Volume 10, Issue 1 (June 2024)                   Elderly Health Journal 2024, 10(1): 70-75 | Back to browse issues page


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Ghorbanalipour M, Alilou S, Babalou K, Akbarlou N. Depression, Perfectionism, and Hypertension in the Elderly: A Path Analysis Examining Worry, Ambiguity Tolerance, and Problem-Solving. Elderly Health Journal 2024; 10 (1) :70-75
URL: http://ehj.ssu.ac.ir/article-1-318-en.html
Department of Psychology, Faculty of Humanities, Azad University of Urmia, Khoy, Urmia, Iran , Masoudqorbanalipour@gmail.com
Abstract:   (65 Views)
Introduction: Hypertension is a prevalent condition among the elderly, significantly contributing to the burden of cardiovascular disease and related complications. This study examined how depression and perfectionism influence hypertension  in older adults. It also explored how worry, tolerance for ambiguity, and problem-solving skills might influence this relationship.
Methods: Researchers recruited 192 participants with hypertension from a health center in Khoy city, Urmia, Iran. Participants completed questionnaires that assessed depression, perfectionism, worry, ambiguity tolerance, and problem-solving skills. Statistical methods were used to analyze the data and identify relationships between these factors and hypertension.
Results: Depression, perfectionism, worry, and ambiguity tolerance were all significantly associated with hypertension. Interestingly, problem-solving skills were not linked to blood pressure. Further analysis revealed that worry played a reinforcing role in the link between depression/perfectionism and hypertension, while ambiguity tolerance had a protective effect. In other words, higher worry levels strengthened the association between depression/perfectionism and high blood pressure, while greater tolerance for ambiguity lessened this association.
Conclusion: These findings suggest that emotional factors like worry and intolerance for ambiguity can significantly impact blood pressure in older adults.  Therefore, managing these emotions alongside depression and perfectionistic tendencies may be crucial for controlling hypertension.

Corresponding Author:  Masood Ghorbanalipour
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Type of Study: Research | Subject: Special
Received: 2024/05/11 | Accepted: 2024/06/22 | Published: 2024/06/21

