Behavioral and physiological effects of a beta blocker and relaxation therapy on mild hypertensives.

Abstract:

:In this industrial-based study we compared the blood pressure (BP)-lowering effectiveness of relaxation, a beta blocker, and the combined use of these two treatments in 47 untreated, mildly hypertensive blue collar steel workers. Using a randomized two by two factorial design, patients received either nadolol or placebo drug daily, and either a relaxation training or an education program, each lasting 8 weeks. A pre-intervention and post-intervention stress test measured response of heart rate and BP to mental and physical tasks. BP assessments were done at baseline, post-intervention, 1 month, and 3 month follow-up. Change in several self-report measures was determined. Results showed that beta blocker was more effective in lowering BP than placebo, but relaxation was not more effective in lowering BP than health education. The combined effect of beta blocker and relaxation was not superior to beta blocker alone. Compliance with relaxation practice was not superior to compliance with medication. We conclude that pharmacologic treatment is superior to the relaxation therapy tested.

journal_name

Psychosom Med

journal_title

Psychosomatic medicine

authors

Adsett CA,Bellissimo A,Mitchell A,Wilczynski N,Haynes RB

doi

10.1097/00006842-198909000-00004

subject

Has Abstract

pub_date

1989-09-01 00:00:00

pages

523-36

issue

5

eissn

0033-3174

issn

1534-7796

journal_volume

51

pub_type

临床试验,杂志文章,随机对照试验
  • Perfectionism and the cortisol response to psychosocial stress in men.

    abstract:OBJECTIVE:To test the hypothesis that perfectionism is an important moderator of the neuroendocrine stress response, with higher perfectionism predicting increased neuroendocrine activation. METHODS:A total of 50 middle-aged men underwent an acute standardized psychosocial stress task (Trier Social Stress Test). Perfe...

    journal_title:Psychosomatic medicine

    pub_type: 杂志文章

    doi:10.1097/PSY.0b013e318042589e

    authors: Wirtz PH,Elsenbruch S,Emini L,Rüdisüli K,Groessbauer S,Ehlert U

    更新日期:2007-04-01 00:00:00

  • Pervasive Discrimination and Allostatic Load in African American and White Adults.

    abstract:OBJECTIVE:This study aimed to examine associations among race, the accumulation of multiple forms of discriminatory experiences (i.e., "pervasive discrimination"), and allostatic load (AL) in African Americans and whites in midlife. METHODS:Using data collected in 2004 to 2006 from 226 African American and 978 white a...

    journal_title:Psychosomatic medicine

    pub_type: 杂志文章

    doi:10.1097/PSY.0000000000000788

    authors: Van Dyke ME,Baumhofer NK,Slopen N,Mujahid MS,Clark CR,Williams DR,Lewis TT

    更新日期:2020-04-01 00:00:00

  • Can subjective asthma symptoms be learned?

    abstract:OBJECTIVE:We investigated whether perception of subjective asthma symptoms can be brought under control of biomedically irrelevant cues in the environment, i.e., whether subjective asthma symptoms can be learned in response to harmless stimuli. METHODS:Twenty patients with asthma and 20 healthy participants were prese...

    journal_title:Psychosomatic medicine

    pub_type: 杂志文章

    doi:10.1097/01.psy.0000160470.43167.e2

    authors: De Peuter S,Van Diest I,Lemaigre V,Li W,Verleden G,Demedts M,Van den Bergh O

    更新日期:2005-05-01 00:00:00

  • Do low cholesterol levels slow mental processing?

    abstract::The plasma cholesterol levels of 279 students were measured and related to decision and movement times in choice reaction time tasks with one, two, four, and eight lamps. In female subjects, low plasma cholesterol levels were associated with slower movement times and, when responding to one or two lamps, slower decisi...

    journal_title:Psychosomatic medicine

    pub_type: 杂志文章

    doi:10.1097/00006842-199501000-00008

    authors: Benton D

    更新日期:1995-01-01 00:00:00

  • Presidential Address-1976. Social support as a moderator of life stress.

