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July 3, 2018Scandinavian Journal of Primary Health CareOpen Access

Awareness of hypertension and depressive symptoms: a cross-sectional study in a primary care population

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Why the study?

Does awareness of hypertension increase the risk of depressive symptoms in middle-aged risk persons without established cardiovascular disease?

Population

2,676 middle-aged risk persons without established cardiovascular or renal disease or type 2 diabetes, from…

Comparison

Awareness of hypertension vs Unaware hypertensives and normotensive subjects

Design

Cross-sectional

Authors

ARAnsa Talvikki RantanenJKJ. KorkeilaELEliisa Löyttyniemi

Discussion

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Overview

Awareness of hypertension associates with higher depressive symptoms even without comorbidities; leaves open causality and need for prospective confirmation.

Structured PICO

Does awareness of hypertension increase the risk of depressive symptoms in middle-aged risk persons without established cardiovascular disease?

P
Population
2,676 middle-aged risk persons without established cardiovascular or renal disease or type 2 diabetes, from two semi-rural towns in Finland.
I
Intervention
Awareness of hypertension (previously diagnosed hypertension)
C
Comparator
Unaware hypertensives and normotensive subjects
O
Outcome
Depressive symptomspatient reported

Awareness of a hypertension diagnosis is associated with a higher prevalence of depressive symptoms compared to unaware hypertensives or normotensives, suggesting a labeling effect.

Cite This Study

Rantanen et al. (2018) studied this question.

synapsesocial.com/papers/6a716124febe604dd70a0b87https://doi.org/10.1080/02813432.2018.1499588
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Also Consider

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

  1. 1Association of hypertension with depression in the community2013 · 65 citations
  2. 2Prevalence of Depression in Patients With Hypertension2015 · 334 citations
  3. 3Association of Depressive Symptoms With All-Cause and Ischemic Heart Disease Mortality in Adults With Self-Reported Hypertension2009 · 55 citations
  4. 4Prevalence of depression among patients seen in community health centres and community mental health centres1996 · 50 citations
  5. 5Differences in prevalence, awareness, treatment and control of hypertension between developing and developed countries2009 · 639 citations