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Depression associated with antihypertensive drugs.
Prisant, L M; Spruill, W J; Fincham, J E; Wade, W E; Carr, A A; Adams, M A.
Afiliación
  • Prisant LM; Section of Hypertension, Medical College of Georgia, Augusta 30912-3150.
J Fam Pract ; 33(5): 481-5, 1991 Nov.
Article en En | MEDLINE | ID: mdl-1682414
BACKGROUND: Depression is a potential side effect of antihypertensive drug therapy. Consideration of this side effect is a reason often cited by physicians for not choosing certain drugs. METHODS: In this prospective study the relative rates of depression were measured by the Zung Self-Rating Depression Scale (SDS) in patients from four hypertension treatment groups. Treatment groups consisted of 466 patients receiving: (1) no drug therapy, (2) diuretics only, (3) diuretics plus reserpine, and (4) diuretics plus beta-blockers. Demographic data including age, sex, and race were collected. Analysis of variance was used to compare the rate of depression among the treatment groups, as well as among age, sex, and racial groups. RESULTS: Using a Zung SDS index of greater than or equal to 50, 35.4% of the hypertensive population was depressed. Age and sex were not significant factors in the frequency of depression. Blacks scored higher than whites in all drug treatment groups except those treated with high lipophilic beta-blockers, but the rate of depression was not higher. Whites on the lowest dose of reserpine had the lowest rate of depression. The rate of depression among those taking reserpine or beta-blockers was no different than that among those receiving either no treatment or diuretics. CONCLUSIONS: Reserpine or beta-blocker therapy did not cause any more depression than any other antihypertensive treatment.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Depresión / Antihipertensivos Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Adolescent / Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: J Fam Pract Año: 1991 Tipo del documento: Article Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Depresión / Antihipertensivos Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Adolescent / Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: J Fam Pract Año: 1991 Tipo del documento: Article Pais de publicación: Estados Unidos