Impact of Anxiety Sensitivity on Psychological Distress in Hypertensive Patients: Moderating Role of Social Support Anxiety Sensitivity and Psychological Distress in Hypertension
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Abstract
Background: Hypertensive patients often experience psychological distress, which may be worsened by anxiety sensitivity. Social support may mitigate this effect.
Objective: To evaluate the impact of anxiety sensitivity on psychological distress in hypertensive patients, with social support as a moderating factor.
Methods: A cross-sectional study was conducted among 300 hypertensive patients recruited from hospitals in Islamabad and Rawalpindi, Pakistan. Validated scales were used to measure anxiety sensitivity, psychological distress, and social support. Data were analyzed using SPSS version 25, employing Pearson’s correlation and moderation analysis via the PROCESS macro. Descriptive statistics were used to summarize demographic variables.
Results: Anxiety sensitivity was positively correlated with psychological distress (r = 0.87, p < 0.05), and negatively correlated with social support (r = -0.53, p < 0.05). Social support moderated the relationship between anxiety sensitivity and psychological distress (β = -0.232, p = 0.039), explaining 78.3% of the variance in distress levels (R² = 0.783).
Conclusion: Anxiety sensitivity significantly exacerbates psychological distress in hypertensive patients. Social support plays a crucial role in reducing this impact, suggesting that enhancing social support in therapeutic interventions may improve mental health outcomes.
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References
Organization WH. Global report on hypertension: the race against a silent killer: World Health Organization; 2023.
Spruill TM. Chronic psychosocial stress and hypertension. Current hypertension reports. 2010;12(1):10-6.
Smits J, Otto M, Powers M, Baird S. The clinician's guide to anxiety sensitivity treatment and assessment: Academic Press; 2018.
Pollack MH, Otto MW, Wittmann CW, Rosenbaum JF. Anxious patients. Massachusetts General Hospital Handbook of General Hospital Psychiatry 6th Philadelphia: Saunders Elsevier. 2010:133-52.
Singer JE, Lord D. The role of social support in coping with chronic or life-threatening illness. Handbook of Psychology and Health, Volume IV: Routledge; 2020. p. 269-77.
Cohen S, Wills TA. Stress, social support, and the buffering hypothesis. Psychological bulletin. 1985;98(2):310.
Boehm LM, Bird CM, Warren AM, Danesh V, Hosey MM, McPeake J, et al. Understanding and managing anxiety sensitivity during critical illness and long-term recovery. American Journal of Critical Care. 2023;32(6):449-57.
Shafran R, Rachman S, Whittal M, Radomsky A, Coughtrey A. Fear and anxiety in COVID-19: Preexisting anxiety disorders. Cognitive and Behavioral Practice. 2021;28(4):459-67.
Cardol CK, Meuleman Y, van Middendorp H, van der Boog PJ, Hilbrands LB, Navis G, et al. Psychological distress and self-management in CKD: a cross-sectional study. Kidney Medicine. 2023;5(10):100712.
Elderon L, Whooley MA. Depression and cardiovascular disease. Progress in cardiovascular diseases. 2013;55(6):511-23.
Taylor SE. Social support: A review. The Oxford handbook of health psychology. 2011;1:189-214.
Uchino BN, Baucom BR, Landvatter J, de Grey RGK, Tacana T, Flores M, et al. Perceived social support and ambulatory blood pressure during daily life: A meta-analysis. Journal of behavioral medicine. 2022;45(4):509-17.
Holt-Lunstad J, Smith TB, Layton JB. Social relationships and mortality risk: a meta-analytic review. PLoS medicine. 2010;7(7):e1000316.
Huang Y-C, Bhattarai M, Cho E, Yoon H. The impact of social and emotional support on serious psychological distress among people with functional disabilities and type 2 diabetes. Chronic Illness. 2024:17423953241253874.
Spitzer RL, Kroenke K, Williams JB, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Archives of internal medicine. 2006;166(10):1092-7.
Dadfar M, Atef Vahid MK, Lester D, Bahrami F. Kessler psychological distress scale (K6): psychometric testing of the Farsi form in psychiatric outpatients. Adv Biores. 2016;7(2):105-8.
