Key result
Stage I-II hypertension linked to ~51% higher general anxiety disorder prevalence vs normal and prehypertension.
Why the study?
Hypertensive patients are more prone to anxiety, which impairs medication adherence, restricts treatment options, and worsens prognosis, but the prevalence and relationship needed evaluation.
Cross-Sectional (n=165)
No
Absolute Event Rate: 56.32% vs 37.17%
p-value: p=0.01
There is a high prevalence of generalized anxiety disorder among patients with hypertension, with higher rates observed in more advanced stages of hypertension.
Supports anxiety screening consideration in hypertension; leaves open causality and need for prospective confirmation.
Background: People with hypertension are more likely to suffer from mental health illnesses such as depression and/or anxiety. Anxiety influences medication adherence in hypertensive patients and limits their treatment options. Worsens the prognosis and raises the death rate. Objective: To determine the prevalence of anxiety and its relationship to hypertension in hypertensive individuals. Materials and Methods: The study was a hospital-based descriptive cross-sectional study that took place at Sheba Susrusha Hospital in Dhaka from February 2022 to February 2023. All study participants provided written informed consent. In total, 165 patients with hypertension were included in the study. The patients with general anxiety disorders were selected by DSM 5 criteria. We included all patients, regardless of medication. The patient's demographic information, clinical presentations, and questionnaire were all completed. Results: The majority of patients (61.2%) were female, 45 (27.3%) were prehypertensive, 69 (41.8%) were stage I, 18 (10.9%) were stage II, and 33 (20.0%) were normal. There were 78 (47.3%) individuals with general anxiety disorders, 49 (56.32%) with hypertension stages I and II. The difference between the four groups was statistically significant (p <0.05). Conclusion: There is a strong relation between generalized anxiety disorder and hypertension. Anxiety in patients with hypertension at younger ages has to be assessed because it may contribute to hypertension.
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Sharar et al. (2023) conducted a cross-sectional in Hypertension and General Anxiety Disorder (n=165). Hypertension Stage I and II vs. Normal and Prehypertension was evaluated on Prevalence of general anxiety disorder (p=0.01). General anxiety disorder was present in 47.3% of patients, with a significantly higher prevalence in those with Stage I and II hypertension (56.32%) compared to normal and prehypertension (37.17%).
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