Post-traumatic stress disorder as a predictor for incident hypertension: a 3-year retrospective cohort study
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da Universidade Federal Fluminense (RIUFF) |
Texto Completo: | http://app.uff.br/riuff/handle/1/29287 |
Resumo: | Background. The goal of the present study was to investigate the association between PTSD and the onset of hypertension in previously normotensive individuals in a population living in the stressful environment of the urban slums while controlling for risk factors for cardiovascular disease (CVD). Methods. Participants were 320 normotensive individuals who lived in slums and were attending a family doctor program. Measurements included a questionnaire covering sociodemographic characteristics, clinical status and life habits, the Posttraumatic Stress Disorder Checklist – Civilian Version, and the Beck Depression Inventory. Incident hypertension was defined as the first occurrence at the follow-up review of the medical records of (1) systolic blood pressure of 140mm Hg or higher or diastolic blood pressure of 90mm Hg or higher, (2) the participant started taking antihypertensive medication, or (3) a new diagnosis of hypertension made by a physician. Differences in sociodemographic, clinical, and lifestyle characteristics between hypertensive and non-hypertensive individuals were compared using the χ2 and t tests. Multivariate Cox proportional hazards models were used to calculate hazard ratios (HR) and 95% confidence intervals (CI). Results. Six variables – age, educational level, bodymass, smoking, diabetes, and PTSD diagnosis – showed a statistically significant (p ≤ 0.20) association with the hypertensive status. In the Cox regression, only PTSD diagnosis was significantly associated with incident hypertension (multivariate HR = 1.94; 95% CI 1.11–3.40). Conclusions. The present findings highlight the importance of considering a diagnostic hypothesis of PTSD in the prevention and treatment of cardiovascular diseases. |
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Post-traumatic stress disorder as a predictor for incident hypertension: a 3-year retrospective cohort studyPost-traumatic stress disorder as a predictor for incident hypertension: a 3-year retrospective cohort studyPost-Traumatic Stress DisorderPTSDHypertensionRisk factorsCohort studyHipertensãoTranstorno de estresse pós-traumáticoFator de riscoPost-Traumatic Stress DisorderPTSDHypertensionRisk factorsCohort studyBackground. The goal of the present study was to investigate the association between PTSD and the onset of hypertension in previously normotensive individuals in a population living in the stressful environment of the urban slums while controlling for risk factors for cardiovascular disease (CVD). Methods. Participants were 320 normotensive individuals who lived in slums and were attending a family doctor program. Measurements included a questionnaire covering sociodemographic characteristics, clinical status and life habits, the Posttraumatic Stress Disorder Checklist – Civilian Version, and the Beck Depression Inventory. Incident hypertension was defined as the first occurrence at the follow-up review of the medical records of (1) systolic blood pressure of 140mm Hg or higher or diastolic blood pressure of 90mm Hg or higher, (2) the participant started taking antihypertensive medication, or (3) a new diagnosis of hypertension made by a physician. Differences in sociodemographic, clinical, and lifestyle characteristics between hypertensive and non-hypertensive individuals were compared using the χ2 and t tests. Multivariate Cox proportional hazards models were used to calculate hazard ratios (HR) and 95% confidence intervals (CI). Results. Six variables – age, educational level, bodymass, smoking, diabetes, and PTSD diagnosis – showed a statistically significant (p ≤ 0.20) association with the hypertensive status. In the Cox regression, only PTSD diagnosis was significantly associated with incident hypertension (multivariate HR = 1.94; 95% CI 1.11–3.40). Conclusions. The present findings highlight the importance of considering a diagnostic hypothesis of PTSD in the prevention and treatment of cardiovascular diseases.SimBackground. The goal of the present study was to investigate the association between PTSD and the onset of hypertension in previously normotensive individuals in a population living in the stressful environment of the urban slums while controlling for risk factors for cardiovascular disease (CVD). Methods. Participants were 320 normotensive individuals who lived in slums and were attending a family doctor program. Measurements included a questionnaire covering sociodemographic characteristics, clinical status