Journal
GENERAL HOSPITAL PSYCHIATRY
Volume 36, Issue 2, Pages 142-149Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.genhosppsych.2013.11.002
Keywords
Hypertension; Common mental disorders; World Mental Health Surveys
Categories
Funding
- National Institute of Mental Health (NIMH) [R01 MH070884]
- John D. and Catherine T. MacArthur Foundation
- Pfizer Foundation
- US Public Health Service [R13-MH066849, R01-MH069864, R01 DA016558]
- Fogarty International Center [FIRCA R03-TW006481]
- Pan American Health Organization
- Eli Lilly and Company
- Ortho-McNeil Pharmaceutical
- GlaxoSmithKline
- Bristol-Myers Squibb
- Ministry of Social Protection
- Saldarriaga Concha Foundation
- European Commission [QLG5-1999-01042, SANCO 2004123, EAHC 20081308]
- Piedmont Region (Italy)
- Fondo de Investigacion Sanitaria, Instituto de Salud Carlos III, Spain [FIS 00/0028]
- Ministerio de Ciencia y Tecnologia, Spain [SAF 2000-158-CE]
- Departament de Salut, Generalitat de Catalunya, Spain
- Instituto de Salud Carlos III [CIBER CB06/02/0046, RETICS RD06/0011 REM-TAP]
- Japan Ministry of Health, Labour and Welfare [H13-SHOGAI-023, H14-TOKUBETSU026, H16-KOKORO-013]
- National Institute of Psychiatry Ramon de la Fuente [INPRFMDIES 4280]
- National Council on Science and Technology [CONACyT-G30544-H]
- National Institute of Health of the Ministry of Health of Peru
- Norwegian Financial Mechanism
- European Economic Area Mechanism
- Shenzhen Bureau of Health
- Shenzhen Bureau of Science, Technology, and Information
- Japanese and European Funds through United Nations Development Group Iraq Trust Fund
- Ministry of Health
- Israel National Institute for Health Policy and Health Services Research
- National Insurance Institute of Israel
- New Zealand Ministry of Health
- Alcohol Advisory Council
- Health Research Council
- Champalimaud Foundation
- Gulbenkian Foundation
- Foundation for Science and Technology
- Ministry of Public Health
- Eli Lilly Romania SRL
- National Institute of Drug Abuse, the Substance Abuse and Mental Health Services Administration [U01-MH60220]
- Robert Wood Johnson Foundation [044708]
- John W. Alden Trust
- Polish Ministry of Health
Ask authors/readers for more resources
Background: Previous work has suggested significant associations between various psychological symptoms (e. g., depression, anxiety, anger, alcohol abuse) and hypertension. However, the presence and extent of associations between common mental disorders and subsequent adult onset of hypertension remain unclear. Further, there are few data available on how such associations vary by gender or over life course. Methods: Data from the World Mental Health Surveys (comprising 19 countries and 52,095 adults) were used. Survival analyses estimated associations between first onset of common mental disorders and subsequent onset of hypertension, with and without psychiatric comorbidity adjustment. Variations in the strength of associations by gender and by life course stage of onset of both the mental disorder and hypertension were investigated. Results: After psychiatric comorbidity adjustment, depression, panic disorder, social phobia, specific phobia, binge eating disorder, bulimia nervosa, alcohol abuse and drug abuse were significantly associated with subsequent diagnosis of hypertension (with odds ratios ranging from 1.1 to 1.6). Number of lifetime mental disorders was associated with subsequent hypertension in a dose-response fashion. For social phobia and alcohol abuse, associations with hypertension were stronger for males than females. For panic disorder, the association with hypertension was particularly apparent in earlier-onset hypertension. Conclusions: Depression, anxiety, impulsive eating disorders and substance use disorders were significantly associated with the subsequent diagnosis of hypertension. These data underscore the importance of early detection of mental disorders, and of physical health monitoring in people with these conditions. (C) 2014 Elsevier Inc. All rights reserved.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available