The association of emotional well-being and marital status with treatment adherence among patients with hypertension.

Published

Journal Article

We were interested in examining the relationship between psychosocial factors and hypertension-related behaviors. We hypothesized that lower emotional well-being and unmarried status would be related to higher BP, poorer medication adherence, greater difficulty adhering to diet and exercise, and current smoking. In a cross-sectional design, 636 hypertensive patients completed the Mental Component Summary (MCS) Scale of the SF-12 and rated their difficulty with adherence to diet, exercise, and medication-taking. In logistic regression analyses, lower MCS scores were associated with difficulty adhering to diet (OR = 0.97, p < .05) and exercise (OR = 0.97, p < .01), and current smoking status (OR = 0.98, p < .05). Being married was associated with higher probability of medication adherence (OR = 1.66, p < .01) and a lower probability of being a current smoker (OR = 0.34, p < .0001). Neither MCS scores nor being married were related to BP levels in adjusted analyses. Results emphasize the importance of assessing psychosocial factors to optimize hypertension treatment.

Full Text

Duke Authors

Cited Authors

  • Trivedi, RB; Ayotte, B; Edelman, D; Bosworth, HB

Published Date

  • December 2008

Published In

Volume / Issue

  • 31 / 6

Start / End Page

  • 489 - 497

PubMed ID

  • 18780175

Pubmed Central ID

  • 18780175

Electronic International Standard Serial Number (EISSN)

  • 1573-3521

International Standard Serial Number (ISSN)

  • 0160-7715

Digital Object Identifier (DOI)

  • 10.1007/s10865-008-9173-4

Language

  • eng