Post-traumatic stress disorder as a predictor for incident hypertension: a 3-year retrospective cohort study

Registro completo de metadados
MetadadosDescriçãoIdioma
Autor(es): dc.creatorSá, Larissa Wermelinger-
Autor(es): dc.creatorMendlowicz, Victoria-
Autor(es): dc.creatorRosa, Maria Luiza Garcia-
Autor(es): dc.creatorGekker, Marcio-
Autor(es): dc.creatorBerger, William-
Autor(es): dc.creatorLuz, Mariana Pires de-
Autor(es): dc.creatorDias, Paulo Roberto Telles Pires-
Autor(es): dc.creatorPortela, Carla Marques-
Autor(es): dc.creatorFigueira, Ivan-
Autor(es): dc.creatorMendlowicz, Mauro Vitor-
Data de aceite: dc.date.accessioned2024-07-11T17:50:11Z-
Data de disponibilização: dc.date.available2024-07-11T17:50:11Z-
Data de envio: dc.date.issued2023-07-06-
Data de envio: dc.date.issued2023-07-06-
Data de envio: dc.date.issued2021-04-
Fonte completa do material: dc.identifierhttp://app.uff.br/riuff/handle/1/29287-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/capes/758496-
Descrição: dc.descriptionBackground. 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.-
Descrição: dc.descriptionSim-
Descrição: dc.descriptionBackground. 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.-
Formato: dc.formatapplication/pdf-
Idioma: dc.languageen-
Publicador: dc.publisherCambridge University Press-
Publicador: dc.publisherNiterói, RJ-
Relação: dc.relationPSYCHOLOGICAL MEDICINE. Cambridge: Cambridge University Press, 1970- . ISSN: 1469-8978 versão online. Disponível em: ttps://www.cambridge.org/core/journals/psychological-medicine-
Direitos: dc.rightsOpen Access-
Direitos: dc.rightsCC-BY-SA-
Palavras-chave: dc.subjectPost-Traumatic Stress Disorder-
Palavras-chave: dc.subjectPTSD-
Palavras-chave: dc.subjectHypertension-
Palavras-chave: dc.subjectRisk factors-
Palavras-chave: dc.subjectCohort study-
Palavras-chave: dc.subjectHipertensão-
Palavras-chave: dc.subjectTranstorno de estresse pós-traumático-
Palavras-chave: dc.subjectFator de risco-
Palavras-chave: dc.subjectPost-Traumatic Stress Disorder-
Palavras-chave: dc.subjectPTSD-
Palavras-chave: dc.subjectHypertension-
Palavras-chave: dc.subjectRisk factors-
Palavras-chave: dc.subjectCohort study-
Título: dc.titlePost-traumatic stress disorder as a predictor for incident hypertension: a 3-year retrospective cohort study-
Título: dc.titlePost-traumatic stress disorder as a predictor for incident hypertension: a 3-year retrospective cohort study-
Tipo de arquivo: dc.typeArtigo de periódicos-
Aparece nas coleções:Repositório Institucional da Universidade Federal Fluminense - RiUFF

Não existem arquivos associados a este item.