The Effect of Positive Self-Talk on Anxiety Levels in Elderly with Hypertension
Main Article Content
Abstract
Introduction: Hypertension is a chronic condition that ranks as the third leading cause of death. Its prevalence tends to increase with advancing age. Previous research indicates that psychological factors, particularly anxiety, may contribute to the development of hypertension, while hypertension itself can exacerbate anxiety. Therefore, effective management of anxiety is essential to prevent blood pressure elevation. Non-pharmacological interventions, such as positive self-talk, can play a significant role in promoting better blood pressure control.
Objective: To determine the effect of positive self-talk on anxiety levels in elderly people with hypertension.
Methods: This research design is a quasi-experimental with a two-group pre-test post-test design. The population in this study were all elderly people suffering from hypertension, and a sample of 30 elderly (15 people as intervention group and 15 people as control group). The sampling technique was purposive sampling. The measuring instrument used to measure anxiety was Hamilton Anxiety Rating Scale. Data analysis used Wilcoxon Signed Rank test and Mann Whitney U Test.
Results: There was no significant difference in anxiety levels in the pre-test and post-test in the control group (p value=1.00, α=0,05). There was significant difference in anxiety levels in the pre-test and post-test in the intervention group (p value=0.01, α=0,05). There was a significant influence of positive self-talk on the anxiety level in elderly people with hypertension (p value = 0.001, α = 0.05).
Conclusion: Positive self-talk is effective in managing anxiety in elderly and elderly people recommended to use it to reduce their anxiety levels.
Article Details
References
Adzdzaakiya Khairunnisa, Q., Widyaningtyas, R., Padma Sari, S., Keperawatan, I., Diponegoro, U., Soedarto, J. H., Tembalang, K., & Kunci, K. (2025). Efektivitas Positive Self-Talk terhadap Penurunan Tingkat Kecemasan dan Depresi pada Lansia dengan Hipertensi di Desa Gulon, Magelang. Jurnal Pengabdian Masyarakat Dan Riset Pendidikan, 4(1), 4824–4830. https://doi.org/10.31004/jerkin.v4i1.2265
Agarwal, R., & Weir, M. R. (2024). George L. Bakris, MD (1952 to 2024). Hypertension, 81(9). https://doi.org/10.1161/hypertensionaha.124.23528
Beck, J. S. (2010). Cognitive Therapy. In The Corsini Encyclopedia of Psychology (pp. 1–3). Wiley. https://doi.org/10.1002/9780470479216.corpsy0198
Handayani, N. F., Haryanto, J., & Sari, D. W. (2025). Factors Influencing Blood Pressure Control in Older Adults Hypertension: A Systematic Review. Indonesian Journal of Global Health Research, 7(1), 939–946. https://doi.org/10.37287/ijghr.v7i1.5300
Hardy, J., Hall, C. R., & Hardy, L. (2004). A note on athletes’ use of self-talk. Journal of Applied Sport Psychology, 16(3), 251–257. https://doi.org/10.1080/10413200490498357
Hasanah, U., Reliani, Nasrullah, D., Yuniar, R., & Wibowo, N. A. (2021). Effects of positive self-talk on the level of anxiety of patients with coronary heart disease. Gaceta Medica de Caracas, 129(4), 906–912. https://doi.org/10.47307/GMC.2021.129.4.10
Hatzigeorgiadis, A., Zourbanos, N., Galanis, E., & Theodorakis, Y. (2011). Self-Talk and Sport Performance: A Meta-analysis. Perspectives on Psychological Science, 6, 348–356. https://doi.org/10.13140/2.1.3089.4724
Isnaeni, Y., Nur Adkhana Sari, D., & Nur Hartiningsih, S. (2023). The Relationship between Hypertension and Anxiety Level in the Elderly in Mandungan Srimatani Sub-district Piyungan Bantul Regency Yogyakarta. Java Nursing Journal, 1(2), 150–159. https://doi.org/10.61716/jnj.v1i2.22
Kokubo, Y., & Iwashima, Y. (2015). • Online Data Supplement Hypertension and Cardiorenal Diseases Atrial Fibrillation Higher Blood Pressure as a Risk Factor for Diseases Other Than Stroke and Ischemic Heart Disease Brief Review. Hypertension, 66, 254–259. https://doi.org/10.1161/HYPERTENSIONAHA
Muli, S., Meisinger, C., Heier, M., Thorand, B., Peters, A., & Amann, U. (2020). Prevalence, awareness, treatment, and control of hypertension in older people: Results from the population-based KORA-age 1 study. BMC Public Health, 20(1). https://doi.org/10.1186/s12889-020-09165-8
Nakao, M., Shirotsuki, K., & Sugaya, N. (2021). Cognitive–behavioral therapy for management of mental health and stress-related disorders: Recent advances in techniques and technologies. In BioPsychoSocial Medicine (Vol. 15, Issue 1). BioMed Central Ltd. https://doi.org/10.1186/s13030-021-00219-w
Nisa’, H. F., & Pranungsari, D. (2021). Positive Self-Talk untuk Mengurangi Tingkat Kecemasan Pada Lanjut Usia Dengan Hipertensi. PSIKODIMENSIA, 20(2), 170–180. https://doi.org/10.24167/psidim.v20i2.3269
Pourdavarani, A., Farokhzadian, J., Forouzi, M. A., & Shahraki, S. K. (2024). The effect of positive thinking training on anxiety and happiness among older adults: A quasi-experimental study. Journal of Education and Health Promotion, 13(1), 65. https://doi.org/10.4103/jehp.jehp_1799_22
Putri, R. A., Khairani, W., & Susana, S. A. (2024). . Jurnal Kesehatan Manarang, 10(1), 66. https://doi.org/10.33490/jkm.v10i1.952
Qiu, T., Jiang, Z., Chen, X., Dai, Y., & Zhao, H. (2023). Comorbidity of Anxiety and Hypertension: Common Risk Factors and Potential Mechanisms. In International Journal of Hypertension (Vol. 2023). Hindawi Limited. https://doi.org/10.1155/2023/9619388
Riskesdas 2018 Nasional. (2018).Laporan Nasional fo RISKESADAS 2018, Kemenkesh
Statistik, B. P., & Semarang, K. (n.d.). KOTA SEMARANG PROFIL KESEHATAN 2020.
Tod, D., Hardy, J., & Oliver, E. (2011). Effects of self-talk: A systematic review. In Journal of Sport and Exercise Psychology (Vol. 33, Issue 5, pp. 666–687). Human Kinetics Publishers Inc. https://doi.org/10.1123/jsep.33.5.666
UMMS Health (2022).The Link Between Anxiety and High Blood Pressure.
Zuraidy, N. A. (2025). Positive Affirmation Self-Talk, Impacts on Well-Being, When and How to Start Doing it. International Journal of Social Health, 4(1), 24–31. https://doi.org/10.58860/ijsh.v4i1.279