AWARENESS, STRESS, ANXIETY, AND DEPRESSION AMONG HYPERTENSIVE PATIENTS ATTENDING CARDIAC OUTPATIENT DEPARTMENT IN A SUPER SPECIALTY HOSPITAL
DOI:
https://doi.org/10.22159/ajpcr.2016.v9i5.11711Abstract
Objective: Hypertension is a major risk factor for cardiovascular disease and its association with negative emotions may increase their risk for
the development of mental health disorders. The main objective of the study was to assess the awareness, stress, anxiety, and depression among
hypertensive patients attending cardiac outpatient department (OPD).
Methods: This study was conducted in cardiac OPD of Super Speciality Hospital associated with Government Medical College, Jammu, for a period of
1-month commencing from 1st October to 31st October 2015. Hypertensive patients were given a questionnaire regarding socio-demographic profile,
risk factors, and awareness for high blood pressure, and prevalence of stress, anxiety, and depression was assessed using a structured validated
questionnaire DASS-21 [depression, anxiety, and stress scale-21].
Results: It was observed that most (72.5%) of the patients were aware of symptoms and its complications and regarding psychological symptoms
mild to severe depressive symptoms were present in 10%, anxiety in 70%, and stress in 10% of patients.
Conclusion: There is need of psychiatric evaluation and counseling in these patients and support services to be made available to these patients.
Keywords: Hypertension, Awareness, Stress, Anxiety, Depression, Depression; anxiety and stress scale-21.
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References
WHO. Global Status Report of Non - Communicable Diseases 2010. Geneva: World Health Organization; 2011.
Familoni OB, Hypertension - How much do our patients know? Afr Health 2002;24:13.
DeJean D, Giacomini M, Vanstone M, Brundisini F. Patient experiences of depression and anxiety with chronic disease: A systematic review and qualitative meta-synthesis. Ont Health Technol Assess Ser 2013;13(16):1-33. eCollection 2013.
Vetere G, Ripaldi L, Ais E, Korob G, Kes M, Villamil A. Prevalence of anxiety disorders in patients with essential hypertension. Vertex 2007;18(71):20-5.
Vettath RE, Reddy YN, Reddy YN, Dutta S, Singh Z, Mathew M, et al. A multicenter cross-sectional study of mental and physical health depression in MHD patients. Indian J Nephrol 2012;22(4):251-6.
Scalco AZ, Scalco MZ, Azul JB, Lotufo Neto F. Hypertension and depression. Clinics (Sao Paulo) 2005;60(3):241-50.
Rutledge T, Hogan BE. A quantitative review of prospective evidence linking psychological factors with hypertension development. Psychosom Med 2002;64(5):758-66.
Markovitz JH, Matthews KA, Kannel WB, Cobb JL, D’Agostino RB. Psychological predictors of hypertension in the Framingham Study. Is there tension in hypertension? JAMA 1993;270(20):2439-43.
DASS-21. Available from: http://www.scireproject.com/depression-anxiety-stress-scale-21-dass21. [Last accessed on 2013 Feb].
Hart JT. Hypertension, Liability of General Practitioner Series. New York: Churchill Livingstone; 1980.
Park K. Hypertension. Parks Textbook of Preventive & Social Medicine. 23rd ed. Jabalpur: Banarsidas Bhanot Publishers; 2015. p. 372-7.
Egan BM, Lackland DT, Cutler NE. Awareness, knowledge, and attitudes of older Americans about high blood pressure: Implications for health care policy, education, and research. Arch Intern Med 2003;163(6):681-7.
Joffres MR, Ghadirian P, Fodor JG, Petrasovits A, Chockalingam A, Hamet P. Awareness, treatment, and control of hypertension in Canada. Am J Hypertens 1997;10:1097-102.
Elkhalifa AM, Kinsara AJ, Almadani DA. Prevalence of hypertension in a population of healthy individuals. Med Princ Pract 2011;20(2):152-5.
Grimsrud A, Stein DJ, Seedat S, Williams D, Myer L. The association between hypertension and depression and anxiety disorders: Results from a nationally-representative sample of South African adults. PLoS One 2009;4(5):e5552.
Han J, Yin XM, Xu F, Hong X, Liang YQ, Wang ZY. A case-control study on depression and anxiety in hypertensive patients. Zhonghua Liu Xing Bing Xue Za Zhi 2008;29(2):125-7.
Roest AM, Martens EJ, de Jonge P, Denollet J. Anxiety and risk of incident coronary heart disease: A meta-analysis. J Am Coll Cardiol 2010;56(1):38-46.
Rostrup M, Kjeldsen SE, Eide IK. Awareness of hypertension increases blood pressure and sympathetic responses to cold pressor test. Am J Hypertens 1990;3:912-7.
Chris Woolston MS. Depression and High Blood Pressure. Available from: https://www.consumer.healthday.com/encyclopedia/depression-12/depression-news-176/depression-and-high-blood-pressure 644943.html. [Last updated on 2016 Jan 20].
Spruill TM, Pickering TG, Schwartz JE, Mostofsky E, Ogedegbe G, Clemow L, et al. The impact of perceived hypertension status on anxiety and the white coat effect. Ann Behav Med 2007;34(1):1-9.
Bane C, Hughes CM, McElnay JC. The impact of depressive symptoms and psychosocial factors on medication adherence in cardiovascular disease. Patient Educ Couns 2006;60(2):187-93.
Licht CM, de Geus EJ, Seldenrijk A, van Hout HP, Zitman FG, van Dyck R, et al. Depression is associated with decreased blood pressure, but antidepressant use increases the risk for hypertension. Hypertension 2009;53(4):631-8.
Nakanishi N, Yoshida H, Nagano K, Kawashimo H, Nakamura K, Tatara K. Long working hours and risk for hypertension in Japanese male white collar workers. J Epidemiol Community Health 2001;55(5):316-22.
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