Ayaz Khan Junaid, Wali Ahmed Faisal, Shaikh Naveen, Jamali Ayesha Ghazal, Binoy Jacob George, Abdul Rahman Faiz, Habib Mavia, Rahman Mahbubur, Chaudhry Zara Jawaid, Atiq Mughal Aniqa, Waris Hamna W
Internal Medicine, Sun Yat-sen Medical College, Guangzhou, CHN.
Critical Care Medicine, King Saud Medical City, Riyadh, SAU.
Cureus. 2025 Jul 13;17(7):e87821. doi: 10.7759/cureus.87821. eCollection 2025 Jul.
Hypertension is a primary reason for heart problems that lead to death or illness across the globe, and people with a family history are more prone to it. Stress is known to cause an increase in blood pressure, but the specific influence of stress perception on individuals in this high-risk group remains unclear. This study examines the relationship between perceived stress and blood pressure control in young adults with a family history of hypertension.
This study employed a cross-sectional design, involving 385 young adults aged 18-35 years from universities, communities, and outpatient centres in Islamabad, Pakistan. Participants completed the Perceived Stress Scale (PSS) in conjunction with the Hill-Bone Compliance to High Blood Pressure Therapy Scale (HB-HBP). All data were run through IBM SPSS Version 26 using Pearson correlation, t-tests, ANOVA, and linear regression to examine the relationship between perceived stress and the effectiveness of blood pressure management. The data were gathered from February 2025 to May 2025.
Perceived stress showed a significant gender difference, with males reporting higher levels of stress (t=3.431, p=0.001). It was moderately positively correlated with blood pressure control (r=0.400, p < 0.001). Regression analysis revealed that the greater the stress, the less effectively a person managed their blood pressure (b=0.400, p < 0.001). Individuals adhering to a particular diet had improved control of their blood pressure (t=3.403, p=0.001). Although physical activity and marital status were found to have a statistically significant correlation with stress and blood pressure control (p < 0.05), the higher values were negligible.
It is shown that controlling blood pressure in young adults who have a family history of hypertension can be affected by their perceived stress. Researchers found that stress management may be very helpful in improving the blood pressure of such high-risk patients. More studies are required to find out how stress can lead to hypertension, including emotional and physical/health aspects.
高血压是全球范围内导致死亡或疾病的心脏问题的主要原因，有家族病史的人更容易患高血压。已知压力会导致血压升高，但压力感知对这一高危人群个体的具体影响仍不清楚。本研究探讨有高血压家族病史的年轻人的压力感知与血压控制之间的关系。
本研究采用横断面设计，纳入了来自巴基斯坦伊斯兰堡大学、社区和门诊中心的385名18至35岁的年轻人。参与者完成了感知压力量表（PSS）以及希尔-博恩高血压治疗依从性量表（HB-HBP）。所有数据通过IBM SPSS 26版使用Pearson相关性分析、t检验、方差分析和线性回归来检验压力感知与血压管理效果之间的关系。数据收集于2025年2月至2025年5月。
压力感知存在显著的性别差异，男性报告的压力水平更高（t = 3.431，p = 0.001）。它与血压控制呈中度正相关（r = 0.400，p < 0.001）。回归分析显示，压力越大，个体管理血压的效果越差（b = 0.400，p < 0.001）。坚持特定饮食的个体血压控制得到改善（t = 3.403，p = 0.001）。虽然发现身体活动和婚姻状况与压力及血压控制存在统计学显著相关性（p < 0.05），但较高的值可忽略不计。
结果表明，有高血压家族病史的年轻人的血压控制可能会受到其压力感知的影响。研究人员发现，压力管理可能对改善这类高危患者的血压非常有帮助。需要更多研究来查明压力如何导致高血压，包括情绪和身体/健康方面。
