Anxiety but not depression is associated with elevated blood pressure in a community group of French elderly.

Abstract:

OBJECTIVE:This study examined whether anxiety and depression were independently associated with elevated blood pressure in elderly persons. METHOD:The study group consisted of 1389 subjects aged 59 to 71 years recruited from the electoral rolls of the city of Nantes (France). Subjects completed the Center for Epidemiologic Studies-Depression scale (CES-D) and the Spielberger Inventory scales to assess depressive symptoms and anxiety symptoms, respectively. Data were collected on sociodemographic characteristics, smoking and drinking habits, medical history, and drug use. Two measures of systolic and diastolic blood pressure were taken after a 10-minute rest. Body mass index was computed from weight and height measurements. Subjects taking antihypertensive drugs (N = 281) were excluded from the present analysis. RESULTS:Depression and anxiety scores were significantly correlated (r = .61 in men; r = .65 in women; p<.001). In univariate analyses, anxiety scores were correlated with systolic and diastolic blood pressure in men, but not in women; blood pressure was not associated with depressive symptoms in either sex. Multivariate logistic regressions, controlling for possible confounders, showed that in both men and women, the risk of high blood pressure increased with increasing anxiety scores; odds ratios for high blood pressure were less than 1 in subjects with depressive symptomatology. CONCLUSIONS:This study suggested that anxiety but not depression was independently associated with an increased risk for high blood pressure.

journal_name

Psychosom Med

journal_title

Psychosomatic medicine

authors

Paterniti S,Alpérovitch A,Ducimetière P,Dealberto MJ,Lépine JP,Bisserbe JC

doi

10.1097/00006842-199901000-00013

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

77-83

issue

1

eissn

0033-3174

issn

1534-7796

journal_volume

61

pub_type

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