potential covariates. Aim: Our aim was to conduct a meta-regression analysis to explore to what extent certain cultural values and immigration rates (as indicator of cultural diversity) might be associated with the cross-national heterogeneity of prevalence rates. Method: To minimize methodological differences that may exert a confounding effect, prevalence rates were obtained from the World Health Organization’s (WHO) World Mental Health Survey Initiative. Cultural indices (overall emancipative values; overall secular values) were collected from the World Value Survey, while immigration rates were registered by utilizing the data of the United Nations’ World Population Policies 2005 report. Results: Meta-regression analysis indicated that overall emancipative values (i.e. promoting self-expression, non-violent protest) showed significant connection with lifetime and last year prevalence of any mood disorders (Z = 4.71, p = .001; Z = 2.35, p = .02) and any internalizing disorders (a merged category that combined mood and anxiety disorders; Z = 2.82, p = .004; Z = 2.34, p = .02). Overall secular values (i.e. rejecting authority and obedience) were negatively associated with last year prevalence of depression (Z = −2.75, p = .06). Multistep regression analysis indicated that immigration rate moderated the connection between cultural values and mental disorders. Countries with higher immigration rates showed higher emancipative and secular values. Conclusion: Our findings might function as potential foundation for formulating hypotheses regarding the cultural context’s influence on the population’s mental health.

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Prevalence of depression in cardiovascular patients in Iran: A systematic review and meta-analysis from 2000 to 2017

Cited by 30 publications

References 25 publications

<p>Prevalence of depression among Iranian patients with rheumatoid arthritis: a systematic review and meta-analysis</p>

<p>Prevalence of depression among Iranian patients with rheumatoid arthritis: a systematic review and meta-analysis</p>

Antihypertensive treatment and depressive symptoms in Chinese middle‐aged and older hypertensive adults: A population‐based longitudinal study

Do you let me symptomatize? The potential role of cultural values in cross-national variability of mental disorders’ prevalence

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