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Biopsychosocial Determinants of Self-Management in Culturally Diverse South African Patients with Essential HypertensionPotchefstroom University for Christian Higher Education, South Africa, psgkfhb{at}puknet.puk.ac.za
Potchefstroom University for Christian Higher Education, South Africa
Potchefstroom University for Christian Higher Education, South Africa
Potchefstroom University for Christian Higher Education, South Africa Associations between self-management and biopsychosocial variables in a group of Afrikaans- (n= 102) and Sotho-speaking (n= 94) patients with essential hypertension (EH) were investigated. Self-management in terms of predetermined criteria for medical and lifestyle prescriptions was achieved by only 30.6 per cent of the participants. Significant differences were found between self-managing and non self-managing participants regarding language and culture, doctor-patient fit, complexity of prescriptions, medication side-effects, aspects of health beliefs, illness behaviour and health locus of control. In addition, a first empirical indication was found that self-management is also linked with psychological wellbeing, as manifested in a sense of coherence. The significantly accurate prediction of self-management by various biopsychosocial variables endorses the relevance of a biopsychosocial perspective in the treatment of patients with EH.
Key Words: biopsychosocial culture essential hypertension self-management sense of coherence
Journal of Health Psychology, Vol. 7, No. 5,
519-531 (2002) This article has been cited by other articles:
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