title: [Role of the psychosocial factors in blood pression balance; cross-sectional study including 100 ambulatory hypertensive patients].
abstract: BACKGROUND
  Hypertension is a real public health problem. His pathogenesis involves a combination of several factors including environmental and psychosocial factors.
  
  
  OBJECTIVE
  We focus on the links between the blood pressure imbalance and some psychosocial factors in a population of ambulatory patients with hypertension.
  
  
  METHODS
  It was a cross-sectional study on 100 patients with hypertension followed up in Cardiology in Sfax (Tunisia). Anxiety and depression were assessed by the Hospital Anxiety and Depression Scale (HADS). Behavioral pattern was evaluated by a clinical interview, referring to the model of Friedman and Rosenman. We also collected socio-environmental, clinical, therapeutic and prognostic data.
  
  
  RESULTS
  The most predictive factors of an unbalanced blood pressure were independently: personality type "A" or unspecified (p = 0002), high fat diet (p = 0026), poor drug adherence (p = 0038) and depression (p = 0015).
  
  
  CONCLUSIONS
  Several sociodemographic and lifestyle factors are interrelated and implicated in the blood pressure imbalance, suggesting the need of a hygienic behavior joining the international recommendations. We insist on the treatment of the anxious and depressive disease and the psychotherapeutic approach of some personality patterns in the management of hypertension.
authors.affiliation: Service de Psychiatrie A, CHU Hédi Chaker, Sfax, Tunisie.
authors.forename: Jawaher
authors.initials: J
authors.lastname: Masmoudi
authors.forename: Trabelsi
authors.initials: T
authors.lastname: Imene
authors.forename: Wassim
authors.initials: W
authors.lastname: Ketata
authors.forename: Leila
authors.initials: L
authors.lastname: Mnif
authors.forename: S
authors.initials: S
authors.lastname: Maalej
authors.forename: Samir
authors.initials: S
authors.lastname: Kammoun
authors.forename: Abdellaziz
authors.initials: A
authors.lastname: Jaoua
mesh_terms: D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology; D004032:Diet; D005260:Female; D006801:Humans; D006973:Hypertension / Q000453:epidemiology* / Q000209:etiology; D008297:Male; D055118:Medication Adherence; D008875:Middle Aged; D010551:Personality