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Effects of daily activities and social behavior on blood-pressure elevation

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Abstract

This study examined the effects of daily activities and social behavior on the blood-pressure elevation in 21 normotensives, 20 borderline hypertensives, and 20 sustained essential hypertensives. Blood pressures were recorded over a 24-hr period using an ambulatory monitor while subjects recorded their daily activities and social involvement at each cuff inflation. Results indicated that only a moderate proportion of the blood pressure readings of the two clinical groups exceeded 140/90 mm Hg. Results also suggested that the blood pressures of normotensives were more responsive to changes in physical activity, while the blood pressures of sustained hypertensives were more responsive to social involvement. When group differences emerged on mean blood-pressure elevation, analyses indicated that the two hypertensive groups frequently differed from the normotensive group but rarely from each other. The results suggest that differences in blood-pressure elevation cannot be fully understood without considering behavior and support its continued inclusion in the study of blood pressure.

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References

  • Bevan, A. T., Honour, A. J., and Scott, F. H. (1969). Direct arterial pressure recording in unrestricted man.Clin. Sci. 36: 329–344.

    PubMed  Google Scholar 

  • Bolen, K. G., Ramsey, L., and Gifford, R. V. (1984). Interfacing the Del Mar Avionics Model 1978 P3 System with the Apple 2E computer. In Weber, M. A., and Drayer, J. (eds.),Ambulatory Blood Pressure Monitoring, Springer-Verlag, New York pp. 35–41.

    Google Scholar 

  • Crowther, J. H., Stephens, M. A. P., Koss, P. G., and Bolen, K. (1987). Behavioral predictors of blood pressure variation in hypertensives and normotensives.Health Psychol. 6: 569–579.

    PubMed  Google Scholar 

  • Dollery, C. T. (1973). Normal and raised arterial pressure: What is hypertension? In Onesti, G., Kim, K. E., and Moyer, J. H. (eds.),Hypertension: Mechanisms and Management, Grune & Stratton, New York.

    Google Scholar 

  • Harshfield, G. A., Pickering, T. G., Kleinert, H. D., Blank, S., and Laragh, J. H. (1982). Situational variations of blood pressure in ambulatory hypertensive patients.Psychosom. Med. 44: 237–245.

    PubMed  Google Scholar 

  • Horan, M. J., Kennedy, H. L., and Padgett, N. E. (1981). Do borderline hypertensive patients have labile blood pressure?Ann. Intern. Med. 94: 466–468.

    PubMed  Google Scholar 

  • Laughlin, K. D. (1981). Enhancing the effectiveness of behavioral treatments of essential hypertension.Physiol. Behav. 26: 907–913.

    PubMed  Google Scholar 

  • Lynch, J. J., Long, J. M., Thomas, S. A., Malinow, K. L., and Katcher, A. H. (1983). The effects of talking on the blood pressure of hypertensive and normotensive individuals.Psychosom. Med. 43: 25–33.

    Google Scholar 

  • Pickering, T. G., Harshfield, G. A., Kleinert, H. D., Blank, S., and Laragh, J. H. (1982). Blood pressure during normal daily activities, sleep, and exercise: Comparison of values in normal and hypertensive subjects.JAMA 247(7): 992–996.

    PubMed  Google Scholar 

  • Schneider, R. A., and Costiloe, J. P. (1975). Twenty-four hour automatic monitoring of blood pressure and heart rate at work and at home.Am. Heart J. 90: 695–702.

    PubMed  Google Scholar 

  • Seer, P. (1979). Psychological control of essential hypertension: Review of the literature and methodological critique.Psychol. Bull. 86: 1015–1043.

    PubMed  Google Scholar 

  • Shapiro, D., and Surwit, R. S. (1976). Learned control of physiological function and disease. In Leitenberg, H. (ed.),Handbook of Behavior Modification and Behavior Therapy, Prentice-Hall, Englewood Cliffs, NJ.

    Google Scholar 

  • Williams, R. B., Kimball, C. P., and Williard, H. N. (1972). The influence of interpersonal interaction.Psychosom. Med. 34: 194–198.

    PubMed  Google Scholar 

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This research was supported in part by National Institutes of Health Grant HL 29795 to Janis H. Crowther and Mary Ann P. Stephens.

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Stephens, M.A.P., Crowther, J.H., Koss, P.G. et al. Effects of daily activities and social behavior on blood-pressure elevation. J Behav Med 11, 553–563 (1988). https://doi.org/10.1007/BF00844905

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