Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Self-efficacy, Vulnerability to Stress and Anxiety, Psychological Factors Involved in Arterial Hypertension

Version 1 : Received: 8 November 2023 / Approved: 9 November 2023 / Online: 9 November 2023 (11:17:51 CET)

How to cite: BUBULAC, L.; BURUNTIA, M. Self-efficacy, Vulnerability to Stress and Anxiety, Psychological Factors Involved in Arterial Hypertension. Preprints 2023, 2023110620. https://doi.org/10.20944/preprints202311.0620.v1 BUBULAC, L.; BURUNTIA, M. Self-efficacy, Vulnerability to Stress and Anxiety, Psychological Factors Involved in Arterial Hypertension. Preprints 2023, 2023110620. https://doi.org/10.20944/preprints202311.0620.v1

Abstract

Abstract: Arterial hypertension is the main preventable risk factor for premature death and stroke worldwide and anxiety is a real public health problem. Stress is the common denominator for both cases. In the last 3 years, the aggressive exposure of the population to negative emotions (fear of disease in a pandemic, fear of war, financial instability) was the trigger factor. The psycho-neuro-endocrine mechanisms include the hypothalamic-pituitary-adrenal axis and induce sympathetic-parasympathetic imbalance, hypercortisolemia, endothelial dysfunction, oxidative stress, inflammation, cytokine growth, and atherosclerosis. The individual’s vulnerability to stress depends on many factors, but the key role in the perception of stress belongs to immunogenic personality traits. Among them, self-efficacy is a protective factor against stress. Our research aimed to evaluate the connections between psycho-emotional factors and hypertension, using psychometric tests, to identify vulnerability to stress, perceived stress level, anxiety, self-efficacy, and psychobehavioral type, for 215 patients, 104 hypertensive and 111 non-hypertensive patients. The results of the study confirmed that there is a statistically significant difference, which requires psychological screening measures to identify patients vulnerable to stress, as well as medical education courses for doctors in the field of psychology.

Keywords

self-efficacy; stress-vulnerability; perceived stress; anxiety; hypertension

Subject

Medicine and Pharmacology, Clinical Medicine

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