Archives of Psychiatry and Psychotherapy

ISSN 1509-2046
eISSN 2083-828X

APPOnlineFirstNr1

Archives of Psychiatry and Psychotherapy Online First Nr 1: 1–10

Published ahead of print 23 May 2019

DOI: https://doi.org/10.12740/APP/108666
 
Coping with stress and hypertension-mediated organ damage
 
Lech Popiołek, Anna Dzieża-Grudnik, Olga Siga, Iwona Popiołek,
Małgorzata Moląg, Jarosław Królczyk, Tomasz Grodzicki,
Jolanta Walczewska, Krzysztof Rutkowski
 
Summary
Aim of the study: Chronic exposure to high blood pressure may lead to the development of hypertension mediated organ damage (HMOD). This study compares styles and strategies of coping with stress in hypertensive  patients with arterial stiffness or left ventricular hypertrophy (LVH) and in individuals with hypertension, but without HMOD.
Material and methods: Each study participant (n=93) underwent the following procedures: clinical assessment, echocardiography, pulse wave velocity measurement and psychological testing. Blood pressure in the study group was measured using ABPM method. Carotid-femoral pulse wave velocity (PWV) was assessed to identify patients with arterial stiffness. Left ventricular mass index was measured to diagnose LVH. Each patient was also assessed using three psychometric tools: PSS-10, CISS and Brief COPE.
Results: Subjects with arterial stiffness (increased PWV) scored significantly lower than patients with normal PWV in three scales: CISS Avoidance-oriented coping (median values: 39 vs. 41.5; p=0.042), Brief COPE Self-distraction (median values: 1.5 vs. 2; p=0.013) and Brief COPE Venting (median values: 1 vs. 1.5; p=0.037). Individuals with LVH had significantly lower results in Brief COPE Use of emotional support scale than hypertensive subjects with normal left ventricular mass index (median values: 1.5 vs. 2; p=0.041).
Discussion: In our study group, hypertensive patients with HMOD preferred different coping styles and strategies than individuals with hypertension, but without vascular and cardiac damage. The mechanism underlying these differences is probably complex.
Conclusions: HMOD may be associated with coping styles and strategies, but further research is necessary to fully understand the results of this study.
ISSN 1509-2046
eISSN 2083-828X


APP is an open access journal
Creative Commons: CC-BY
SHERPA RoMEO: Blue



Zadanie finansowane
w ramach umowy
nr 739/P-DUN/2018
ze środków MNiSW
przeznaczonych
na działalność
upowszechniającą naukę


RODO - personal data

Recommended websites:

www.psychiatriapsychoterapia.pl 
www.psychoterapiaptp.pl
www.psychiatriapolska.pl

Pharmacological Reports
 

 

Supported by MNiSW-DUN

ARCHIVES OF PSYCHIATRY AND PSYCHOTHERAPY
IS PUBLISHED QUARTERLY IN ENGLISH FULLTEXT

The journal is indexed in: EMBASE/Excerpta Medica, PsycINFO, EBSCO, Index Copernicus (5,47p), 6 points MNiSW

Indexed in Web of Science (ESCI), EMBASE/Excerpta Medica,
PsycINFO, EBSCO, Index Copernicus, 20 points MNiSW, PBL/GBL,
CrossRef/DOI, Cochrane Library, SCOPUS, ERIH PLUS