scholarly journals Personality and High Blood Pressure Among Older Adults: State Anxiety as a Mediator

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 388-388
Author(s):  
Lisa Stone ◽  
Deborah Koh ◽  
Kendall Weber
Keyword(s):  
Blood Pressure ◽  
Older Adults ◽  
High Blood Pressure ◽  
State Anxiety ◽  
Factor Model ◽  
Negative Impact ◽  
Medical Condition ◽  
Five Factor Model ◽  
Strong Association ◽  
Later Life

Abstract High blood pressure (BP) is a prevalent medical condition among older adults, and previous research has consistently found that the Five Factor Model (FFM) of personality relates to elevated BP. However, variables that affect this relationship have been unexamined. Given the strong association between personality and state anxiety in later life, this study examined state anxiety as a mediator between the FFM and elevated BP. Participants consisted of respondents in the 2018 wave of the Health and Retirement Study (N=5225) who completed FFM and state anxiety questionnaires and had their BP measured. First, correlations were computed between the FFM and systolic and diastolic BP. Relationships were insignificant between systolic BP and the FFM. Conscientiousness (r = -.04) and Neuroticism (r = .03) were significantly correlated with diastolic BP. Next, a series of mediation models were computed. Controlling for sex, the test of indirect effects found that the connection from Conscientiousness to diastolic BP was significantly mediated by anxiety, Sobel Z test = -2.44, p = .01. Additionally, controlling for sex, the connection from Neuroticism to diastolic BP was significantly and fully mediated by anxiety, Sobel Z test = 2.02, p = .04. Although small effect sizes, Conscientiousness and Neuroticism were related to diastolic BP but not systolic BP, indicating personality differentially affects types of BP. The mediating role of state anxiety suggests that it can be used as a point of intervention to lessen the negative impact of low Conscientiousness and high Neuroticism on high diastolic BP among older adults.

Suicide Risk Factors Among Older Adults: Exploring Thwarted Belongingness and Perceived Burdensomeness in Relation to Personality and Self-Esteem

2018 ◽  
Vol 88 (2) ◽  
pp. 150-167 ◽  
Author(s):  
Allison Eades ◽  
Daniel L. Segal ◽  
Frederick L. Coolidge
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Factor Model ◽  
Five Factor Model ◽  
Later Life ◽  
Self Esteem ◽  
Community Dwelling ◽  
Multivariate Techniques ◽  
Thwarted Belongingness ◽  
Perceived Burdensomeness

The objective of this study was to explore the role of personality and self-esteem in later life within two established risk factors for suicidal ideation (SI)—Thwarted Belongingness (TB) and Perceived Burdensomeness (PB). The data about personality (i.e., Five Factor Model [FFM] and Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition Personality Disorders [PD]), self-esteem, TB, PB, and SI were collected from 102 community-dwelling older adults and analyzed using bivariate and multivariate techniques. All FFM domains and most PD traits were significantly correlated with SI, TB, and PB. Furthermore, FFM and PD traits explained a significant and meaningful amount of variance of SI, TB, and PB. Self-esteem demonstrated strong negative relationships with SI, TB, and PB. Personality features and self-esteem are important associated features for SI, TB, and PB. Clinicians should consider this information when assessing and evaluating for suicidal risk among older adults. The findings also highlight the need to consider personality traits in developing prevention strategies.

scholarly journals Understanding Health Concerns of Older Adults: Health Personality, Health Activation, and Well-Being

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 632-632
Author(s):  
Peter Martin
Keyword(s):  
Older Adults ◽  
Personality Assessment ◽  
Factor Model ◽  
Five Factor Model ◽  
Later Life ◽  
Well Being ◽  
Measurement Properties ◽  
Future Research ◽  
Physical And Mental Health ◽  
Relationship Of

Abstract Individuals display different levels of concern about their health. These overall concerns may be a result of health personality dispositions based on the five-factor model of personality. They include health neuroticism, health extraversion, health openness, health agreeableness, and health conscientiousness. Furthermore, whether older adults take active care of their health and how they view their overall physical and emotional well-being may depend on these health personality dispositions. This symposium sheds light on the association between health personality, resilience, activation, and well-being. The first presentation provides an overview of our health personality conceptual model and summarizes measurement properties of the Health Personality Assessment. The second presentation highlights demographic differences in health personality. Gender, age, marital status, and regional differences in health personality are reported. The third presentation links health personality with levels of health activation and resilience. Direct and indirect effects of health personality on resilience and health activation are presented. Finally, we highlight results about the relationship of health personality with physical and emotional well-being in later life. All five health personality dispositions directly related to physical and mental health. Our discussion emphasizes practical implications for health practitioners and outlines future research on health personality and outcomes.

scholarly journals Personality and Insomnia Symptoms in Older Adults: The Baltimore Longitudinal Study of Aging

