ADHERENCE TO TREATMENT IN HYPERTENSIVE ADULTS: RELATIONSHIP WITH SOCIAL SUPPORT, ANXIETY AND DEPRESSION

Abstract

Objective: This study examined the relationship between Social Support (SS) Anxiety (A) Depressión (D) with adherence to treatment (AT) in hypertensive adults. Design and method: There were 1582 hypertensive adults, males (n = 404) and females (n = 1178), age mean = 72 years, (SD = 12, 57). The Morisky–Green test evaluated compliant and non-compliant, DUKE test evaluated affective social support (ASS) and confidential social support (CSS), Zung Anxiety scale: Minimum anxiety (MiA), Moderate anxiety MoA) and Severe anxiety (SeA) and Zung Depression scale: Non depression (NoD) Minimum Depression (MiD) and Moderate- Severe Depression (MosD), all applied in one day doctor's visit. Results: The means and standard deviations for Systolic Blood Pressure of hypertensive adults was: 158,91 ± 29,82; for Diastolic Blood Pressure of hypertensive adults was 74,43 ± 12,79. Hypertensive adults compliant 20,3% and hypertensive adults non-compliant 79,7%. Good ASS support was 4.1%; bad ASS was 95.9%. Good CSS was 3.4% and 96.6% for bad CSS. MiA 35.6%; MoA 30% and SeA 34.4%. NoD 29.3%; MiD 63.7% and MosD 7%. The Rho Spearman correlation showed a significant correlation between AT and ASS (Rho Spearman: r = ,120**/ p = ,000); AT and CSS (Rho Spearman: r = ,113**/ p = ,000); AT and A (Rho Spearman: r = ,141**/ p = ,000); AT and D (Rho Spearman: r = ,132**/ p = ,000). Conclusions: The results provide evidence of a relationship between AT and ASS, CSS, A, D in hypertensive adults, indicating that social support and mood are important variables that must be evaluated when measuring adherence to treatment and seeking strategies to improve them.