Anxiety and mood (대한불안의학회지)

Korean Academy of Anxiety Disorders (대한불안의학회)
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Psychosocial Factors Influencing Anxiety Symptoms in Patients With Hypertension

고혈압 환자에서 불안증상에 영향을 미치는 정신심리학적 요인

  • Moon, Seock Hyeon (Department of Psychiatry, Chosun University Hospital) ;
  • Kim, Seung-Gon (Department of Psychiatry, Chosun University Hospital) ;
  • Yang, Hae-Jung (Department of Psychiatry, Chosun University Hospital) ;
  • Seo, Eun Hyun (Premedical Science, Chosun University College of Medicine) ;
  • Yoon, Hyung-Jun (Department of Psychiatry, Chosun University Hospital)
  • 문석현 (조선대학교병원 정신건강의학과) ;
  • 김승곤 (조선대학교병원 정신건강의학과) ;
  • 양혜정 (조선대학교병원 정신건강의학과) ;
  • 서은현 (조선대학교 의과대학 의예과) ;
  • 윤형준 (조선대학교병원 정신건강의학과)
  • Received : 2022.01.26
  • Accepted : 2022.03.22
  • Published : 2022.04.30
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Abstract

Objective : The aim of this study was to investigate the prevalence of anxiety symptoms and its association with psychological factors in patients with hypertension. Methods : The Participants included 124 patients with hypertension. Anxiety symptoms were evaluated by the Hospital Anxiety and Depression Scale. Socio-demographics, perceived stress, state-trait anger, life satisfaction, and ego resiliency were assessed. Stepwise multiple regression analyses were carried out to examine the impact of perceived stress, state-trait anger, and life satisfaction on anxiety symptoms. In addition, moderated regression analysis was performed to explore the moderating effect of ego resiliency between perceived stress and anxiety symptoms. Results : A total of 17 subjects (13.7%) were identified as having anxiety symptoms. Higher perceived stress and state-trait anger, and lower life satisfaction were found to be significant correlates of anxiety symptoms. In the final model, higher levels of perceived stress (β=0.378, p<0.001) and trait anger (β=0.320, p<0.001) were related to higher levels of anxiety symptoms, while a higher level of life satisfaction (β=-0.166, p=0.025) was associated with a lower level of anxiety symptoms. Further, ego resiliency buffered the negative effect of perceived stress on anxiety symptoms. Conclusion : This study demonstrated the prevalence of anxiety symptoms and associated psychological factors among patients with hypertension. Our findings suggest that improving life satisfaction and ego-resiliency as well as controlling stress and anger may be important in the management of anxiety symptoms in patients with hypertension.

Keywords

Acknowledgement

논문은 조선대학교 학술연구비의 지원을 받아 연구되었음(2021).

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