title: The association of emotional well-being and marital status with treatment adherence among patients with hypertension.
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.
authors.affiliation: Department of Medicine, Duke University Medical Center, 2424 Erwin Rd, Hock Plaza Ste 1105, P.O. Box 2720, Durham, NC 27705, USA. Ranak.trivedi@duke.edu
authors.forename: Ranak B
authors.initials: RB
authors.lastname: Trivedi
authors.forename: Brian
authors.initials: B
authors.lastname: Ayotte
authors.forename: David
authors.initials: D
authors.lastname: Edelman
authors.forename: Hayden B
authors.initials: HB
authors.lastname: Bosworth
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000959:Antihypertensive Agents / Q000008:administration & dosage*; D001294:Attitude to Health; D003430:Cross-Sectional Studies; D004644:Emotions; D005260:Female; D006801:Humans; D006973:Hypertension / Q000188:drug therapy / Q000523:psychology*; D008297:Male; D017533:Marital Status; D055118:Medication Adherence / Q000523:psychology*; D008875:Middle Aged; D010549:Personal Satisfaction; D011584:Psychology
chemical_list: D000959:Antihypertensive Agents
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