Evidence mapPaperPMID 41640586Full record

ArticleFrontiers in psychology2025

Effectiveness of cognitive behavioral therapy for hypertension-related psychological distress: a two-phase randomized controlled trial in a Nigerian tertiary hospital.

Addah Temple Tamuno-Opubo, Wandile F Tsabedze, Curwyn Mapaling, Egbewuare Emmanuel Idehen, Jamiu Tinuoye Uthman

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Article in Frontiers in psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Addah Temple Tamuno-OpuboDepartment of Psychology, Faculty of Social Science, Olabisi Onabanjo University, Ago-Iwoye, Ogun, Nigeria.
Wandile F TsabedzeDepartment of Psychology, University of South Africa, Pretoria, South Africa.
Curwyn MapalingOptentia Research Unit, North-West University, Potchefstroom, South Africa.
Egbewuare Emmanuel IdehenDepartment of Psychology, Faculty of Social Science, Obafemi Awolowo University, Ile-Ife, Osun, Nigeria.
Jamiu Tinuoye UthmanDepartment of Psychology, Faculty of Social Science, Obafemi Awolowo University, Ile-Ife, Osun, Nigeria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Hypertension is a major contributor to cardiovascular morbidity globally and is frequently accompanied by psychological distress, including anxiety and depression. Evidence on the efficacy of psychological interventions, particularly Cognitive Behavioral Therapy (CBT), for hypertension-related distress remains limited in the Sahara South of Africa. Objective: This study examined the effectiveness of an 8-week CBT program in reducing psychological distress among adults with hypertension attending a Nigerian tertiary hospital, compared with a waitlist/usual care control group. Methods: A two-phase randomized controlled trial was conducted. In Phase I, 242 hypertensive patients were screened for psychological distress. Phase II involved 42 participants with moderate to severe distress (mean age = 44.9 years) who were randomly assigned to either an 8-week CBT intervention or a waitlist control, continuing usual hypertension care. Psychological distress was assessed using the Symptom Checklist-13 (SCL-13). Data were analyzed per protocol using paired and independent Results: The CBT group showed significant reductions in distress from baseline (M = 13.78, SD = 3.04) to post-test (M = 9.45, SD = 2.31), Conclusion: These findings provide evidence that an 8-week CBT intervention significantly reduces psychological distress in individuals with hypertension. The results support the integration of CBT into hypertension care within Nigerian tertiary hospitals, highlighting the potential for broader implementation in similar clinical settings. Future research, involving larger and longer-term studies, is recommended to confirm the durability and generalizability of these findings.

Indexed as

behavioral medicinechronic diseasecognitive behavioral therapyhypertensionmental healthnon-pharmacological interventionspsychological distressrandomized controlled trial

Identifiers

PMID41640586
PMCPMC12865988

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.