ArticlePloS one2015
Prevalence of undiagnosed depression among persons with hypertension and associated risk factors: a cross-sectional study in urban Nepal.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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Who cites it
27 citing papers in PubMed, 58 citations in OpenAlex.
- Undiagnosed Depression among Hypertensive Individuals in Gaza: A Cross-sectional Survey from Palestine.Ethiopian journal of health sciences · 2021Trial
- Factors associated with common mental disorder symptoms and lived experiences among adults with hypertension in Nepal: a mixed-methods study.Frontiers in epidemiology · 2026Article
- Mental health outcomes and intimate partner violence among nepalese women: A propensity score matched study.PLOS mental health · 2025Article
- Depression and its associated factors among adult hypertensive patients attending follow-up in South Gondar zone public hospitals, Ethiopia, 2023.BMC psychiatry · 2024Article
- Article
- Health outcomes and healthcare utilization associated with four undiagnosed chronic conditions: evidence from nationally representative survey data in Sri Lanka.BMC global and public health · 2024Article
- A Cross-Sectional Study on the Associations between Depression and Anxiety, Medication Use for These Diseases and Physical Activity Level in Spanish People with Hypertension.International journal of environmental research and public health · 2023Article
- Prevalence of undiagnosed depression among patients with hypertension: A cross-sectional study of Malaysian primary care perspective.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2023Article
- Depressive symptoms and associated factors among persons with physical disabilities in disability care homes of Kathmandu district, Nepal: A mixed method study.PLOS global public health · 2023Article
- Mental distress along the cascade of care in managing hypertension.Scientific reports · 2022Article
- Implementation strategy in collaboration with people with lived experience of mental illness to reduce stigma among primary care providers in Nepal (RESHAPE): protocol for a type 3 hybrid implementation effectiveness cluster randomized controlled trial.Implementation science : IS · 2022Article
- Anxiety and Depression among Hypertensive Adults in Tertiary Care Hospitals of Nepal.Psychiatry journal · 2022Article
- Depression and associated risk factors among hypertensive patients in primary health care centers in Dammam, Kingdom of Saudi Arabia.The Pan African medical journal · 2021Article
- Healthcare utilization and out-of-pocket expenditures associated with depression in adults: a cross-sectional analysis in Nepal.BMC health services research · 2020Article
- Physical Comorbidity and Health Literacy Mediate the Relationship Between Social Support and Depression Among Patients With Hypertension.Frontiers in public health · 2020Article
- Magnitude and Associated Factors of Depression Among Hypertensive Patients Attending Treatment Follow Up in Chronic OPD at Hawassa University Comprehensive Specialized Hospital, Hawassa, Southern Ethiopia.Integrated blood pressure control · 2020Article
- Depression among people living with type 2 diabetes in an urbanizing community of Nepal.PloS one · 2019Article
- Predictive markers of depression in hypertension.Medicine · 2018Article
- Prevalence and correlates of depression and alcohol use disorder among adults attending primary health care services in Nepal: a cross sectional study.BMC health services research · 2018Article
- Prevalence and Predictors of Depression Amongst Hypertensive Individuals in Karachi, Pakistan.Cureus · 2017Article
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite an increasing number of studies exploring prevalence of depression among hypertensive patients in high income countries, limited data is available from low and middle income countries, particularly Nepal. Our aim was to investigate the prevalence of undiagnosed (sub clinical) depression and associated risk factors among hypertensive patients attending a tertiary health care clinic in Nepal.
methodsThe study was based on a cross-sectional study design, with 321 hypertensive patients attending the Out-Patient Department of a central hospital in Nepal. Blood measure was recorded via a mercury column sphygmomanometer. Depression levels were assessed using the Beck Depression Inventory-Ia (BDI) scale. Demographics and risk factors were assessed.
resultThe proportion of participants with undiagnosed depression was 15%. Multivariable analyses demonstrated an increase in BDI scores with increased aging. Approximately a 1 point increase in the BDI score was observed for each additional decade of aging in hypertensive patients. Additional factors associated with increased risk of depression included being female (4.28 point BDI score increase), smoking (5.61 point BDI score increase), being hypertensive with no hypertensive medication (4.46 point BDI score increase) and being illiterate (4.46 point BDI score increase).
conclusionsAmong persons with hypertension in outpatient settings in Nepal, demographic (age, sex, education), behavioural (smoking,) and adherence factors (anti-hypertensive medication) were associated with undiagnosed depression. Screening programs in Nepal may assist early intervention in hypertensive patients with sub clinical depression.
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