Advanced

Correlation Between Undiagnosed Depression, Anxiety Disorder, and Hypertension in Cililin Primary Health Center: An Analytical Study

Author : A. Leisyah, A. F. Khalid
Upload Date : 19-04-2018

Background: Depression, anxiety disorder, and hypertension have been hypothesized and studied for their association. Psychosocial stressor, depression, and anxiety disorder could raise autonomic arousal via the hypothalamic-pituitary axis which increase catecholamine. This phenomenon could increase the risk of hypertension.1 if this condition left untreated, it could make the hypertension harder to control. This study objective is to find the correlation between depression, anxiety disorder, and hypertension.

Method: Data was taken from patients in PROLANIS activity at Cililin Primary Health Center. Patient’s blood pressure was measured by standard sphygmomanometer following AHA recommendation. Zung Self-Rating Depression Scale and Zung Self-Rating Anxiety Scale were used to diagnose and determine the severity of depression and anxiety disorder. Association between depression, anxiety, and hypertension were determined using the spearman correlation test.

Result: Fifty one patient were found in this study, which 36 (70.6%) of them were female (Figure 1). There was no significant difference between elderly (n= 30) and adult in this study. The average age of those patients were 58 ± 10.25 years old. Data showed that 30 patients (58.8%) already had hypertension more than 5 years (Figure 2). Data also showed that 26 patients (51%) had poor control of their hypertension (Figure 3). Mild Depression was found in 34 patients (66.7%) in this study, while moderate depression was found in 1 patient (2%) (Figure 4). Mild to moderate anxiety disorder was found in 28 patients (54.9%), while severe anxiety disorder was found in 6 patients (11.8%) (Figure 5). Among those who poorly control their hypertension (n=26), there was a weak correlation between depression score (r=0.155), anxiety score (r=0.113) with hypertension.

Conclusion: Weak association between depression, anxiety, and hypertension have been found in this study. However, many other factors can contribute to hypertension or affective disorder. Screening for depression and anxiety disorder in hypertension patients is recommended to improve the outcome of the treatment.

KEYWORDS : Hypertension, Anxiety, Depression


Save Item
Download
Similar Articles

Methylenetetrahydrofolate Reductase C677T Gene Polymorphism is associated with Hypertension in a Rural Indonesian-Sundanese Population (R.M Candrasatria, S. Adiarto, R. Sukmawan)

Identification of a Novel Gene that is Critically Involved in the Development of Pulmonary Arterial Hypertension(G. R. T. Ryanto, K. Ikeda, K. Miyagawa, K. Yagi, Y. Suzuki, K. Hiirata1, N. Emoto)

Antihypertensive Activity of Oligopeptide Garlic (Allium sativum) Extract in Hypertensive Rat(G. M. Bandong, A. Pratama, B. Bintoro, S. Rahardjo)

Genetic Polymorphism of Angiotensinogen M235T Gene and Essential Hypertension on Ethics in Southeast Sulawesi(A. F. Tasruddin, A. Pratama, B. Bintoro, S. Soebijakto)

Cardiovascular Autonomic Neuropathy in Hypertensive Patient with Prediabetes(G. D. Sinaka, Ismugi, M. A. Pangaribuan, R. Soerarso,A. Santoso,N. Hersunarti ,B. B. Siswanto)

Correlation between Dipeptidyl Peptidase-4 Activity and Arterial Stiffness Using Cardio-Ankle Vascular Index in Hypertensive Patients(R. Myrtha, H. Sulastomo, N. Purwaningtyas)

The Role of Primary Prevention Against Reducing Hypertension and Overweight as Cardiovascular Risk Factor in Rural Area, Bumiaji Village, Batu, East Java(I. Lampita D. Setiawan D. Sargowo)

Epidemiology of Hypertension and Associated Cardiovascular Risk Factors among Indonesia Population(M. F. Adda’i, A. B. Setyani, T. Indriyati)

Demographic and Clinical Characteristic of Pulmonary Hypertension Patients Hospitalized in National Cardiovascular Center Harapan Kita(P. Almazini*, H.S. Muliawan*, A. Sidarta**, A. Francesca**, M. Asaf**, P.N. Candra**, B.B. Siswanto*)

External Validation of Diastolic Dysfunction Scoring System (DSS study) in Hypertension Population in Gunung sari village, Pamijahan, Bogor(D. Y. Hasanah, N. Hersunarti, B. R. M. A. Soeryo.)

