Hypertension and depression among medical students: is there an association?
Hussein Alhawari1, Sameeha AlShelleh1, Hussam Alhawari1
1Department of Internal Medicine, School of Medicine, The University of Jordan, Amman, Jordan.
Insights
This study found a high prevalence of hypertension and depression among medical students. Higher depression scores were associated with increased diastolic blood pressure, highlighting the need for integrated screening.
Area of Science:
- Medical Science
- Psychiatry
- Cardiology
Background:
- Hypertension and depression are prevalent conditions among medical students.
- A bidirectional relationship exists between depression and hypertension.
Purpose of the Study:
- To assess the frequency of hypertension and depression in a sample of medical students.
- To investigate the impact of depression on hypertension in this population.
Main Methods:
- Recruited medical students from Jordan's largest medical school.
- Measured blood pressure and heart rate under standardized conditions.
- Administered the 9-item Patient Health Questionnaire (PHQ-9) for depression screening.
Main Results:
- 354 medical students participated, with a mean age of 21.
- Significant prevalence of hypertension (stage 1 and 2) observed in both females (25.5%) and males (44.9%).
- A notable percentage of students (12.1%) exhibited moderately severe to severe depression, with an association found between higher depression scores and elevated diastolic blood pressure.
Conclusions:
- The study identified a high frequency of both hypertension and depression among medical students.
- An association between increased depression scores and higher diastolic blood pressure was confirmed.
- Recommendations include screening hypertensive patients for depression and vice versa, and implementing general screening programs for both conditions.
Introduction:
Several studies suggested a higher prevalence of hypertension and depression among medical students. Patients with depression have a higher prevalence of hypertension and vice versa. In this study, we assessed the frequency of hypertension and depression in a sample of medical students and the impact of depression on hypertension.
Methods:
We recruited medical students from the largest medical school in Jordan. For each participant, we measured blood pressure and heart rate under standardized measurement conditions. Participants were also surveyed using the 9-item Patient Health Questionnaire (PHQ-9). We performed univariate analysis followed by linear regression analysis of factors affecting mean arterial pressure.
Results:
354 medical students were included. The mean age was 21 years. 196 (55.4%) were females and 158 (44.6%) were males. 139 (70.9%) of females had normal blood pressure (BP), 7 (3.6%) had elevated BP, 44 (22.4%) had stage 1 hypertension (HTN), and 6 (3.1%) had stage 2 HTN. Within males: 60 (38.0%) had normal BP, 27 (17.1%) had elevated BP, 55 (34.8%) had stage 1 HTN, and 16 (10.1%) had stage 2 HTN. 114 participants (32.2%) had no or minimal depression, 197 (55.6%) had mild-moderate depression and 43 (12.1%) had moderately severe-severe depression. There was an association between higher depression scores and higher diastolic blood pressure.
Conclusion:
The frequency of hypertension and depression was notably high in our sample. There was an association between higher depression scores and higher diastolic blood pressure. We strongly believe that this association should encourage us again to screen our hypertensive patients in general for depression and vice versa. We also recommend adopting screening programs for depression and hypertension in general.
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