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Depressive disorders in older Chinese adults with essential hypertension: A classification tree analysis

Juan Ruan1,2, Yan-Min Xu1,2, Bao-Liang Zhong1

  • 1Department of Psychiatry, Wuhan Mental Health Center, Wuhan, China.

Frontiers in Cardiovascular Medicine
|October 24, 2022
PubMed

Insights

Depression affects over 25% of older Chinese adults with hypertension. Loneliness, poor family relationships, arthritis, and heart disease are key factors. Integrated care is crucial for managing these comorbidities.

Area of Science:

  • Gerontology
  • Psychiatry
  • Public Health

Background:

  • Hypertension and depression comorbidity is prevalent in older adults.
  • Limited data exists on depressive disorders in older adults with hypertension.
  • Understanding interplay of factors is crucial for managing depression in this population.

Purpose of the Study:

  • Investigate the prevalence of depressive disorders in older Chinese adults with hypertension.
  • Examine major correlates of depressive disorders.
  • Analyze interactions between correlates using classification tree analysis (CTA).

Main Methods:

  • 374 older adults with essential hypertension were enrolled from primary care centers in Wuhan, China.
  • Assessed depressive disorders using the Chinese Mini-international Neuropsychiatric Interview 5.0.
  • Evaluated family relationship, loneliness, and six major medical conditions.

Main Results:

  • The 1-month prevalence of depressive disorders was 25.7%.
  • Key correlates identified: loneliness, arthritis, family relationship, and heart disease.
  • Significant interactions found between loneliness and arthritis, loneliness and family relationship, and arthritis and heart disease.

Conclusions:

  • Over 25% of older Chinese adults with hypertension experience depressive disorders.
  • Multidisciplinary management is needed, addressing loneliness, family relationships, arthritis, and heart disease.
  • Integrated care services can reduce the burden of depression in this demographic.
Abstract

Keywords:
classification tree analysisdepressive disordershypertensioninteractionolder adults

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