Síntomas depresivos, síntomas de insomnio y eventos estresantes en ancianos hipertensos: estudio de corte transversal

Objectives: The aim of this study was to determine whether symptoms of insomnia and intensity of stressful life events are independently associated with depressive symptoms in community dwelling hypertensive older adults. Methods: This was an observational cross-sectional study. Participants were 438 older adults with arterial hypertension who completed questionnaires about depressive symptoms, stressful events, self-reported symptoms of insomnia and socio-demographic characteristics. Cluster analysis was performed to obtain groups according to insomnia symptoms. The following groups were identified: Poor Sleep Quality, Early Waking and Good Sleep Quality. Associations were tested using linear regression analysis and multiple Poisson regression analysis. Results: The factors that independently contributed to the increase of depressive symptoms were belonging to the Poor Sleep Quality group (P<.001) and Early Waking group (P-.005), reporting higher intensity of stressful life events (P<.001) and having less schooling (P=.003). Conclusion: older adults with hypertension need a comprehensive approach to their health care that considers depressive symptoms and their relationship with intensity of stressful events, insomnia symptoms and schooling. (C) 2021 Elsevier Espana, S.L.U. All rights reserved.