ArticleCardiovascular journal of Africa
Cultural coping as a risk for depression and hypertension: the SABPA prospective study.
Article in Cardiovascular journal of Africa. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 11 citations in OpenAlex.
- Individual, intergenerational, and contextual factors associated with coping strategies, coping variability, and perceived coping efficacy among young adults.Social psychiatry and psychiatric epidemiology · 2026Article
- Coping strategies and resilience among patients with hypertension in Ghana.Frontiers in psychology · 2022Article
- From the Editor's Desk.Cardiovascular journal of AfricaArticle
- Associations of conscientiousness with cardiac troponin T and stress coping responses in a teacher cohort: the SABPA prospective cohort study.Cardiovascular journal of AfricaArticle
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveIn past studies, a lack of social support has been associated with cardiovascular disease (CVD) risk, particularly in black Africans. However, whether or not coping strategies have beneficial effects on blood pressure (BP) and emotional well-being is not clear. We therefore assessed the relationship between BP levels, depression and coping strategies.
methodsA prospective bi-ethnic cohort followed 359 black and white South African school teachers (aged 20-65 years) over a three-year period. Data on ambulatory 24-hour blood pressure, depression, coping strategies (defensiveness, social support, avoidance) and culture-specific coping scores (cognitive/emotional debriefing, spiritual-, collectivistic and ritualcentred) were obtained.
resultsOver three years, chronic depression (38 vs 19%) and hypertension (68 vs 35%) were apparent in blacks (
conclusionsBlacks showed increasing defensiveness and ritual- and spiritual-centred coping in an attempt to combat chronic depression, which may be costly, as reflected by their chronic hypertensive status. Whites showed consistent spiritual- centred coping while utilising avoidance or loss-of-control coping, with a trend of seeking less social support or isolation as a coping mechanism. During counselling of depressed patients with hypertension, the beneficial effects of social support and spiritual coping may be of great importance.
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