    abstract::Social support is defined as information leading the subject to believe that he is cared for and loved, esteemed, and a member of a network of mutual obligations. The evidence that supportive interactions among people are protective against the health consequences of life stress is reviewed. It appears that social sup...

    journal_title:Psychosomatic medicine

    pub_type: 杂志文章

    doi:10.1097/00006842-197609000-00003

    authors: Cobb S

    更新日期:1976-09-01 00:00:00

  • Fatigue and proinflammatory cytokine activity in breast cancer survivors.

    abstract:OBJECTIVE:Fatigue is a common problem among cancer patients and survivors, yet the mechanisms underlying the occurrence and persistence of this symptom are not known. Activation of the immune system may evoke feelings of fatigue, which are mediated by proinflammatory cytokines. We examined whether fatigued breast cance...

    journal_title:Psychosomatic medicine

    pub_type: 杂志文章

    doi:10.1097/00006842-200207000-00010

    authors: Bower JE,Ganz PA,Aziz N,Fahey JL

    更新日期:2002-07-01 00:00:00

  • Depression and coronary heart disease in women with diabetes.

    abstract:OBJECTIVE:The protective effects of female gender on the appearance and course of coronary heart disease (CHD) in nondiabetic subjects are diminished in the presence of diabetes. Depression predicts onset of and poor outcome from CHD in nondiabetic populations. We hypothesized that the doubled rates of depression in fe...

    journal_title:Psychosomatic medicine

    pub_type: 杂志文章

    doi:10.1097/01.psy.0000041624.96580.1f

    authors: Clouse RE,Lustman PJ,Freedland KE,Griffith LS,McGill JB,Carney RM

    更新日期:2003-05-01 00:00:00

  • Psychosocial factors and disease bias in breast cancer patients.

    abstract::The personality patterns of cancer patients as found in retrospective case-control studies are often suspected to be consequences of the disease. In this study an attempt was made to remove the bias arising from the disease itself by taking into account two indicator variables for the subject's anticipation of the sub...

    journal_title:Psychosomatic medicine

    pub_type: 杂志文章

    doi:10.1097/00006842-198705000-00009

    authors: Scherg H

    更新日期:1987-05-01 00:00:00

  • Negative affectivity and repressive coping: pervasive influence on self-reported mood, health, and coronary-prone behavior.

    abstract::Negative affectivity (NA) and repressive coping (REP) are coping styles characterized by a disposition to either experience or avoid distress. This study investigated the potential influence of NA and REP on self-reported distress and coronary-prone behavior among 178 male cardiac patients undergoing rehabilitation. B...

    journal_title:Psychosomatic medicine

    pub_type: 杂志文章

    doi:10.1097/00006842-199109000-00005

    authors: Denollet J

    更新日期:1991-09-01 00:00:00

  • Mismatch in Spouses' Anger-Coping Response Styles and Risk of Early Mortality: A 32-Year Follow-Up Study.

    abstract:OBJECTIVE:Research in psychosomatic medicine includes a long history of studying how responses to anger-provoking situations are associated with health. In the context of a marriage, spouses may differ in their anger-coping response style. Where one person may express anger in response to unfair, aggressive interperson...

    journal_title:Psychosomatic medicine

    pub_type: 杂志文章

    doi:10.1097/PSY.0000000000000653

    authors: Bourassa KJ,Sbarra DA,Ruiz JM,Karciroti N,Harburg E

    更新日期:2019-01-01 00:00:00

  • Effects of age and gender on the relationship between anxiety and coronary artery disease.

    abstract::This study investigated the relationship between anxiety and coronary artery disease (CAD). State (S-ANX) and trait (T-ANX) anxiety were assessed with the State-Trait Personality Inventory (STPI), which was administered to 373 patients (230 males, 143 females) 12 to 18 hr prior to their undergoing coronary arteriograp...

    journal_title:Psychosomatic medicine

    pub_type: 杂志文章

    doi:10.1097/00006842-198703000-00002

    authors: Schocken DD,Greene AF,Worden TJ,Harrison EE,Spielberger CD

    更新日期:1987-03-01 00:00:00

  • Atypical sexual behavior during sleep.

