Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2008 Dec;31(6):489-97.
doi: 10.1007/s10865-008-9173-4. Epub 2008 Sep 9.

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

Ranak B Trivedi  1 , Brian Ayotte, David Edelman, Hayden B Bosworth
Affiliations

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

Ranak B Trivedi et al. J Behav Med. 2008 Dec.

Abstract

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.

PubMed Disclaimer

References

    1. Banegas JR, Guallar-Castillon P, Rodriguez-Artalejo F, Graciani A, Lopez-Garcia E, Ruilope LM. Association between awareness, treatment, and control of hypertension, and quality of life among older adults in Spain. American Journal of Hypertension. 2006;19(7):686–693. - PubMed
    1. Bardage C, Isacson DG. Hypertension and health-related quality of life. an epidemiological study in Sweden. Journal of Clinical Epidemiology. 2001;54(2):172–181. - PubMed
    1. Becker MH, Maiman LA. Sociobehavioral determinants of compliance with health and medical care recommendations. Medical Care. 1975;13(1):10–24. - PubMed
    1. Bosworth HB, Bartash RM, Olsen MK, Steffens DC. The association of psychosocial factors and depression with hypertension among older adults. International journal of geriatric psychiatry. 2003;18(12):1142–1148. - PubMed
    1. Bosworth HB, Dudley T, Olsen MK, Voils CI, Powers B, Goldstein MK, et al. Racial differences in blood pressure control: potential explanatory factors. American Journal of Medicine. 2006;119(1):70 e79–15. - PubMed

Publication types

Substances