Skip to main content
Log in

Meditation training and essential hypertension: A methodological study

  • Published:
Journal of Behavioral Medicine Aims and scope Submit manuscript

Abstract

Meditation training appears to be a promising psychological approach to the control of hypertension. However, most studies to date have had serious deficiencies. This study attempted to correct many of these deficiencies. Forty-one unmedicated hypertensives referred by general practitioners were randomly allocated to three groups. The treatment group (SRELAX) underwent training procedures based on Transcendental Meditation; a placebo control group (NSRELAX) underwent identical training but without a mantra. Both procedures were compared with a no-treatment control group. The results showed modest reductions in blood pressure in both SRELAX and NSRELAX groups, compared with the no-treatment controls, with diastolic percentage reductions reaching significance (p<0.05). There was considerable subject variation in response, with overall a mean decline in diastolic blood pressure of 8–10% on 3-month follow-up. Possible indicators to predict the response of subjects are considered and reasons for the similarity in the effectiveness of the SRELAX and NSRELAX conditions are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Aitken, R. C. (1969). Measurement of feelings using visual analogue scales.Proc. R. Soc. Med. 62: 989–993.

    Google Scholar 

  • Benson, H., Rosner, B. A., Marzetta, B. R., and Klemchuck, H. M. (1974a). Decreased blood pressure in pharmacologically treated hypertensive patients who regularly elicited the relaxation response.Lancet, February, 289–291.

  • Benson, H., Rosner, B. A., Marzetta, B. R., and Klemchuck, H. M. (1974b). Decreased blood pressure in borderline hypertensive subjects who practice meditation.J. Chron. Dis. 27: 163–169.

    Google Scholar 

  • Blackwell, B., Bloomfield, S., Gartside, P., Robinson, A., Hanenson, L., Magenheim, H., Nidich, S., and Zigler, R. (1976). Transcendental meditation in hypertension: Individual response patterns.Lancet 1(7953): 223–226.

    Google Scholar 

  • Blanchard, E. B., and Miller, S. T. (1977). Psychological treatment of cardiovascular disease.Arch. Gen. Psychiat. 34: 1402–1413.

    Google Scholar 

  • Derogatis, L. R., Lipman, R. S., Rickels, K., Uhlenhuth, E. H., and Covi, L. (1974). The Hopkins Symptom Checklist (HSCL): A measure of primary symptom dimensions. In Pichot, P. (ed.),Psychological Measurements in Psychopharmacology: Modern Problems in Pharmacopsychiatry, Vol. 7, Karger, Basel.

    Google Scholar 

  • Geddes, L. A. (1970).The Direct and Indirect Measurement of Blood Pressure, Year Book Medical Publishers, Chicago.

    Google Scholar 

  • Jacob, R. G., Kraemer, H. C., and Agras, W. S. (1977). Relaxation therapy in the treatment of essential hypertension.Arch. Gen. Psychiat. 34: 1417–1427.

    Google Scholar 

  • Krausman, D. T. (1975). Methods and procedures for monitoring and recording blood pressure.Am. Psychol. 30: 285–294.

    Google Scholar 

  • Lader, M. H., and Wing, L. (1966).Physiological Measures, Sedative Drugs, and Morbid Anxiety, London University Press, London.

    Google Scholar 

  • Maharishi Mahesh Yogi (1968).Meditations of Maharishi Mahesh Yogi, Bantam Books, New York.

    Google Scholar 

  • Naranjo, C., and Ornstein, R. E. (1971).On the Psychology of Meditation, Viking Press, New York.

    Google Scholar 

  • Patel, C. H., and North, W. R. S. (1975). Randomised controlled trial of yoga and biofeedback in management of hypertension.Lancet Suppl. 48: 171–174.

    Google Scholar 

  • Pollack, A. D., Weber, M. A., Case, D. B., and Laragh, J. H. (1977). Limitations of transcendental meditation in the treatment of essential hypertension.Lancet, January 8, 71–73.

    Google Scholar 

  • Rotter, J. B. (1966). Generalized expectancies for internal versus external control of reinforcement.Psychol. Monogr. 80: Whole No. 609, 1–28.

    Google Scholar 

  • Smith, J. C. (1976). Psychotherapeutic effects of transcendental meditation with controls for expectation of relief and daily sitting.J. Consult. Clin. Psychol. 44: 630–637.

    Google Scholar 

  • Spielberger, C. D., Gorsuch, R. L., and Lushene, R. E. (1970).STAI Manual for the Stait-Trait Anxiety Inventory (“Self Evaluation Questionnaire”), Consulting Psychologists Press, Palo Alto, Calif.

    Google Scholar 

  • Stone, R. A., and DeLeo, J. (1976). Psychotherapeutic control of hypertension.New Engl. J. Med. 294: 80–84.

    Google Scholar 

  • Surwit, R. S., Hager, J. L., and Feldman, T. (1977). The role of feedback in voluntary control of blood pressure in instructed subjects.J. Appl. Behav. Anal. 10: 625–31.

    Google Scholar 

  • Surwit, R. S., Shapiro, D., and Good M. I. (1978). Comparison of cardiovascular biofeedback, neuromuscular feedback, and meditation in the treatment of borderline hypertension.J. Consult. Clin. Psychol. 46: 252–263.

    Google Scholar 

  • Wilder, J. (1956). The law of initial value in neurology and psychiatry: Facts and problems.J. Nerv. Ment. Dis. 125: 73–86.

    Google Scholar 

  • Wright, B. M., and Dore, C. F. (1970). A random-zero sphygmomanometer.Lancet 1: 337–338.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

This research was funded by a grant from the Auckland Medical Research Foundation.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Seer, P., Raeburn, J.M. Meditation training and essential hypertension: A methodological study. J Behav Med 3, 59–71 (1980). https://doi.org/10.1007/BF00844914

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00844914

Key words

Navigation