title: A prospective study of cognitive emotion regulation strategies and depressive symptoms in patients with essential hypertension.
abstract: The objective of the current study was to examine the relationships between cognitive emotion regulation strategies and depressive symptoms in essential hypertension patients. Both cross-sectional and prospective relationships were studied in a sample of 650 essential hypertension patients. The cognitive emotion regulation strategies accounted for considerable amounts of variance in depressive symptoms. The following subscales were significantly positively correlated with first-time measurement and follow-up measurement of depressive symptoms: self-blame, rumination, catastrophizing, and blaming others. Positive reappraisal was significantly and positively correlated with first-time measurement of depressive symptoms. In contrast, the following subscales were significantly negatively correlated with follow-up measurement of depressive symptoms: acceptance, positive refocus, refocus on planning, positive reappraisal. Results of multiple regression analyses shows that elevated levels of self-blame, rumination, catastrophizing, and blaming others predicted increases in follow-up measurement of depressive symptoms, while elevated levels of acceptance and refocus on planning predicted decreases follow-up measurement of depressive symptoms. These findings provide us with important targets for intervention programs.
authors.affiliation: Medical Psychological Research Center, Second Xiangya Hospital, Central South University, Changsha, China.
authors.forename: Jing
authors.initials: J
authors.lastname: Xiao
authors.forename: Shuqiao
authors.initials: S
authors.lastname: Yao
authors.forename: Xiongzhao
authors.initials: X
authors.lastname: Zhu
authors.forename: John R Z
authors.initials: JR
authors.lastname: Abela
authors.forename: Xiaogang
authors.initials: X
authors.lastname: Chen
authors.forename: Shu
authors.initials: S
authors.lastname: Duan
authors.forename: Shuiping
authors.initials: S
authors.lastname: Zhao
mesh_terms: D000328:Adult; D000368:Aged; D001519:Behavior; D058443:Catastrophization / Q000523:psychology; D002681:China; D003071:Cognition; D003430:Cross-Sectional Studies; D003863:Depression / Q000523:psychology*; D004644:Emotions; D005260:Female; D006801:Humans; D006973:Hypertension / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012044:Regression Analysis; D012649:Self Concept; D011795:Surveys and Questionnaires