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 578-579
Author(s):  
Darlynn Rojo-Wissar ◽  
Amal Wanigatunga ◽  
Eleanor Simonsick ◽  
Antonio Terracciano ◽  
Jennifer Schrack ◽  
...  
Keyword(s):  
Older Adults ◽  
Longitudinal Study ◽  
Sleep Disturbances ◽  
Positive Emotions ◽  
Rating Scale ◽  
Factor Model ◽  
Five Factor Model ◽  
Baltimore Longitudinal Study ◽  
Insomnia Symptoms ◽  
Insomnia Severity

Abstract Personality and disturbed sleep are tied to medical morbidity in older adults. We examined associations of personality dimensions and facets from the five-factor model with reports of insomnia symptoms in 1,069 well-functioning older adults 60-97 (SD=8.64) years (51% women) from the Baltimore Longitudinal Study of Aging. Personality was assessed by the Revised NEO Personality Inventory, and insomnia symptoms measured by the Women’s Health Initiative Insomnia Rating Scale. Adjusting for demographics and depressive symptoms, higher neuroticism (B=0.05, SE=-0.01, p<.001) and lower conscientiousness (B=-0.03, SE=-0.01, p<.05) were associated with greater insomnia severity. Although openness, extraversion and agreeableness were not associated with insomnia, a facet of each was. Higher scores on the “positive emotions” facet of extraversion (B =-0.03, SE=-0.01, p<.05) “ideas” facet of openness (B=-0.03, SE=-0.01, p<.05) and altruism facet of agreeableness (B=-0.03, SE=-0.01, p<.05) were associated with lower insomnia severity. Sleep disturbances may partially mediate personality’s influence on health. Part of a symposium sponsored by the Sleep, Circadian Rhythms and Aging Interest Group.

scholarly journals Conceptual Model of Medication Adherence in Older Adults with High Blood Pressure-An Integrative Review of the Literature

2019 ◽  
Vol 15 (2) ◽  
pp. 85-92
Author(s):  
Mehdi Jafari Oori ◽  
Farahnaz Mohammadi ◽  
Kian Norouzi ◽  
Masoud Fallahi-Khoshknab ◽  
Abbas Ebadi
Keyword(s):  
Blood Pressure ◽  
Older Adults ◽  
Medication Adherence ◽  
Conceptual Model ◽  
High Blood Pressure ◽  
Empirical Studies ◽  
Integrative Review ◽  
Personal Factors ◽  
Review Of The Literature ◽  
Persian Language

Background: Medication adherence (MA) is the most important controlling factor of high blood pressure (HBP). There are a few MA models, but they have not been successful in predicting MA completely. Thus, this study aimed to expand a conceptual model of MA based on an ecological approach. Methods: An integrative review of the literature based on theoretical and empirical studies was completed. Data source comprised: Medline (including PubMed and Ovid), ISI, Embase, Google scholar, and internal databases such as Magiran, Google, SID, and internal magazines. Primary English and Persian language studies were collected from 1940 to 2018. The steps of study included: (a) problem identification, (b) literature review and extracting studies, (c) appraising study quality, (d) gathering data, (e) data analysis using the directed content analysis, (f) concluding. Results: Thirty-six articles were finally included and analyzed. After analysis, predictors of MA in older adults with hypertension were categorized into personal, interpersonal, organizational, and social factors. Although the personal factors have the most predictors in sub-categories of behavioral, biological, psychological, knowledge, disease, and medication agents, social, organizational and interpersonal factors can have indirect and important effects on elderly MA. Conclusion: There are many factors influencing MA of elderly with HBP. The personal factor has the most predictors. The designed model of MA because of covering all predictor factors, can be considered as a comprehensive MA model. It is suggested that future studies should select factors for study from all levels of the model.

The Relationship between Religious Activities and Blood Pressure in Older Adults

1998 ◽  
Vol 28 (2) ◽  
pp. 189-213 ◽  
Author(s):  
Harold G. Koenig ◽  
Linda K. George ◽  
Judith C. Hays ◽  
David B. Larson ◽  
Harvey J. Cohen ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Older Adults ◽  
High Blood Pressure ◽  
Religious Activity ◽  
Religious Activities ◽  
The Bible ◽  
Lower Blood ◽  
Religious Services ◽  
Blood Pressures ◽  
The Relationship

