Relationship of Depressive Symptoms to Hypertension in a Household Survey in Harlem
作者:
Marian Reiff,
Sharon Schwartz,
Mary Northridge,
期刊:
Psychosomatic Medicine
(OVID Available online 2001)
卷期:
Volume 63,
issue 5
页码: 711-721
ISSN:0033-3174
年代: 2001
出版商: OVID
关键词: hypertension;depression;self-report;blood pressure;stress;African American
数据来源: OVID
摘要:
ObjectiveTwo possible explanations for an hypothesized association between depression and hypertension were examined: (1) shared stress-related risk factors are associated with both depression and hypertension and (2) life-style factors associated with depression lead to hypertension.MethodsA predominantly black sample of 695 adults were interviewed in the Harlem Household Survey. Two measures of hypertension were used and compared—1) self-report and 2) elevated blood pressure (above 140/90 mm Hg)—on the basis of the mean of two blood pressure measures. Depressive symptoms were measured by use of a 24-item scale based on the Diagnostic Interview Schedule. Logistic regression models were used to test associations between hypertension and depressive symptoms, stressors, and life-style factors.ResultsDepressive symptoms were associated with self-reported hypertension but not with elevated blood pressure. The association between self-reported hypertension and depressive symptoms was explained partly by shared stress-related risk factors but not by life-style factors. Several stressors and life-style variables were risk factors for elevated blood pressure independently of depressive symptoms. The findings are consistent with studies that have measured hypertension variously by either self-report or blood pressure. Possible explanations were explored (labeling and help-seeking) but were not supported by the data.ConclusionsAn association was found between self-reported hypertension and depressive symptoms, which was explained partly by shared stress-related risk factors. Elevated blood pressure was associated with stressors and life-style factors but not with depressive symptomatology. Research on illness representations and cultural dimensions of health suggest avenues for further investigation.
点击下载:
PDF
(97KB)
返 回