TY - JOUR
T1 - Role of educational intervention in the management of comorbid depression and hypertension
AU - Wang, Lexin
AU - Li, Jingtian
N1 - Imported on 12 Apr 2017 - DigiTool details were: Journal title (773t) = Blood Pressure: for the advancement of hypertension research. ISSNs: 0803-7051;
PY - 2003
Y1 - 2003
N2 - To assess the effect of health education on blood pressure control and depression symptoms, we conducted a prospective study in 272 patients with essential hypertension. Depression symptoms were assessed by the Zung Self-rating Depression Scale (SDS). There was no significant difference in the level of hypertension and SDS scores between the educational (n=138) and control (n=134) group before the study (p>0.05). After 12 months of follow-up, the body mass index (BMI) was reduced in the educational group (23.6±2.6 vs 21.4±2.2kg/m[Formula: See Text], p<0.01), but it remained unchanged in the control group. The average systolic and diastolic blood pressure were reduced in both groups, but the amplitude of systolic blood pressure reduction in the educational group was greater than that of the control group (7.9±2.3 vs 4.2±2.0mmHg, p<0.01). The incidence of depression (10.9% vs 10.4%) and the average SDS scores (32.4±6.7 vs 33.2±6.9) were similar between the two groups (p>0.05). However, in the depressed patients who received hypertension education, the average systolic (160.2±12.4mmHg) and diastolic (89.8±7.3mmHg) blood pressure was significantly lower than that of the control group (169.1±16.8 and 96.8±13.0mmHg, respectively, p<0.01). We conclude that hypertension education does not reduce the incidence or symptoms of depression, but it may facilitate blood pressure management in patients with clinical depression.
AB - To assess the effect of health education on blood pressure control and depression symptoms, we conducted a prospective study in 272 patients with essential hypertension. Depression symptoms were assessed by the Zung Self-rating Depression Scale (SDS). There was no significant difference in the level of hypertension and SDS scores between the educational (n=138) and control (n=134) group before the study (p>0.05). After 12 months of follow-up, the body mass index (BMI) was reduced in the educational group (23.6±2.6 vs 21.4±2.2kg/m[Formula: See Text], p<0.01), but it remained unchanged in the control group. The average systolic and diastolic blood pressure were reduced in both groups, but the amplitude of systolic blood pressure reduction in the educational group was greater than that of the control group (7.9±2.3 vs 4.2±2.0mmHg, p<0.01). The incidence of depression (10.9% vs 10.4%) and the average SDS scores (32.4±6.7 vs 33.2±6.9) were similar between the two groups (p>0.05). However, in the depressed patients who received hypertension education, the average systolic (160.2±12.4mmHg) and diastolic (89.8±7.3mmHg) blood pressure was significantly lower than that of the control group (169.1±16.8 and 96.8±13.0mmHg, respectively, p<0.01). We conclude that hypertension education does not reduce the incidence or symptoms of depression, but it may facilitate blood pressure management in patients with clinical depression.
U2 - 10.1080/08037050310002074
DO - 10.1080/08037050310002074
M3 - Article
VL - 12
SP - 198
EP - 202
JO - Blood Pressure
JF - Blood Pressure
SN - 0803-7051
IS - 4
ER -