    abstract:OBJECTIVE:This article reports a case series of atypical sexual behavior during sleep, which is often harmful to patients or bed partners. METHODS:Eleven subjects underwent clinical evaluation of complaints of sleep-related atypical sexual behavior. Complaints included violent masturbation, sexual assaults, and contin...

    journal_title:Psychosomatic medicine

    pub_type: 杂志文章

    doi:10.1097/00006842-200203000-00017

    authors: Guilleminault C,Moscovitch A,Yuen K,Poyares D

    更新日期:2002-03-01 00:00:00

  • Physical symptoms of chronic fatigue syndrome are exacerbated by the stress of Hurricane Andrew.

    abstract::This study examined the effects of Hurricane Andrew on physical symptoms and functional impairments in a sample of chronic fatigue syndrome (CFS) patients residing in South Florida. In the months after Hurricane Andrew (September 15-December 31, 1992), 49 CFS patients were assessed for psychosocial and physical functi...

    journal_title:Psychosomatic medicine

    pub_type: 杂志文章

    doi:10.1097/00006842-199507000-00002

    authors: Lutgendorf SK,Antoni MH,Ironson G,Fletcher MA,Penedo F,Baum A,Schneiderman N,Klimas N

    更新日期:1995-07-01 00:00:00

  • Exhaustion is associated with low macrophage migration inhibitory factor expression in patients with coronary artery disease.

    abstract:OBJECTIVE:Macrophage migration inhibitory factor (MIF), a protein secreted by immune cells and the pituitary gland, may be associated with coronary artery disease (CAD) and the mental state of coronary patients. The first origin of MIF suggests positive, the second negative associations. The aim of this study was to ex...

    journal_title:Psychosomatic medicine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/PSY.0b013e31802b8750

    authors: Kwaijtaal M,van der Ven AJ,van Diest R,Bruggeman CA,Bär FW,Calandra T,Appels A,Sweep FC

    更新日期:2007-01-01 00:00:00

  • Self-efficacy and health status in patients with coronary heart disease: findings from the heart and soul study.

    abstract:OBJECTIVE:To examine the relationship between cardiac self-efficacy and health status, including symptom burden, physical limitation, quality of life, and overall health among outpatients with stable coronary heart disease (CHD). We hypothesized that lower self-efficacy would predict worse health status, independent of...

    journal_title:Psychosomatic medicine

    pub_type: 杂志文章

    doi:10.1097/PSY.0b013e3180514d57

    authors: Sarkar U,Ali S,Whooley MA

    更新日期:2007-05-01 00:00:00

  • Prospective examination of anxiety and depression before and during confirmed and pseudoexacerbations in patients with multiple sclerosis.

    abstract:OBJECTIVE:This study was designed to determine whether pseudoexacerbations and confirmed MS exacerbations are preceded by or concurrent with increased anxiety or depressive symptoms. METHODS:This was a secondary analysis of 121 patients with MS who were observed for 48 weeks during a randomized controlled trial. Parti...

    journal_title:Psychosomatic medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/PSY.0b013e3182757b2b

    authors: Burns MN,Nawacki E,Siddique J,Pelletier D,Mohr DC

    更新日期:2013-01-01 00:00:00

  • Psychological characteristics of patients with amyotrophic lateral sclerosis (ALS).

    abstract::Previous research has suggested that patients with amyotrophic lateral sclerosis (ALS) demonstrate similar psychological characteristics that distinguish them from the medically ill populations, and that these findings may bear etiologic and prognostic importance. In this report, a larger sample was studied and the pr...

    journal_title:Psychosomatic medicine

    pub_type: 杂志文章

    doi:10.1097/00006842-197709000-00003

    authors: Houpt JL,Gould BS,Norris FH Jr

    更新日期:1977-09-01 00:00:00

  • Association of baseline anxiety with depression persistence at 6 months in patients with acute cardiac illness.

