PS 15-08 NEED TO SCREEN HYPERTENSION PATIENTS FOR DEPRESSION: A STUDY IN SECONDARY CARE HOSPITAL IN A RURAL AREA OF DELHI, INDIA.

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Abstract

Objective:

To find the prevalence of hidden depression among patients of hypertension residing in a rural area of Delhi, India.To find the prevalence of hidden depression among patients of hypertension residing in a rural area of Delhi, India.

Design and Method:

It was a community based prospective study done in Barwala village of Delhi over a period of one year. A baseline survey was conducted among 1005 participants in the village to find prevalence of hypertension- both already diagnosed and newly diagnosed during survey. 67 participants who were found to be suffering from hypertension at the end of survey were traced back after 6 months and screened for depression. Data was collected using pretested semi structured questionnaire and prevalence of depression was determined by a validated tool; Primary Care Evaluation of Mental Disorders - PRIME MD (Patient Health Questionnaire-9). Data was analysed using SPSS version-17. The information collected was kept confidential and their informed consent was taken. Ethical clearance was obtained from Institutional Ethical Committee.

Results:

There were 28 (41.8%) males and 39 (58.2%) females participated in the study. A majority were Hindu (97%), married (92.5%), literate (80.6%) and unemployed (61.2%). 9 (13.4%) subjects were found to have depression. Out of these 9 patients, 2 were previously diagnosed cases of depression.

Conclusions:

Prevalence of depression among hypertensive patients is higher as that of general population. All hypertension patients should be screened for presence of depressive symptoms and appropriate management should be undertaken.

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