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Mental health and hypertension

Assessing the prevalence of anxiety and depression and their associated factors in a tertiary care population

Bibliographic Data

ID22078955
AuthorsGeetha Kandasamy (0000-0002-1552-7978, King Khalid University), Thangamani Subramani (Grace College & Seminary, corresponding author), Mona Almanasef (0000-0002-4278-8364, King Khalid University), Khalid Orayj (0000-0001-6651-2306, King Khalid University), Eman Shorog (0000-0003-0763-1510, King Khalid University), Asma M Alshahrani (0000-0002-2628-3622, Shaqra University), Alhanouf Alsaab, Alhanouf A Alsaab (Asir Central Hospital), Zainah M Alshahrani (Saudi Center for Disease Prevention and Control), Siyad Palayakkodan (Grace College & Seminary)
Year2025
Volume13
Pages1545386-1545386
Publication date2025-05-09
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2025.1545386
PMID40416701
OpenAlexW4410248424
LanguageEN
Citations received1
References cited45

Background Anxiety and depression are more common in those with hypertension. Identifying factors may lead to earlier assessment and treatment of depression and anxiety. So the study was aimed to assess the prevalence of anxiety and depression and examine the associated factors among hypertensive patients in a tertiary care hospital. Methods This cross sectional study was conducted over a six-months period (October 2023 to March 2024) in the Department of Medicine at Karuna Medical College Hospital, Kerala, India. The Hospital Anxiety and Depression Scale (HADS) was used to assess the symptoms of anxiety and depression. Multivariate logistic regression analysis was used to identify factors associated with anxiety and depression. Results Among 262 hypertensive patients, the prevalence of symptoms of anxiety were 43.8% and symptoms of depression were present in 51.3%. Female gender [OR 1.607 95% CI (0.962–2.687)] and BMI ≥ 25 [OR 0.608 95% CI (0.361–1.024)] were found to be significantly associated with anxiety ( p 50 years), living with alone, unmarried/widow, unemployed/retired/house wife, illiterate, living in rural area and patients with comorbidities showed to be non-significantly association with anxiety and depression ( p > 0.05) in patients with hypertension. Conclusion According to the findings, overall 50% of hypertensive patients experience anxiety and depression, which were significantly associated with uncontrolled BP, stage1/stage 2 hypertension, female gender and obesity. Healthcare providers can help identify mental health issues early, improving outcomes, with special attention needed for women with comorbidities and limited social support

Anxiety · Cross-sectional study · Environmental health · Hospital Anxiety and Depression Scale · Logistic regression · Population · Psychiatry · Cardiac Health and Mental Health · Medicine · Mental Health Treatment and Access · Pharmacology and Nanomedicine Research · Internal Medicine

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Unique citing works1
Citations per year1
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 1

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