Document Detail


Role of educational intervention in the management of comorbid depression and hypertension.
MedLine Citation:
PMID:  14596355     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To assess the effect of health education on blood pressure control and depression symptoms, we conducted a prospective study in 272 patients with essential hypertension. Depression symptoms were assessed by the Zung Self-rating Depression Scale (SDS). There was no significant difference in the level of hypertension and SDS scores between the educational (n = 138) and control (n = 134) group before the study (p > 0.05). After 12 months of follow-up, the body mass index (BMI) was reduced in the educational group (23.6 +/- 2.6 vs 21.4 +/- 2.2 kg/m2, p < 0.01), but it remained unchanged in the control group. The average systolic and diastolic blood pressure were reduced in both groups, but the amplitude of systolic blood pressure reduction in the educational group was greater than that of the control group (7.9 +/- 2.3 vs 4.2 +/- 2.0 mmHg, p < 0.01). The incidence of depression (10.9% vs 10.4%) and the average SDS scores (32.4 +/- 6.7 vs 33.2 +/- 6.9) were similar between the two groups (p > 0.05). However, in the depressed patients who received hypertension education, the average systolic (160.2 +/- 12.4 mmHg) and diastolic (89.8 +/- 7.3 mmHg) blood pressure was significantly lower than that of the control group (169.1 +/- 16.8 and 96.8 +/- 13.0 mmHg, respectively, p < 0.01). We conclude that hypertension education does not reduce the incidence or symptoms of depression, but it may facilitate blood pressure management in patients with clinical depression.
Authors:
Lexin Wang; Jingtian Li
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Blood pressure     Volume:  12     ISSN:  0803-7051     ISO Abbreviation:  Blood Press.     Publication Date:  2003  
Date Detail:
Created Date:  2003-11-04     Completed Date:  2004-06-09     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9301454     Medline TA:  Blood Press     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  198-202     Citation Subset:  IM    
Affiliation:
School of Biomedical Sciences, Charles Sturt University, Wagga Wagga, NSW, Australia. lwang@csu.edu.au
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MeSH Terms
Descriptor/Qualifier:
Aged
Alcohol Drinking
Antihypertensive Agents / therapeutic use
Blood Pressure / drug effects
Body Mass Index
China / epidemiology
Comorbidity
Data Interpretation, Statistical
Depression / diagnosis,  epidemiology,  therapy*
Drug Therapy, Combination
Educational Status
Exercise
Female
Follow-Up Studies
Humans
Hypertension / diagnosis,  epidemiology,  therapy*
Male
Middle Aged
Patient Compliance
Patient Education as Topic*
Prospective Studies
Treatment Outcome
Chemical
Reg. No./Substance:
0/Antihypertensive Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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