and life habits, the Posttraumatic Stress Disorder Checklist – Civilian Version, and the Beck Depression Inventory. Incident hypertension was defined as the first occurrence at the follow-up review of the medical records of (1) systolic blood pressure of 140mm Hg or higher or diastolic blood pressure of 90mm Hg or higher, (2) the participant started taking antihypertensive medication, or (3) a new diagnosis of hypertension made by a physician. Differences in sociodemographic, clinical, and lifestyle characteristics between hypertensive and non-hypertensive individuals were compared using the χ2 and t tests. Multivariate Cox proportional hazards models were used to calculate hazard ratios (HR) and 95% confidence intervals (CI). Results. Six variables – age, educational level, bodymass, smoking, diabetes, and PTSD diagnosis – showed a statistically significant (p ≤ 0.20) association with the hypertensive status. In the Cox regression, only PTSD diagnosis was significantly associated with incident hypertension (multivariate HR = 1.94; 95% CI 1.11–3.40). Conclusions. The present findings highlight the importance of considering a diagnostic hypothesis of PTSD in the prevention and treatment of cardiovascular diseases.Cambridge University PressNiterói, RJ2023-07-06T14:26:25Z2023-07-06T14:26:25Z2021-04info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfMENDLOWICZ, Victoria et al. Post-traumatic stress disorder as a predictor for incident hypertension: a 3-year retrospective cohort study. Psychological Medicine, v. 53, n. 1, p. 132-139, Apr. 2021. Disponível em: https://www.cambridge.org/core/journals/psychological-medicine/article/abs/posttraumatic-stress-disorder-as-a-predictor-for-incident-hypertension-a-3year-retrospective-cohort-study/E9871BF6E561EDC0A40BF576475395D2.http://app.uff.br/riuff/handle/1/29287Aluno de Graduação10.1017/S0033291721001227PSYCHOLOGICAL MEDICINE. Cambridge: Cambridge University Press, 1970- . ISSN: 1469-8978 versão online. Disponível em: ttps://www.cambridge.org/core/journals/psychological-medicineCC-BY-SAinfo:eu-repo/semantics/openAccessSá, Larissa WermelingerMendlowicz, VictoriaRosa, Maria Luiza GarciaGekker, MarcioBerger, WilliamLuz, Mariana Pires deDias, Paulo Roberto Telles PiresPortela, Carla MarquesFigueira, IvanMendlowicz, Mauro Vitorengreponame:Repositório Institucional da Universidade Federal Fluminense (RIUFF)instname:Universidade Federal Fluminense (UFF)instacron:UFF2023-07-06T14:26:29Zoai:app.uff.br:1/29287Repositório InstitucionalPUBhttps://app.uff.br/oai/requestriuff@id.uff.bropendoar:21202024-08-19T10:56:40.458314Repositório Institucional da Universidade Federal Fluminense (RIUFF) - Universidade Federal Fluminense (UFF)false |
dc.title.none.fl_str_mv |
Post-traumatic stress disorder as a predictor for incident hypertension: a 3-year retrospective cohort study Post-traumatic stress disorder as a predictor for incident hypertension: a 3-year retrospective cohort study |
title |
Post-traumatic stress disorder as a predictor for incident hypertension: a 3-year retrospective cohort study |
spellingShingle |
Post-traumatic stress disorder as a predictor for incident hypertension: a 3-year retrospective cohort study Sá, Larissa Wermelinger Post-Traumatic Stress Disorder PTSD Hypertension Risk factors Cohort study Hipertensão Transtorno de estresse pós-traumático Fator de risco Post-Traumatic Stress Disorder PTSD Hypertension Risk factors Cohort study |
title_short |
Post-traumatic stress disorder as a predictor for incident hypertension: a 3-year retrospective cohort study |
title_full |
Post-traumatic stress disorder as a predictor for incident hypertension: a 3-year retrospective cohort study |
title_fullStr |
Post-traumatic stress disorder as a predictor for incident hypertension: a 3-year retrospective cohort study |
title_full_unstemmed |
Post-traumatic stress disorder as a predictor for incident hypertension: a 3-year retrospective cohort study |
title_sort |
Post-traumatic stress disorder as a predictor for incident hypertension: a 3-year retrospective cohort study |
author |
Sá, Larissa Wermelinger |
author_facet |
Sá, Larissa Wermelinger Mendlowicz, Victoria Rosa, Maria Luiza Garcia Gekker, Marcio Berger, William Luz, Mariana Pires de Dias, Paulo Roberto Telles Pires Portela, Carla Marques Figueira, Ivan Mendlowicz, Mauro Vitor |
author_role |
author |
author2 |
Mendlowicz, Victoria Rosa, Maria Luiza Garcia Gekker, Marcio Berger, William Luz, Mariana Pires de Dias, Paulo Roberto Telles Pires Portela, Carla Marques Figueira, Ivan Mendlowicz, Mauro Vitor |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Sá, Larissa Wermelinger Mendlowicz, Victoria Rosa, Maria Luiza Garcia Gekker, Marcio Berger, William Luz, Mariana Pires de Dias, Paulo Roberto Telles Pires Portela, Carla Marques Figueira, Ivan Mendlowicz, Mauro Vitor |