    abstract:OBJECTIVE:To assess the association of baseline anxiety with depression persistence and change in depressive symptoms 6 months after cardiac hospitalization. METHODS:Data were analyzed from 137 depressed patients hospitalized on inpatient cardiac units for acute coronary syndrome, decompensated heart failure, or arrhy...

    journal_title:Psychosomatic medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/PSY.0b013e31823d38bc

    authors: Celano CM,Mastromauro CA,Lenihan EC,Januzzi JL,Rollman BL,Huffman JC

    更新日期:2012-01-01 00:00:00

  • Major depressive disorder predicts cardiac events in patients with coronary artery disease.

    abstract::Fifty-two patients undergoing cardiac catheterization and subsequently found to have significant coronary artery disease (CAD) were given structured psychiatric interviews before catheterization. Nine of these patients met criteria for major depressive disorder. All 52 patients were contacted 12 months after catheteri...

    journal_title:Psychosomatic medicine

    pub_type: 杂志文章

    doi:10.1097/00006842-198811000-00009

    authors: Carney RM,Rich MW,Freedland KE,Saini J,teVelde A,Simeone C,Clark K

    更新日期:1988-11-01 00:00:00

  • Higher abnormal leukocyte and lymphocyte counts 20 years after exposure to severe stress: research and clinical implications.

    abstract:OBJECTIVES:Research suggests that individuals with posttraumatic stress disorder (PTSD) are more likely to develop medical conditions and other stress-related psychiatric disorders. Given these findings and others suggesting that PTSD victims may have altered neuroendocrine and immune systems, the hypothesis that Vietn...

    journal_title:Psychosomatic medicine

    pub_type: 临床试验,杂志文章

    doi:10.1097/00006842-199905000-00019

    authors: Boscarino JA,Chang J

    更新日期:1999-05-01 00:00:00

  • Mood and somatic symptoms during pregnancy.

    abstract::A predominantly white, middle class sample of pregnant women (N = 93) completed the AACL (Anxiety), the DACL (Depressive Mood), the SCL (Somatic Symptoms) and the IPAT Anxiety Questionnaire at the second, fifth and eighth months of pregnancy. A menstrual history questionnaire was administered on the first testing occa...

    journal_title:Psychosomatic medicine

    pub_type: 杂志文章

    doi:10.1097/00006842-197503000-00004

    authors: Lubin B,Gardener SH,Roth A

    更新日期:1975-03-01 00:00:00

  • The impatience of youth: phasic cardiovascular response in type A and type B elementary school-aged boys.

    abstract::Impatience, one major Type A characteristic, alters the performance of tasks requiring anticipation and accurate responding. Beat-by-beat changes in heart rate are also known to occur during anticipatory attention. In college- and middle-aged adult samples, impatience is related to these beat-by-beat heart rate change...

    journal_title:Psychosomatic medicine

    pub_type: 杂志文章

    doi:10.1097/00006842-198411000-00003

    authors: Jennings JR,Matthews KA

    更新日期:1984-11-01 00:00:00

  • Chest pain in patients with cardiac and noncardiac disease.

    abstract:OBJECTIVE:To describe factors influencing chest pain expression in patients with cardiac or noncardiac disease. METHODS:The authors conducted a case presentation and review of literature. RESULTS:Causes of chest pain are diverse. Psychologic factors influence chest pain expression commonly in patients with or without...

    journal_title:Psychosomatic medicine

    pub_type: 杂志文章,评审

    doi:10.1097/01.psy.0000146330.80895.77

    authors: Sheps DS,Creed F,Clouse RE

    更新日期:2004-11-01 00:00:00

  • A comparison of cook-medley hostility subscales and mortality in patients with coronary heart disease: data from the heart and soul study.

    abstract:OBJECTIVE:Hostility is associated with adverse outcomes in patients with coronary heart disease (CHD). However, assessment tools used to evaluate hostility in epidemiological studies vary widely. METHODS:We administered nine subscales of the Cook-Medley Hostility Scale (CMHS) to 656 outpatients with stable CHD between...

