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Psychological resources and incident hypertension in the coronary artery risk development in young adults (CARDIA)

Jenna L Adamowicz1, Miriam E Vélez-Bermúdez1, Emily B K Thomas1

  • 1Department of Psychological and Brain Sciences, University of Iowa.

Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association
|May 25, 2023
PubMed

Insights

Higher psychological resources like optimism and mastery may lower hypertension risk. However, behavioral factors and depression appear to mediate this protective effect, warranting further investigation.

Area of Science:

  • Psychological science
  • Public health
  • Cardiovascular disease research

Background:

  • Hypertension is a significant public health issue.
  • Identifying protective factors is crucial for prevention.
  • Psychological resources, such as optimism and mastery, may play a role.

Purpose of the Study:

  • To examine the association between psychological resources (optimism and mastery) and the development of hypertension.
  • To investigate the individual and combined effects of these psychological resources over a 15-year period.

Main Methods:

  • Utilized data from the Coronary Artery Risk Development in Young Adults (CARDIA) study.
  • Assessed psychological resources (optimism, mastery) and incident hypertension (stages 1, 2, and stage 2) over 15 years.
  • Employed multivariable logistic regression, adjusting for sociodemographic, behavioral, and depressive symptom factors.

Main Results:

  • A higher psychological resources score was initially associated with lower odds of developing hypertension.
  • These associations were attenuated and became non-significant after adjusting for behavioral factors and depressive symptoms.
  • The initial protective association highlights potential indirect pathways.

Conclusions:

  • Greater psychological resources demonstrate an association with reduced odds of hypertension.
  • Behavioral factors and depressive symptoms appear to be important confounders or mediators in this relationship.
  • Further research is needed to understand the interplay between psychological resources and hypertension development.
Abstract

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