Abstract
The association between elevated blood pressure and low rates of self-reported problems has been hypothesized to be mediated by defensiveness. In a population screening study in which 1,120 women and 903 men between 20 and 55 years of age participated, multiple resting home blood pressure measurements were performed and questionnaires were administered measuring symptom complaints, daily hassles, and defensiveness. In women, after control for potential confounders, a low number of self-reported symptoms was associated with elevated blood pressure. However, this effect was not mediated by defensiveness, although repressive defensiveness predicted independently elevated blood pressure in women. In men, no significant associations were obtained. Furthermore, no relations emerged between daily hassles and elevated blood pressure. In conclusion, although defensiveness was more prevalent among women with elevated blood pressure, it does not provide a good explanation for the low rates of self-reported symptoms found in these women.
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References
Bruehl, S., Carlson, C. R., & McCubbin, J. A. (1992). The relationship between pain sensitivity and blood pressure in normotensives. Pain, 48, 463–467.
Cottington, E. M., Brock, B. M., House, J. S., & Hawthorne, V. M. (1985). Psychosocial factors and blood pressure in the Michigan statewide blood pressure survey. American Journal of Epidemiology, 121, 515–529.
Crowne, D. P., & Marlowe, D. (1964). The approval motive. New York: Wiley.
Davies, M. (1970). Blood pressure and personality. Journal of Psychosomatic Research, 14, 89–104.
Dworkin, B. R., Filewich, R., Miller, N., Craigmyle, N., & Pickering, T. (1979). Baroreceptor activation reduces reactivity to noxious stimulation: Implications for hypertension. Science, 205, 1299–1301.
Elbert, T., Dworkin, B. R., Rau, H., Pauli, P., Birbaumer, N., Droste, C., & Brunia, C. H. M. (1994). Sensory effects of baroreceptor activation and perceived stress together predict long-term blood pressure elevations. International Journal of Behavioral Medicine, 1, 215–228.
Ghione, S. (1996). Hypertension-associated hypalgesia: Evidence in experimental animals and humans, pathophysiological mechanisms, and potential clinical consequences. Hypertension, 28, 494–504.
Henry, J. P. (1988). Stress, salt and hypertension. Special Issue: Stress and coping in relation to health and disease. Social Science and Medicine, 26, 293–302.
Hermans, H. (1971). Motivatie en prestatie [Motivation and achievement]. Amsterdam: Swets & Zeitlinger.
Irvine, M. J., Garner, D. M., Olmstead, M. P., & Logan, A. G. (1989). Personality differences between hypertensive and normotensive individuals: Influence of knowledge of hypertension status. Psychosomatic Medicine, 51, 537–549.
Jenkins, C. D., Hurst, M. W., & Rose, R. M. (1985). Biomedical and psychosocial predictors of hypertension in air traffic controllers. In C. D. Spielberger & I. G. Sarason (Eds.), Stress andanxiety (Vol. 9, pp. 231–238). Washington, DC: Hemisphere.
Jorgensen, R. S., Johnson, B. T., Kolodziej, M. E., & Schreer, G. E. (1996). Elevated blood pressure and personality: A meta-analytic review. Psychological Bulletin, 120, 293–320.
Kidson, M. A. (1973). Personality and hypertension. Journal of Psychosomatic Research, 17, 35–41.
Melamed, S., Kushnir, T., Strauss, E., & Vigiser, D. (1997). Negative association between reported life events and cardiovascular disease risk factors in employed men: The CORDIS study. Journal of Psychosomatic Research, 43, 247–258.
Millier, A., Montoya, P., Schandry, R., & Haiti, L. (1994). Changes in physical symptoms, blood pressure and quality of life over 30 days. Behaviour Research and Therapy, 32, 593–603.
Myers, H. F., & Miles, R. E. (1981). Life events stress, subjective appraisal and somatization in hypertension: A pilot study. Journal of Human Stress, 7, 17–27.
Nyklíček, I., Vingerhoets, A. J. J. M., & Van Heck, G. L. (1996). Hypertension and objective and self-reported stressor exposure: A review. Journal of Psychosomatic Research, 40, 585–601.
Nyklíček, I., Vingerhoets, A. J. J. M., Van Heck, G. L., Kamphuis, P. L., Van Poppel, J. W. M. J., & Van Limpt, M. C. A. M. (1997). Blood pressure, self-reported symptoms, and job-related problems in schoolteachers. Journal of Psychosomatic Research, 42, 287–296.
