Abstract
Background: Global arterial hypertension (HTA) has increased by 90% over the last four decades, and has increased by 1.6% in Peru over the previous four years. This study involved a network analysis of depressive symptomatology in Peruvian patients with HTA using network estimation. Method: A representative cross-sectional study at the national level, using secondary data from 2019 Demographic and Family Health Survey (ENDES) was performed. The sample used included men and women of age over 17 years diagnosed with HTA and were able to respond to Patient Health Questionnaire-9 (PHQ-9). Results: The symptoms of depressive mood (bridging force and centrality) and energy fatigue or loss (bridge centrality) play an essential role in the network structure, as does the feeling of uselessness in terms of closeness and intermediation. Conclusion: The study highlighted the symptoms related to depressive mood and energy fatigue or loss as bridging symptoms, which could trigger a depressive episode in patients diagnosed with HTA.
Highlights
Diagnoses of arterial hypertension (HTA) among other chronic non-communicable diseases are common[1]
There is evidence that patients with HTA have a higher incidence of emotional disorders, mainly depressive symptomatology, which interferes with their clinical treatment, leading to poor prognosis and preventing the acquisition of desirable behaviors to improve their quality of life[4]
This shows that people with arterial hypertension have a higher level of “Depressed mood”
Summary
Diagnoses of arterial hypertension (HTA) among other chronic non-communicable diseases are common[1]. In Peru, the prevalence of HTA has increased in recent years: 2016 (8.6%), 2017 (8.7%), 2018 (9.5%) and 2019 (10.2%)[3] This increase is due to a rise in the population of older people and various lifestyle factors (such as food, minimal physical activity, alcohol consumption, among others)[3]. A recent study in the Peruvian population indicated that depressive symptoms are most likely to occur in the first year of diagnosis of hypertension[5]. This reinforces the importance of considering evaluation by mental health professionals in improving primary care in persons diagnosed with HTA in Peru.
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