dc.subject.por.fl_str_mv |
Post-Traumatic Stress Disorder PTSD Hypertension Risk factors Cohort study Hipertensão Transtorno de estresse pós-traumático Fator de risco Post-Traumatic Stress Disorder PTSD Hypertension Risk factors Cohort study |
topic |
Post-Traumatic Stress Disorder PTSD Hypertension Risk factors Cohort study Hipertensão Transtorno de estresse pós-traumático Fator de risco Post-Traumatic Stress Disorder PTSD Hypertension Risk factors Cohort study |
description |
Background. The goal of the present study was to investigate the association between PTSD and the onset of hypertension in previously normotensive individuals in a population living in the stressful environment of the urban slums while controlling for risk factors for cardiovascular disease (CVD). Methods. Participants were 320 normotensive individuals who lived in slums and were attending a family doctor program. Measurements included a questionnaire covering sociodemographic characteristics, clinical status and life habits, the Posttraumatic Stress Disorder Checklist – Civilian Version, and the Beck Depression Inventory. Incident hypertension was defined as the first occurrence at the follow-up review of the medical records of (1) systolic blood pressure of 140mm Hg or higher or diastolic blood pressure of 90mm Hg or higher, (2) the participant started taking antihypertensive medication, or (3) a new diagnosis of hypertension made by a physician. Differences in sociodemographic, clinical, and lifestyle characteristics between hypertensive and non-hypertensive individuals were compared using the χ2 and t tests. Multivariate Cox proportional hazards models were used to calculate hazard ratios (HR) and 95% confidence intervals (CI). Results. Six variables – age, educational level, bodymass, smoking, diabetes, and PTSD diagnosis – showed a statistically significant (p ≤ 0.20) association with the hypertensive status. In the Cox regression, only PTSD diagnosis was significantly associated with incident hypertension (multivariate HR = 1.94; 95% CI 1.11–3.40). Conclusions. The present findings highlight the importance of considering a diagnostic hypothesis of PTSD in the prevention and treatment of cardiovascular diseases. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-04 2023-07-06T14:26:25Z 2023-07-06T14:26:25Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
MENDLOWICZ, Victoria et al. Post-traumatic stress disorder as a predictor for incident hypertension: a 3-year retrospective cohort study. Psychological Medicine, v. 53, n. 1, p. 132-139, Apr. 2021. Disponível em: https://www.cambridge.org/core/journals/psychological-medicine/article/abs/posttraumatic-stress-disorder-as-a-predictor-for-incident-hypertension-a-3year-retrospective-cohort-study/E9871BF6E561EDC0A40BF576475395D2. http://app.uff.br/riuff/handle/1/29287 Aluno de Graduação 10.1017/S0033291721001227 |
identifier_str_mv |
MENDLOWICZ, Victoria et al. Post-traumatic stress disorder as a predictor for incident hypertension: a 3-year retrospective cohort study. Psychological Medicine, v. 53, n. 1, p. 132-139, Apr. 2021. Disponível em: https://www.cambridge.org/core/journals/psychological-medicine/article/abs/posttraumatic-stress-disorder-as-a-predictor-for-incident-hypertension-a-3year-retrospective-cohort-study/E9871BF6E561EDC0A40BF576475395D2. Aluno de Graduação 10.1017/S0033291721001227 |
url |
http://app.uff.br/riuff/handle/1/29287 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
PSYCHOLOGICAL MEDICINE. Cambridge: Cambridge University Press, 1970- . ISSN: 1469-8978 versão online. Disponível em: ttps://www.cambridge.org/core/journals/psychological-medicine |
dc.rights.driver.fl_str_mv |
CC-BY-SA info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
CC-BY-SA |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Cambridge University Press Niterói, RJ |
publisher.none.fl_str_mv |
Cambridge University Press Niterói, RJ |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da Universidade Federal Fluminense (RIUFF) instname:Universidade Federal Fluminense (UFF) instacron:UFF |
instname_str |
Universidade Federal Fluminense (UFF) |
instacron_str |
UFF |
institution |
UFF |
reponame_str |
Repositório Institucional da Universidade Federal Fluminense (RIUFF) |
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Repositório Institucional da Universidade Federal Fluminense (RIUFF) |
repository.name.fl_str_mv |
Repositório Institucional da Universidade Federal Fluminense (RIUFF) - Universidade Federal Fluminense (UFF) |
repository.mail.fl_str_mv |
riuff@id.uff.br |
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1811823615911395328 |