The Impact of Pulmonary Hypertension in Pregnancy with Congenital Heart Disease from Fetomaternal Outcomes Perspective(M. R. Amalia, M. B. A. Pramono, S. B. Utami)

Efficacy of a Community-Based Health Education with Physical Activity Program (S.E.H.A.T) for The Prevention of Cardiovascular Disease in Batu City, Indonesia(D. Sargowo)

ST-segmen depression as a strongest predictor of three-vessel disease in patients non-ST-segment elevation acute coronary syndromes with Diabetes Mellitus(M. Nasri, Z. Safri, C. A. Andra, H. Hasan, Z. Mukhtar, A. H. Raynaldo)

Association Between Compliance and Therapeutic Target Achievement in Hypertension Outpatient Patient in Blitar Population(M. Q. A’yun, B. H. Kuncahyo)

Correlation between Plasma Adiponectin Levels and Mean Pulmonary Artery Pressure Amongst Grown-Up Uncorrected Atrial Septal Defect(W. Himawan, D. W. Anggrahini, A. B. Hartopo, L.K. Dinarti)

Correlation Between Educational Level and Medication Adherence Using Morisky Medication Self Adherence Scale (MMAS) in Hypertensive Patients: An Analytical Study(A. F. Khalid, D. Ilmasari, M. G. Suwandi)

Betel Nut Chewing in Rural East Nusa Tenggara: Prevalence and Relationship to Hypertension(F. Wahyudi)

Precordial ST Segment Depression on Admission Electrocardiogram as a Simple Noninvasive Tool for Predicting Coronary Artery Disease Complexity in Patients with Inferior Myocardial Infarction(J. Suganti, A. C. Lubis, A. A. Siregar, A. Sitepu, C. A. Andra, A. N. Nasution, H. Hasan)

Correlation between Level of Blood Pressure in Hypersensitive Patients with Ankle Brachial Index(N.M.D. Yogiswari, A.A.S.M. Meiswaryasti, Y. Indrayana)

Comparison of Age Profiles with “Slow Deep Breathing” Technique in Essential Hypertensive.(Y. A. Irmansyah, Y. W. Ashari, Y. Pintaningrum, Kadek Dwi P)

The Relationship between the Degree of Active Smoking in Non AC Bus Drivers and Incidence of Primary Hypertension at PT. Mayasari Bakti May 2016 Term(C. A. Aprilia, A.C.S. Putra, A. Harsoyo)

Profile of Dippers and Non Dippers Hypertension Patient in General Hospital Doctor Mohamad Saleh Probolinggo(M. A. Pasha; T. Ardhana)

Characteristics of Hypertensive Patients in Singkawang, West Borneo: Insight from a Multi-Cultural Remote Area in Indonesia(R. Arifin, A. Christopher)

The Role of Primary Care Physician in Educating Hypertensive Patient(N.P.A. Laksmi, A. Hendrayana)

The Effect Of Gymnastyc Exercise In Elderly To Lowering Blood Pressure In Geriatric Social Institution Of Tresna Werdha Kendari(A.U. Ramdhani, A. Pratama, B. Bintoro, S.Soebijakto)

The Role of Sildenafil towards Health Related Quality of Life in Adults with Pulmonary Arterial Hypertension Related Uncorrected Secundum Atrial Septal Defect(F. Hidayati*, P.P.R. Gharini*, A.B. Hartopo*, D.W. Anggrahini*, L.K. Dinarti* )

Correlation of Blood Nitric Axide Level and Right Ventricular Systolic Function in Adult Patient with Uncorrected Secundum Atrial Septal Defect(F. S. A. Pradana, D.W. Anggrahini , A.B. Hartopo, L.K. Dinarti)

Outcomes of Partial Closure with Fenestrated Device in Atrial Septal Defect Accompanied by Severe Pulmonary Hypertension : A Literature Review(P. Prasetyo, R. Prakoso )

Segmental ST-T changes in Hypokalemia Suggesting Subendocardial Injury: a Case Report(Ayu A.P., Hidayat I.R., Dewi T.T., Rakhmawati I., Pertiwi D.Y., Rostiati D.)

Reversible Dilation of Chambers, Tricuspid Regurgitation and Pulmonary Hypertension in Patient with Hyperthyroidism: A Case Report(Sepriyana, Haryadi)

Secundum Atrial Septal Defect with Significant Pulmonary Arterial Hypertension: Treat And Repair Strategy(N.G. Liman, R. Prakoso)

Acute Pericarditis : A case report(I.R. Hidayat, A. P. Ayu, T. T. Dewi, I. Rakhmawati, D. Y. Pertiwi, D. Rostiati)

Copyrights 2018 ASMIHA | Managed by Indonesia Medical Event (IME)