{"id":3661,"date":"2015-06-02T15:00:23","date_gmt":"2015-06-02T07:00:23","guid":{"rendered":"http:\/\/www.appliedpsyj.org\/journal\/?p=3661"},"modified":"2015-06-02T15:00:33","modified_gmt":"2015-06-02T07:00:33","slug":"the-patterns-of-symptoms-focusing-attention-and-illness-behaviors-in-hypertension-adults","status":"publish","type":"post","link":"https:\/\/www.appliedpsyj.org.tw\/journal\/?p=3661","title":{"rendered":"The Patterns of Symptoms Focusing Attention and Illness Behaviors in Hypertension Adults"},"content":{"rendered":"<p><strong>Hsiu-Jung Chen<\/strong><br \/>\nDepartment of Applied Psychology Fu-Jen Catholic University<br \/>\n<strong>Bee-Horng Lue<\/strong><br \/>\nDepartment of Family Medicine\u00a0National Taiwan University Hospital<\/p>\n<p style=\"text-align: justify;\">Hypertension is a common chronic disease, its because of\u00a0asymptomatic characters, patients usually make wrongly somatic\u00a0perceptions and inaccurate judgment. The purpose of this study was to\u00a0assess the focusing attention on internal versus external illness cues,\u00a0which could influence the individual&#8217;s cognitive appraisal, coping\u00a0behavior, adherence and emotional response in hypertension patients.<br \/>\nTwenty-four patients with essential hypertension were\u00a0purposively selected as our study participants. Patients were\u00a0interviewed by a doctor of Family Medicine who was also a researcher\u00a0in our study, and the interaction process was taped for qualitative\u00a0analysis.<br \/>\nThe qualitative data revealed that there were four patterns of\u00a0focusing attention among our research participants. They were : 1.\u00a0Self-focused attention, they were internally directed attention to illness\u00a0cues, experienced more somatic distress and coped with illness more\u00a0passively. 2. Attention focus on both internal and external illness cues,\u00a0patients had active coping if they certainly became aware of the correct\u00a0somatic cues. Otherwise, they tended to worry and comply with\u00a0medication for security because of uncertainty feeling and severity of\u00a0hypertension. 3. Situation-focused attention, they tended to focus on\u00a0environmental factors, not as much emotional distress as well, and tried\u00a0to decrease blood pressure by managing the stress from situation. 4.\u00a0Unaware of both the internal and external cues, patients weren&#8217;t aware<br \/>\nof any cues and needed to find the hypertension by others, tended to use\u00a0defensive coping for hypertension.<br \/>\nOur study suggests to know personal focusing attention pattern,\u00a0meanwhile compares with the accurate objective medical knowledge,\u00a0certainty and severity about illness, can predict patient&#8217;s illness\u00a0behavior more precisely.<\/p>\n<p>Keywords: focus attention, illness behavior, somatic distress, internal\u00a0and external informational cues<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hsiu-Jung Chen Department of Applied Psychology Fu-Jen  <span class=\"ellipsis\">&hellip;<\/span> <span class=\"more-link-wrap\"><a 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