OBJECTIVE Examining factors that may protect against the development of hypertension is critical, as hypertension is a major public health concern. We examined the individual and combined associations of psychological resources (optimism and mastery) on incident hypertension over 15 years. METHOD We used data from four exams of the Coronary Artery Risk Development in Young Adults (CARDIA) study over 15 years (CARDIA exam years 15-30). Optimism and mastery were standardized to a z-score separately and summed to generate a psychological resources score. We examined the incidence of hypertension (stages 1 and 2; systolic blood pressure [SBP] ≥ 130 mmHg or diastolic blood pressure [DBP] ≥ 80 mmHg) and stage 2 hypertension (SBP ≥ 140 mmHg or DBP ≥ 90 mmHg) among participants without hypertension at baseline. Multivariable logistic regressions adjusted for sociodemographic factors, behavioral factors, and depressive symptoms. RESULTS Of 2,927 participants, 58% were women, 42% were Black, and the average age at the study baseline was 40 years (3.63). A higher psychological resources score was associated with lower odds of developing hypertension (stages 1 and 2; odds ratio [OR]: 0.89, 95% CI [-0.21, -0.03], p < .01) and stage 2 hypertension (OR: 0.88, [-0.21, -0.04], p < .01), after adjustment for sociodemographic factors. However, following adjustment for behavioral factors and depressive symptoms, the associations for hypertension (stages 1 and 2) and stage 2 hypertension were no longer statistically significant. CONCLUSIONS Greater psychological resources are associated with lower odds of hypertension. Associations were attenuated after additional adjustment for behavioral factors, indicating these factors may be important confounders or mediators. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译：

---

年轻人冠状动脉风险发展（CARDIA）研究中的心理资源和高血压事件。

目的 研究可能预防高血压发生的因素至关重要，因为高血压是一个主要的公共卫生问题。我们研究了 15 年来心理资源（乐观和掌控）与高血压事件的个体和组合关联。方法 我们使用了 15 年来年轻人冠状动脉风险发展 (CARDIA) 研究的四次检查（CARDIA 检查 15-30 年）的数据。乐观和掌握分别标准化为 z 分数，并求和以生成心理资源分数。我们检查了参与者中高血压（1 期和 2 期；收缩压 [SBP] ≥ 130 mmHg 或舒张压 [DBP] ≥ 80 mmHg）和 2 期高血压（SBP ≥ 140 mmHg 或 DBP ≥ 90 mmHg）的发生率。基线高血压。根据社会人口因素、行为因素和抑郁症状调整多变量逻辑回归。结果 在 2,927 名参与者中，58% 是女性，42% 是黑人，研究基线的平均年龄为 40 岁 (3.63)。较高的心理资源评分与较低的罹患高血压（1 期和 2 期；比值比 [OR]：0.89，95% CI [-0.21，-0.03]，p < .01）和 2 期高血压（OR： 0.88，[-0.21，-0.04]，p < .01），调整社会人口因素后。然而，在调整行为因素和抑郁症状后，高血压（1 期和 2 期）和 2 期高血压的相关性不再具有统计学意义。结论 心理资源越丰富，患高血压的几率越低。对行为因素进行额外调整后，关联性减弱，表明这些因素可能是重要的混杂因素或中介因素。（PsycInfo 数据库记录 (c) 2023 APA，保留所有权利）。