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Association between Psychological Distress, Employment Status and Medication Adherence among Adult Hypertensive Patient
- 1 School of Philosophy, Psychology & Language Sciences, The University of Edinburgh, Edinburgh, EH8 9AD, Scotland, The United Kingdom
* Author to whom correspondence should be addressed.
Abstract
Abstract. Prevalence of inadequate drug adherence is observed among patients diagnosed with hypertension. Individuals with hypertension may experience psychological discomfort as a result of elevated blood pressure and the adverse effects of therapy, which can impact their mental well-being. Psychiatric disorders are crucial variables to consider when examining the influence on medication compliance. Discrepancies in the research regarding the link between medication adherence and psychological discomfort, such as anxiety and depressive symptoms, emphasize the need of investigating other variables that could impact this link. Previous research has examined the correlation between employment status and psychological distress, as well as the correlation between employment status and adherence. However, none have tested the association between psychological distress, employment status, and the adherence to medication. This study aimed to explore whether employment status influences the effect of psychological distress (including symptoms of anxiety and depression) on medication adherence in adult patients with hypertension. The results of multiple linear regression analyses for secondary data indicated that employment status had a significant effect on the association between psychological distress and medication adherence. More precisely, when compared to those who were working, the adverse effect of psychological distress on the adherence to medicine was more pronounced within the unemployed population. In addition, medication adherence was poorer among younger participants, those who were employed, and those with higher systolic blood pressure. The study indicates that future research should reassess this correlation in samples with a more equitable and varied work status or contemplate using pharmacy data to assess medication adherence.
Keywords
Keywords: Medication Adherence, Psychological Distress, Employment Status, Anxiety, Depression.
[1]. Stanaway, J. D., et al. (2018) Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet, 392(10159), 1923–1994.
[2]. Kretchy, I. A., et al. (2014) Mental health in hypertension: assessing symptoms of anxiety, depression and stress on anti-hypertensive medication adherence. International Journal of Mental Health Systems, 8(1).
[3]. Qiu, T., et al. (2023) Comorbidity of Anxiety and Hypertension: Common Risk Factors and Potential Mechanisms. International Journal of Hypertension, 2023, 1–14Belay,
[4]. Guangul, A.S., (2021) Prevalence and Associated Factors of Psychological Distress among Nurses in Public Hospitals, Southwest, Ethiopia: a cross-sectional Study. Ethiopian Journal of Health Science, 31(6), 1247–1256.
[5]. Hamrahian, S.M., et al. (2022) A Critical Review of Medication Adherence in Hypertension: Barriers and Facilitators Clinicians Should Consider. Patient Preference and Adherence, 16(16), 2749–2757.
[6]. Pristianty, L., et al. (2023) Association between knowledge and adherence to hypertension treatment. Journal of Public Health in Africa.
[7]. Eghbali, M., et al.. (2022) Evaluation of Psychological Distress, Self-Care, and Medication Adherence in Association with Hypertension Control. International Journal of Hypertension, 2022, 1–7.
[8]. Nasrin, N. (2023) Does Employment Status Associate with Physical and Mental Health Status? A Cross-Sectional Study on Working-age Population. Asia Pacific Journal of Health Management.
[9]. Doubova, S.V., et al. (2017) Association of hypertension-related distress with lack of self-care among hypertensive patients. Psychology, Health & Medicine, 22(1), 51–64.
[10]. Bautista, L.E., et al. (2012) Symptoms of depression and anxiety and adherence to antihypertensive medication. American Journal of Hypertension, 25(4), 505–511.
[11]. Affandy, H. (2022) ASSOCIATION BETWEEN ANXIETY LEVEL IN PANDEMIC AND MEDICAL ADHERENCE IN HYPERTENSIVE ELDERLY. Diponegoro International Medical Journal, 3(2), 42–48.
[12]. Stamoulis, T., et al. (2024) Unveiling the Nexus: Depressive Symptoms and Medication Adherence in Hypertensive Patients’ Self-care: A Systematic Review. Materia Socio Medica, 36(1), 65–65.
[13]. Paul, K.I. and Moser, K. (2009) Unemployment impairs mental health: Meta-analyses. Journal of Vocational Behavior, 74(3), 264–282.
[14]. Sidorchuk, A., et al. (2017) Employment status and psychological distress in a population-based cross-sectional study in Sweden: the impact of migration. BMJ Open, 7(4), e014698.
[15]. Lee, G.K.Y., et al. (2013). Determinants of Medication Adherence to Antihypertensive Medications among a Chinese Population Using Morisky Medication Adherence Scale. PLoS ONE, 8(4), e62775.
[16]. Zyczynski, T.M. and Coyne, K.S. (2000). Hypertension and current issues in compliance and patient outcomes. Current Hypertension Reports, 2(6), 510–514.
[17]. Xu, Y., et al. (2019) Poverty and Health Issues in the Northern Part of Ghana.
[18]. Armenti, K., et al. (2023) Work: A Social Determinant of Health Worth Capturing. International Journal of Environmental Research and Public Health, 20(2), 1199.
[19]. Kwakye, Adwoa Oforiwaa (2024) Medication adherence among Adult hypertensive patient, Mendeley Data, V1, doi: 10.17632/zdhnnf6knb.1
[20]. Kessler, R.C., et al.. (2003) Screening for Serious Mental Illness in the General Population. Archives of General Psychiatry, 60(2), 184–189.
[21]. Chan, A.H.Y., et al. (2020) The Medication Adherence Report Scale: A measurement tool for eliciting patients’ reports of nonadherence. British Journal of Clinical Pharmacology, 86(7), 1281–1288.
[22]. Spetz, K., et al. (2024) Using the 5-Item Medication Adherence Report Scale (MARS-5) to Screen for Non-adherence to Vitamin and Mineral Supplementation After Bariatric Surgery. Obesity Surgery, 34(2), 576–582.
[23]. Conn, V.S., et al. (2015) Interventions to Improve Medication Adherence in Hypertensive Patients: Systematic Review and Meta-analysis. Current Hypertension Reports, 17(12).
[24]. Spoelstra, S.L.,et al. (2014). Interventions combining motivational interviewing and cognitive behaviour to promote medication adherence: a literature review. Journal of Clinical Nursing, 24(9-10).
[25]. Latkin, C.A., et al. (2017) The association between social desirability bias and self-reports of health, substance use, and social network factors among urban substance users in Baltimore, Maryland. Addictive Behaviors, 73(1), 133–136.
[26]. Stirratt, M.J., et al. (2015) Self-report measures of medication adherence behavior: recommendations on optimal use. Translational Behavioral Medicine, 5(4), 470–482
Cite this article
Li,R. (2024).Association between Psychological Distress, Employment Status and Medication Adherence among Adult Hypertensive Patient.Theoretical and Natural Science,64,50-56.
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