PDF(Pubmed)
Abstract：
UNASSIGNED: Recent studies have suggested a link between hypertension and psychiatric disorders. However, the relationship between hypertension and mental health conditions remains unclear. So in this study, it was aimed to compare the prevalence of psychiatric diseases seen in hypertension patients with the healthy group.
UNASSIGNED: Psychiatric interviews were conducted with 104 patients in the hypertension group and 102 participants in the control group. The Sociodemographic and Clinical Data Form, Hamilton Depression Rating Scale (HAM-D), Hamilton Anxiety Rating Scale (HAM-A), Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) Disorders, Structured Clinical Interview for DSM-5-Clinician Version, and DSM-5 Structured Clinical Interview for Personality Disorders were implemented for participants.
UNASSIGNED: Patients with hypertension were found to have a significantly higher number of psychiatric disorders compared to the control group (χ 2 = 29.389; P = .001). Statistically significant difference in the diagnosis of severe depression, chronic depression disorder, and specific phobia was discovered between the 2 groups (P < .05). The HAM-A and HAM-D scores were also significantly higher in the hypertension group (P < .001). No statistically significant difference was found between the patient and control groups in terms of the frequency of personality disorders. (χ 2 = 0.045; P = .833).
UNASSIGNED: The fact that depression and anxiety symptoms are more common in hypertension patients stands out as a subject that needs further investigation in terms of both the pathophysiology of hypertension. In this regard, since essential hypertension is a serious risky disease for mortality and morbidity on its own, it is critical to conduct psychiatric screening and develop new additional treatments to provide patients with supportive care.
UNASSIGNED: Psychiatric interviews were conducted with 104 patients in the hypertension group and 102 participants in the control group. The Sociodemographic and Clinical Data Form, Hamilton Depression Rating Scale (HAM-D), Hamilton Anxiety Rating Scale (HAM-A), Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) Disorders, Structured Clinical Interview for DSM-5-Clinician Version, and DSM-5 Structured Clinical Interview for Personality Disorders were implemented for participants.
UNASSIGNED: Patients with hypertension were found to have a significantly higher number of psychiatric disorders compared to the control group (χ 2 = 29.389; P = .001). Statistically significant difference in the diagnosis of severe depression, chronic depression disorder, and specific phobia was discovered between the 2 groups (P < .05). The HAM-A and HAM-D scores were also significantly higher in the hypertension group (P < .001). No statistically significant difference was found between the patient and control groups in terms of the frequency of personality disorders. (χ 2 = 0.045; P = .833).
UNASSIGNED: The fact that depression and anxiety symptoms are more common in hypertension patients stands out as a subject that needs further investigation in terms of both the pathophysiology of hypertension. In this regard, since essential hypertension is a serious risky disease for mortality and morbidity on its own, it is critical to conduct psychiatric screening and develop new additional treatments to provide patients with supportive care.
摘要：
■最近的研究表明高血压和精神疾病之间存在联系。然而,高血压与精神健康状况之间的关系尚不清楚.所以在这项研究中，目的是比较高血压患者与健康人群中精神疾病的患病率。
■对高血压组104例患者和对照组102例患者进行了精神病学访谈。社会人口统计学和临床数据表，汉密尔顿抑郁量表（HAM-D），汉密尔顿焦虑量表（HAM-A），精神障碍诊断和统计手册结构化临床访谈，第五版（DSM-5）疾病，DSM-5-临床医生版本的结构化临床访谈，对参与者实施了DSM-5结构化人格障碍临床访谈。
■高血压患者的精神疾病数量明显高于对照组（χ2=29.389；P=.001）。严重抑郁症的诊断有统计学意义的差异，慢性抑郁症,两组间存在特异性恐惧症(P<0.05)。高血压组的HAM-A和HAM-D评分也显著增高(P<.001)。在人格障碍的发生频率方面，患者组和对照组之间没有统计学上的显着差异。(χ2=0.045；P=.833)。
■抑郁和焦虑症状在高血压患者中更为常见，这是一个需要在高血压的病理生理学方面进一步研究的主题。在这方面,由于原发性高血压本身是一种严重的死亡率和发病率危险疾病，进行精神病筛查和开发新的额外治疗方法为患者提供支持性治疗至关重要。
■对高血压组104例患者和对照组102例患者进行了精神病学访谈。社会人口统计学和临床数据表，汉密尔顿抑郁量表（HAM-D），汉密尔顿焦虑量表（HAM-A），精神障碍诊断和统计手册结构化临床访谈，第五版（DSM-5）疾病，DSM-5-临床医生版本的结构化临床访谈，对参与者实施了DSM-5结构化人格障碍临床访谈。
■高血压患者的精神疾病数量明显高于对照组（χ2=29.389；P=.001）。严重抑郁症的诊断有统计学意义的差异，慢性抑郁症,两组间存在特异性恐惧症(P<0.05)。高血压组的HAM-A和HAM-D评分也显著增高(P<.001)。在人格障碍的发生频率方面，患者组和对照组之间没有统计学上的显着差异。(χ2=0.045；P=.833)。
■抑郁和焦虑症状在高血压患者中更为常见，这是一个需要在高血压的病理生理学方面进一步研究的主题。在这方面,由于原发性高血压本身是一种严重的死亡率和发病率危险疾病，进行精神病筛查和开发新的额外治疗方法为患者提供支持性治疗至关重要。
