Psychologic factors as precursors to hypertension

被引：44

作者：

Markovitz J.H. ^{[1
]}

Jonas B.S. ^{[2
]}

Davidson K. ^{[3
]}

机构：

[1] Division of Preventive Medicine, University of Alabama at Birmingham, Birmingham, AL 35205

[2] Centers for Disease Control and Prevention, National Center for Health Statistics, Atlanta, GA

[3] Zena and Michael A. Weiner Cardiovascular Institute, Mount Sinai School of Medicine, New York, NY

来源：

Current Hypertension Reports | 2001年 / 3卷 / 1期

关键词：

Depressive Symptom; Psychologic Factor; Ambulatory Blood Pressure; Stress Reduction; Ambulatory Blood Pressure Monitoring;

D O I：

10.1007/s11906-001-0074-y

中图分类号：

学科分类号：

摘要：

The possibility that certain psychologic factors lead to hypertension has been considered by many investigators over the past 60 years, but prospective studies with suitable methods to evaluate this hypothesis were not available for analysis until the 1990s. There are now five large longitudinal studies demonstrating a relation between symptoms of anxiety or depression and subsequent hypertension incidence. Anger expression, long considered a major psychologic factor in hypertension, has been studied less extensively, and the findings to date are less consistent. While some evidence supports the biological plausibility of psychologic factors as risk factors for hypertension, biobehavioral mechanisms explaining the relationship have not been adequately explored. The results of these recent studies may lead to new intervention trials specifically selecting hypertensive patients with anxiety or depression for treatment with stress reduction or other appropriate psychologic therapies. Such studies would further contribute to the evaluation of anxiety and depression as risk factors for hypertension. Copyright © 2001 by Current Science Inc.

引用

页码：25 / 32

页数：7

共 76 条

[1] Kannel W.B., Blood pressure as a cardiovascular risk factor. Prevention and treatment, JAMA, 275, pp. 1571-1576, (1996)
[2] Wilson P.W., An epidemiologic perspective of systemic hypertension, ischemic heart disease, and heart failure, Am J Cardiol, 80, (1997)
[3] Wolf H.K., Tuomilehto J., Kuulasmaa K., Et al., Blood pressure level in the 41 populations of the WHO MONICA Project, J Hum Hypertens, 11, pp. 733-742, (1997)
[4] Alexander F., Emotional factors in essential hypertension, Psychosom Med, 1, pp. 175-179, (1939)
[5] Diamond E.L., The role of anger and hostility in essential hypertension and coronary heart disease, Psychol Bull, 92, pp. 410-435, (1982)
[6] Sommers-Flanagan J., Greenberg R.P., Psychosocial variables and hypertension: A new look at an old controversy, J Nerv Ment Dis, 177, pp. 15-24, (1989)
[7] Goldberg E.L., Comstock G.W., Graves C.G., Psychological factors and blood pressure, Psychol Med, 10, pp. 243-255, (1980)
[8] Sparrow D., Garvey A.J., Rosner B., Et al., Factors in predicting blood pressure change, Circulation, 65, pp. 789-794, (1982)
[9] Jenkins C.D., Somervell P.D., Hames C.G., Does blood pressure rise with age?... Or with stress?, J Hum Stress, 9, pp. 4-12, (1983)
[10] Kahn H.A., Medaalie J.H., Neufeld H.N., Et al., The incidence of hypertension and associated factors: The Israeli ischemic heart disease study, Am Heart J, 84, pp. 171-182, (1972)

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