TY - JOUR T1 - Depressive symptoms, symptoms of insomnia and stressful events in hypertensive older adults: Cross-sectional study JO - EnfermerĂ­a ClĂ­nica (English Edition) T2 - AU - Rosas,Carola AU - Oliveira,Henrique Ceretta AU - Neri,Anita Liberalesso AU - Ceolim,Maria Filomena SN - 24451479 M3 - 10.1016/j.enfcle.2021.04.007 DO - 10.1016/j.enfcle.2021.04.007 UR - https://www.elsevier.es/en-revista-enfermeria-clinica-english-edition--435-articulo-depressive-symptoms-symptoms-insomnia-stressful-S244514792200042X AB - Objectivesthe 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. Methodsthis 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. ResultsThe 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). Conclusionolder 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. ER -