Abstract
Long-term illnesses, including high blood pressure (HTN), are associated with a variable prevalence of mental health disorders, due to the restrictions they generate in daily life, uncertainty about the future, social isolation and the feeling of blame. The objective of the article is to know the prevalence of depression, stress and anxiety among adults with a diagnosis of primary HTN; as well as the factors associated with these mood disorders. A systematic review of publications from specialized databases such as APA PsycNet, Pubmed and Cochrane Library was carried out. Mesh terms and Boolean operators were used. Observational publications from 2019 to 2024 with adult patients (age ≥ 18 years) with primary HTN were included. Traceability data was extracted from the articles: author(s), year, country, DOI. The quality of the articles was evaluated using the STROBE checklist for observational research. 11 articles were included. Depression was evaluated in 9, anxiety in 5 and stress in two. Depression had a prevalence from 5.2% - 64.1%. Anxiety, 25% - 100%, while psychological stress was 60% - 71.5%. The factors related to these disorders were female sex, marital status, comorbidities, not having a job, low socioeconomic and educational level. The relationship between HTN and these disorders appears to be bidirectional. With a bidirectional relationship, the adult population with primary HTN experiences a variable prevalence of depression, anxiety and stress. It is necessary to further study this relationship.
Published Version
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