    journal_title:Psychosomatic medicine

    pub_type: 杂志文章

    doi:10.1097/PSY.0000000000000059

    authors: Wong JM,Sin NL,Whooley MA

    更新日期:2014-05-01 00:00:00

  • Mental disorders and hypertension: factors associated with awareness and treatment of hypertension in the general population of Germany.

    abstract:OBJECTIVE:The aim of the present study was to identify the association between mental disorders and awareness and treatment of hypertension in a large representative community sample. METHODS:The analysis was based on data from 4149 respondents, ages 18 to 65 years, from the German National Health Interview and Examin...

    journal_title:Psychosomatic medicine

    pub_type: 杂志文章

    doi:10.1097/01.psy.0000204883.77284.6b

    authors: Schmitz N,Thefeld W,Kruse J

    更新日期:2006-03-01 00:00:00

  • Effects of progressive relaxation on sleep disturbance: an electroencephalographic evaluation.

    abstract::Subjects with reported sleep-onset disturbance were given progressive relaxation training, placebo, or no-treatment. All three conditions showed significant improvement in daily reported sleep onset over the duration of the study. Between-condition effects were limited to relaxation superiority over no-treatment on St...

    journal_title:Psychosomatic medicine

    pub_type: 临床试验,杂志文章

    doi:10.1097/00006842-197605000-00003

    authors: Borkovec TD,Weerts TC

    更新日期:1976-05-01 00:00:00

  • Occupational differences in job strain and physiological stress: female nurses and school teachers in Hawaii.

    abstract:OBJECTIVES:The two objectives are to test the hypothesis that women in a profession with low decision latitude will have greater catecholamine excretion and higher blood pressure than women in a profession with greater decision latitude, and to assess the influence of ethnicity on the occupational comparison. METHODS:...

    journal_title:Psychosomatic medicine

    pub_type: 杂志文章

    doi:10.1097/01.psy.0000222356.71315.8e

    authors: Brown DE,James GD,Mills PS

    更新日期:2006-07-01 00:00:00

  • Physical activity and fatigue in breast cancer and multiple sclerosis: psychosocial mechanisms.

    abstract:OBJECTIVE:To examine the role of self-efficacy and depression as potential pathways from physical activity to fatigue in two study samples: breast cancer survivors (BCS) (n = 192) and individuals with multiple sclerosis (MS) (n = 292). METHODS:We hypothesized that physical activity would be associated indirectly with ...

    journal_title:Psychosomatic medicine

    pub_type: 杂志文章

    doi:10.1097/PSY.0b013e3181c68157

    authors: McAuley E,White SM,Rogers LQ,Motl RW,Courneya KS

    更新日期:2010-01-01 00:00:00

  • Modeling and reinforcement of the sick role during childhood predicts adult illness behavior.

    abstract::Previous studies suggest that the ways in which parents respond to children's health complaints (reinforcement) and the ways in which they cope with their own illnesses (modeling) influence the frequency of symptoms, disability days, and health care visits made by these children when they grow up. However, previous st...

    journal_title:Psychosomatic medicine

    pub_type: 杂志文章

    doi:10.1097/00006842-199411000-00010

    authors: Whitehead WE,Crowell MD,Heller BR,Robinson JC,Schuster MM,Horn S

    更新日期:1994-11-01 00:00:00

  • Depression as an independent risk factor for mortality in critically ill patients.

    abstract:OBJECTIVE:Mortality on medical intensive care units (ICU) is approximately 25%. It is associated with age, severity of illness, and comorbidities. Preexisting depression is a risk factor for worse outcome in many diseases. The impact of depression on outcome of ICU patients has not been investigated. We assessed a poss...

    journal_title:Psychosomatic medicine

    pub_type: 杂志文章

    doi:10.1097/PSY.0000000000000137

    authors: Wewalka M,Warszawska J,Strunz V,Kitzberger R,Holzinger U,Fuhrmann V,Zauner C,Miehsler W,Moser G

    更新日期:2015-02-01 00:00:00