Role of the psychosocial factors in blood pression balance; cross-sectional study including 100 ambulatory hypertensive patients

Hypertension is a real public health problem. His pathogenesis involves a combination of several factors including environmental and psychosocial factors. We focus on the links between the blood pressure imbalance and some psychosocial factors in a population of ambulatory patients with hypertension...

Full description

Saved in:
Bibliographic Details
Published inTunisie Medicale Vol. 88; no. 4; p. 223
Main Authors Masmoudi, Jawaher, Imene, Trabelsi, Ketata, Wassim, Mnif, Leila, Maalej, S, Kammoun, Samir, Jaoua, Abdellaziz
Format Journal Article
LanguageFrench
Published Tunisia 01.04.2010
Subjects
Cross-Sectional Studies
Depression - epidemiology
Diet
Female
Humans
Hypertension - epidemiology
Hypertension - etiology
Male
Medication Adherence
Middle Aged
Personality
Online AccessGet more information

Cover

More Information
Summary:Hypertension is a real public health problem. His pathogenesis involves a combination of several factors including environmental and psychosocial factors. We focus on the links between the blood pressure imbalance and some psychosocial factors in a population of ambulatory patients with hypertension. It was a cross-sectional study on 100 patients with hypertension followed up in Cardiology in Sfax (Tunisia). Anxiety and depression were assessed by the Hospital Anxiety and Depression Scale (HADS). Behavioral pattern was evaluated by a clinical interview, referring to the model of Friedman and Rosenman. We also collected socio-environmental, clinical, therapeutic and prognostic data. The most predictive factors of an unbalanced blood pressure were independently: personality type "A" or unspecified (p = 0002), high fat diet (p = 0026), poor drug adherence (p = 0038) and depression (p = 0015). Several sociodemographic and lifestyle factors are interrelated and implicated in the blood pressure imbalance, suggesting the need of a hygienic behavior joining the international recommendations. We insist on the treatment of the anxious and depressive disease and the psychotherapeutic approach of some personality patterns in the management of hypertension.
ISSN:0041-4131