Journal of Postgraduate Medicine, Education and Research

Register      Login

VOLUME 54 , ISSUE 1 ( January-March, 2020 ) > List of Articles


Assessment of Knowledge of Hypertension among Patients with Mental Illness Approaching a Community Psychiatry Service

Shubh M Singh, Chandrima Naskar, Yogender Malik, Shantanu Shukla

Keywords : Attitude, Awareness, Community psychiatry, Hypertension, Knowledge, Mental illness, Noncommunicable disease

Citation Information : Singh SM, Naskar C, Malik Y, Shukla S. Assessment of Knowledge of Hypertension among Patients with Mental Illness Approaching a Community Psychiatry Service. J Postgrad Med Edu Res 2020; 54 (1):8-11.

DOI: 10.5005/jp-journals-10028-1344

License: CC BY-NC 4.0

Published Online: 01-06-2018

Copyright Statement:  Copyright © 2020; The Author(s).


Aim: Hypertension is a common chronic disease which progressively and permanently damages target organs, leading to life-threatening complications and death. A lack of knowledge about hypertension may be detrimental to efforts at prevention and control of hypertension. Patients with mental illness are known to have greater cardiometabolic morbidity and mortality. This study aimed to assess the knowledge regarding hypertension among patients with mental illness in community settings of Punjab and Haryana. Materials and methods: One hundred eighty patients attending the community psychiatry clinic of at two rural locations of Haryana (Naraingarh and Raipurrani) and Punjab (Kharar and Nandpurkalor) were included. All patients were assessed for knowledge about hypertension by using a 29-item-adapted Hindi version of the patient-administered Hypertension Knowledge-Level Scale (HK-LS). Each correct response was marked as 1, and incorrect or no response was marked 0. Results: In the study population, the mean knowledge scores obtained was 20.87 (SD: 2.51; range: 14–28). A history of hypertension was available in 22.2% of participants. There was no statistical difference of the score on the knowledge questionnaire between those with and without hypertension. Conclusion: Results indicate an appreciable level of knowledge about hypertension in our study population. However, efforts at hypertension screening and education should continue. Clinical significance: The levels of knowledge of hypertension in patients with psychiatric disorders suggest that it may be feasible to study whether lifestyle modifications are actually in place and whether these are feasible.

  1. Kearney PM, Whelton M, Reynolds K, et al. Global burden of hypertension: analysis of worldwide data. Lancet 2005;365(9455): 217–223. DOI: 10.1016/S0140-6736(05)17741-1.
  2. Oliveria SA, Chen RS, McCarthy BD, et al. Hypertension knowledge, awareness, and attitudes in a hypertensive population. J Gen Intern Med 2005;20(3):219–225. DOI: 10.1111/j.1525-1497.2005.30353.x.
  3. Zolezzi M, Abdulrhim S, Isleem N, et al. Medical comorbidities in patients with serious mental illness: a retrospective study of mental health patients attending an outpatient clinic in Qatar. Neuropsychiatr Dis Treat 2017;13:2411–2418. DOI: 10.2147/NDT.S141448.
  4. Magadza C, Radloff SE, Srinivas SC. The effect of an educational intervention on patients’ knowledge about hypertension, beliefs about medicines, and adherence. Res Soc Adm Pharm 2009;5(4): 363–375. DOI: 10.1016/j.sapharm.2009.01.004.
  5. Oskay EM, Onsuz, Topuzoglu A. Assesment of hypertension knowledge, attitude and throught of policyclinic patients at primary health care center in Izmir. J Adnan Menderes Univ Med Fac 2010;11:3–9.
  6. Scalco AZ, Scalco MZ, Azul JBS, et al. Hypertension and depression. Clinics 2005;60(3):241–250. DOI: 10.1590/S1807-59322005000300010.
  7. Erkoc SB, Isikli B, Metintas S, et al. Hypertension knowledge-level scale (HK-LS): a study on development, validity and reliability. Int J Environ Res Public Health 2012;9(3):1018–1029. DOI: 10.3390/ijerph9031018.
  8. Busingye D, Arabshahi S, Evans RG, et al. Factors associated with awareness, treatment and control of hypertension in a disadvantaged rural indian population. J Hum Hypertens 2017;31(5):347–353. DOI: 10.1038/jhh.2016.85.
  9. Gupta RK, Hussain S, Parveen Z, et al. Does being under treatment improve knowledge attitude practice for hypertension: a hospital-based study from north india. J Fam Med Prim Care 2017;6(2):279–283. DOI: 10.4103/2249-4863.220040.
  10. Joseph N, Chiranjeevi M, Sen S, et al. Awareness on hypertension and its self-management practices among hypertensive patients attending outreach clinics of a medical college in south india. Kathmandu Univ Med J KUMJ 2016;14(55):202–209.
  11. Singh SM, Surenderan I, Jain S, et al. The prevalence of non-communicable disease risk factors in community-living patients with psychiatric disorders: a study from North India. Asian J Psychiatry 2019;41:23–27. DOI: 10.1016/j.ajp.2019.03.004.
  12. Mounica B. Study of knowledge, attitude and practice of general population of Guntur towards silent killer diseases: hypertension and diabetes. Value Health 2015;18(7):A398. DOI: 10.1016/j.jval.2015.09.907.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.