Circadian blood pressure patterns and life stress.


BACKGROUND:Scarce data are available on the influence of psychological aspects on 24-hour ambulatory blood pressure patterns either in normotensive or hypertensive subjects. This study was designed to evaluate the relationship between psychological profile and changes in daytime/nighttime blood pressure rhythm. METHODS:Nocturnal dipping was defined as the night/day ratio of ambulatory mean systolic and/or diastolic blood pressure < or =0.87. Three-hundred and two outpatients (M/F = 174/128; mean age = 49.8 years, SD = 13.6; range, 16-80 years) underwent 24-hour ambulatory blood pressure monitoring. They were administered a self-rating scale, the Psychosocial Index, as an indicator of stress, psychological distress, sleep disturbances, well-being, abnormal illness behavior and quality of life. There were 242 patients taking antihypertensive medication (146 adequately controlled and 96 not controlled) and 60 who were drug free (33 never-treated hypertensive and 27 normotensive subjects). Patients were divided according to the presence (n = 125) or absence (n = 177) of night blood pressure dipping. The two groups were compared using analysis of covariance, with age as a covariate. RESULTS:Dippers had lower (p < 0.001) nocturnal systolic and diastolic blood pressure than nondippers, and higher (p < 0.05) daytime diastolic blood pressure. Patients with nocturnal blood pressure decline had a markedly higher (p < 0.001) level of stress than nondippers. When the sample was divided according to the presence or absence of hypertension, only subjects with normal blood pressure showed nocturnal dipping associated with increased stressful life circumstances. CONCLUSIONS:Our findings indicate that dippers experience stressful life circumstances, both in terms of life events and chronic stress. This suggests that stress-reducing techniques may be particularly helpful in the setting of hypertension characterized by nighttime blood pressure dipping.


Psychother Psychosom


Fallo F,Barzon L,Rabbia F,Navarrini C,Conterno A,Veglio F,Cazzaro M,Fava GA,Sonino N




Has Abstract


2002-11-01 00:00:00














  • Depression after surgery for breast cancer. Comparison of mastectomy and lumpectomy.

    abstract::The impact of the loss of the breast in women undergoing surgical treatment for breast cancer is subordinated to the confrontation with the diagnosis of a malignancy in causing depression. The equal distribution of depression in mastectomy and in lumpectomy patients supports the hypothesis that it is the confrontation...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章


    authors: van Heeringen C,Van Moffaert M,de Cuypere G

    更新日期:1989-01-01 00:00:00

  • Studies of endocrine and affective functions in complex flight manoeuvres.

    abstract::Endocrine and metabolic changes, as well as affective functions, were studied in eight healthy volunteers anticipating and executing a prearranged sequence of aerobatic flight. Control measurements were made at complete physical and mental rest. The following were determined: anxiety and hostility levels, blood glucos...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章


    authors: Pinter EJ,Peterfy G,Cleghorn JM

    更新日期:1975-01-01 00:00:00

  • Family psychiatry in psychosomatics: problems of adolescence.

    abstract::Adolescents are frequently entangled in a web of transitions during their developmental journey from child to adult. These modulations include physiological and psychological changes: individual, familial and social readjustments, and alterations in the evolving family group. Psychosomatic manifestations are often tar...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章


    authors: Rubinstein D

    更新日期:1980-01-01 00:00:00

  • Financial ties between DSM-IV panel members and the pharmaceutical industry.

    abstract:BACKGROUND:Increasing attention has been given to the transparency of potential conflicts of interest in clinical medicine and biomedical sciences, particularly in journal publishing and science advisory panels. The authors examined the degree and type of financial ties to the pharmaceutical industry of panel members r...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章


    authors: Cosgrove L,Krimsky S,Vijayaraghavan M,Schneider L

    更新日期:2006-01-01 00:00:00

  • Self-management training for children with chronic bronchial asthma.

    abstract::We have described examples of behaviors that occur antecedent to, concurrent with, or as a consequence of childhood asthma. Ways these patterns can be altered have also been described. Three points should be emphasized: first, social learning techniques can contribute to a child acquiring self-monitoring and self-mana...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章,评审


    authors: Creer TL,Burns KL

    更新日期:1979-01-01 00:00:00

  • Psychosomatic aspects in self-help groups made up of medical patients. Presented on the example of the ostomy group.

