{"title":"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","authors":"Maham Fatima, Adeel Aslam, Maheen Ijaz, Mudassir Anwar, Shazia Jamshed, Saeed Asiri, Wajid Syed","doi":"10.2147/IJGM.S519184","DOIUrl":null,"url":null,"abstract":"<p><strong>Background and aim: </strong>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.</p><p><strong>Methods: </strong>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 <i>H</i>-test and the Mann-Whitney <i>U</i>-test were used in the statistical analysis.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":14131,"journal":{"name":"International Journal of General Medicine","volume":"18 ","pages":"4763-4783"},"PeriodicalIF":2.0000,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12399098/pdf/","citationCount":"0","resultStr":"{\"title\":\"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.\",\"authors\":\"Maham Fatima, Adeel Aslam, Maheen Ijaz, Mudassir Anwar, Shazia Jamshed, Saeed Asiri, Wajid Syed\",\"doi\":\"10.2147/IJGM.S519184\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background and aim: </strong>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.</p><p><strong>Methods: </strong>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 <i>H</i>-test and the Mann-Whitney <i>U</i>-test were used in the statistical analysis.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":14131,\"journal\":{\"name\":\"International Journal of General Medicine\",\"volume\":\"18 \",\"pages\":\"4763-4783\"},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2025-08-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12399098/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of General Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.2147/IJGM.S519184\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of General Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2147/IJGM.S519184","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
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.
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.
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.
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