61 The Association of Hypertension with Depression, Anxiety and Stress Score in Atma Jaya Hospital

Abstract

Background: Depression in hypertension leads to poorer outcome and quality of life. Studies had shown a relation between hypertension and depression, anxiety, and stress score. Some studies also reported no relation. In Atma Jaya, the interaction between hypertension and depression, anxiety, and stress have not been evaluated. Method: We conducted a cross-sectional study with 58 outpatients in neurology clinic who met the inclusion and exclusion criteria, between the period of October 2016 – November 2016. Data were gathered on patient's demographic characteristics, blood pressure level, history of hypertension treatment, and medical history. Depression, Anxiety, and Stress were evaluated using DASS-42 Questionnaire. Odds ratios (OR) and 95% confidence intervals (CI) based on Chi-Square were used to analyze the correlation of hypertension with depression, anxiety, and stress score. Result: The subjects were 37 women (63.8%) compared to men (36.2%). Most of the education levels were elementary school (31%) and non-educated (25.9%). Duration of hypertension vary from >20 years to less than 1 year. Anxiety levels were reported higher (58.6%) than depression (29.3%) and stress (31%). There were no correlation between hypertension and depression (p>0.05; OR: 0.38; 95% CI 0.12–1.24), hypertension and anxiety (p > 0.05; OR: 1.12; 95% CI 0.395–3.201), hypertension and stress (p > 0.05; OR: 0.9; 95% CI 0.297–2.754), there were also no correlation between the number of anti-hypertensive drugs taken and depression (p > 0.05; OR: 1.588; 95% CI 0.509–4.952), anxiety (p > 0.05; OR: 0.933; 95% CI 0.326–2.667), and stress score (p > 0.05; OR: 0.978; 95% CI 0.319–2.994). Conclusion: Blood pressure levels did not correlate significantly with depression, anxiety, and stress score in well-controlled hypertensive patients.