<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1028-4818</journal-id>
<journal-title><![CDATA[Multimed]]></journal-title>
<abbrev-journal-title><![CDATA[Multimed]]></abbrev-journal-title>
<issn>1028-4818</issn>
<publisher>
<publisher-name><![CDATA[Centro Provincial de Información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1028-48182019000501079</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Trastornos depresivos y eventos vitales en pacientes con hipertensión arterial y su relación con la adherencia terapéutica]]></article-title>
<article-title xml:lang="en"><![CDATA[Depressive disorders and vital events in patients with arterial hypertension and its relationship with therapeutic adherence]]></article-title>
<article-title xml:lang="pt"><![CDATA[Transtornos depressivos e eventos vitais em pacientes com hipertensão arterial e sua relação com a adesão Terapêutica]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vázquez Machado]]></surname>
<given-names><![CDATA[Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mukamutara]]></surname>
<given-names><![CDATA[Julienne]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Meireles Ochoa]]></surname>
<given-names><![CDATA[Madeline Yoanis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vázquez Arias]]></surname>
<given-names><![CDATA[Liliana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Granma Policlínico Universitario Jimmy Hirzel ]]></institution>
<addr-line><![CDATA[Bayamo Granma]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Central de Nampula  ]]></institution>
<addr-line><![CDATA[ Nampula]]></addr-line>
<country>Mozambique</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Policlínico Universitario 13 de Marzo  ]]></institution>
<addr-line><![CDATA[Bayamo Granma]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Universitario Carlos Manuel de Céspedes  ]]></institution>
<addr-line><![CDATA[Bayamo Granma]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2019</year>
</pub-date>
<volume>23</volume>
<numero>5</numero>
<fpage>1079</fpage>
<lpage>1094</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1028-48182019000501079&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1028-48182019000501079&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1028-48182019000501079&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  la hipertensión arterial (HTA) es uno de los grandes desafíos de la medicina moderna, por su elevada prevalencia, constituye probablemente, el problema de salud más importante en los países desarrollados y subdesarrollados. Afecta a alrededor de mil millones de personas adultas y según proyecciones para el 2025 habrá 1,5 millones de personas con la enfermedad, que equivale a 30 % de la población mundial.  Objetivo:  identificar la presencia de trastornos depresivos y eventos vitales en pacientes con hipertensión arterial y su relación con la adherencia a la terapia antihipertensiva.  Método:  se realizó un estudio descriptivo, transversal con 222 pacientes hipertensos del Hospital Central de Nampula, Mozambique. Se estudiaron algunas variables sociodemográficas, sintomatología depresiva, diagnóstico psiquiátrico, eventos vitales actuales y adherencia terapéutica. Se hicieron análisis bivariados para correlacionar la adhesión al tratamiento con la presencia de síntomas psicológicos, tratamiento psicofarmacológico, eventos vitales y diagnóstico de enfermedad depresiva.  Resultados:  la frecuencia de síntomas depresivos fue de 40,5 %. Los diagnósticos más frecuentes fueron trastorno depresivo mayor, trastorno distímico y trastornos adaptativos con estado de ánimo depresivo. Los eventos vitales actuales afectaron a 77,9 % de los hipertensos; los más frecuentes fueron la muerte de familiares queridos, padecer enfermedades físicas y los conflictos interpersonales. El 42,8 % tenía una pobre adherencia a la medicación antihipertensiva, la que se asoció significativamente (p&lt;0,05) con la presencia de síntomas depresivos, necesidad de un tratamiento psicofarmacológico, ser afectado por 3 o más eventos vitales actuales y tener diagnóstico de un trastorno depresivo.  