Zhao Z, Jia J, Lyu X, Zhang L, Wang Y, He Y, et al. Association of psychological stress with wives’ hypertension across over 10 million Chinese married female population aged 20-49 years. Chinese Medical Journal. 2024;137(13):1583-91.
Hu B, Liu X, Yin S, Fan H, Feng F, Yuan J. Effects of psychological stress on hypertension in middle-aged Chinese: a cross-sectional study. PloS one. 2015;10(6):e0129163.
Agustiya RI, Isfandari S, Suryaputri IY, Mubasyiroh R, Indrawati L, Pradono J. Mental Health Among Hypertensive People and its Associated Factors: Findings From RISKESDAS 2018 Data. Journal of Population and Social Studies [JPSS]. 2024;32:813-28.
Peer N, Mashiane T, Hill J, Kengne A-P. Poor mental health and adverse psychsocial experience and perceptions are associated with hypertension in Cape town. Journal of Hypertension. 2024;42(Suppl 1):e171-e2.
Zheng L, Dai Y, Fu P, Yang T, Xie Y, Zheng J, et al. Secular trends of hypertension prevalence based on 2017 ACC/AHA and 2018 Chinese hypertension guidelines: Results from CHNS data (1991‐2015). The Journal of Clinical Hypertension. 2021;23(1):28-34.
Critselis E, Chrysohoou C, Kollia N, Georgousopoulou EN, Tousoulis D, Pitsavos C, et al. Stage 1 hypertension, but not elevated blood pressure, predicts 10-year fatal and non-fatal CVD events in healthy adults: the ATTICA Study. Journal of Human Hypertension. 2019;33(4):308-18.
Witcraft SM, Perry MM, Viana AG, Tull MT, Dixon LJ. A Preliminary Investigation of Prenatal Anxiety Sensitivity and Postpartum Distress. Journal of Midwifery & Women's Health. 2024;69(1):58-63.
Mayorga NA, Garey L, Viana A, Cardoso JB, Schmidt NB, Zvolensky MJ. Psychological distress and physical health symptoms in the Latinx population during the COVID-19 pandemic: Exploring the role of anxiety sensitivity. Cognitive Therapy and Research. 2022;46(1):20-30.
Deacon B, Abramowitz J. Anxiety sensitivity and its dimensions across the anxiety disorders. Journal of anxiety disorders. 2006;20(7):837-57.
Debnar C, Peter C, Morselli D, Michel G, Bachmann N, Carrard V. Reciprocal association between social support and psychological distress in chronic physical health conditions: A random intercept cross‐lagged panel model. Applied Psychology: Health and Well‐Being. 2024;16(1):376-94.
Uchino BN, Cacioppo JT, Kiecolt-Glaser JK. The relationship between social support and physiological processes: a review with emphasis on underlying mechanisms and implications for health. Psychological bulletin. 1996;119(3):488.
Thomas JL. Social support and the prevalence of depressive and anxiety disorders in low-income adults with type 2 diabetes and other chronic illnesses: Louisiana State University and Agricultural & Mechanical College; 2001.
Baumann M, Tchicaya A, Lorentz N, Le Bihan E. Life satisfaction and longitudinal changes in physical activity, diabetes and obesity among patients with cardiovascular diseases. BMC Public Health. 2017;17:1-10.
Theodoratou M, Vassilopoulou C, Giotsidi V, Tsitsas G, Flora K, Kougioumtzis G. Psychological Distress and coping strategies of patients with Chronic Diseases. European Psychiatry. 2023;66(S1):S989-S90.
Luo Z, Zhong S, Zheng S, Li Y, Guan Y, Xu W, et al. Influence of social support on subjective well-being of patients with chronic diseases in China: chain-mediating effect of self-efficacy and perceived stress. Frontiers in Public Health. 2023;11:1184711.
Smith BW, Zautra AJ. Vulnerability and resilience in women with arthritis: test of a two-factor model. Journal of consulting and clinical psychology. 2008;76(5):799.