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Associations between mental disorders and subsequent onset of hypertension

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dc.contributor.author Stein, Dan J.
dc.contributor.author Aguilar-Gaxiola, Sergio
dc.contributor.author Alonso, Jordi
dc.contributor.author Bruffaerts, Ronny
dc.contributor.author de Jonge, Peter
dc.contributor.author Liu, Zharoui
dc.contributor.author Miguel Caldas-de-Almeida, Jose
dc.contributor.author O'Neill, Siobhan
dc.contributor.author Viana, Maria Carmen
dc.contributor.author Al-Hamzawi, Ali Obaid
dc.contributor.author Angermeyer, Mattias C.
dc.contributor.author Benjet, Corina
dc.contributor.author de Graaf, Ron
dc.contributor.author Ferry, Finola
dc.contributor.author Kovess-Masfety, Viviane
dc.contributor.author Levinson, Daphna
dc.contributor.author de Girolamo, Giovanni
dc.contributor.author Florescu, Silvia
dc.contributor.author Hu, Chiyi
dc.contributor.author Kawakami, Norito
dc.contributor.author Maria Haro, Josep
dc.contributor.author Piazza, Marina
dc.contributor.author Posada-Villa, Jose
dc.contributor.author Wojtyniak, Bogdan J.
dc.contributor.author Xavier, Miguel
dc.contributor.author Lim, Carmen C. W.
dc.contributor.author Kessler, Ronald C.
dc.contributor.author Scott, Kate M.
dc.date.accessioned 2020-06-10T18:11:31Z
dc.date.available 2020-06-10T18:11:31Z
dc.date.issued 2014
dc.identifier.uri https://hdl.handle.net/20.500.12866/7965
dc.description.abstract 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. en_US
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartof urn:issn:1873-7714
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Adolescent en_US
dc.subject Adult en_US
dc.subject Female en_US
dc.subject Humans en_US
dc.subject Male en_US
dc.subject Young Adult en_US
dc.subject Aged en_US
dc.subject Middle Aged en_US
dc.subject Survival Analysis en_US
dc.subject Multivariate Analysis en_US
dc.subject Hypertension en_US
dc.subject Common mental disorders en_US
dc.subject Anxiety Disorders/epidemiology/psychology en_US
dc.subject Disruptive, Impulse Control, and Conduct Disorders/epidemiology/psychology en_US
dc.subject Hypertension/epidemiology/psychology en_US
dc.subject Mood Disorders/epidemiology/psychology en_US
dc.subject Substance-Related Disorders/epidemiology/psychology en_US
dc.subject World Mental Health Surveys en_US
dc.title Associations between mental disorders and subsequent onset of hypertension en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1016/j.genhosppsych.2013.11.002


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