Original Article

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


Objectives : 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.