评估压力,抑郁和焦虑对高血压的影响
Nenrot S Gopep1,2, Saliu A Shittu3, Okelue E Okobi4,5
1Community Medicine, Federal Medical Center, Keffi, NGA.
Cureus
|July 16, 2025
概括
压力,而不是焦虑或抑郁,与成人高血压的更高几率有关. 这突显了情绪上的紧张.
科学领域:
- 心血管健康 心血管健康
- 心理医学 心理医学
- 公共卫生 公共卫生
背景情况:
- 高血压是全球主要的健康问题.
- 压力,焦虑和抑郁等心理因素是导致高血压的潜在因素.
- 这些心理因素与高血压之间的独立关联需要进一步研究.
研究的目的:
- 调查压力,焦虑和抑郁以及高血压的流行和严重程度之间的关系.
- 利用自我报告的易怒度作为压力的代理.
- 检查了全国代表的成年人群.
主要方法:
- 国家健康和营养检查调查 (NHANES) 数据的横截面分析.
- 包括18891名成年人 (18岁以上).
- 使用多变量逻辑回归,对共变量进行调整,并对缺失数据采用多重归算.
主要成果:
- 压力 (易怒) 与高血压的几率增加有显著关联 (β = 0.30,p < 0.03).
- 焦虑和抑郁症与高血压没有显著的关联.
- 年龄较大,BMI较高,身体不活动以及某些种族/族群也被确定为危险因素.
结论:
- 压力表明与高血压有独立的关联,强调了情绪紧张在心血管风险中的作用.
- 在这项研究中,焦虑和抑郁与高血压没有显著的关联.
- 支持将压力评估纳入高血压查,承认研究的局限性,如横截面设计和数据归算.
相关概念视频
Stress and Mental Health
213
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
213
Hypertension II: Pathophysiology
88
Hypertension is a chronic condition in which the blood's force against artery walls is excessively high, posing risks such as heart disease. The condition's underlying mechanisms involve complex interactions among the cardiovascular, kidney, and autonomic nervous systems.Renin-Angiotensin-Aldosterone System (RAAS): This system significantly influences blood pressure regulation. When blood pressure decreases, the kidneys secrete renin. This enzyme transforms angiotensinogen, a plasma protein,...
88
Disorders of the Autonomic Nervous System
826
The autonomic nervous system (ANS) is an intricate network of nerves that controls functions such as the regulation of heart rate, digestion, and blood pressure regulation. When this system malfunctions, it can lead to various disorders that affect multiple bodily functions. One common feature of many autonomic disorders is the involvement of smooth blood vessels, which play a crucial role in regulating blood flow throughout the body.
Raynaud's disease, also known as Raynaud's...
Raynaud's disease, also known as Raynaud's...
826
Psychological Responses to Stress
102
Psychological responses to stress encompass the various cognitive and emotional reactions individuals experience when faced with challenging or threatening situations, such as a job loss. Prolonged exposure to stressors can disturb emotional balance, increasing negative emotions (e.g., anxiety and sadness) and diminishing positive emotions (e.g., joy and satisfaction). These persistent emotional shifts are associated with an increased risk of both physical illness and mental health issues, such...
102
Hypertension and Regulation of Blood Pressure
3.1K
Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
3.1K
Introduction to Stress and Lifestyle
191
Stress is a multifaceted response to events perceived as challenging or threatening, highlighting physical, emotional, cognitive, and behavioral reactions. Physically, stress can lead to fatigue, sleep disruptions, and various health issues such as frequent colds, chest pains, and nausea. Emotionally, it can manifest as anxiety, depression, irritability, and anger triggered by both minor and major life events. Cognitively, it may result in difficulty in concentration, memory, and...
191


