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Association between Patients with Hypertension and Depression

Research Article

Article Title: Association between Patients with Hypertension and Depression

Author: Gray Olvera Kevin Daniel, Gilberto Cruz Arteaga*, Olivia Guadalupe Villanueva Martinez, Cristian Mercado Esquivel, Janet Fabiola Perez Medina, Infante Miranda Miriam Idalith, Daniela Leticia Castañón Sánchez, Hilda Sara Camarena Velázquez, Alejandra R

Published Date: July 03, 2024

DOI: 10.26717/BJSTR.2024.57.008991

Abstract:

Essential systemic arterial hypertension (SAH) is a chronic-degenerative pathology with high worldwide prevalence, just as depression is one of the most frequent and disabling mood disorders. The pathophysiological mechanisms that establish a relationship between the two are not fully understood at present, which is why hypotheses have been developed, including factors such as stress and hyperactivity of the sympathetic nervous system, referring to the coexistence of both diseases simultaneously in the same patient, altering each other’s control. The objective was to associate the level of depression and the degree of essential systemic arterial hypertension in patients assigned to the Family Medicine Unit No. 20 “Vallejo”. Material and methods: An observational, analytical, prolective, cross-sectional study was carried out in 1108 beneficiaries with a diagnosis of essential SAH, blood pressure, weight and height were taken, personal data were questioned, applying Beck’s depression instrument, performing bivariate and multivariate analysis between SAH and depression and depression and demographic factors, with bivariate analysis, chi-square statistics and multivariate analysis were used, using SPSS version 26.0. Results: There was an association of grade 1 systemic arterial hypertension (BP 140-159/90-99 mmHg) in 92.2% (n=678) with minimal depression and 79.6% (n=168) with mild depression, p = 0.000, CI 95 % 0.000-0.003; In multivariate analysis, grade 1 SAH presented 6.2% risk p=0.001, women 1.7 times risk p=0.002; grade I obesity 44% risk, p=0.04; singles 68.9% risk and moderate physical activity level 70.1% risk, both with p=0.05.

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