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Psychosom Med. 2006 Mar-Apr;68(2):246-52.

Mental disorders and hypertension: factors associated with awareness and treatment of hypertension in the general population of Germany.

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1
Douglas Hospital Research Centre, Clinical Research Division, McGill University, Montreal, Quebec, Canada. norbert.schmitz@douglas.mcgill.ca

Abstract

OBJECTIVE:

The aim of the present study was to identify the association between mental disorders and awareness and treatment of hypertension in a large representative community sample.

METHODS:

The analysis was based on data from 4149 respondents, ages 18 to 65 years, from the German National Health Interview and Examination Survey, a nationally representative multistage probability survey conducted from 1997 to 1999. Mental disorders were assessed by a modified version of the Composite International Diagnostic Interview. Blood pressure was measured during the medical examination by a health examiner.

RESULTS:

There was no general association between awareness of hypertension and affective, anxiety, and substance abuse/dependence disorders. Men with acknowledged but untreated hypertension more often experienced affective and substance abuse/dependence disorders than men with treated hypertension. These relationships were stable after adjustment for sociodemographic and clinical characteristics.

CONCLUSIONS:

Our results suggest that it is important to distinguish between treated and acknowledged but untreated hypertension when evaluating the associations between mental disorders and hypertension.

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