Anxiety Mood.  2022 Apr;18(1):17-25. 10.24986/anxmod.2022.18.1.003.

Psychosocial Factors Influencing Anxiety Symptoms in Patients With Hypertension

• Moon SH
• Kim SG
• Yang HJ
• Seo EH
• Yoon HJ

• KMID: 2529742
• DOI: http://doi.org/10.24986/anxmod.2022.18.1.003

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 symp-toms. 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-re-siliency as well as controlling stress and anger may be important in the management of anxiety symptoms in patients with hypertension.

Keyword

Hypertension; Anxiety; Stress; Anger; Life satisfaction; Ego resiliency