References
1. Gui J, Li Y, Liu H, Guo L, Li J, Lei Y, et al. Obesity-and lipid-related indices as a risk factor of hypertension in mid-aged and elderly Chinese: a cross-sectional study. BMC Geriatrics. 2024; 24(1): 1-13.
2. Wang S, Shen C, Yang S. Analysis of health-related quality of life in elderly patients with stroke complicated by hypertension in china using the EQ-5D-3L scale. Journal of Multidisciplinary Healthcare. 2024; 17: 1981-97.
3. Jakovljevic M, Westerman R, Sharma T, Lamnisos D. Aging and global health. Handbook of Global Health. 2021: 73-102.
4. Mohammadi S, Hassanipour S, Delam H, Nikbakht HA, Far ZG, Firoozi D, et al. Prevalence of hypertension in Iran: An updated systematic review and meta-analysis of community-based studies. Caspian Journal of Internal Medicine. 2023; 14(4): 607-17.
5. Xu Z, Wu X, Xiao C, Zhang W, Yan P, Yang C, et al. Observational and genetic analyses of the bidirectional relationship between depression and hypertension. Journal of Affective Disorders. 2024; 348: 62-9.
6. Devita M, De Salvo R, Ravelli A, De Rui M, Coin A, Sergi G, et al. Recognizing depression in the elderly: practical guidance and challenges for clinical management. Neuropsychiatric Disease and Treatment. 2022; 18: 2867-80.
7. Pengpid S, Peltzer K. Associations between sensory loss and depressive symptoms in a longitudinal national study of ageing adults in Thailand. Elderly Health Journal. 2023; 9(2): 73-8.
8. Bhat SK, Beilin LJ, Robinson M, Burrows S, Mori TA. Relationships between depression and anxiety symptoms scores and blood pressure in young adults. Journal of Hypertension. 2017; 35(10): 1983-91.
9. Pervichko E, Podstreshnaya A, Koniukhovskaia J. Motivation and perfectionism in middle-age patients with essential hypertension. European Psychiatry. 2020; 63.
10. Rice KG, Suh H, Davis DE. Perfectionism and emotion regulation In Stoeber J, editors. The psychology of perfectionism: Theory, research, applications. Routledge/Taylor & Francis Group; 2017. p. 243-62.
11. Albert P, Rice KG, Caffee L. Perfectionism affects blood pressure in response to repeated exposure to stress. Stress and Health. 2016; 32(2): 157-66.
12. Torres JM, Deardorff J, Holland N, Harley KG, Kogut K, Long K, Eskenazi B. Deportation worry, cardiovascular disease risk factor trajectories, and incident hypertension: A community-based cohort study. Journal of the American Heart Association. 2019; 8(23): 1-10.
13. Ndoja S, Chahine S, Saklofske DH, Lanting B. The erosion of ambiguity tolerance and sustainment of perfectionism in undergraduate medical training: results from multiple samplings of a single cohort. BMC Medical Education. 2020; 20:1-7.
14. Kang W, Pineda Hernández S. Understanding cognitive deficits in people with high blood pressure. Journal of Personalized Medicine. 2023; 13(11): 1-9.
15. Liu S, Yan Y, Gao X, Xiang S, Sha T, Zeng G, et al. Risk factors for postpartum depression among Chinese women: path model analysis. BMC Pregnancy and Childbirth. 2017; 17: 1-7.
16. Fidell LS, Tabachnick BG. Preparatory data analysis. Handbook of psychology: Research Methods in Psychology. 2003; 2: 115-41.
17. Green SB. How many subjects does it take to do a regression analysis. Multivariate Behavioral Research. 1991; 26(3): 499-510.
18. Sisay T, Mulate M, Hailu T, Belete TM. The prevalence of depression and anxiety among cardiovascular patients at University of Gondar specialized hospital using beck's depression inventory II and beck anxiety inventory: A cross-sectional study. Heliyon. 2024; 10(2): 1-9.
19. Segal DL, Coolidge FL, Cahill BS, O'Riley AA. Psychometric properties of the Beck Depression Inventory—II (BDI-II) among community-dwelling older adults. Behavior Modification. 2008; 32(1): 3-20.
20. Ghassemzadeh H, Mojtabai R, Karamghadiri N, Ebrahimkhani N. Psychometric properties of a Persian-language version of the Beck Depression Inventory-Second edition: BDI-II-PERSIAN. Depression and Anxiety. 2005; 21(4): 185-92.
21. Salarifar M, Pouretemad H. P-1060-The study of factorial structure, validity and reliability of the penn state worry questionnaire (PSWQ). European Psychiatry. 2012; 27(S1): 1.
22. Azizi M, Sedaghat Z, Direkvand-Moghadam A. Effect of critical thinking education on problem solving skills and self-esteem in Iranian female students. Journal of Clinical & Diagnostic Research. 2018; 12(1): 1-4.
23. Yaghoobi S, Motevalli M. Structural equations modeling of tendency to critical thinking, problem solving skills and self-esteem among students. International Journal of Medical Investigation. 2020; 9(2): 174-90.
24. Saeedyan M, Mohammadi MA, Mirzaei A, Mozaffari N. Predictors of problem-solving skills among emergency medical services staff in Iran: A cross-sectional correlational study. Frontiers in Psychology. 2022; 13: 1-9.
25. Vahedi VS, Fatemi AH. The role of emotional intelligence and tolerance of ambiguity in academic Iranian EFL learners' willingness to communicate. Journal of Language Teaching and Research. 2016; 7(1): 178-84.
26. Feizi A, Mahbobi T, Zare H, Mostafaei A. The relationship of cognitive intelligence and ambiguity tolerance with entrepreneurship among students of West Azarbayjan Payam Noor University, Iran. Journal of Research in Behavioural Sciences. 2012; 10(4 (25)): 276-84.
27. Aalipour K, Abbasi M, Mirderikvand F. The effect of breath’s thinking strategies training on subjective well-being and tolerance of ambigutiy among female secondary high schools students in Khorramabad city. Education Strategies in Medical Sciences. 2018; 11(1): 1-8. [Persian]
28. Besharat MA. Development and validation of Tehran multidimensional perfectionism scale. Procedia-Social and Behavioral Sciences. 2011; 30: 79-83.
29. Meyers LS, Gamst G, Guarino AJ. Applied multivariate research: Design and interpretation. Sage Publications; 2016.

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