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Depressive symptomatology and hypertension-associated morbidity and mortality in older adults.

Publication ,  Journal Article
Simonsick, EM; Wallace, RB; Blazer, DG; Berkman, LF
Published in: Psychosom Med
1995

This study determines, in a population of older adults with diagnosed hypertension, the concurrent association between depressive symptomatology and blood pressure control and the longitudinal association between depressive symptomatology and blood pressure control, stroke, and cardiovascular-related mortality. Data are from the East Boston, Massachusetts; New Haven, Connecticut; and Iowa sites of the Established Populations for Epidemiologic Studies of the Elderly, conducted between 1982 and 1988. Age-adjusted site-and gender-specific analyses were conducted, unadjusted and adjusted for baseline health status. There was no consistent association, cross-sectionally or longitudinally, between depressive symptoms and blood pressure control. Rates of stroke were 2.3 to 2.7 times higher in most subgroups with high depressive symptomatology in contrast to their nondepressed counterparts. Rates of cardiovascular disease-related death were also elevated in most subgroups, achieving statistical significance in women from New Haven and Iowa. This study presents evidence that high depressive symptoms in older adults with diagnosed hypertension may place them at increased risk of stroke and possibly cardiovascular-related death relative to other elderly persons with diagnosed hypertension. Because the rate of stroke in this subpopulation was exceptionally high, further evaluation of the role of depressive symptoms in the progression of hypertensive disease seems warranted.

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Published In

Psychosom Med

DOI

ISSN

0033-3174

Publication Date

1995

Volume

57

Issue

5

Start / End Page

427 / 435

Location

United States

Related Subject Headings

  • Sex Factors
  • Psychiatry
  • Male
  • Longitudinal Studies
  • Hypertension
  • Humans
  • Female
  • Depressive Disorder
  • Cross-Sectional Studies
  • Cerebrovascular Disorders
 

Citation

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Simonsick, E. M., Wallace, R. B., Blazer, D. G., & Berkman, L. F. (1995). Depressive symptomatology and hypertension-associated morbidity and mortality in older adults. Psychosom Med, 57(5), 427–435. https://doi.org/10.1097/00006842-199509000-00003
Simonsick, E. M., R. B. Wallace, D. G. Blazer, and L. F. Berkman. “Depressive symptomatology and hypertension-associated morbidity and mortality in older adults.Psychosom Med 57, no. 5 (1995): 427–35. https://doi.org/10.1097/00006842-199509000-00003.
Simonsick EM, Wallace RB, Blazer DG, Berkman LF. Depressive symptomatology and hypertension-associated morbidity and mortality in older adults. Psychosom Med. 1995;57(5):427–35.
Simonsick, E. M., et al. “Depressive symptomatology and hypertension-associated morbidity and mortality in older adults.Psychosom Med, vol. 57, no. 5, 1995, pp. 427–35. Pubmed, doi:10.1097/00006842-199509000-00003.
Simonsick EM, Wallace RB, Blazer DG, Berkman LF. Depressive symptomatology and hypertension-associated morbidity and mortality in older adults. Psychosom Med. 1995;57(5):427–435.

Published In

Psychosom Med

DOI

ISSN

0033-3174

Publication Date

1995

Volume

57

Issue

5

Start / End Page

427 / 435

Location

United States

Related Subject Headings

  • Sex Factors
  • Psychiatry
  • Male
  • Longitudinal Studies
  • Hypertension
  • Humans
  • Female
  • Depressive Disorder
  • Cross-Sectional Studies
  • Cerebrovascular Disorders