ISSN 2586-0151 (Print) | ISSN 2586-0046 (Online)
대한불안의학회지 (18권1호 17-25)
Psychosocial Factors Influencing Anxiety Symptoms in Patients With Hypertension
고혈압 환자에서 불안증상에 영향을 미치는 정신심리학적 요인
Seock Hyeon Moon, MD1, Seung-Gon Kim, MD, PhD1,2, Hae-Jung Yang, MD1, Eun Hyun Seo, PhD3, and Hyung-Jun Yoon, MD, MS1,2
Department of Psychiatry, Chosun University Hospital, Gwangju, Department of Psychiatry, Chosun University College of Medicine, Gwangju, Premedical Science, Chosun University College of Medicine, Gwangju, Korea
TThe 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 ex- amine 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 per- ceived 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 nega- tive effect of perceived stress on anxiety symptoms.
Conclusions : 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. (Anxiety and Mood 2022;18(1):17-25)
Hypertension; Anxiety; Stress; Anger; Life satisfaction; Ego resiliency.