    abstract::We present the psychosomatic aspects in self-help groups containing medical patients on the examples of the ostomy group. Following the demonstration of the psychodynamic group processes, the patients' psychological characteristics are described as well as the aims of this type of self-help group. The specific ostomy ...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章


    authors: Freyberger H

    更新日期:1979-01-01 00:00:00

  • Work environment, skills utilization and health of Swedish nurses--results from a national questionnaire study.

    abstract::Nurses make up a considerable proportion of the Swedish health care staff. Few nationally representative studies of their work environment and health, however, have been published. The present questionnaire study on work conditions, skill utilization, health and well-being of a national representative sample of 3,500 ...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章


    authors: Petterson IL,Arnetz BB,Arnetz JE,Hörte LG

    更新日期:1995-01-01 00:00:00

  • Short psychotherapeutic interventions (four sessions).

    abstract::This paper points out: (1) The fundamental importance, during the patient's first visit, of a shift of the objective involvement on the therapist's person, when a significant real object fails. (2) An initial interpretation, based on understanding this mechanism, is mutational in that it transfers the mourning for rel...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章


    authors: Gillieron E

    更新日期:1989-01-01 00:00:00

  • Myocardial infarction patients during the prodromal and acute phase: a comparison with patients with a diagnosis of 'noncardiac chest pain'.

    abstract::Symptoms as reported by myocardial infarction (MI) patients are not easily distinguishable from the symptoms reported by patients with a diagnosis of 'noncardiac chest pain' (NCCP) (hyperventilation and/or functional complaints). MI patients and patients with a diagnosis of NCCP were questioned by means of a structure...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章


    authors: Beunderman R,Duyvis DJ

    更新日期:1983-01-01 00:00:00

  • Brief dynamic psychotherapy for less well-adjusted patients. Pilot study.

    abstract::A twelve-session therapy model ad modum James Mann is described. Selection criteria are outlined. The therapies and systematic follow-up data of 4 well-adjusted and 4 less well-adjusted patients are described and compared. Some modifications of technique for the less well-adjusted patients are proposed. ...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章


    authors: Høglend P

    更新日期:1988-01-01 00:00:00

  • A longitudinal study of some physiological parameters and autogenic training.

    abstract::Physiological parameters were studied over 4.5 months in normal high-school girls. One group frequently practised autogenic training (AT) whereas the other (control) did not. After 4.5 months the physiology of the AT, but not the control group had changed to some extent. The mean increase in finger skin temperature in...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章


    authors: Tebecis AK,Ohno Y,Matsubara H,Sugano H,Takeya T

    更新日期:1976-01-01 00:00:00

  • Empirical journey into the measurement of symbolic function as a dimension of alexithymia.

    abstract::This paper traces the author's empirical research journey into the measurement of symbolic function as a dimension of alexithymia. The archetypal test with 9 elements (AT9) is proposed as a tool to discrimnate between forms and degrees of disorganization in symbolic behavior of alexithymic subjects. The results seem t...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章


    authors: Demers-Desrosiers LA

    更新日期:1985-01-01 00:00:00

  • Language acquisition in relation to cumulative posttraumatic stress disorder symptom load over time in a sample of re-settled refugees.

    abstract:OBJECTIVE:To study the effects of symptoms of posttraumatic stress disorder (PTSD), depression and dissociation as well as cumulative symptom load on language learning during the introduction phase in re-settled refugees. METHOD:Participants were re-settled refugees of Iraqi origin. They were assessed by means of a st...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章


    authors: Söndergaard HP,Theorell T

    更新日期:2004-09-01 00:00:00

  • Results of psychosocial adjustment to long-term colostomy.

    abstract::114 patients with permanent colostomy for carcinoma of the rectum were compared by questionnaire and interview with 110 cancer patients, having undergone colonic resection but not bearing a colostomy. The patients' own assessment of their health was for the colostomy group even better than for the controls. The emotio...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章


    authors: Wirsching M,Drüner HU,Herrmann G

    更新日期:1975-01-01 00:00:00

  • What prevents professional drivers from following physicians' cardiologic advice?

