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Personal and Interpersonal Factors Moderate the Relation Between Human-Made Trauma and Hypertension: A Path Analysis
Achille M Bapolisi1, Pierre Maurage, Coralie M G Georges
1From the Adult Psychiatry Department and Institute of Neuroscience, Cliniques Universitaires Saint-Luc(Bapolisi, Petit, de Timary), Université Catholique de Louvain, Brussels, Belgium; Université Catholique de Bukavu and Hôpital Provincial Général de Bukavu (Bapolisi, Balola, Cikomola), Bukavu, Democratic Republic of Congo; Louvain Experimental Psychopathology Research Group (LEP), Psychological Sciences Research Institute (Maurage, Rime, Philippot), UCLouvain, Louvain-la-Neuve; Division of Cardiology, Cliniques Universitaires Saint-Luc (Georges, Persu), Université Catholique de Louvain; and Pole of Cardiovascular Research, Institut de Recherche Expérimentale et Clinique (Persu), Université Catholique de Louvain, Brussels, Belgium.
Trauma can lead to hypertension through posttraumatic stress disorder (PTSD). Emotion regulation and social support influence this link, offering new intervention targets for violence-exposed populations.
Area of Science:
- Psychiatry
- Cardiology
- Psychology
Background:
- The connection between trauma, posttraumatic stress disorder (PTSD), and hypertension is known but not fully understood.
- Mechanisms linking trauma exposure to hypertension require further investigation.
Purpose of the Study:
- To test a model examining how psychological factors (emotion regulation) and interpersonal factors (social support) moderate the relationship between trauma, PTSD, and hypertension.
- To explore the mediating role of PTSD in the trauma-hypertension pathway.
Main Methods:
- A cross-sectional study involving 212 patients from internal medicine in Bukavu, a region with prolonged armed conflict.
- Self-reported questionnaires assessed trauma, PTSD, emotion regulation, social support, and hypertension.
- Statistical analyses included mediation and moderated path analysis.
Main Results:
- Posttraumatic stress disorder (PTSD) was found to partially mediate the association between human-made trauma and hypertension.
- Social support and maladaptive emotion regulation were identified as moderators influencing the trauma-PTSD relationship.
Conclusions:
- Psychological and interpersonal factors significantly modulate the pathway from human-made trauma to hypertension via PTSD.
- Interventions focusing on enhancing emotion regulation and social support may help reduce PTSD and hypertension in populations exposed to violence.
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