This study examined the influence of perceived health competence (PHC) and coping strategies in hypertension. Depressive mood state and dimensions of quality of life (QOL) (social support, satisfaction, well-being and free time) were also considered. One hundred and fifty participants were surveyed cross-sectionally and prospectively. Regression analysis revealed that the main predictors of the dimensions of QOL were PHC and depressive mood state. Emotional coping negatively predicted well-being. Unexpectedly, task-focused coping was unrelated to QOL domains. Longitudinal analyses did not support these relations. The data suggest that, in hypertension, PHC constitutes an important resource, whereas depressive mood state deteriorates QOL.
Arora, N. K. , Johnson, P. , Gustafson, D. H. , McTavish, F. , Hawkins, R. P. , & Pingree, S. (2002). Barriers to information access, perceived health competence, and psychosocial health outcomes: Test of a mediation model in a breast cancer sample . Patient Education Counseling, 47, 37-46 .
2.
Bennett, P. , & Connell, H. (1999). Dyadic processes in response to myocardial infarction . Psychology, Health and Medicine, 4, 45-56 .
3.
Bonetti, D. , Johnston, M. , Rodríguez-Marín, J. , Pastor, M. A. , Martín-Aragón, M. , Doherty, E. , & Sheehan, K. (2001). Dimensions of perceived control: A factor analysis of three measures and an examination of their relation to activity level and mood in a student and cross-cultural patient sample . Psychology and Health, 16, 655-674 .
4.
Botha, K. F. H. , du Plessis, W. F. , van Rooyden, J. M. , & Wissing, M. P. (2002). Biopsychosocial determinants of self-management in culturally diverse South African patients with essential hypertension . Journal of Health Psychology, 7, 519-531 .
5.
Brink, E. , Karlson, B. W. , & Hallberg, L. R. M. (2002). Health experiences of first-time myocardial infarction: Factors influencing women’s and men’s health-related quality of life after five months . Psychology, Health and Medicine, 7, 5-16 .
6.
Brown, G. K. , & Nicassio, P. M. (1987). Development of a questionnaire for the assessment of active and passive coping strategies in chronic pain patients . Pain, 31, 53-64 .
7.
Calvo, F. F. , Palarea, D. D. , Ojeda, B. O. , Ramal, J. , & Alemán, S. (2001). Diferencias en ansiedad, depresión, estrés y apoyo social entre sujetos hipertensos y normotensos (Differences in anxiety, depression, stress and social support between hypertensive and normotensive subjects) . Ansiedad y Estrés, 7, 203-213 .
8.
Carver, C. S. , Pozo, C. , Harris, S. D. , Noriega, V. , Scheier, M. F. , Robinson, D. S. , Ketcham, A. S. , Moffat, F. L. , & Clark, K. C. (1993). How coping mediates the effect of optimism on distress: A study of women with early stage breast cancer . Journal of Personality and Social Psychology, 65, 375-390 .
9.
Chambers, B. A. , Guo, S. S. , Siervogel, R. , Hall, G. , & Chumlea, W. M. C. (2002). Cumulative effects of cardiovascular disease risk factors on quality of life . Journal of Nutrition, Health and Aging, 6, 179-185 .
10.
Denollet, J. (1997). Personality, emotional distress and coronary heart disease . European Journal of Personality, 11, 343-357 .
11.
Denollet, J. (2000). Type D personality: A potential risk factor refined . Journal of Psychosomatic Research, 49, 255-266 .
12.
De Visser, C. L. , Bilo, H. J. G. , Groenier, K. H. , de Visser, W. , & Meyboom-de-Jong, B. (2002). The influence of cardiovascular disease on quality of life in type 2 diabetics . Quality of Life Research, 11, 249-261 .
13.
Echteld, M. S. , van Elderen, T. M. T. , & van der Kamp, L. J. T. (2001). How goal disturbance, coping and chest pain relate to quality of life: A study among patients waiting for PCTA . Qualtity of Life Research, 10, 487-501 .
14.
Edwards, R. , Telfair, M. A. , Cecil, H. , & Lenoci, J. (2001). Self-efficacy as a predictor of adult adjustment to sickle cell disease: One-year outcomes . Psychosomatic Medicine, 63, 850-858 .
