Psychiatric comorbidities in patients with hypertension – a study of registered diagnoses 2009–2013 in the total population in Stockholm County, Sweden

Sandström, Ylva Kristoferson; Ljunggren, Gunnar; Wändell, Per; Wahlström, Lars; Carlsson, Axel C.

doi:10.1097/hjh.0000000000000824

Cited by 62 publications

(42 citation statements)

References 54 publications

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“…The relationship between mental illness and various medical conditions has been widely described in literature. There is evidence of increased mental disorders among patients suffering from infectious diseases like tuberculosis, HIV and also among non-communicable diseases like diabetes, hypertension and cancer [19–23]. Further, it has also been shown that persons suffering from mental disorders have a greater burden of chronic medical conditions than the general population [24].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of psychiatric morbidity in a community sample in Western Kenya

et al. 2017

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BackgroundAbout 25% of the worldwide population suffers from mental, neurological and substance use disorders but unfortunately, up to 75% of affected persons do not have access to the treatment they need. Data on the magnitude of the mental health problem in Kenya is scarce.The objectives of this study were to establish the prevalence and the socio-demographic factors associated with mental and substance use disorders in Kosirai division, Nandi County, Western Kenya.MethodsThis was a cross sectional descriptive study in which participants were selected by simple random sampling. The sampling frame was obtained from a data base of the population in the study area developed during door-to-door testing and counseling exercises for HIV/AIDS. Four hundred and twenty consenting adults were interviewed by psychologists using the Mini International Neuropsychiatric Interview Version 7 for Diagnostic and Statistical Manual 5th Edition and a researcher-designed social demographic questionnaire.ResultsOne hundred and ninety one (45%) of the participants had a lifetime diagnosis of at least one of the mental disorders. Of these, 66 (15.7%) had anxiety disorder, 53 (12.3%) had major depressive disorder; 49 (11.7%) had alcohol and substance use disorder. 32 (7.6%) had experienced a psychotic episode and 69 (16.4%) had a life-time suicidal attempt. Only 7 (1.7%) had ever been diagnosed with a mental illness. Having a mental condition was associated with age less than 60 years and having a medical condition.ConclusionA large proportion of the community has had a mental disorder in their lifetime and most of these conditions are undiagnosed and therefore not treated. These findings indicate a need for strategies that will promote diagnosis and treatment of community members with psychiatric disorders. In order to screen more people for mental illness, we recommend further research to evaluate a strategy similar to the home based counseling and testing for HIV and the use of simple screening tools.

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Section: Discussionmentioning

confidence: 99%

Prevalence of psychiatric morbidity in a community sample in Western Kenya

et al. 2017

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“…With more and more younger and middle-age adults moving to the cities for work, there is an increasing need for mental health care for older adults remaining in rural regions. Although it is well recognized that psychiatric comorbidity, especially depression, has a negative long-term impact on health outcomes for older adults with hypertension (HTN) (Adamenko, 1967; Musselman et al ., 1998; Sandstrom et al ., 2016; Smith et al ., 2013), to date, few studies have explored the relationship between depression and HTN in rural China.…”

Section: Introductionmentioning

confidence: 99%

The prevalence of depressive symptoms among older patients with hypertension in rural China

Xue

Chen

Bogner

et al. 2016

Int J Geriat Psychiatry

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Objective The comorbidity of depression and hypertension (HTN) is common and complicates the management of both conditions. This study investigated the prevalence of depressive symptoms among older patients with HTN in rural China and explored the relationship between the two conditions. Methods The baseline data of older patients diagnosed with HTN included in the depression/HTN in Chinese Older Adults—Collaborations for Health Study were used for the analysis. The Chinese Older Adults—Collaborations for Health Study was conducted in rural villages of Tonglu County, Zhejiang Province, China. In all, 10 389 older village residents had HTN (57.2% female, mean age 71.5 ± 8.1 years). Blood pressure was measured by using a calibrated manual sphygmomanometer and stethoscope. Depressive symptom was measured by using the Chinese version of the nine-item Patient Health Questionnaire. Results Among 10 389 patients with HTN, 12.8% had significant depressive symptoms (nine-item Patient Health Questionnaire ≥10). Rates of significant depressive symptoms were 5.3% and 32.8% among patients with controlled and uncontrolled HTN (systolic blood pressure ≥ 140 and/or diastolic blood pressure ≥ 90), respectively (χ2=8.701, p<0.001). Logistic regression analysis indicated that those in older age group (≥70 years) and with uncontrolled HTN have higher rates of significant depressive symptoms than those who are younger (age 60 to <70) and with controlled HTN. Conclusion Our findings show high rates of depressive symptoms among patients with HTN in rural China and higher rates of depressive symptoms among patients with uncontrolled HTN. These support the development and dissemination of integrative care approaches for older adults with HTN and depression in rural China.

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“…17,33 In this context, this study demonstrated that there was an association between these disorders and SAH, as reported in the available literature. 17,[34][35][36] However, it cannot be concluded whether SAH is one of the causes of these disorders in vulnerable patients, whether it is an aggravating factor, whether these disorders predispose patients to developing SAH, or whether there is actually a bidirectional relationship. 1,9,15,[17][18][19]35,36 Another point that it is indispensable to discuss is that both anxiety and depression are risk factors for CVD, such as AMI, stroke, and PAD.…”

Section: Discussionmentioning

confidence: 99%

Ansiedade e depressão em pacientes com doença arterial periférica internados em hospital terciário

et al. 2019

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Resumo Contexto Ansiedade e depressão são afecções neuropsiquiátricas altamente prevalentes e estão associadas a doenças crônicas, dor, perda de autonomia, dependência para realização de atividades rotineiras e solidão. A depressão, muitas vezes, possui relação de causa-consequência com outras doenças, como infarto agudo do miocárdio, hipertensão arterial sistêmica (HAS), diabetes mellitus e doença arterial periférica (DAP). Objetivos Estimar a frequência de ansiedade e depressão em pacientes de ambos os sexos com DAP, internados em hospital terciário. Métodos Trata-se de um estudo descritivo, transversal, com uma amostra não aleatória selecionada de forma consecutiva. Para avaliar a ansiedade e a depressão, foi utilizada a Escala Hospitalar de Ansiedade e Depressão (HADS) e, para a DAP, foi utilizado o índice tornozelo-braquial (ITB). Resultados A prevalência de ansiedade nesses pacientes foi de 24,4%, havendo associação entre ansiedade e renda familiar mensal, tabagismo e HAS. Já a prevalência de depressão foi de 27,6%, sendo verificadas associações entre depressão e sexo feminino, em união estável ou casada, que sobrevive com até um salário mínimo, não etilista e hipertensa. Conclusões É possível perceber que há uma alta prevalência de transtornos de ansiedade e depressão nos pacientes com DAP. Esses transtornos são subdiagnosticados e, consequentemente, não são devidamente tratados.

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Psychiatric comorbidities in patients with hypertension – a study of registered diagnoses 2009–2013 in the total population in Stockholm County, Sweden

Cited by 62 publications

References 54 publications

Prevalence of psychiatric morbidity in a community sample in Western Kenya

Prevalence of psychiatric morbidity in a community sample in Western Kenya

The prevalence of depressive symptoms among older patients with hypertension in rural China

Ansiedade e depressão em pacientes com doença arterial periférica internados em hospital terciário

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