Zusammenfassung
Seit langer Zeit sprechen verschiedenste Befunde dafür, daß Gefühle, Lebenssituationen, Streß und andere Verhaltens- und Umgebungsfaktoren eine bedeutende Rolle bei der Entwicklung, Unterhaltung, Behandlung und Vorbeugung der Hypertonie spielen können. Die Beweise sind direkter als auch indirekter Art: gelegentliche Berichte von Ärzten, Bestimmung der psychologischen Charakteristika von hypertonen Patienten, epidemiologische und soziologische Studien und eine Fülle an psychophysiologischer Literatur, die die verschiedenen Einflüsse des Verhaltens auf Blutdruckveränderungen und andere Reaktionen des kardiovaskulären Systems aufzeigen. Für allgemeine Übersichtsartikel siehe Cohen und Obrist [21], Eyer [36], Gutmann und Benson [58], Harris und Forsyth [66], Heine [67], A. P. Shapiro et al. [133, 134]. Bemerkenswert sind auch Ergebnisse, die zeigen, daß in vielen der schwarzen Bevölkerungsgruppen der Blutdruck typischerweise mit dem Alter ansteigt, während er es bei einigen anderen nicht tut [10].
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Literatur
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