Depression, Hypertension
Conditions
Keywords
Patient Health Questionnaire, Blood Pressure Monitoring, Ambulatory, hypertension, depression
Brief summary
Our study aims to evaluate the role of depression in blood pressure control in ambulatory hypertensive patients.
Detailed description
Research Problem: Hypertension is a multifactorial disease that affects approximately one quarter of the adult population. It is a major risk factor for stroke and cardiovascular disease. Environmental and psychosocial factors play an important role in hypertension onset and control. The prevalence of depression among hypertensive patients is 26, 8% and its presence is associated with increased risk of cardiovascular-related morbi-mortality. Our study aims to evaluate the role of depression in blood pressure control in ambulatory hypertensive patients. Investigative process: This study is a cross-sectional, multicentric and descriptive study. the investigators intend to include three hundred and two patients. After obtaining their consent, a 24 hour ambulatory blood pressure monitor will be used to evaluate blood pressure control. Depression was assessed by the 9-item-Patient Health Questionnaire (PHQ-9) in Tunisian dialect. Clinical, socio-environmental, psychosocial and therapeutic and prognosis data will be collected from medical records.
Interventions
DIAGNOSTIC_TESTBlood Pressure Monitoring, Ambulatory
To monitor the blood pressure during 24 hours.
Sponsors
General Administration of Military Health, Tunisia
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Inclusion criteria
* Patients consulting for high blood pressure * Patients older than 18 years. * Patients able to give informed consent. Non inclusion Criteria : * Patients followed for depression under treatment. * Hospitalized patients
Exclusion criteria
* a white coat hypertension
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| prevalence of depression in uncontrolled hypertensive patients. | on inclusion | The prevalence of depression evaluated by PHQ9 in Tunisian dialect in hypertensive patients with abnormal ambulatory 24 hours blood pressure monitoring |
Countries
Tunisia
Contacts
Primary ContactAymen NOAMEN, MD
Backup ContactYosra Radaoui, fellow
Outcome results
None listed