Moderating effect of mindfulness on the relationship between anxiety and somatization symptoms in middle‐aged and elderly female patients with hypertension

Abstract To explore the moderating effect of mindfulness on the relationship between anxiety and somatization symptoms in middle‐aged and elderly female patients with hypertension and provide a foundation for the development of more effective mindfulness intervention strategies. A total of 109 middl...

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Main Authors: Haifei Shen, Ri Zhang, XiuJie Zhang, Ying Zhang, Yan Liu, Wei Song, Yunpeng Cheng, Minghui Yang, Yinong Jiang, Yan Lu
Format: Article
Language:English
Published: Wiley 2023-07-01
Series:The Journal of Clinical Hypertension
Subjects:
Online Access:https://doi.org/10.1111/jch.14670
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author Haifei Shen
Ri Zhang
XiuJie Zhang
Ying Zhang
Yan Liu
Wei Song
Yunpeng Cheng
Minghui Yang
Yinong Jiang
Yan Lu
author_facet Haifei Shen
Ri Zhang
XiuJie Zhang
Ying Zhang
Yan Liu
Wei Song
Yunpeng Cheng
Minghui Yang
Yinong Jiang
Yan Lu
author_sort Haifei Shen
collection DOAJ
description Abstract To explore the moderating effect of mindfulness on the relationship between anxiety and somatization symptoms in middle‐aged and elderly female patients with hypertension and provide a foundation for the development of more effective mindfulness intervention strategies. A total of 109 middle‐aged and elderly female patients with hypertension participated in this cross‐sectional study from April to July 2022 and provided valid responses to the Five Facet Mindfulness Questionnaire (FFMQ), the Hospital Anxiety and Depression Scale (HADS), and the Somatization Symptom Self‐rating Scale (SSS). The moderating effect of mindfulness was determined using multiple linear regression. The participants’ average scores were as follows: mindfulness: 123.86 ± 10.49; anxiety: 7.41 ± 3.62; and somatization symptoms: 41.2 ± 9.44. The anxiety (P = .000) and somatization symptoms (P = .001) of participants with high mindfulness were significantly reduced. Anxiety was positively correlated with somatization symptoms (r = 0.606, P = .000), while mindfulness was negatively correlated with both anxiety (r = ‐0.468, P = .000) and somatization symptoms (r = ‐0.439, P = .000). Moreover, mindfulness had a significant moderating effect on the relationship between anxiety and somatization symptoms (n = 109) (B = ‐0.166, t = ‐2.125, P = .036). The effect of mindfulness on anxiety and somatization symptoms was more significant in participants with low mindfulness levels (n = 56) (B = 0.144, t = 2.805, P = .008) than in participants with high mindfulness levels (n = 53) (B = ‐0.037, t = ‐0.864, P = .393). The moderating effect analysis based on regression analysis showed that mindfulness had a significant moderating effect on anxiety and somatization symptoms, especially in participants with low mindfulness levels.
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spelling doaj.art-8ac3241733fa48ada416ae54b59791622023-10-30T13:26:37ZengWileyThe Journal of Clinical Hypertension1524-61751751-71762023-07-0125764765410.1111/jch.14670Moderating effect of mindfulness on the relationship between anxiety and somatization symptoms in middle‐aged and elderly female patients with hypertensionHaifei Shen0Ri Zhang1XiuJie Zhang2Ying Zhang3Yan Liu4Wei Song5Yunpeng Cheng6Minghui Yang7Yinong Jiang8Yan Lu9Department of Cardiology First Affiliated Hospital of Dalian Medical University Dalian Liaoning ChinaDepartment of Cardiology First Affiliated Hospital of Dalian Medical University Dalian Liaoning ChinaDepartment of Cardiology First Affiliated Hospital of Dalian Medical University Dalian Liaoning ChinaDepartment of Cardiology First Affiliated Hospital of Dalian Medical University Dalian Liaoning ChinaDepartment of Cardiology First Affiliated Hospital of Dalian Medical University Dalian Liaoning ChinaDepartment of Cardiology First Affiliated Hospital of Dalian Medical University Dalian Liaoning ChinaDepartment of Cardiology First Affiliated Hospital of Dalian Medical University Dalian Liaoning ChinaDepartment of Cardiology First Affiliated Hospital of Dalian Medical University Dalian Liaoning ChinaDepartment of Cardiology First Affiliated Hospital of Dalian Medical University Dalian Liaoning ChinaDepartment of Cardiology First Affiliated Hospital of Dalian Medical University Dalian Liaoning ChinaAbstract To explore the moderating effect of mindfulness on the relationship between anxiety and somatization symptoms in middle‐aged and elderly female patients with hypertension and provide a foundation for the development of more effective mindfulness intervention strategies. A total of 109 middle‐aged and elderly female patients with hypertension participated in this cross‐sectional study from April to July 2022 and provided valid responses to the Five Facet Mindfulness Questionnaire (FFMQ), the Hospital Anxiety and Depression Scale (HADS), and the Somatization Symptom Self‐rating Scale (SSS). The moderating effect of mindfulness was determined using multiple linear regression. The participants’ average scores were as follows: mindfulness: 123.86 ± 10.49; anxiety: 7.41 ± 3.62; and somatization symptoms: 41.2 ± 9.44. The anxiety (P = .000) and somatization symptoms (P = .001) of participants with high mindfulness were significantly reduced. Anxiety was positively correlated with somatization symptoms (r = 0.606, P = .000), while mindfulness was negatively correlated with both anxiety (r = ‐0.468, P = .000) and somatization symptoms (r = ‐0.439, P = .000). Moreover, mindfulness had a significant moderating effect on the relationship between anxiety and somatization symptoms (n = 109) (B = ‐0.166, t = ‐2.125, P = .036). The effect of mindfulness on anxiety and somatization symptoms was more significant in participants with low mindfulness levels (n = 56) (B = 0.144, t = 2.805, P = .008) than in participants with high mindfulness levels (n = 53) (B = ‐0.037, t = ‐0.864, P = .393). The moderating effect analysis based on regression analysis showed that mindfulness had a significant moderating effect on anxiety and somatization symptoms, especially in participants with low mindfulness levels.https://doi.org/10.1111/jch.14670anxietyfemalehypertensionmindfulnesssomatization symptoms
spellingShingle Haifei Shen
Ri Zhang
XiuJie Zhang
Ying Zhang
Yan Liu
Wei Song
Yunpeng Cheng
Minghui Yang
Yinong Jiang
Yan Lu
Moderating effect of mindfulness on the relationship between anxiety and somatization symptoms in middle‐aged and elderly female patients with hypertension
The Journal of Clinical Hypertension
anxiety
female
hypertension
mindfulness
somatization symptoms
title Moderating effect of mindfulness on the relationship between anxiety and somatization symptoms in middle‐aged and elderly female patients with hypertension
title_full Moderating effect of mindfulness on the relationship between anxiety and somatization symptoms in middle‐aged and elderly female patients with hypertension
title_fullStr Moderating effect of mindfulness on the relationship between anxiety and somatization symptoms in middle‐aged and elderly female patients with hypertension
title_full_unstemmed Moderating effect of mindfulness on the relationship between anxiety and somatization symptoms in middle‐aged and elderly female patients with hypertension
title_short Moderating effect of mindfulness on the relationship between anxiety and somatization symptoms in middle‐aged and elderly female patients with hypertension
title_sort moderating effect of mindfulness on the relationship between anxiety and somatization symptoms in middle aged and elderly female patients with hypertension
topic anxiety
female
hypertension
mindfulness
somatization symptoms
url https://doi.org/10.1111/jch.14670
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