Objective: To examine the relationship between religious activities and blood pressure in community-dwelling older adults. Method: Blood pressure and religious activities were assessed in a probability sample of 3,963 persons age sixty-five years or older participating in the Duke EPESE survey. Participants were asked if their doctor had ever informed them that they had high blood pressure and if they were currently taking medication for high blood pressure. After the interview, systolic and diastolic blood pressures were measured following a standardized protocol. Data were available for three waves of the survey (1986, 1989–90, and 1993–94). Analyses were stratified by age (65–74 vs. over 75) and by race (Whites vs. Blacks) and were controlled for age, race, gender, education, physical functioning, body mass index, and, in longitudinal analyses, blood pressure from the previous wave. Results: Cross-sectional analyses revealed small (1–4 mm Hg) but consistent differences in measured systolic and diastolic blood pressures between frequent (once/wk) and infrequent (< once/wk) religious service attenders. Lower blood pressures were also observed among those who frequently prayed or studied the Bible (daily or more often). Blood pressure differences were particularly notable in Black and younger elderly, in whom religious activity at one wave predicted blood pressures three years later. Among participants who both attended religious services and prayed or studied the Bible frequently, the likelihood of having a diastolic blood pressure of 90 mm Hg or higher was 40 percent lower than found in participants who attended religious services infrequently and prayed or studied the Bible infrequently (OR 0.60, 95% CI, 0.48–0.75, p < .0001). Among participants told they had high blood pressure, religiously active persons were more likely to be taking their blood pressure medication; this could not, however, explain the differences in blood pressure observed. While most religious activity was associated with lower blood pressure, those who frequently watched religious TV or listened to religious radio actually had higher blood pressures. Conclusions: Religiously active older adults tend to have lower blood pressures than those who are less active. This applies to attendance at religious services and private religious activities, but not to religious media. Physiological mechanisms are discussed.

scholarly journals Association of Five-Factor Model Personality Domains and Facets with Presence, Onset, and Treatment Outcomes of Major Depression in Older Adults

2013 ◽  
Vol 21 (1) ◽  
pp. 88-96 ◽  
Author(s):  
R. David Hayward ◽  
Warren D. Taylor ◽  
Moria J. Smoski ◽  
David C. Steffens ◽  
Martha E. Payne
Keyword(s):  
Older Adults ◽  
Major Depression ◽  
Treatment Outcomes ◽  
Factor Model ◽  
Five Factor Model

scholarly journals Association of depressive symptoms and subjective memory complaints with the incidence of cognitive impairment in older adults with high blood pressure

2019 ◽  
Vol 10 (3) ◽  
pp. 413-420 ◽  
Author(s):  
Miguel Germán Borda ◽  
José Manuel Santacruz ◽  
Dag Aarsland ◽  
Sandy Camargo-Casas ◽  
Carlos Alberto Cano-Gutierrez ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Older Adults ◽  
Cognitive Impairment ◽  
Depressive Symptoms ◽  
High Blood Pressure ◽  
Subjective Memory Complaints ◽  
Subjective Memory ◽  
Memory Complaints

scholarly journals How May Coexisting Frailty Influence Adherence to Treatment in Elderly Hypertensive Patients?

2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Bartosz Uchmanowicz ◽  
Anna Chudiak ◽  
Izabella Uchmanowicz ◽  
Grzegorz Mazur
Keyword(s):  
Blood Pressure ◽  
High Blood Pressure ◽  
Older Patients ◽  
Negative Impact ◽  
Sodium Intake ◽  
Treatment Compliance ◽  
Frailty Syndrome ◽  
Pressure Therapy ◽  
Premature Deaths ◽  
The Hill

Background. Hypertension is considered to be the most common condition in the general population. It is the most important risk factor for premature deaths in the world. Treatment compliance at every stage is a condition for successful antihypertensive therapy, and improving the effectiveness of treatment is a major goal in preventing cardiovascular incidents. Treatment noncompliance and lack of cooperation stem from numerous problems of older age, including frailty syndrome. Objective. To evaluate the effect of frailty syndrome on treatment compliance in older patients with hypertension. Methods. The study sample consisted of 160 patients (91 women, 69 men) with hypertension aged 65 to 78 (mean = 72.09, SD = 7.98 years), hospitalized at the University Clinical Hospital due to exacerbation of disease symptoms. Standardised research tools were used: the Tilburg Frailty Indicator questionnaire and the questionnaire for the assessment of treatment compliance in patients with hypertension, the Hill-Bone Compliance to High Blood Pressure Therapy Scale. Results. Frailty syndrome was diagnosed in 65.62% of patients: 35.62% with mild, 29.38% with moderate, and 0.62% with severe frailty. The treatment compliance was 36.14%. The prevalence of the FS and its three components (physical, psychological, social) significantly affected (p <0.05) the global score of the Hill-Bone Compliance to High Blood Pressure Therapy Scale and all subscales: “reduced sodium intake”, “appointment keeping”, and “antihypertensive medication taking”. Conclusions. The coexistence of frailty syndrome has a negative impact on the compliance of older patients with hypertension. Diagnosis of frailty and of the associated difficulties in adhering to treatment may allow for targeting the older patients with a poorer prognosis and at risk of complications from untreated or undertreated hypertension and for planning interventions to improve hypertension control.

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