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Vol 26, No 2 (2022)
Original paper
Published online: 2022-03-30
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Emotion regulation and the quality of life in patients with essential hypertension: a search for psychological targets

Paweł Larionow1
·
Arterial Hypertension 2022;26(2):73-77.
Affiliations
  1. Faculty of Psychology, Kazimierz Wielki University, Bydgoszcz, Poland

open access

Vol 26, No 2 (2022)
ORIGINAL PAPERS
Published online: 2022-03-30

Abstract

Background: Essential hypertension (HTN) is a chronic disease, which is associated with a reduction in the health related
quality of life (HRQoL). Most studies have examined the relationship between HRQoL and medical or sociodemographic features, whereas the implementation of tasks related to increasing the HRQoL is not possible without taking psychological factors into account. Studies highlight the importance of emotion regulation in the course and treatment of HTN as well as in the development of psychological interventions for hypertensive patients. The purpose of the study is to investigate the relationship between cognitive emotion regulation strategies and the HRQoL in hypertensive patients.

Material and methods: 30 patients with HTN (21 women and 9 men) aged 44–85 (M = 64.6, SD = 10.0) were recruited in Bydgoszcz (Poland). The patients filled out the Cognitive Emotion Regulation Questionnaire and the World Health Organization Quality of Life–BREF questionnaire.

Results: All maladaptive cognitive coping strategies (e.g., catastrophizing, blaming others or rumination) were not related to HRQoL, whereas most adaptive cognitive coping strategies (positive reappraisal, refocus on planning or putting into perspective) were positively correlated with the HRQoL. In particular, positive reappraisal strategy has a highly significant role for the HRQoL in hypertensive patients.

Conclusions: The role of adaptive cognitive coping strategies is significant in terms of implementing appropriate psychological support, including the improvement of the HRQoL for patients with HTN. Practical applications of the study are being discussed.

Abstract

Background: Essential hypertension (HTN) is a chronic disease, which is associated with a reduction in the health related
quality of life (HRQoL). Most studies have examined the relationship between HRQoL and medical or sociodemographic features, whereas the implementation of tasks related to increasing the HRQoL is not possible without taking psychological factors into account. Studies highlight the importance of emotion regulation in the course and treatment of HTN as well as in the development of psychological interventions for hypertensive patients. The purpose of the study is to investigate the relationship between cognitive emotion regulation strategies and the HRQoL in hypertensive patients.

Material and methods: 30 patients with HTN (21 women and 9 men) aged 44–85 (M = 64.6, SD = 10.0) were recruited in Bydgoszcz (Poland). The patients filled out the Cognitive Emotion Regulation Questionnaire and the World Health Organization Quality of Life–BREF questionnaire.

Results: All maladaptive cognitive coping strategies (e.g., catastrophizing, blaming others or rumination) were not related to HRQoL, whereas most adaptive cognitive coping strategies (positive reappraisal, refocus on planning or putting into perspective) were positively correlated with the HRQoL. In particular, positive reappraisal strategy has a highly significant role for the HRQoL in hypertensive patients.

Conclusions: The role of adaptive cognitive coping strategies is significant in terms of implementing appropriate psychological support, including the improvement of the HRQoL for patients with HTN. Practical applications of the study are being discussed.

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Keywords

arterial hypertension; cognitive coping strategies; emotion regulation; psychological support; quality of life

About this article
Title

Emotion regulation and the quality of life in patients with essential hypertension: a search for psychological targets

Journal

Arterial Hypertension

Issue

Vol 26, No 2 (2022)

Article type

Original paper

Pages

73-77

Published online

2022-03-30

Page views

4467

Article views/downloads

572

DOI

10.5603/AH.a2022.0004

Bibliographic record

Arterial Hypertension 2022;26(2):73-77.

