Variáveis biopsicossociais e atitudes frente ao tratamento influenciam a hipertens？o complicada

background: complicated hypertension can be influenced by the characteristics of hypertensive patients. objective: to associate the condition of complicated hypertension with biosocial variables such as attitudes and beliefs about the disease and treatment and subjective well-being. methods: we studied 251 uncomplicated hypertensive patients (sbp > 140 mmhg and/or 90 < dbp < 110 mmhg for patients under no treatment and dbp <110mmhg for patients under treatment without target organ damage and other diseases) and 260 complicated hypertensive patients (dbp > 110 mmhg with or without treatment, with target organ damage or other diseases). results: complicated hypertensive patients were significantly different from uncomplicated ones (p <0.05) in relation to: 1 - prevalence of men, not white (53.0%), higher body mass index (29.5 ± 4.6 vs 28.5 ± 4.0 kg/m2), over 10 years of disease (54.0%), completion of previous treatment (53.0%) and reports of sadness about life as a whole (74.0%) 2 - complicated hypertensive patients never bring the drugs when they travel (59.0%), nor do they buy them before running out the drugs (71.0%) and rarely follow eating guidelines (69.0%) 3 - uncomplicated hypertensive patients showed no more migraines, joint pain and, among women, menopausal status and hormone replacement therapy, and 4 - of those who had pressure control (< 140/90 mmhg), 61.9% were uncomplicated hypertensive patients; and 5 - complicated hypertensive patients were not aware that treatment can prevent kidney problems and they thought that young people do not have high blood pressure. conclusion: complicated hypertensive patients showed more negative structural and psychosocial characteristics, more negative attitudes towards treatment and are unaware of the disease.