What does this research mean for the field?

High psychological distress in hypertensive patients is associated with poorer blood pressure control and a higher likelihood of resistant hypertension. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

March 1, 1980

Psychological Distress and Hypertension Control

Structured PICO

Does high psychological distress reduce hypertension control in hypertensive patients on antihypertensive therapy?

Population

99 hypertensive patients who had been on antihypertensive therapies for at least six months because of diastolic blood pressure of 105 mm Hg or more

Intervention

Highest amount of psychological distress (measured by a four-item scale)

Comparator

Lower psychological distress (remainder of the group)

Outcome

Reduction in diastolic blood pressure and presence of resistant hypertension (diastolic blood pressure >= 100 mm Hg) at the next follow-up visitsurrogate

Abstract

Ninety-nine hypertensive patients who had been on antihypertensive therapies for at least six months because of diastolic blood pressure of 105 mg Hg or more were interviewed immediately after seeing their physicians. A four-item scale was used to separate those exhibiting the highest amount of psychological distress (18 patients) from the remainder of the group (81 patients). Patients exhibiting the greatest amount of psychological distress had smaller reductions in diastolic blood pressures and were more likely to have resistant hypertension (diastolic blood pressure greater than or equal to 100 mm Hg) at the next follow-up visit. This study suggests that a relationship exists between psychologic distress and hypertension control. Possibilities for future research are discussed.

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