15.
Endler, N. S. , Parker, J. D. A. , & Summerfeldt, L. J. (1998). Coping with health problems: Conceptual and methodological issues . Canadian Journal of Behavioural Science, 25, 384-399 .
16.
Everson, S. A. , Kaplan, G. A. , Goldberg, D. E. , & Salonen, J. T. (1999). Hypertension incidence is predicted by high levels of hopelessness in Finnish men . Hypertension, 35, 561-567 .
17.
Frühwald, S. , Löeffler, H. , Eher, R. , Saletu, B. , & Baumhack, U. (2001). Relationship between depression, anxiety and quality of life: A study of stroke patients compared to chronic low back pain and myocardial ischemia patients . Psychopathology, 34, 50-56 .
18.
Guidelines Subcommittee . (1999). World Health Organization—International Society of Hypertension. Guidelines for the management of hypertension . Journal of Hypertension, 17, 151-183 .
19.
Helgeson, V. S. (1992). Moderators of the relation between perceived control and adjustment to chronic illness . Journal of Personality and Social Psychology, 63, 656-666 .
20.
Helgeson, V. S. (2003). Cognitive adaptation, psychological adjustment, and disease progression among angioplasty patients: 4 years later . Health Psychology, 22, 30-38 .
21.
Holahan, C. J. , Moos, R. H. , Holahan, C. K. , & Brennan, P. L. (1995). Social support, coping, and depressive symptoms in a late-middle-aged sample of patients reporting cardiac illness . Health Psychology, 14, 152-163 .
22.
Joint National Committee on Detection, Evaluation and Treatment of High Blood Pressure (JNC VII) . (2003). Seventh report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure . Hypertension, 42, 1206-1252 .
23.
Landreville, P. , & Vezina, J. (1994). Differences in appraisal and coping between elderly coronary artery disease patients high and low in depressive symptoms . Journal of Mental Health, 3, 79-89 .
24.
Lazarus, R. S. , & Folkman, S. (1984). Stress, appraisal and coping. New York: Springer Publishing Company .
25.
Lazarus, R. S. , & Folkman, S. (1987). Transactional theory and research on emotions and coping . European Journal of Personality, 1, 141-169 .
26.
Martin, C. R. , & Thompson, D. R. (2000). Prediction of quality of life in patients with end-stage renal disease . British Journal of Health Psychology, 5, 41-55 .
27.
Martín-Aragón, M., Pastor, M. A., Lledó, S., López-Roig, M. C., Terol, M. C., & Rodríguez-Marín, J. (2001). Percepción de control en el síndrome fibromiálgico: Variables relacionadas lControl perception in fibromyalgia syndrome: Related variablesC. Psicothema, 13, 586-591.
28.
Melamed, S. , Heruti, I. , Shiloh, S. , Zeidan, Z. , & David, D. (1999). Emotional reactivity and debilitating beliefs during hospitalization predict future adjustment to first myocardial infarction in men . Scandinavian Journal of Rehabilitation Medicine, 31, 23-30 .
29.
Najman, J. M. , & Levine, S. (1981). Evaluating the impact of medical care and technologies on the quality of life: A review and critique . Social Science and Medicine, 15, 107-114 .
30.
Powers, M. J. , & Jalowiec, A. (1987). Profile of the well-controlled, well-adjusted hypertensive patients . Nursing Research, 36, 106-110 .
31.
Räikkönen, K. , Matthews, K. A. , & Kuller, L. H. (2001). Trajectory of psychological risk and incident hypertension in middle-aged women . Hypertension, 38, 798-802 .
32.
Reiff, M. , Schwartz, S. , & Northridge, M. (2001). Relationship of depressive symptoms to hypertension in a household survey in Harlem . Psychosomatic Medicine, 63, 711-721 .
33.
Rodríguez, A. G. , Picabia, A. B. , & San Gregorio, M. A. P. (2000). La calidad de vida en la salud: Un análisis conceptual [Health-related quality of life: A conceptual analysis) . Clínica y Salud, 11, 309-328 .
