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[Frequency of depression among hypertensive subjects in a primary care clinic]
Angelina Dois C1, Angélica Cazenave
1Departamento de Salud del Adulto y Senescente, Escuela de Enfermería, Pontificia Universidad Católica de Chile, Santiago, Chile.
Insights
A high frequency of depression was found in hypertensive patients in Chilean primary care. This suggests a potential link between hypertension and depression, warranting further investigation.
Area of Science:
- Public Health
- Epidemiology
- Mental Health
Context:
- Hypertension and depression are prevalent in Chile.
- The potential pathogenic relationship between these conditions is under-explored.
- Primary care settings are crucial for managing chronic diseases.
Purpose:
- To determine the prevalence of depression in hypertensive patients attending a primary care clinic.
- To identify sociodemographic and lifestyle factors associated with depression in this population.
Summary:
- A study involving 442 hypertensive patients in a Chilean public primary care clinic utilized the Beck Depression Inventory and other surveys.
- Results indicated that 53% experienced mild depression, 33% moderate, and 14% severe depression.
- Significant associations were found between depression severity and family Apgar score, mood perception, family violence, alcohol consumption, and smoking.
Impact:
- Highlights a high comorbidity of depression among hypertensive patients in primary care.
- Suggests the need for integrated screening and management of depression in hypertensive individuals.
- Informs public health strategies for addressing mental health in chronic disease management within Chilean primary care settings.
Background:
Severe depression and hypertension are two common conditions in the Chilean population. There is a possibility that the coexistence of these diseases is not a coincidence and that hypertension can be pathogenically related to depression.
Aim:
To assess the frequency of depression among hypertensive subjects consulting in a primary care clinic.
Patients And Methods:
Beck depression inventory a sociodemographic survey and a risk scale for depression elaborated by the Chilean Ministry of Health were applied to 442 hypertensive patients consulting in a public primary care clinic.
Results:
According to Beck depression inventory score, 53%, 33% and 14% of subjects had a mild, moderate or severe depression, respectively. Most individuals were housewives with incomplete primary education. There was a significant association between depression scores, family Apgar score, mood perception, family violence, alcohol consumption and smoking.
Conclusions:
There is a high frequency of depression among adults with hypertension consulting in a public primary care clinic.
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