gms | German Medical Science

50. Jahrestagung der Deutschen Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie (gmds)
12. Jahrestagung der Deutschen Arbeitsgemeinschaft für Epidemiologie (dae)

Deutsche Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie
Deutsche Arbeitsgemeinschaft für Epidemiologie

12. bis 15.09.2005, Freiburg im Breisgau

Hypertension and Mental Illness: Factors associated with Awareness of Hypertension in a Community Sample

Meeting Abstract

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  • Norbert Schmitz - McGill University, Montreal, QC
  • J. Kruse - Heinrich-Heine University, Düsseldorf, Germany

Deutsche Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie. Deutsche Arbeitsgemeinschaft für Epidemiologie. 50. Jahrestagung der Deutschen Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie (gmds), 12. Jahrestagung der Deutschen Arbeitsgemeinschaft für Epidemiologie. Freiburg im Breisgau, 12.-15.09.2005. Düsseldorf, Köln: German Medical Science; 2005. Doc05gmds524

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/gmds2005/05gmds086.shtml

Veröffentlicht: 8. September 2005

© 2005 Schmitz et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

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Background

The association between psychological characteristics and hypertension has been studied extensively, although the potential mechanisms of such an association remain speculative.

Methods

We analyzed data from the German National Health Interview and Examination Survey to assess the role of health status and mental disorders in the awareness of hypertension. Hypertension was defined as a blood pressure of at least 140/90 mmHg or the use of antihypertensive medication. Health status was assessed with use of the Medical Outcomes Study 36-Item Short-Form General Health Survey (SF-36). Mental disorders were assessed by a modified version of the Composite International Diagnostic Interview.

Results

The study sample consisted of 7062 adults who were at least 18 years old and for whom blood pressure values were known. The overall prevalence of hypertension in our sample was 45.9%. Nearly half of the hypertensive subjects were aware of their elevated blood pressure status, and one third of these individuals were taking pharmacological treatment for the condition. There was no general association between hypertension and affective and anxiety disorders, but subjects with acknowledged but untreated hypertension suffered more often from affective disorders than subjects with treated hypertension. Lack of awareness of hypertension was associated with health status: With one exception subjects with acknowledged hypertension reported poorer health-related quality of life on all dimensions than subjects who were unaware of their hypertension.

Conclusions

Our findings suggest that affective and anxiety disorders are not directly associated with hypertension. Associations between mental disorders, health status, and hypertension should be evaluated with respect to awareness and treatment of hypertension.