A Study on Depression among Hypertensive Patient Attending Outpatient Department of a Hospital in Rural Bengaluru

Authors

  • Divya Udayakumar Sapthagiri Institute of Medical Sciences & Research Centre, Bengaluru
  • Maheswaran R Sapthagiri Institute of Medical Sciences & Research Centre, Bengaluru
  • Shruthi M Shetty Sapthagiri Institute of Medical Sciences & Research Centre, Bengaluru
  • Nikhil Girish Sapthagiri Institute of Medical Sciences & Research Centre, Bengaluru

Keywords:

Depression, Hypertension, Rural, Montgomery-Asberg Depression Scale

Abstract

Introduction: Depression is a significant contributor to the global burden of disease. The study was conducted to estimate the pro- portion of depression among hypertensives attending OPD and to determine its associated factors in rural area of a Medical college, Bengaluru.

Methodology: A cross sectional study was conducted on indi- viduals aged above 30 years, diagnosed with hypertension attend- ing OPD during September-October 2017 in rural area, Kansawadi. The sample size was found to be 206. Data was collected using a pre-designed Questionnaire which contained socio-demographic details and depression was assessed using Montgomery-Asberg Depression Scale after obtaining written informed consent. Statis- tical analysis was carried out using SPSS where descriptive statis- tics and Chi-square was calculated.

Results: Out of 206 hypertensive patients, the proportion of de- pression was 53.4%. Statistical significance for depression was seen in those who were divorced and separated, females and illiterates. Age, Religion, Occupation, BMI, Treatment adherence, Family his- tory, personal habits were not found to be significant. Yet, 61.5% of those not taking treatment regularly were found to have Depres- sion.

Conclusion: Marital status, gender, Education and Treatment ad- herence all play a role in the mental status of hypertensive pa- tients. It is important to provide health education on mental health diseases to the Community.

References

Neupane D, Panthi B, McLachlan CS, Mishra SR, Kohrt BA, Kallestrup P (2015) Prevalence of Undiagnosed Depression among Persons with Hypertension and Associated Risk Fac- tors: A Cross-Sectional Study in Urban Nepal. PLOS ONE 10 (2):e0117329. DOI:10.1371/journal.pone.0117329. Ac- cessed Nov 14, 2018.

Seventh Report of the Joint National Committee on Preven- tion, Detection, Evaluation, and Treatment of High Blood Pressure (JNC7). Available at:https://www.nhlbi.nih.gov/ files/docs/guidelines/phycard.pdf.

Mahmood S, Hassan S Z, Tabraze M, et al. (June 26, 2017) Prevalence and Predictors of Depression amongst Hypertensive Individuals in Karachi, Pakistan. Cureus 9 (6): e1397. DOI 10.7759/cureus.1397. Accessed Nov. 30, 2018.

Prathibha MT, Varghese S, Dev GV, Jincy J. Prevalence of depression among hypertensive individuals in urban Tri- vandrum: a cross sectional study. Int J Community Med Public Health 2017; 4:2156-61.

Al-Lugmani E B. Depression among Hypertensive Patients at Al-HejrahPHC Center Makkah Al- Mukarramah. Int J Medical Science And Clinical Interventions 2014; 1 (9):469- 488

Rajender A, Kanwal K, Chaudhary D, Chaudhri RS, Rajend- er G, Choudhary P. Study of depression in type 2 diabetes mellitus patients. Int J Med Sci Public Health 2016;5:1874- 1877

Rubio-Guerra AF, Rodriguez-Lopez L, Vargas-Ayala G, Huerta-Ramirez S, Castro Serna D, Lozano-Nuevo JJ. De- pression increases the risk for uncontrolled hypertension. Exp Clin Cardiol 2013;18 (1):10-12.

Simonsick E, Wallace R, Blazer D, Berkman L. Depressive symptomatology and hypertension-associated morbidity and mortality in older adults. Psychosom Med. 1995;57 (5):427-35.

Huh Shinn E, Walker S. Poston C, Kimball K T, Sachiko T. St. Jeor, Foreyt J P. Blood pressure and symptoms of depres- sion and anxiety: a prospective study. AJH 2001; 14:660–664

Korhonen P. Hypertension And Depression — The Terrible Two. Arterial Hypertens. 2016, Vol. 20, No. 4, Pages: 198–

Doi: 10.5603/Ah.2016.0021. Accessed November 30, 2018.

Gehi A, Haas D, Pipkin S, Whooley M.A. Depression and medication adherence in outpatients with coronary heart disease: findings from the Heart and Soul Study. Arch. In- tern. Med. 2005; 165: 2508–2513

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Published

2019-06-30

How to Cite

1.
Udayakumar D, Maheswaran R, Shetty SM, Girish N. A Study on Depression among Hypertensive Patient Attending Outpatient Department of a Hospital in Rural Bengaluru. Natl J Community Med [Internet]. 2019 Jun. 30 [cited 2024 Dec. 3];10(06):342-5. Available from: https://njcmindia.com/index.php/file/article/view/516

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Original Research Articles