Unmasking the Mental Health Burden of Hypertension: Examining Psychological Distress, And Cognitive Function, Impact on Quality of Life in Patients Undergoing Treatment in a Tertiary Care Hospital.

IF 2 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

International Journal of General Medicine Pub Date : 2025-08-27 eCollection Date: 2025-01-01 DOI:10.2147/IJGM.S519184

Maham Fatima, Adeel Aslam, Maheen Ijaz, Mudassir Anwar, Shazia Jamshed, Saeed Asiri, Wajid Syed

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Abstract

Background and aim: A major global public health concern is hypertension, particularly in low- and middle-income countries like Pakistan. Despite the fact that its physical manifestations are widely recognized, little is known about its psychological effects and how they impact patients' quality of life (QoL) in clinical practice and research. The current study examined the relationship between the quality of life of patients with hypertension and psychological distress, including stress, anxiety, and depression.

Methods: A total of 385 patients were recruited from a tertiary care facility in Lahore using a cross-sectional approach. The Depression, Anxiety, and Stress Scale (DASS-21) was used to measure psychological distress, and the 12-item Short Form Health Survey (SF-12) was used to measure quality of life. The Physical Component Summary (PCS-12) and the Mental Component Summary (MCS-12) are the two summary scores that are produced by the SF-12. Non-parametric tests like the Kruskal-Wallis H-test and the Mann-Whitney U-test were used in the statistical analysis.

Results: The findings showed substantial levels of psychological discomfort, with the most common severities being very severe anxiety (50.1%), severe depression (31.2%), and severe stress (46.8%). More significantly, there was a high association (p<0.001) between lower PCS-12 and MCS-12 scores and depression, anxiety, and stress, indicating a substantial negative impact of psychological distress on both the mental and physical aspects of quality of life. Psychological health and QoL results were also predicted by sociodemographic characteristics, including age, gender, income, education, and work status.

Conclusion: These findings highlight the value of integrating psychological evaluation and psychiatric assistance into the management of hypertension for enhanced overall health outcomes as well as patient quality of life.

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揭示高血压的心理健康负担：检查心理困扰，认知功能，对三级医院接受治疗的患者生活质量的影响

背景和目的：高血压是一个主要的全球公共卫生问题，特别是在巴基斯坦等低收入和中等收入国家。尽管其生理表现已被广泛认识，但在临床实践和研究中，对其心理影响及其对患者生活质量的影响知之甚少。目前的研究调查了高血压患者的生活质量与心理困扰（包括压力、焦虑和抑郁）之间的关系。方法：采用横断面方法从拉合尔一家三级医疗机构招募了385名患者。抑郁、焦虑和压力量表（DASS-21）用于测量心理困扰，12项简短健康调查（SF-12）用于测量生活质量。Physical Component Summary （PCS-12）和Mental Component Summary （MCS-12）是SF-12产生的两个总结性分数。统计分析采用非参数检验，如Kruskal-Wallis h检验和Mann-Whitney u检验。结果：调查结果显示了大量的心理不适，最常见的严重程度是非常严重的焦虑（50.1%），严重的抑郁（31.2%）和严重的压力（46.8%）。结论：这些发现强调了将心理评估和精神病学援助纳入高血压管理的价值，以提高总体健康结果和患者的生活质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of General Medicine Medicine-General Medicine

自引率

0.00%

发文量

1113

审稿时长

16 weeks

期刊介绍： The International Journal of General Medicine is an international, peer-reviewed, open access journal that focuses on general and internal medicine, pathogenesis, epidemiology, diagnosis, monitoring and treatment protocols. The journal is characterized by the rapid reporting of reviews, original research and clinical studies across all disease areas. A key focus of the journal is the elucidation of disease processes and management protocols resulting in improved outcomes for the patient. Patient perspectives such as satisfaction, quality of life, health literacy and communication and their role in developing new healthcare programs and optimizing clinical outcomes are major areas of interest for the journal. As of 1st April 2019, the International Journal of General Medicine will no longer consider meta-analyses for publication.