    abstract:BACKGROUND:There is a scarcity of published studies of the effects of cardiac counselling among professional drivers (PD). Aims of the study were: (1) to examine explanatory variables for two classical 'driver' risk factors - body mass index (BMI), and smoking - and to analyse the interrelations among smoking cessation...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章


    authors: Emdad R,Belkic K,Theorell T,Cizinsky S

    更新日期:1998-07-01 00:00:00

  • Biofeedback and behavioral approaches in Japan.

    abstract::A number of studies and case histories involving the use of biofeedback and behavioral approaches throughout Japan have been selected from Japanese journals and summarized. Areas of biofeedback research covered are experimental, clinical and psychological/educational. The behavioral approaches mentioned have been limi...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章


    authors: Ishikawa H,Robinson A

    更新日期:1981-01-01 00:00:00

  • Self-exposure treatment of recurrent nightmares: waiting-list-controlled trial and 4-year follow-up.

    abstract:BACKGROUND:In open and randomized controlled trials self-exposure therapy reduced the frequency of nightmares but follow-up ceased at 7 months post-entry. METHOD:Ten adults who attended an outpatient clinic and had DSM-IV nightmare disorder were put on a 3-month waiting-list. After 3 months they were given a self-expo...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章,随机对照试验


    authors: Grandi S,Fabbri S,Panattoni N,Gonnella E,Marks I

    更新日期:2006-01-01 00:00:00

  • Psychological and quality-of-life outcomes from a comprehensive stress reduction and lifestyle program in patients with coronary artery disease: results of a randomized trial.

    abstract:BACKGROUND:Stress reduction and comprehensive lifestyle modification programs have improved atherosclerosis and cardiac risk factors in earlier trials. Little is known about the impact of such programs on quality-of-life (QoL) and psychological outcomes. Given recent significant improvements in cardiac care, we evaluat...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: Michalsen A,Grossman P,Lehmann N,Knoblauch NT,Paul A,Moebus S,Budde T,Dobos GJ

    更新日期:2005-01-01 00:00:00

  • Traumatic war experiences affect outcome in a case of Tourette's syndrome.

    abstract:BACKGROUND:Stress has been associated with the course of Tourette's syndrome (TS). METHODS:The case report presented aims to emphasize the effect a severe traumatic experience has on the expression of TS. RESULTS:Following an intense traumatic experience, combat-related, a relatively mild case of TS became intractabl...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章


    authors: Witzum E,Bar-On R,Dolberg OT,Kotler M

    更新日期:1996-03-01 00:00:00

  • Affective expression in organic and functional gastrointestinal disease.

    abstract::Verbal affective expression and psychometric variables were studied in a group of 5 duodenal ulcer and 6 irritable bowel patients. The aim was to assess the relevance of the alexithymia contruct to the distinction between both groups. Irritable bowel patients exhibited higher scores on Zung's depressiveness scale. Ale...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章


    authors: Heerlein A,De la Parra G,Aronsohn S,Lolas F

    更新日期:1984-01-01 00:00:00

  • Are fashion models a group at risk for eating disorders and substance abuse?

    abstract:BACKGROUND:Few studies to date have investigated whether in fact the prevalence of eating disorders (ED) and/or use of illicit drugs is higher among models than among other groups of females. METHOD:A group of 63 professional fashion models of various nationalities were studied by means of self-reported questionnaires...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章


    authors: Santonastaso P,Mondini S,Favaro A

    更新日期:2002-05-01 00:00:00

  • Inference-Based Approach versus Cognitive Behavioral Therapy in the Treatment of Obsessive-Compulsive Disorder with Poor Insight: A 24-Session Randomized Controlled Trial.

    abstract:OBJECTIVE:Obsessive-compulsive disorder (OCD) with poor insight has severe consequences for patients; nonetheless, no randomized controlled trial has ever been performed to evaluate the effectiveness of any treatment specifically for poor-insight OCD. A new psychotherapy for OCD, the inference-based approach (IBA), tar...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章,随机对照试验


    authors: Visser HA,van Megen H,van Oppen P,Eikelenboom M,Hoogendorn AW,Kaarsemaker M,van Balkom AJ

    更新日期:2015-01-01 00:00:00

  • The medical-psychiatric unit: a novel psychosomatic approach.

