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Major Depression as a Risk Factor for High Blood Pressure: Epidemiologic Evidence From a National Longitudinal Study
- Source :
- Psychosomatic Medicine. 71:273-279
- Publication Year :
- 2009
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2009.
-
Abstract
- To determine whether major depression (MD) leads to an increased risk of new-onset high blood pressure diagnoses.The data source was the Canadian National Population Health Survey (NPHS). The NPHS included a short-form version of the Composite International Diagnostic Interview (CIDI-SF) to assess MD and collected self-report data about professionally diagnosed high blood pressure and the use of antihypertensive medications. The analysis included 12,270 respondents who did not report high blood pressure or the use of antihypertensive medications at a baseline interview conducted in 1994. Proportional hazards models were used to compare the incidence of high blood pressure in respondents with and without MD during 10 years of subsequent follow-up.After adjustment for age, the risk of developing high blood pressure was elevated in those with MD. The hazard ratio was 1.6 (95% Confidence Interval = 1.2-2.1), p = .001, indicating a 60% increase in risk. Adjustment for additional covariates did not alter the association.MD may be a risk factor for new-onset high blood pressure. Epidemiologic data cannot definitely confirm a causal role, and the association may be due to shared etiologic factors. However, the increased risk may warrant closer monitoring of blood pressure in people with depressive disorders.
- Subjects :
- Adult
Male
medicine.medical_specialty
Longitudinal study
Alcohol Drinking
MEDLINE
Population health
Sex Factors
Risk Factors
Environmental health
Epidemiology
Diabetes Mellitus
Prevalence
Humans
Medicine
Risk factor
Major depressive episode
Psychiatry
Applied Psychology
Depression (differential diagnoses)
Depressive Disorder, Major
business.industry
Feeding Behavior
United States
Psychiatry and Mental health
Blood pressure
Cardiovascular Diseases
Hypertension
Female
medicine.symptom
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 00333174
- Volume :
- 71
- Database :
- OpenAIRE
- Journal :
- Psychosomatic Medicine
- Accession number :
- edsair.doi.dedup.....b8fd6765038d85b8b461c24a409bbf63