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Depressive symptoms in elderly adults with hypotension: Different associations with positive and negative affect

Cited 15 time in Web of Science Cited 20 time in Scopus
Authors
Kim, Byung-Soo; Bae, Jae Nam; Cho, Maeng Je
Issue Date
2010-12
Publisher
ELSEVIER SCIENCE BV
Citation
JOURNAL OF AFFECTIVE DISORDERS; Vol.127 1-3; 359-364
Keywords
Affective disordersEpidemiologyHypotensionPositive affectRisk assessment and managementOld age psychiatry
Abstract
Background: The association of hypotension with depression in the elderly is controversial. The aim of this study was to examine the relationship between hypotension and depression in the elderly, focusing on symptom manifestations of depression in the hypotensive group. Methods: This study was a community-based, cross-sectional study that included 962 elderly adults aged 65 years or older without cognitive impairment: analysis focused on subjects who were not taking antihypertensive drugs (n = 480). The Korean version of the Geriatric Depression Scale-Short Form (SGDS-K) was used for the evaluation of depression. Participants were classified into 10th percentile groups by blood pressure level. The risks of depression were evaluated by logistic regression in the various blood pressure groups and were compared using a reference group whose blood pressure was within the 40-59th percentile range. To explore symptomatology, logistic regression analyses were performed between the lowest 10th percentile blood pressure group and the reference group to obtain the odds ratio for each item on the SGDS-K. Results: Participants with systolic blood pressure in the lowest 10th percentile range were at increased odds of depression when compared with the reference group after adjustment for possible confounders (adjusted odds ratio 3.33, 95% confidence interval 1.47-7.84). Of the depressive symptoms, significant differences were found between the systolic hypotension group and the reference group for the depression items of `satisfied with life`, `feel life is empty`, `in good spirits`, `wonderful to be alive` and `full of energy`. Conclusions: Hypotension was related to depression, specifically to low positive affect in the elderly. Aged people with hypotension and depressed mood should be monitored carefully. (C) 2010 Elsevier B.V. All rights reserved.
ISSN
0165-0327
Language
English
URI
http://hdl.handle.net/10371/78416
DOI
https://doi.org/10.1016/j.jad.2010.06.024
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College of Medicine/School of Medicine (의과대학/대학원)Psychiatry (정신과학전공)Journal Papers (저널논문_정신과학전공)
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