    abstract::A retrospective chart review of 600 general hospital patients, of whom 200 had been admitted to a medical-psychiatric unit, 200 to a conventional psychiatric unit and 200 to medical-surgical units, and for whom psychiatric consultation had been requested, disclosed significant differences in the patient populations of...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章


    authors: Fava GA,Wise TN,Molnar G,Zielezny M

    更新日期:1985-01-01 00:00:00

  • Long-Term Effectiveness of Cognitive Behavioral Therapy in Routine Outpatient Care: A 5- to 20-Year Follow-Up Study.

    abstract:OBJECTIVE:Long-term follow-ups several years after receiving cognitive behavioral therapy (CBT) are scarce and most of the existing literature describes follow-up data of randomized-controlled trials. Thus, very little is known about the long-term effects of CBT in routine care. METHODS:We investigated psychological f...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章


    authors: von Brachel R,Hirschfeld G,Berner A,Willutzki U,Teismann T,Cwik JC,Velten J,Schulte D,Margraf J

    更新日期:2019-01-01 00:00:00

  • Teaching and training in the psychiatric-psychosomatic consultation-liaison setting.

    abstract:BACKGROUND:The consultation-liaison (C-L) psychiatrist is in an opportune position to undertake the tasks of education, training and assessment of performance as regards future physicians, psychiatrists, specialists in other branches and nurses. This paper describes the education and training programme in the Psychiatr...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章


    authors: Rigatelli M,Ferrari S,Uguzzoni U,Natali A

    更新日期:2000-07-01 00:00:00

  • Inverse and direct cancer comorbidity in people with central nervous system disorders: a meta-analysis of cancer incidence in 577,013 participants of 50 observational studies.

    abstract:BACKGROUND:There is a lack of scientific consensus about cancer comorbidity in people with central nervous system (CNS) disorders. This study assesses the co-occurrence of cancers in patients with CNS disorders, including Alzheimer's disease (AD), amyotrophic lateral sclerosis (ALS), autism spectrum disorders, Down's s...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章,meta分析


    authors: Catalá-López F,Suárez-Pinilla M,Suárez-Pinilla P,Valderas JM,Gómez-Beneyto M,Martinez S,Balanzá-Martínez V,Climent J,Valencia A,McGrath J,Crespo-Facorro B,Sanchez-Moreno J,Vieta E,Tabarés-Seisdedos R

    更新日期:2014-01-01 00:00:00

  • The relationship between alexithymia and depressive symptoms in a sample of newly abstinent alcoholic inpatients.

    abstract::The purpose of this investigation was to measure alexithymia in 90 newly abstinent alcoholism treatment candidates and to examine the relationship between alexithymia and depressive symptoms. Subjects completed the Schalling-Sifneos Personality Scale (SSPS) and the Beck Depression Inventory (BDI) at the time of applic...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章


    authors: Haviland MG,MacMurray JP,Cummings MA

    更新日期:1988-01-01 00:00:00

  • The exploration of the effectiveness of group therapy through an Internet chat as aftercare: a controlled naturalistic study.

    abstract:BACKGROUND:Modern communication technologies offer novel opportunities for the provision of stepped care for patients with mental disorders. This study investigated the effectiveness of group therapy delivered through an Internet chat following inpatient treatment. The main goal of the program was to reduce the risk of...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章


    authors: Golkaramnay V,Bauer S,Haug S,Wolf M,Kordy H

    更新日期:2007-01-01 00:00:00

  • Dimensions of the 'endangered self' in anorexia nervosa. Empirical study based on comparison with normal controls.

    abstract::In addition to the diagnosis of symptoms we recently proposed the empirical analysis of psychodynamic levels; this paper aims at an empirical study of a third, and most essential, problem area: disturbances and/or regulatory processes of the self-system. Based on Deneke's newly developed questionnaire, 30 anorexia ner...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章


    authors: Engel K,Fuchs M,Meier I,Deneke F

    更新日期:1988-01-01 00:00:00

  • How are women sicker than men? An overview of psychosomatic problems in women.

    abstract::An overview is presented of psychosomatic problems in women - the epidemiology, physiology and psychology. Surveys of sickness rates in women and psychological studies are used as a basis of speculation about higher female morbidity rates. Theories of psychosomatic illness, the somatic concomitants of hysteria and ale...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章


    authors: Apfel RJ

    更新日期:1982-01-01 00:00:00