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

  • Ranak B. TrivediEmail author
  • Brian Ayotte
  • David Edelman
  • Hayden B. Bosworth


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.


Adherence Hypertension Emotional well-being Marital status Lifestyle recommendations 



This study was supported by NHLBI Grant R01 HL070713, the Pfizer Health Communication Initiative Award, and the American Heart Association Established Investigator Award, all awarded to Dr. Hayden Bosworth. Dr. Trivedi is supported by NRSA Grant 5-T32 HS000079-10. Dr. Ayotte is supported by a post-doctoral fellowship from the VA Office of Academic Affairs. The views expressed in this article are those of the authors and do not necessarily represent the views of the Department of Veterans Affairs. The PI of the study, Dr. Bosworth, has full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.


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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Ranak B. Trivedi
    • 1
    Email author
  • Brian Ayotte
    • 2
  • David Edelman
    • 1
    • 2
  • Hayden B. Bosworth
    • 1
    • 2
  1. 1.Department of MedicineDuke University Medical CenterDurhamUSA
  2. 2.Durham Veterans Affairs Medical CenterDurhamUSA

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