A Prospective Study of Cognitive Emotion Regulation Strategies and Depressive Symptoms in Patients with Essential Hypertension

作者:Xiao, Jing; Yao, Shuqiao; Zhu, Xiongzhao; Abela, John R. Z.; Chen, Xiaogang*; Duan, Shu; Zhao, Shuiping
来源:Clinical and Experimental Hypertension, 2011, 33(1): 63-68.
DOI:10.3109/10641963.2010.531832

摘要

The objective of the current study was to examine the relationships between cognitive emotion regulation strategies and depressive symptoms in essential hypertension patients. Both cross-sectional and prospective relationships were studied in a sample of 650 essential hypertension patients. The cognitive emotion regulation strategies accounted for considerable amounts of variance in depressive symptoms. The following subscales were significantly positively correlated with first-time measurement and follow-up measurement of depressive symptoms: self-blame, rumination, catastrophizing, and blaming others. Positive reappraisal was significantly and positively correlated with first-time measurement of depressive symptoms. In contrast, the following subscales were significantly negatively correlated with follow-up measurement of depressive symptoms: acceptance, positive refocus, refocus on planning, positive reappraisal. Results of multiple regression analyses shows that elevated levels of self-blame, rumination, catastrophizing, and blaming others predicted increases in follow-up measurement of depressive symptoms, while elevated levels of acceptance and refocus on planning predicted decreases follow-up measurement of depressive symptoms. These findings provide us with important targets for intervention programs.