Journal of Behavioral Medicine

, 31:489

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

  • Ranak B. Trivedi
  • Brian Ayotte
  • David Edelman
  • Hayden B. Bosworth
Article

DOI: 10.1007/s10865-008-9173-4

Cite this article as:
Trivedi, R.B., Ayotte, B., Edelman, D. et al. J Behav Med (2008) 31: 489. doi:10.1007/s10865-008-9173-4

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.

Keywords

Adherence Hypertension Emotional well-being Marital status Lifestyle recommendations 

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Ranak B. Trivedi
    • 1
  • 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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