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http://hdl.handle.net/2445/66827
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 Fòbies Salut mental Hipertensió Enquestes Anxiety Mental depression Phobias Mental health Hypertension Surveys |
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: http://dx.doi.org/10.1016/j.genhosppsych.2013.11.002 |
It is part of: | General Hospital Psychiatry, 2014, vol. 36, num. 2, p. 142-149 |
URI: | http://hdl.handle.net/2445/66827 |
Related resource: | http://dx.doi.org/10.1016/j.genhosppsych.2013.11.002 |
ISSN: | 0163-8343 |
Appears in Collections: | Articles publicats en revistes (Psicologia Clínica i Psicobiologia) |
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