Keywords

arterial hypertension
cognitive coping strategies
emotion regulation
psychological support
quality of life

Authors

Paweł Larionow

References (22)
  1. Chachaj A, Małyszczak K. Czy określone cechy osobowości mogą prowadzić do wystąpienia nadciśnienia tętniczego? Nadciśnienie tętnicze. 2008; 12(4): 300–308.
  2. Trevisol DJ, Moreira LB, Kerkhoff A, et al. Health-related quality of life and hypertension: a systematic review and meta-analysis of observational studies. J Hypertens. 2011; 29(2): 179–188.
  3. Larionov РМ. Psychosomatic relationships in patients with hypertension. Russian J Cardiol. 2020; 25(3): 3683.
  4. Larionov P, Izdebski P. Wybrane cechy osobowości a dysfunkcjonalna regulacja emocji jako czynnik ryzyka nadciśnienia tętniczego. Annales Universitatis Mariae Curie-Skłodowska, sectio J — Paedagogia–Psychologia. 2020; 33(2): 239.
  5. Chachaj A, Małyszczak K, Poręba R, et al. Wybrane cechy osobowości osób z nadciśnieniem tętniczym. Nadciśnienie Tętnicze. 2006; 10(6): 532–537.
  6. Monastyrska E, Beck O. Psychological aspects of cardiological diseases. Medycyna Ogólna i Nauki o Zdrowiu. 2014; 20(2): 141–144.
  7. Duan S, Liu Y, Xiao J, et al. Cognitive emotion regulation questionnaire in hypertensive patients. Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2011; 36(6): 532–538.
  8. Fekri A, Issazadegan A, Michaeli Manee F. Comparison of cognitive emotion regulation strategies and alexithymia in individuals with and without essential hypertension. Contemporary Psychology. 2015; 10(1): 85–94.
  9. Xiao J, Yao S, Zhu X, et al. A prospective study of cognitive emotion regulation strategies and depressive symptoms in patients with essential hypertension. Clin Exp Hypertens. 2011; 33(1): 63–68.
  10. Petit G, Berra E, Georges CMG, et al. Impact of psychological profile on drug adherence and drug resistance in patients with apparently treatment-resistant hypertension. Blood Press. 2018; 27(6): 358–367.
  11. Larionov P. Psychological methods in treatment of essential hypertension. Arterial Hypertension. 2021; 25(2): 53–62.
  12. Tykarski A, Filipiak K, Januszewicz A, et al. 2019 Guidelines for the Management of Hypertension — Part 1–7. Arterial Hypertension. 2019; 23(2): 41–87.
  13. Li L, Zhu X, Yang Y, et al. Cognitive emotion regulation: characteristics and effect on quality of life in women with breast cancer. Health Qual Life Outcomes. 2015; 13: 51.
  14. Garnefski N, Kraaij V, Spinhoven P. Negative life events, cognitive emotion regulation and emotional problems. Personality and Individual Differences. 2001; 30(8): 1311–1327.
  15. Marszał-Wiśniewska M, Fajkowska M. Właściwości psychometryczne Kwestionariusza Poznawczej Regulacji Emocji (Cognitive Emotion Regulation Questionnaire; CERQ) — wyniki badań na polskiej próbie. Studia Psychol. 2010; 49(1): 19–39.
  16. The WHOQOL Group. Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychol Med. 1998; 28(3): 551–558.
  17. Jaracz K, Kalfoss M, Górna K, et al. Quality of life in Polish respondents: psychometric properties of the Polish WHOQOL-Bref. Scand J Caring Sci. 2006; 20(3): 251–260.
  18. Hintze JL.User’s Guide III. Regression and Curve Fitting. Kaysville, Utah: NCSS Statistical System. 2007.
  19. Garnefski N, Kraaij V, Spinhoven P. Manual for the use of the cognitive emotion regulation questionnaire. Leiderdorp, DATEC 2002.
  20. Middeke M, Lemmer B, Schaaf B, et al. Prevalence of hypertension-attributed symptoms in routine clinical practice: a general practitioners-based study. J Hum Hypertens. 2008; 22(4): 252–258.
  21. Farahani S, Rafiepoor A, Jafari T, et al. The Role of Mediator of Cognitive Emotion Regulation Strategies in the Relationship Between Mindfulness and Perceived Stress in People with High Blood Pressure. Int J Applied Behav Sci. 2019; 6(2): 52–59.
  22. Zargar Y, Hakimzadeh G, Davodi I. The Effectiveness of Acceptance and Commitment-Based Treatment to Hypertension and Emotion Cognitive Regulation in People with Hypertension in Ahvaz. Jundishapur J Chronic Dis Care. 2019; 8(2): e79347.

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