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Biopsychosocial Determinants of Self-Management in Culturally Diverse South African Patients with Essential Hypertension

Karel F. H. Botha

Potchefstroom University for Christian Higher Education, South Africa, psgkfhb{at}puknet.puk.ac.za

Wynand F. Du Plessis

Potchefstroom University for Christian Higher Education, South Africa

Johannes M. Van Rooyen

Potchefstroom University for Christian Higher Education, South Africa

Marié P. Wissing

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)
DOI: 10.1177/1359105302007005672


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