Conclusiones:  la frecuencia de depresión es elevada en hipertensos y los pacientes deprimidos tienen una pobre adherencia terapéutica. Los eventos vitales actuales influyen negativamente en el cumplimiento del tratamiento antihipertensivo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  arterial hypertension (hypertension) is one of the great challenges of modern medicine, due to its high prevalence, it is probably the most important health problem in developed and underdeveloped countries. It affects about one billion adults and according to projections by 2025 there will be 1.5 million people with the disease, which is equivalent to 30% of the world's population.  Objective:  to identify the presence of depressive disorders and vital events in patients with arterial hypertension and their relationship with adherence to antihypertensive therapy.  Method:  a descriptive, cross-sectional study was conducted with 222 hypertensive patients from the Central Hospital of Nampula, Mozambique. Some sociodemographic variables, depressive symptomatology, psychiatric diagnosis, current vital events and therapeutic adherence were studied. Bivariate analyzes were performed to correlate adherence to treatment with the presence of psychological symptoms, psychopharmacological treatment, vital events and diagnosis of depressive illness.  Results:  the frequency of depressive symptoms was 40.5%. The most frequent diagnoses were major depressive disorder, dysthymic disorder and adaptive disorders with depressive mood. Current vital events affected 77.9% of hypertensive patients; the most frequent were the death of loved relatives, suffering from physical illnesses and interpersonal conflicts. 42.8% had poor adherence to antihypertensive medication, which was significantly associated (p &lt;0.05) with the presence of depressive symptoms, need for psychopharmacological treatment, being affected by 3 or more current life events and having Diagnosis of a depressive disorder.  Conclusions:  the frequency of depression is high in hypertensive patients and depressed patients have poor therapeutic adherence. Current vital events negatively influence compliance with antihypertensive treatment.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução:  a hipertensão arterial (hipertensão) é um dos grandes desafios da medicina moderna, devido à sua alta prevalência, é provavelmente o problema de saúde mais importante nos países desenvolvidos e subdesenvolvidos. Afeta cerca de um bilhão de adultos e, segundo as projeções até 2025, haverá 1,5 milhão de pessoas com a doença, o que equivale a 30% da população mundial.  Objetivo:  identificar a presença de distúrbios depressivos e eventos vitais em pacientes com hipertensão arterial e sua relação com a adesão à terapia anti-hipertensiva.  Método:  estudo descritivo, transversal, com 222 pacientes hipertensos do Hospital Central de Nampula, Moçambique. Foram estudadas algumas variáveis &#8203;&#8203;sociodemográficas, sintomatologia depressiva, diagnóstico psiquiátrico, eventos vitais atuais e adesão terapêutica. Análises bivariadas foram realizadas para correlacionar a adesão ao tratamento com a presença de sintomas psicológicos, tratamento psicofarmacológico, eventos vitais e diagnóstico de doença depressiva.  Resultados:  a frequência de sintomas depressivos foi de 40,5%. Os diagnósticos mais frequentes foram transtorno depressivo maior, distúrbio distímico e distúrbios adaptativos com humor depressivo. Os eventos vitais atuais afetaram 77,9% dos pacientes hipertensos; os mais frequentes foram a morte de parentes queridos, sofrendo de doenças físicas e conflitos interpessoais. 42,8% apresentaram baixa adesão à medicação anti-hipertensiva, que foi significativamente associada (p &lt;0,05) à presença de sintomas depressivos, necessidade de tratamento psicofarmacológico, sendo afetada por três ou mais eventos atuais da vida e tendo Diagnóstico de um distúrbio depressivo.  Conclusões:  a frequência de depressão é alta em pacientes hipertensos e os deprimidos apresentam baixa adesão terapêutica. Os eventos vitais atuais influenciam negativamente a adesão ao tratamento anti-hipertensivo.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Depresión]]></kwd>
<kwd lng="es"><![CDATA[Hipertensión]]></kwd>
<kwd lng="es"><![CDATA[Cumplimiento y adherencia al tratamiento]]></kwd>
<kwd lng="en"><![CDATA[Depression]]></kwd>
<kwd lng="en"><![CDATA[Hypertension]]></kwd>
<kwd lng="en"><![CDATA[Treatment adherence and compliance]]></kwd>
<kwd lng="pt"><![CDATA[Depressão]]></kwd>
<kwd lng="pt"><![CDATA[Hipertensão]]></kwd>
<kwd lng="pt"><![CDATA[Conformidade e adesão ao tratamento]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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