Understanding the Relationship between Depression and Chronic Diseases Such as Diabetes and Hypertension: A Grounded Theory Study

Herrera, Patricio; Campos-Romero, Solange; Szabo, Wilsa; Guajardo, Viviana; Rojas, Graciela

doi:10.3390/ijerph182212130

Cited by 37 publications

(16 citation statements)

References 29 publications

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“…Therefore, in comparison to these prevalence estimates in older Chinese adults in both community and primary care settings, we found the higher risk of depressive disorders and their subtypes in Chinese patients with hypertension. In the literature, possible explanations for how hypertension results in or exacerbates depression include the mental health burden of suffering from hypertension and its negative impact on a person’s quality of life, a low sense of self-worth, low self-esteem, and a loss of locus of control due to the negative psychological effect of hypertension, and structural changes in brain areas related to emotion as a result of pathophysiologic effects of hypertension on central nervous system ( 42 ).…”

Section: Discussionmentioning

confidence: 99%

Depressive disorders in older Chinese adults with essential hypertension: A classification tree analysis

Ruan¹,

Xu²,

Zhong³

2022

Front. Cardiovasc. Med.

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BackgroundAlthough there has been accumulating evidence on the elevated risk of depression in hypertensive patients, data regarding depressive disorders in older adults with hypertension and the interplay between factors associated with depression in this population are very limited. Disentangling the mutual influences between factors may help illuminate the pathways involved in the pathogenesis of the comorbidity of depression in hypertension. This study investigated the prevalence of depressive disorders in older Chinese adults with hypertension and examined major correlates of depressive disorders and the interactions between correlates by using classification tree analysis (CTA).MethodsIn total, 374 older adults with essential hypertension were enrolled from seven urban and six rural primary care centers in Wuhan, China, and interviewed with the Chinese Mini-international Neuropsychiatric Interview 5.0. Family relationship and feelings of loneliness were assessed with standardized questions. A checklist was used to assess the presence of six major medical conditions: diabetes mellitus, heart disease, cerebrovascular disease, chronic obstructive pulmonary disease, chronic gastric ulcer, and arthritis.ResultsThe 1-month prevalence rate of depressive disorders was 25.7%. The CTA model identified four major correlates of depressive disorders: loneliness was the most salient, followed by arthritis, family relationship, and heart disease. There were statistically significant interactions between loneliness and arthritis, loneliness and family relationship, and arthritis and heart disease.ConclusionOver one out of every four older Chinese adults with hypertension suffer from depressive disorders. Collaborative multidisciplinary management services are needed to reduce the burden of depression in hypertensive older adults, which may include social work outreach services to promote family relationship, mental health services to relive loneliness, and primary care services to manage arthritis and heart disease.

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Section: Discussionmentioning

confidence: 99%

Depressive disorders in older Chinese adults with essential hypertension: A classification tree analysis

Ruan¹,

Xu²,

Zhong³

2022

Front. Cardiovasc. Med.

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“…Further, chronic stress left unnoticed can suppress the immune system, inviting a group of chronic health conditions (Salleh, 2008). It is evident from the literature that there is a bidirectional association between psychological disturbances such as depression, anxiety, mood disorders, and various health issues (Herrera et al ., 2021; Bobo et al ., 2022). It appears like a loop where the diagnosis of chronic health conditions promotes psychological disturbances such as depression (Ma et al ., 2021), which leads to poor prognosis and rapid progression of the condition (Simon, 2001).…”

Section: Psychosocial and Cultural Determinants Of Health And The Pro...mentioning

confidence: 99%

Non-communicable diseases and the prospects of integrated behavioral health in India: current status and future directions

Padma Sri Lekha,

Abdul Azeez,

O'Donnell

2024

JICA

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PurposeContextual to the recognition of the complex interplay between health and behavioral aspects, integrated behavioral health (IBH) has emerged. Although this model is becoming popular in the Western world, its presence in the global context is not promising. This paper aims to explore the need for IBH in India and address its barriers to implementation and possible solutions.Design/methodology/approachWe analyzed the case of IBH and its potential implications for India using the current evidence base, authors' reflections and experience of implementing similar programs.FindingsThis paper identifies contextual factors, including increased instances of non-communicable diseases and psychosocial and cultural determinants of health, that necessitate the implementation of IBH programs in India. The key features of different IBH models and their applicability are outlined. The current status of IBH and potential challenges in implementation in India in terms of human resources and other factors are delineated. We also discuss the potential models for implementing IBH in India.Originality/valueIntegrating behavioral health in primary care is considered an effective and sustainable model to promote health and well-being across various target populations. Towards this end, this paper is the first to discuss the contextual factors of IBH in India. It is a significant addition to the knowledge base on IBH and its possible implementation barriers and strategies in low- and middle-income countries.

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“…Another possible causative factor is that there is no target organ damage and there are no typical symptoms of hypertension, making people with hypertension ignore their hypertension problems (Kalehoff & Oparil, 2020;Obrycki et al, 2020). Boredom related to hypertension management, which is a long-term therapy, is also one of the causative factors that cannot be denied (Herrera et al, 2021).…”

Section: The Relationship Between Age and Adherence And Barriers To M...mentioning

confidence: 99%

Individual Characteristics, Adherence, and Barriers to Medication Adherence of Hypertensive Patients at the Indonesia - Timor Leste Border

Berek

Siswanto

Irawati

et al. 2022

Nurs. Med. J. Nursing

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Background: Until the last decade, the incidence of hypertension has increased sharply. It has been reported that individuals with hypertension show a low level of adherence to their therapy management. Moreover, there has been no previous research evaluating individual characteristics, adherence, and barriers to medication adherence among people with hypertension at the border of Indonesia and Timor Leste.Purpose: This study aimed to identify individual characteristics, adherence, and barriers to medication adherence among hypertensive patients.Methods: A total of 112 hypertensive patients recruited using a quota sampling method at the border of Indonesia and Timor Leste participated in this cross-sectional study. Data were collected using the Hill-Bone Questionnaire to identify adherence and the Adherence Barrier Questionnaire (ABQ) to identify barriers to medication adherence. Individual characteristics were also collected. To confirm the hypertension condition at the time of data collection, measurements of blood pressure were retaken. Descriptive statistics and Chi-square analysis were used for data analysis. Results: The average of systolic blood pressure was 163.85(18.24) mmHg, and the diastolic blood pressure was 99.30(11.57) mmHg. The Chi-square test showed that education and occupation had a significant relationship with adherence (p<0.05) and barriers to medication adherence (p=0.000). Meanwhile, other characteristics, including age, gender, and marital status, were not significantly related to adherence (p>0.05) and barriers to medication adherence (p>0.05).Conclusion: There is a relationship between education and occupation with adherence and barriers to medication adherence, but there is no relationship when viewed from such individual characteristics as age, gender, and marital status. Further research is needed to identify effective educational methods to increase the knowledge, motivation, and self-efficacy of hypertensive patients to improve blood pressure control.

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Understanding the Relationship between Depression and Chronic Diseases Such as Diabetes and Hypertension: A Grounded Theory Study

Cited by 37 publications

References 29 publications

Depressive disorders in older Chinese adults with essential hypertension: A classification tree analysis

Depressive disorders in older Chinese adults with essential hypertension: A classification tree analysis

Non-communicable diseases and the prospects of integrated behavioral health in India: current status and future directions

Individual Characteristics, Adherence, and Barriers to Medication Adherence of Hypertensive Patients at the Indonesia - Timor Leste Border

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