34.
Ruiz, M. A. , & Baca, E. (1993). Design and validation of the ‘Quality of Life Questionnaire’ (‘Cuestionario de Calidad de Vida’): A generic health-related quality of life instrument . European Journal of Psychological Assessment, 9, 19-32 .
35.
Rutter, C. L. , & Rutter, D. R. (2002). Illness representation, coping and outcome in irritable bowel syndrome (IBS) . British Journal of Health Psychology, 7, 371-391 .
36.
Schwarzer, R. , & Schröder, K. (1997). Effects of self-efficacy and social support on postsurgical recovery of heart patients . Irish Journal of Psychology, 18, 88-103 .
37.
Smári, J. , & Valtýsdóttir, H. (1997). Dispositional coping, psychological distress and disease-control in diabetes . Personality Individual and Differences, 22, 151-156 .
38.
Smith, C. A. , & Wallston, K. A. (1992). Adaptation in patients with chronic rheumatoid arthritis: Application of a general model . Health Psychology, 11, 151-162 .
39.
Smith, M. S. , Wallston, K. A. , & Smith, C. A. (1995). The development and validation of the Perceived Health Competence Scale . Health Education Research, 10, 51-64 .
40.
Spilker, B. (1990). Quality of life assessments in clinical trials. New York: Raven Press .
41.
Stanton, A. L. (1987). Determinants of adherence to medical regimens by hypertensive patients . Journal of Behavioral Medicine, 10, 377-394 .
42.
Stanton, A. L. , & Snider, P. R. (1993). Coping with a breast cancer diagnosis: A prospective study . Health Psychology, 12, 16-23 .
43.
Stewart, A. L. , Greenfield, S. , Hays, R. D. , Wells, K. , Rogers, W. H. , Berry, S. D. , McGlynn, E. A. , & Ware, J. (1989). An application of methods for monitoring the results of medical care . Journal of the American Medical Association, 262, 925-930 .
44.
Sullivan, M. D. , LaCroix, A. Z. , Russo, J. , & Katon, W. J. (1998). Self-efficacy and self-reported functional status in coronary heart disease: A six month prospective study . Psychosomatic Medicine, 60, 473-478 .
45.
Taylor, S. E. (1983). Adjustment to threatening events: A theory of cognitive adaptation . American Psychologist, 38, 1161-1173 .
46.
Taylor, S. E. , Kemeny, M. E. , Aspinwall, L. G. , Schneider, S. G. , Rodríguez, R. , & Hebert, M. (1992). Optimism, coping, psychological distress, and high-risk sexual behavior among men at risk for acquired immunodeficiency syndrome (AIDS) . Journal of Personality and Social Psychology, 63, 460-473 .
47.
Terry, D. J. (1992). Stress, coping and coping resources as correlates of adaptation in myocardial infarction patients . British Journal of Clinical Psychology, 31, 215-225 .
48.
Theorell, T. , Alfredsson, L. , Westerholm, P. , & Falck, B. (2000). Coping with unfair treatment at work: What is the relationship between coping and hypertension in middle-aged men and women?Psychotherapy and Psychosomatics, 69, 86-94 .
49.
Van Elderen, T. , Maes, S. , & Dusseldorp, E. (1999). Coping with coronary heart disease: A longitudinal study . Journal of Psychosomatic Research, 47, 175-183 .
50.
Ware, J. E., Jr. (1987). Standards for validating health measures: Definition and concern . Journal of Chronic Diseases, 40, 473-480 .
51.
Wright, T. A. , & Sweeney, D. (1989). Coping strategies and diastolic blood pressure . Psychological Reports, 65, 443-449 .
52.
Zeidner, M. , & Saklofske, D. (1996). Adaptive and maladaptive coping. In M. Zeidner & N. S. Endler (Eds.), Handbook of coping: Theory, research and applications (pp. 3-23). New York: John Wiley & Sons .
53.
Zigmond, A. S. , & Snaith, R. P. (1983). The Hospital Anxiety and Depression Scale . Acta Psychiatrica Scandinavica, 67, 361-370 .
