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Published on: May 17, 2024
[Evaluation of well-being of hypertensive subjects before and after treatment]
A Badoux1, J Chiche, D Duchanel
1CREDA-CNRS, Paris.
Insights
Hypertension significantly impacts psychological and social well-being. Effective treatment improves patient well-being, highlighting the need to address these factors in managing high blood pressure.
Area of Science:
- Cardiology
- Psychology
- Public Health
Context:
- Hypertension affects a significant portion of the adult population globally.
- Psychological and social well-being are crucial components of overall health.
- The interplay between hypertension and mental health requires further investigation.
Purpose:
- To assess the psychological and social well-being of hypertensive patients before and after treatment.
- To explore the correlation between blood pressure levels and psychosocial status.
- To evaluate the impact of antihypertensive treatment on patient well-being.
Summary:
- Patients with hypertension, particularly those with uncontrolled blood pressure, experience impaired psychological and social well-being.
- Treatment for hypertension led to significant improvements in well-being, approaching levels of healthy adults.
- Female patients exhibited higher psychosocial sensitivity compared to males, both before and after treatment.
- Combination therapy with diuretics and conversion enzyme inhibitors showed comparable efficacy to other antihypertensive drugs in improving blood pressure and quality of life.
Impact:
- Highlights the importance of considering psychological and social well-being in hypertension management.
- Suggests that integrated care approaches may enhance treatment outcomes for hypertensive patients.
- Informs clinical practice regarding the holistic assessment and management of individuals with high blood pressure.
Objectives:
This study was conducted to assess the psychological and social well-being of hypertensive patients before and after treatment.
Methods:
Subjects studied comprised three groups including 1500 with well controlled hypertension according to the definition of the World Health Organisation (systolic < 140 and diastolic < 90 mmHg), 1500 subjects with treated but uncontrolled hypertension and 500 subjects with hypertension who had not yet received any treatment. Well-being was assessed using a previously validated self-administered scale.
Results:
Before treatment, "asymptomatic" hypertensive patients were psychosocially ill at ease; this situation was well correlated with arterial blood pressure and varied with sex, living alone or not, and working or not. After three months of treatment, the blood pressure of treated subjects was significantly lower and their well-being score approached that of a control group of healthy adults. It was noted that the scores of female subjects were higher than those of the male subjects both before and after the treatment period. This indicated greater psychosocial sensitivity. While all the different types of anti-hypertensive drugs were prescribed, none were found to be more effective in reducing blood pressure nor in improving the quality of life than the combination of diuretics and conversion enzyme inhibitors.
Conclusion:
This study revealed that patients with hypertension suffer from impaired psychological and social well-being which is related to their blood pressure. It appears important to consider this aspect when prescribing anti-hypertensive drugs.
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