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January 1, 1995Psychosomatic Medicine

Depressive Symptomatology and Hypertension-Associated Morbidity and Mortality in Older Adults

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Why the study?

Does high depressive symptomatology increase the risk of stroke and cardiovascular-related mortality in older adults with diagnosed hypertension?

Population

Older adults with diagnosed hypertension from East Boston, Massachusetts; New Haven, Connecticut; and Iowa

Comparison

High depressive symptomatology vs Nondepressed counterparts

Design

Cohort

Follow-up

Between 1982 and 1988

Key result

High depressive symptomatology in older adults with hypertension was associated with a 2.3 to 2.7 times higher rate of stroke compared to nondepressed counterparts.

Authors

ESEleanor M. SimonsickRWRobert B. WallaceDBDan G. Blazer

Discussion

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Overview

May inform risk stratification in older hypertensives; leaves open whether treating depression reduces stroke risk.

Study Design

Type

Cohort

Multicenter

Yes

Structured PICO

Does high depressive symptomatology increase the risk of stroke and cardiovascular-related mortality in older adults with diagnosed hypertension?

P
Population
Older adults with diagnosed hypertension from East Boston, Massachusetts; New Haven, Connecticut; and Iowa
I
Intervention
High depressive symptomatology
C
Comparator
Nondepressed counterparts
O
Outcome
Blood pressure control, stroke, and cardiovascular-related mortalityhard clinical

Main Result

Effect estimate: RR 2.3-2.7

High depressive symptoms in older adults with hypertension are associated with a significantly increased risk of stroke and possibly cardiovascular-related death.

Cite This Study

Simonsick et al. (1995) conducted a cohort in Hypertension. High depressive symptomatology vs. Nondepressed counterparts was evaluated on Blood pressure control, stroke, and cardiovascular-related mortality (RR 2.3-2.7). High depressive symptomatology in older adults with hypertension was associated with a 2.3 to 2.7 times higher rate of stroke compared to nondepressed counterparts.

synapsesocial.com/papers/6a0ed751b7cc3b883f22cbc9https://doi.org/10.1097/00006842-199509000-00003
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The association of psychosocial factors and depression with hypertension among older adults2003 · 80 citations
  2. 2Association of depression with mortality in an elderly treated hypertensive population2018 · 17 citations
  3. 3Depression and cardiovascular risk: does blood pressure play a role?2008 · 20 citations
  4. 4Association of depressive symptoms with non-fatal cardiovascular disease in middle-aged and elderly patients with hypertension: a cohort study from China2025 · 2 citations
  5. 5The contribution of depression to mortality among elderly with self-reported hypertension2011 · 26 citations