Nyklíček, I., Vingerhoets, A. J. J. M., Van Heck, G. L., & Van Limpt, M. C. A. M. (1998). Defensive coping in relation to casual blood pressure and self-reported daily hassles and life events. Journal of Behavioral Medicine, 21, 145–161.
Randich, A., & Maixner, W. (1984). Interactions between cardiovascular and pain regulatory systems. Neuroscience and Biobehavioral Reviews, 8, 343–369.
Santonastaso, P., Canton, G., Ambrosio, G. B., & Zamboni, S. (1984). Hypertension and neuroticism. Psychotherapy and Psychosomatics, 41, 7–11.
Shapiro, D., Jamner, L. D., & Goldstein, I. B. (1993). Ambulatory stress psychophysiology: The study of “compensatory and defensive counterforces” and conflict in a natural setting. Psychosomatic Medicine, 55, 309–323.
Shapiro, D., Jamner, L. D., Lane, J. D., Light, K. C., Myrtek, M., Sawada, Y., & Steptoe, A. (1996). Blood pressure publication guidelines. Psychophysiology, 33, 1–12.
Soghikian, K., Fallick-Hunkeler, E. M., Ury, H. K., & Fisher, A. A. (1981). The effect on high blood pressure awareness and treatment on emotional well-being. Clinical and Investigative Medicine, 4, 191–196.
Sommers-Flanagan, J., & Greenberg, R. P. (1989). Psychosocial variables and hypertension: A new look at an old controversy. Journal of Nervous and Mental Disease, 177, 15–24.
Theorell, T., Faire, U. de, Johnson, J., Hall, E., Perski, A., & Stewart, W. (1991). Job strain and ambulatory blood pressure profiles. Scandinavian Journal of Work Environment and Health, 17, 380–385.
Theorell, T., Svensson, J., Knox, S., Waller, D., & Alvarez, M. (1986). Young men with high blood pressure report few recent life events. Journal of Psychosomatic Research, 30, 243–249.
Tomaka, J., Blascovich, J., & Kelsey, R. M. (1992). Effects of self-deception, social desirability, and repressive coping on psychophysiological reactivity to stress. Personality and Social Psychology Bulletin, 18, 616–624.
Turvey, C., & Salovey, P. (1994). Measures of repression: Converging on the same construct. Imagination, Cognition and Personality, 13, 279–289.
Vingerhoets, A. J. J. M., & Van Heck, G. L. (1990). Gender, coping, and psychosomatic symptoms. Psychological Medicine, 20, 125–135.
Vingerhoets, A. J. J. M., & Van Tilburg, M. A. L. (1994). Alledaagse Problemen Lijst(APL) [Everyday Problems Checklist (EPCL)]. Lisse, The Netherlands: Swets.
Warrenburg, S., Levine, J., Schwartz, G. E., Fontana, A. F., Kerns, R. D., Delaney, R., & Mattson, R. (1989). Defensive coping and blood pressure reactivity in medical patients. Journal of Behavioral Medicine, 12, 407–424.
Weinberger, D. A. (1989). Social-emotional adjustment in older children and adults I: Psychometric properties of the Weinberger Adjustment Inventory. Unpublished manuscript.
Weinberger, D. A., & Schwartz, G. E. (1990). Distress and restraint as superordinate dimensions of self-reported adjustment: A typological perspective. Journal of Personality, 58, 381–417.
Winkleby, M. A., Ragland, D. R., & Syme, L. (1988). Self-reported stressors and hypertension: Evidence of an inverse association. American Journal of Epidemiology, 127, 124–134.
Zonderman, A. B., Leu, V. L., & Costa, P. T., Jr. (1986). Effects of age, hypertension history, and neuroticism on health perceptions. Experimental Gerontology, 21, 449–458.
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Nyklíček, I., Vingerhoets, A.J.J.M. & Van Heck, G.L. Elevated blood pressure and self-reported symptom complaints, daily hassles, and defensiveness. Int. J. Behav. Med. 6, 177–189 (1999). https://doi.org/10.1207/s15327558ijbm0602_5
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DOI: https://doi.org/10.1207/s15327558ijbm0602_5