Wu Chun Yi, Prosser Rachel A, Taylor Jacquelyn Y
University of Michigan, Ann Arbor, USA.
J Am Acad Nurse Pract. 2010 Dec;22(12):694-704. doi: 10.1111/j.1745-7599.2010.00565.x. Epub 2010 Nov 5.
The purpose of this study was to explore the associations between depressive symptoms and perceived social support on blood pressure in African American women.
This cross-sectional study was conducted among 159 African American women from multiple sites in the Detroit Metro area.
Results from this study found that both higher systolic and diastolic blood pressure were positively associated with higher depressive symptom scores (r= .20 and .18, p < .05). Higher depressive symptoms scores were, in turn, significantly associated with lower social support scores (r=-.44, p < .001). However, total social support scores were not significantly correlated with blood pressure readings. Higher depressive symptom scores were associated with increased systolic blood pressure independent of social support.
Findings of the present study suggest the importance of appropriate social support to help alleviate depressive symptoms. However, to effectively control blood pressure in patients with depressive symptoms, other pathophysiologic mechanisms between depressive symptoms and elevated blood pressures independent of social support should be examined in future research. Future studies should consider a cohort design to examine the temporal relationship of depressive symptoms, social support, and blood pressure readings.
本研究旨在探讨非裔美国女性抑郁症状与感知到的社会支持对血压的影响。
本横断面研究在底特律都会区多个地点的159名非裔美国女性中进行。
本研究结果发现，收缩压和舒张压升高均与较高的抑郁症状评分呈正相关（r = 0.20和0.18，p < 0.05）。较高的抑郁症状评分反过来又与较低的社会支持评分显著相关（r = -0.44，p < 0.001）。然而，社会支持总分与血压读数无显著相关性。较高的抑郁症状评分与收缩压升高相关，且不受社会支持的影响。
本研究结果表明适当的社会支持有助于减轻抑郁症状。然而，为有效控制抑郁症状患者的血压，未来研究应探讨抑郁症状与血压升高之间独立于社会支持的其他病理生理机制。未来研究应考虑采用队列设计，以研究抑郁症状、社会支持和血压读数之间的时间关系。
