Stress-management training for essential hypertension: A controlled study

被引:12
作者
Garcia-Vera, MP [1 ]
Labrador, FJ [1 ]
Sanz, J [1 ]
机构
[1] Univ Complutense Madrid, Dept Personalidad Evaluac & Psicol Clin, Madrid 28223, Spain
关键词
essential hypertension; behavioral treatment; stress-management training; self-measurement of blood pressure;
D O I
10.1023/A:1022248029463
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Forty three patients with essential hypertension participated in a study on the effectiveness of stress-management training for essential hypertension. After 6-9 clinic and 48 self-measured readings of systolic and diastolic blood pressures (SBP and DBP), 22 patients were treated with a program based on education, relaxation, and problem-solving training; and another 21 patients were assigned to a waiting list control group. At post-treatment, mean reductions of clinic BP (17/13 mm Hg vs. 69/4.7 mm Hg for SBP/DBP) percentages of subjects who achieved at least a 5 mm Hg reduction (86/86% vs. 48/48% for SBP/DBP) and percentages of subjects who in addition achieved a normotensive level (59/68% vs. 29/14% for SBP/DBP) were significantly higher in the treated group than in the control group. Concerning self-measured BI: the effectiveness of the stress-management training was not so considerable (mean reductions of 3.6/2.4 mm Hg and percentages of subjects who achieved a 5 mm Hg reduction of 52/38% for SBP/DBP), but it was significant and maintained in a 4-month follow-up assessment (mean reductions of 4/2 mm Hg and percentages of subjects who achieved a 5 mm Hg reduction of 48/33% for SBP/DBP). It is suggested that stress-management training can be beneficial for treatment of essential hypertension.
引用
收藏
页码:261 / 283
页数:23
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