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Title: Associations between mental disorders and subsequent onset of hypertension 
Author: Stein, Dan J., 1962-
Aguilar-Gaxiola, Sergio
Alonso, Jordi
Bruffaerts, Ronny
De Jonge, Peter
Liu, Zhaorui
Caldas de Almeida, José Miguel
O'Neill, Siobhan
Viana, Maria Carmen
Al-Hamzawi, Ali Obaid
Angermeyer, Matthias C.
Benjet, Corina
Graaf, Ron de
Ferry, Finola
Kovess-Masfety, Viviane
Levinson, Daphna
De Girolamo, Giovanni
Florescu, Silvia E.
Hu, Chiyi
Kawakami, Norito
Haro Abad, Josep Maria
Piazza, Marina
Wojtyniak, Bogdan J.
Xavier, Miguel
Lim, Carmen C. W.
Kessler, Ronald C.
Scott, Kate M. (Kate Margaret), 1960-
Keywords: Ansietat
Depressió psíquica
Salut mental
Mental depression
Mental health
Issue Date: 14-Nov-2014
Publisher: Elsevier B.V.
Abstract: Background Previous work has suggested significant associations between various psychological symptoms (e.g. depression, anxiety, anger, alcohol abuse) and hypertension. However, the presence and extent of associations between common mental disorders and subsequent adult onset of hypertension remains unclear. Further, there is little data available on how such associations vary by gender or over life course. Methods Data from the World Mental Health Surveys (comprising 19 countries, and 52,095 adults) were used. Survival analyses estimated associations between first onset of common mental disorders and subsequent onset of hypertension, with and without psychiatric comorbidity adjustment. Variations in the strength of associations by gender and by life course stage of onset of both the mental disorder and hypertension were investigated. Results After psychiatric comorbidity adjustment, depression, panic disorder, social phobia, specific phobia, binge eating disorder, bulimia nervosa, alcohol abuse, and drug abuse were significantly associated with subsequent diagnosis of hypertension (with ORs ranging from 1.1 to 1.6). Number of lifetime mental disorders was associated with subsequent hypertension in a doseresponse fashion. For social phobia and alcohol abuse, associations with hypertension were stronger for males than females. For panic disorder, the association with hypertension was particularly apparent in earlier onset hypertension. Conclusions Depression, anxiety, impulsive eating disorders, and substance use disorders disorders were significantly associated with the subsequent diagnosis of hypertension. These data underscore the importance of early detection of mental disorders, and of physical health monitoring in people with these conditions.
Note: Versió postprint del document publicat a:
It is part of: General Hospital Psychiatry, 2014, vol. 36, num. 2, p. 142-149
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ISSN: 0163-8343
Appears in Collections:Articles publicats en revistes (Psicologia Clínica i Psicobiologia)

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