Sundarrajan Indra B, Muthukumar T, Raja V Pragadeesh, Thresa Sahaya S
Department of Community Medicine, Sri Muthukumaran Medical College Hospital and Research Institute, Chikkarayapuram, Near Mangadu, Chennai, Tamil Nadu, India.
Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Ammapettai (Sri Balaji Vidyapeeth, Pondicherry), Thiruporur, Guduvanchery Main Road, Kottamedu P.O, Chengalpet District, Tamil Nadu, India.
J Family Med Prim Care. 2022 May;11(5):1761-1764. doi: 10.4103/jfmpc.jfmpc_654_21. Epub 2022 May 14.
Chronic diseases, such as type 2 diabetes mellitus and hypertension, are often associated with psychiatric comorbidities such as anxiety, depression, and somatization. Approximately, one-fourth of the adults were diagnosed with hypertension, and the proportion will reach about one-third by 2025. The prevalence of hypertension throughout India is 29.8% and the burden of hypertension in a rural area of Tamil Nadu is 25.2%. The compliance of drug intake depends on the mental health of the patient and this study intends to take care of patients with chronic illnesses. This study is designed to assess the mental health of hypertensive patients and its association with their blood pressure.
A cross-sectional descriptive study was conducted among hypertensive patients in the field practice of a tertiary care medical college in the Kancheepuram district for a period of 3 months using a semi-structured validated schedule after obtaining the informed consent. The depression anxiety stress scale (DASS) scale was used to assess the mental health of hypertensive patients. Data were analyzed using the Statistical Package for Social Sciences (SPSS) version 23.0.
Most hypertensive patients were found in the age group of 40 to 60 years. About 53.4% of hypertensive patients with normal blood pressure were suffering from depression. In addition, about 44.6% of pre-hypertensive patients and 44.6% of stage II hypertensive patients were found to have severe depression.
Overall, pre-hypertensive patients were suffering from depression when compared to other hypertensive patients. Family history and tobacco and alcohol intake were other factors associated with depression in hypertensive patients.
慢性疾病，如2型糖尿病和高血压，通常与焦虑、抑郁和躯体化等精神疾病共病。大约四分之一的成年人被诊断患有高血压，到2025年这一比例将达到约三分之一。印度高血压的患病率为29.8%，泰米尔纳德邦农村地区的高血压负担为25.2%。药物摄入的依从性取决于患者的心理健康，本研究旨在关注慢性病患者。本研究旨在评估高血压患者的心理健康及其与血压的关系。
在金奈区一所三级医疗学院的现场实践中，对高血压患者进行了为期3个月的横断面描述性研究，在获得知情同意后使用半结构化有效问卷。抑郁焦虑压力量表（DASS）用于评估高血压患者的心理健康。使用社会科学统计软件包（SPSS）23.0版对数据进行分析。
大多数高血压患者年龄在40至60岁之间。血压正常的高血压患者中约53.4%患有抑郁症。此外，约44.6%的高血压前期患者和44.6%的二期高血压患者患有严重抑郁症。
总体而言，与其他高血压患者相比，高血压前期患者患有抑郁症。家族病史以及烟草和酒精摄入是高血压患者抑郁症的其他相关因素。
