고혈압 환자에서 불안증상에 영향을 미치는 정신심리학적 요인

• Published in: Anxiety and mood Vol. 18; no. 1; pp. 17 - 25
• Main Authors: 문석현, 김승곤, 양혜정, 서은현, 윤형준, Moon, Seock Hyeon, Kim, Seung-Gon, Yang, Hae-Jung, Seo, Eun Hyun, Yoon, Hyung-Jun
• Format: Journal Article
• Language: Korean
• Published: 대한불안의학회 01.04.2022
• Subjects: 정신과학
• ISSN: 2586-0151; 2586-0046
• DOI: 10.24986/anxmod.2022.18.1.003

Objective : The aim of this study was to investigate the prevalence of anxiety symptoms and its association with psychological factors in patients with hypertension. Methods : The Participants included 124 patients with hypertension. Anxiety symptoms were evaluated by the Hospital Anxiety and Depression Scale. Socio-demographics, perceived stress, state-trait anger, life satisfaction, and ego resiliency were assessed. Stepwise multiple regression analyses were carried out to examine the impact of perceived stress, state-trait anger, and life satisfaction on anxiety symptoms. In addition, moderated regression analysis was performed to explore the moderating effect of ego resiliency between perceived stress and anxiety symptoms. Results : A total of 17 subjects (13.7%) were identified as having anxiety symptoms. Higher perceived stress and state-trait anger, and lower life satisfaction were found to be significant correlates of anxiety symptoms. In the final model, higher levels of perceived stress (β=0.378, p<0.001) and trait anger (β=0.320, p<0.001) were related to higher levels of anxiety symptoms, while a higher level of life satisfaction (β=-0.166, p=0.025) was associated with a lower level of anxiety symptoms. Further, ego resiliency buffered the negative effect of perceived stress on anxiety symptoms. Conclusion : This study demonstrated the prevalence of anxiety symptoms and associated psychological factors among patients with hypertension. Our findings suggest that improving life satisfaction and ego-resiliency as well as controlling stress and anger may be important in the management of anxiety symptoms in patients with hypertension.