Key result
In elderly primary care patients with hypertension, the prevalence of depression (5%), anxiety (5%), and Type D personality (8%) was low, and none of these distress measures were associated with elevated systolic blood pressure.
Why the study?
What is the prevalence of psychological distress in elderly primary care patients with hypertension, and is it associated with elevated systolic blood pressure?
Cross-Sectional (n=605)
Yes
What is the prevalence of psychological distress in elderly primary care patients with hypertension, and is it associated with elevated systolic blood pressure?
In elderly primary care patients with hypertension, psychological distress has a low prevalence and is not associated with elevated systolic blood pressure.
Answers are grounded in this paper and cite their sources.
Psychological distress appears uncommon and unlinked to SBP in elderly primary care hypertensives; leaves open its role in other populations or longitudinal settings.
BACKGROUND: Recent guidelines on cardiovascular disease prevention advocate the importance of psychological risk factors, as they contribute to the risk of developing cardiovascular disease. However, most previous research on psychological distress and cardiovascular factors has focused on selected populations with cardiovascular disease. AIM: The primary aim was to determine the prevalence of depression, anxiety, and Type D personality in elderly primary care patients with hypertension. Secondary aim was to examine the relation between elevated systolic blood pressure and depression, anxiety, and Type D personality. DESIGN AND SETTING: A cross-sectional study in primary care practices located in the south of the Netherlands. METHOD: Primary care hypertension patients (N = 605), between 60 and 85 years (45 % men, mean age = 70 ± 6.6), were recruited for this study. All patients underwent a structured interview including validated self-report questionnaires to assess depression (PHQ-9), anxiety (GAD-7), and Type D personality (DS14) as well as blood pressure assessment. RESULTS AND CONCLUSION: Depression was prevalent in 5 %, anxiety in 5 %, and Type D personality in 8 %. None of the distress measures were associated with elevated systolic blood pressure of >160 mmHg (all p-values >0.05). This study showed no relation between psychological distress and elevated systolic blood pressure in elderly primary care patients with hypertension.
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Ringoir et al. (2013) conducted a cross-sectional in Hypertension (n=605). Psychological distress (depression, anxiety, Type D personality) vs. No psychological distress was evaluated on Prevalence of depression, anxiety, and Type D personality. In elderly primary care patients with hypertension, the prevalence of depression (5%), anxiety (5%), and Type D personality (8%) was low, and none of these distress measures were associated with elevated systolic blood pressure.
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