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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Psychological variables in hypertension: relationship to casual or ambulatory blood pressure in men.
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Psychological variables in hypertension: relationship to casual or ambulatory blood pressure in men.

机译：高血压的心理变量：与男性随便或动态血压的关系。

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OBJECTIVE: The evidence linking hypertension with personality or psychological characteristics, such as anger, anxiety, or depression, remains equivocal. This may be due in part to limitations of personality theory, confounding by awareness of hypertension, and/or inherent difficulties in measuring blood pressure. This study was designed to investigate the association between mild hypertension as defined by both ambulatory and casual (clinic) blood pressure measurements and various measures of personality and psychological characteristics. METHODS: We examined this association in a population-based sample of 283 men between the ages of 30 and 60 years from eight work sites in New York City, using an ambulatory blood pressure monitor and controlling for age, race/ethnicity, and body mass index. RESULTS: We found no consistent difference between participants with mild hypertension and those with normal blood pressure on any of the psychological variables assessed, including Type A behavior pattern, state and trait anger, anger expression, anxiety, symptoms of psychological distress, locus of control, or attributional style. Results were not due to the use of antihypertensive medication by some of the participants with hypertension nor to the dichotomization of blood pressure into those with and without mild hypertension. This contrasts with previous findings from this study showing a sizable association of ambulatory blood pressure and hypertension with job strain (a situational measure), age, and body mass index. CONCLUSIONS: These null results suggest that situational, biological, and perhaps behavioral factors are the primary determinants of mild hypertension and that the predictive significance of psychological or dispositional factors is low or negligible in those without overt cardiovascular disease.
机译：目的：将高血压与人格或心理特征（例如愤怒，焦虑或抑郁）联系起来的证据仍然模棱两可。这可能部分是由于人格理论的局限性，对高血压的认识造成的混淆和/或测量血压的固有困难。这项研究旨在调查轻度高血压（由门诊和休闲（诊所）血压测量所定义）与人格和心理特征的各种测量之间的关联。方法：我们使用动态血压监测仪并控制年龄，种族/民族和体重，从纽约市的八个工作地点对283名年龄在30至60岁之间的年龄在30至60岁之间的男性人群进行了研究。指数。结果：我们发现，在评估的任何心理变量上，轻度高血压的参与者和血压正常的参与者之间没有一致的差异，包括A型行为模式，状态和特质愤怒，愤怒表达，焦虑，心理困扰症状，控制源或归因风格。结果并不是由于某些高血压参与者使用了降压药，也不是由于血压被分为有轻度高血压和无轻度高血压的人群。这与该研究以前的发现相反，该研究表明动态血压和高血压与工作压力（一种情况测量），年龄和体重指数有很大的关联。结论：这些无效的结果表明，情境，生物学和行为因素是轻度高血压的主要决定因素，而在没有明显心血管疾病的人群中，心理或性倾向因素的预测意义较低或可忽略不计。

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