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Arterial hypertension and health-related quality of life

Frontiers in Psychiatry, ISSN: 1664-0640, Vol: 8, Issue: DEC, Page: 270
2017
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Article Description

Purpose: To investigate the effect of awareness of arterial hypertension on quality of life in hypertensive patients in Greece. Materials and methods: This was a prospective observational study that included 189 aware hypertensive patients on treatment with antihypertensive therapy. Patients were ambulatory men or women =18 years old, with diagnosed essential hypertension. The administration and fulfillment of the questionnaires was given at the outpatient hypertensive clinic starting with the SF-36 and continuing with the BDI-I test. Results: The mean BDI score was 9.9 ± 6.9, and 58, 25, 8.9, and 7.3% were identified as without, with minimal, moderate, and 0.8% with severe depression, respectively. The mean score for physical component summary (PCS-36) was 48.9 ± 7.6, and the mean score for mental component summary (MCS-36) was 46.0 ± 10.6. The stage of hypertension was not an independent predictor for any of the SF-36 dimensions. Dippers had not different levels of health-related quality of life (HRQOL) as compared with non-dippers. LV hypertrophy was associated with lower scores on bodily pain (p < 0.05) and kidney failure was associated with lower scores on general health perception (p < 0.05). Female gender, increased age, and the presence of COPD were independently associated with lower physical and mental health scores (p < 0.05). Score on BDI independently correlated with all dimensions of SF-36, indicating that greater depression levels are associated with lower levels of HRQOL. Conclusion: The stage as well as awareness of arterial hypertension does not affect physical and mental health. The fact that arterial hypertension per se is not a symptomatic disease may explain these results at least in patients with uncomplicated hypertension.

Bibliographic Details

Katsi, Vasiliki; Kallistratos, Manolis S; Kontoangelos, Konstantinos; Sakkas, Pavlos; Souliotis, Kyriakos; Tsioufis, Costas; Nihoyannopoulos, Petros; Papadimitriou, George N; Tousoulis, Dimitris

Frontiers Media SA

Medicine

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