Shah Sangam, Adhikari Sangit, Aryal Shova, Adhikari Tara Ballav, Sah Sanjit Kumar, Paudel Basanta Sharma, Pradhan Pranil Man Singh
Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Maharajgunj 44600, Nepal.
Department of Public Health, Section for Global Health, Aarhus University, Aarhus 8000, Denmark.
Psychiatry J. 2022 Mar 11;2022:1098625. doi: 10.1155/2022/1098625. eCollection 2022.
Cooccurrence of hypertension and depression/anxiety increases the chance of cardiovascular mortality and morbidity. Therefore, this study is aimed at assessing the prevalence of anxiety and depression and their association with hypertension among hypertensive adults in a tertiary care hospital in Kathmandu, Nepal.
A descriptive cross-sectional study was conducted using a semistructured self-administered questionnaire based on Hamilton Anxiety and Hamilton Depression Rating Scale. The data was entered in EPI Data and analyzed using descriptive and inferential statistics in SPSS version 22. value < 0.05 was considered statistically significant.
A total of 260 individuals participated in the study, with a mean age of 42.6 years. About 46% of patients did not have any symptoms of depressed mood, and 73 (28.1%) of the participants experienced feelings of depressed mood only on questioning. Similarly, (151) 58.1% did not have feelings of guilt, and 48 (18.5%) participants who had the feeling of guilt had let people down. Among 260 respondents, most participants ((102) 39.2%) had mild symptoms of anxious mood, followed by (86) 33.1% participants with moderate symptoms. Only (4) 1.5% of participants had severe symptoms. Similarly, the majority of participants ((114) 43.8%) had a mild form of mental and emotional strain, followed by (72) 27.7% with moderate mental and emotional strain while (43) 16.5% had no mental and emotional strain. The occupation and marital status of the hypertensive individual was associated with anxiety and depression ( = ≤0.01).
In conclusion, anxiety and depression were common among patients with hypertension. Anxiety and depression were linked to some of the patients' sociodemographic and clinical features. This study demonstrates that treating hypertension alone is not enough to improve patients' quality of life; mental illness screening among chronically ill individuals is also required.
高血压与抑郁/焦虑并存会增加心血管疾病死亡率和发病率。因此，本研究旨在评估尼泊尔加德满都一家三级护理医院中高血压成年患者的焦虑和抑郁患病率及其与高血压的关联。
采用基于汉密尔顿焦虑量表和汉密尔顿抑郁量表的半结构化自填问卷进行描述性横断面研究。数据录入EPI Data，并使用SPSS 22版进行描述性和推断性统计分析。P值<0.05被认为具有统计学意义。
共有260人参与研究，平均年龄42.6岁。约46%的患者没有任何抑郁情绪症状，73名（28.1%）参与者仅在询问时出现抑郁情绪。同样，151名（58.1%）没有内疚感，48名（18.5%）有内疚感的参与者让他人失望。在260名受访者中，大多数参与者（102名，39.2%）有轻度焦虑情绪症状，其次是86名（33.1%）有中度症状的参与者。只有4名（1.5%）参与者有重度症状。同样，大多数参与者（114名，43.8%）有轻度的精神和情绪紧张，其次是72名（27.7%）有中度精神和情绪紧张，而43名（16.5%）没有精神和情绪紧张。高血压患者的职业和婚姻状况与焦虑和抑郁相关（P≤0.01）。
总之，焦虑和抑郁在高血压患者中很常见。焦虑和抑郁与患者的一些社会人口统计学和临床特征有关。本研究表明，仅治疗高血压不足以改善患者的生活质量；慢性病患者也需要进行精神疾病筛查。
