Mental disorders and hypertension: factors associated with awareness and treatment of hypertension in the general population of Germany.

Abstract:

OBJECTIVE:The aim of the present study was to identify the association between mental disorders and awareness and treatment of hypertension in a large representative community sample. METHODS:The analysis was based on data from 4149 respondents, ages 18 to 65 years, from the German National Health Interview and Examination Survey, a nationally representative multistage probability survey conducted from 1997 to 1999. Mental disorders were assessed by a modified version of the Composite International Diagnostic Interview. Blood pressure was measured during the medical examination by a health examiner. RESULTS:There was no general association between awareness of hypertension and affective, anxiety, and substance abuse/dependence disorders. Men with acknowledged but untreated hypertension more often experienced affective and substance abuse/dependence disorders than men with treated hypertension. These relationships were stable after adjustment for sociodemographic and clinical characteristics. CONCLUSIONS:Our results suggest that it is important to distinguish between treated and acknowledged but untreated hypertension when evaluating the associations between mental disorders and hypertension.

journal_name

Psychosom Med

journal_title

Psychosomatic medicine

authors

Schmitz N,Thefeld W,Kruse J

doi

10.1097/01.psy.0000204883.77284.6b

subject

Has Abstract

pub_date

2006-03-01 00:00:00

pages

246-52

issue

2

eissn

0033-3174

issn

1534-7796

pii

68/2/246

journal_volume

68

pub_type

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