阿富汗高血压患者抑郁症状的患病率和预测因素:一项多中心横断面研究的二次分析。

IF 1.5 Q3 PERIPHERAL VASCULAR DISEASE Integrated Blood Pressure Control Pub Date : 2024-10-16 eCollection Date: 2024-01-01 DOI:10.2147/IBPC.S488064
Muhammad Haroon Stanikzai, Mohammad Nasim Zafar, Khalid Akbari, Ahmad Haroon Baray, Hadia Sayam
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引用次数: 0

摘要

背景:尽管抑郁症是高血压患者经常出现的精神障碍,但阿富汗高血压患者的抑郁症状却鲜为人知:尽管抑郁症是高血压患者经常出现的精神障碍,但人们对阿富汗高血压患者的抑郁症状知之甚少:本研究旨在分析阿富汗高血压患者抑郁症状的发生率和预测因素:本研究是对 2022 年 8 月至 12 月期间在阿富汗三个主要省份进行的一项多中心横断面研究的二次分析。分析采用了符合条件的参与者的社会人口学和临床特征。PHQ-9(患者健康问卷)得分≥5分被视为高血压患者抑郁症状筛查阳性的分界点。我们进行了二元逻辑回归,以确定高血压患者抑郁症状的预测因素:在 853 名高血压患者中,51.8%(95% CI:48.4-55.2%)有抑郁症状。二元逻辑回归显示,家庭月收入低[AOR=1.42,95% CI (1.01-1.97)]、教育程度低[2.41 (1.57-3.71)]、缺乏运动[1.81 (1.22-2.71)]、血压控制不佳[2.41 (1.57-3.71)]和存在内科合并症[1.59 (1.15-2.19)]是抑郁症状的预测因素:本研究表明,阿富汗高血压患者中抑郁症状的发病率很高。此外,我们还发现,家庭月收入低、缺乏运动、受教育程度低、血压控制不佳以及存在并发症是抑郁症状的预测因素。我们的研究结果表明,应当对高血压患者进行心理健康症状筛查,那些最有可能患抑郁症的患者应当寻求支持性咨询。
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Prevalence and Predictors of Depression Symptoms Among Afghan Hypertensive Patients: Secondary Analysis of a Multi-Center Cross-Sectional Study.

Background: Although depression is a frequently occurring mental disorder in patients with hypertension, little is known about the symptoms of depression among Afghan hypertensive patients.

Objective: This study aimed to analyze the prevalence and predictors of depression symptoms among Afghan hypertensive patients.

Methods: This was a secondary analysis of a multi-center cross-sectional study conducted between August and December 2022 across three major provinces in Afghanistan. Socio-demographic and clinical characteristics of the eligible participants were used in the analysis. A score of ≥ 5 on the PHQ-9 (Patient Health Questionnaire) was considered the cut-off point for labeling hypertensive patients as screening positive for depressive symptoms. We performed binary logistic regression to determine the predictors of depression symptoms among hypertensive patients.

Results: Out of 853 hypertensive patients, 51.8% (95% CI: 48.4-55.2%) had depressive symptoms. Binary logistic regression revealed that low monthly household income [AOR=1.42, 95% CI (1.01-1.97), low education level [2.41 (1.57-3.71)], physical inactivity [1.81 (1.22-2.71)], poor blood pressure control [2.41 (1.57-3.71)], and the presence of medical comorbidity [1.59 (1.15-2.19)] were the predictors of depression symptoms.

Conclusion: This study showed a high prevalence of depressive symptoms among Afghan hypertensive patients. Moreover, we found that low monthly household income, physical inactivity, low education level, poor blood pressure control, and the presence of medical comorbidity were the predictors of depression symptoms. Our findings suggest that hypertensive patients should be screened for mental health symptoms, and those most at risk for depression should seek supportive counseling.

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来源期刊
Integrated Blood Pressure Control
Integrated Blood Pressure Control PERIPHERAL VASCULAR DISEASE-
CiteScore
4.60
自引率
0.00%
发文量
13
审稿时长
16 weeks
期刊最新文献
Prevalence and Predictors of Depression Symptoms Among Afghan Hypertensive Patients: Secondary Analysis of a Multi-Center Cross-Sectional Study. Prevalence of Risk Factors for Hypertension Among Faculty at an Urban University in Uganda [Response to Letter]. Resistance Training in Cardiovascular Diseases: A Review on Its Effectiveness in Controlling Risk Factors. Thoughts on "Prevalence of Risk Factors for Hypertension Among Faculty at an Urban University in Uganda" [Letter]. Adherence to Lifestyle Modification Practices and Its Associated Factors Among Hypertensive Patients in Bahir Dar City Hospitals, North West Ethiopia [Letter].
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