Treatment adherence as a mediator of blood pressure control in Chinese older adults with depression

Autor: Shulin Chen, Hillary R. Bogner, Tingfei Zhu, Jiang Xue, Yeates Conwell, Yue Li, Wan Tang, Yuxing Jiang
Rok vydání: 2018
Předmět:
Zdroj: International Journal of Geriatric Psychiatry. 34:432-438
ISSN: 1099-1166
0885-6230
Popis: OBJECTIVES Both depression and hypertension (HTN) are prevalent, costly, and destructive, and frequently coexist among the aging population of China. This study aimed to examine the role that treatment adherence plays in blood pressure control in older adult Chinese with depression. METHODS Data for these analyses were taken from a randomized control trial of a collaborative depression care management intervention conducted in rural villages of Zhejiang Province, China with older adults who had comorbid depression and HTN. They included baseline assessments of 2362 subjects ages ≥60 years, whose blood pressure and depression were measured using a calibrated manual sphygmomanometer and the Chinese version of the 17-item Hamilton Depression Rating Scale (HDRS-17), respectively. Treatment adherence was identified by a single question asking whether patients on occasion did not take their medicine. RESULTS Uncontrolled HTN was associated with older age (t = 3.10, P
Databáze: OpenAIRE