Abstract：
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.
journal_name
Psychother Psychosomjournal_title
Psychotherapy and psychosomaticsauthors
Fallo F,Barzon L,Rabbia F,Navarrini C,Conterno A,Veglio F,Cazzaro M,Fava GA,Sonino Ndoi
10.1159/000065996subject
Has Abstractpub_date
2002-11-01 00:00:00pages
350-6issue
6eissn
0033-3190issn
1423-0348pii
65996journal_volume
71pub_type
杂志文章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
doi：10.1159/000287560
更新日期：1982-01-01 00:00:00
abstract：:The political or ecological concept of quality of life refers to irreplaceable aspects of life. The health-related quality of life concept has the same impact of considering the irreplaceable (idiographic) aspects of treatment outcome in patients with chronic disorders. When comparing the different attempts to measure...
journal_title：Psychotherapy and psychosomatics
pub_type： 杂志文章,评审
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更新日期：1993-01-01 00:00:00
abstract：:Phobic patients have been shown to be, on average, more hypnotizable than others. The essence of the phobic experience is not unlike that of the event of hypnosis, and the phobic experience might be a spontaneously occurring panic-filled trance-like or dissociative experience. This dissociation is viewed as a maladapt...
journal_title：Psychotherapy and psychosomatics
pub_type： 杂志文章
doi：10.1159/000287509
更新日期：1981-01-01 00:00:00
abstract：:Prevailing reports on psychological prediction of renal graft integration are rare, mostly based on case studies. Focusing on patients' expectations from the transplantation process before grafting, we investigate the influence of psychological data and statements on the final transplantation results. In the whole gro...
journal_title：Psychotherapy and psychosomatics
pub_type： 杂志文章
doi：10.1159/000287899
更新日期：1985-01-01 00:00:00
abstract：:It used to be fashionable to begin consideration of psychosomatics about philosophy of mind and body. Nowadays it is a topic about health and practical care of patients--principally about the psychological aspects of any illness. Pathogenesis is becoming understood with some risk factors clearly identifiable. The high...
journal_title：Psychotherapy and psychosomatics
pub_type： 杂志文章,评审
doi：10.1159/000288009
更新日期：1987-01-01 00:00:00
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journal_title：Psychotherapy and psychosomatics
pub_type： 杂志文章
doi：10.1159/000287421
更新日期：1980-01-01 00:00:00
abstract：:The consultation-liaison service at Yale features integrated teams of psychiatrists, social workers, and clinical nurse specialists working together in both consultation and outpatient settings. The model is based on the tenets that (1) comprehensive evaluation of patients is essential for effective treatment; (2) rol...
journal_title：Psychotherapy and psychosomatics
pub_type： 杂志文章
doi：10.1159/000288036
更新日期：1987-01-01 00:00:00
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journal_title：Psychotherapy and psychosomatics
pub_type： 杂志文章
doi：10.1159/000287864
更新日期：1985-01-01 00:00:00
abstract：:This paper examines the emergence of incestuous motifs in the first four interviews of 50 people seeking psychotherapy. Results show a percentage (6%) which is neither relevant nor specific for any kind of diagnosis. The progress in psychotherapy of two groups of 8 patients, psychosomatic + neurotic respectively, is t...
journal_title：Psychotherapy and psychosomatics
pub_type： 杂志文章
doi：10.1159/000287790
更新日期：1984-01-01 00:00:00
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journal_title：Psychotherapy and psychosomatics
pub_type： 杂志文章
doi：10.1159/000287760
更新日期：1983-01-01 00:00:00
abstract：BACKGROUND:This study compared the effects of a supportive-expressive group intervention (GI) with an educational control condition (EC) on long-term psychosocial adjustment in gay men with HIV infection. METHOD:Subjects (n = 85) were randomized after stratification for disease stage and use of antiretroviral medicati...
journal_title：Psychotherapy and psychosomatics
pub_type： 临床试验,杂志文章,随机对照试验
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更新日期：2003-05-01 00:00:00
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journal_title：Psychotherapy and psychosomatics
pub_type： 杂志文章
doi：10.1159/000056285
更新日期：2002-05-01 00:00:00
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journal_title：Psychotherapy and psychosomatics
pub_type： 杂志文章,评审
doi：10.1159/000089222
更新日期：2006-01-01 00:00:00
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journal_title：Psychotherapy and psychosomatics
pub_type： 杂志文章
doi：10.1159/000288953
更新日期：1995-01-01 00:00:00
abstract：:Many child and adolescent psychotherapists are asked to work in specialized institutions (where the children are either interns or externs), with children presenting behaviour problems, learning difficulties, mental handicap or important psychosocial problems. They learn through diverse treatment forms, or parent acco...
journal_title：Psychotherapy and psychosomatics
pub_type： 杂志文章
doi：10.1159/000288344
更新日期：1990-01-01 00:00:00
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journal_title：Psychotherapy and psychosomatics
pub_type： 杂志文章,评审
doi：10.1159/000012410
更新日期：2000-11-01 00:00:00
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journal_title：Psychotherapy and psychosomatics
pub_type： 杂志文章
doi：10.1159/000288987
更新日期：1995-01-01 00:00:00
abstract：:In a small pilot controlled study over 8 weeks, 12 obsessive-compulsive ruminators listened for 2 h daily to their own audiotaped voice either (1) describing their anxiogenic thoughts (exposure) but omitting anxiolytic thoughts (mental/cognitive rituals), or (2) reading neutral prose or poetry. Taking all patients, bo...
journal_title：Psychotherapy and psychosomatics
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1159/000288883
更新日期：1994-01-01 00:00:00
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
doi：10.1159/000287396
更新日期：1979-01-01 00:00:00
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journal_title：Psychotherapy and psychosomatics
pub_type： 杂志文章
doi：10.1159/000286922
更新日期：1975-01-01 00:00:00
abstract：BACKGROUND:The negative effects of vicarious traumatization through trauma work are well known. However, a growing body of evidence testifies to the positive effects that have been reported following trauma. This study explored the potential positive effects of trauma work on therapists, with a focus on the association...
journal_title：Psychotherapy and psychosomatics
pub_type： 杂志文章
doi：10.1159/000084004
更新日期：2005-01-01 00:00:00
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journal_title：Psychotherapy and psychosomatics
pub_type： 杂志文章
doi：10.1159/000288936
更新日期：1995-01-01 00:00:00
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journal_title：Psychotherapy and psychosomatics
pub_type： 杂志文章
doi：10.1159/000289009
更新日期：1995-01-01 00:00:00
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journal_title：Psychotherapy and psychosomatics
pub_type： 杂志文章
doi：10.1159/000289088
更新日期：1996-01-01 00:00:00
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journal_title：Psychotherapy and psychosomatics
pub_type： 杂志文章
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更新日期：2008-01-01 00:00:00
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journal_title：Psychotherapy and psychosomatics
pub_type： 杂志文章
doi：10.1159/000012258
更新日期：1998-01-01 00:00:00
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journal_title：Psychotherapy and psychosomatics
pub_type： 杂志文章,meta分析
doi：10.1159/000286958
更新日期：2010-01-01 00:00:00
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journal_title：Psychotherapy and psychosomatics
pub_type： 杂志文章
doi：10.1159/000287321
更新日期：1979-01-01 00:00:00
abstract：:A psychometric analysis on patients with duodenal ulcer using latent structure coefficients (Loevinger and Mokken) showed that the MMPI subscales of depression, psychasthenia, hypochondriasis, hysteria, schizophrenia and social introversion all could be considered as indicators of Eysenck's dimension of neuroticism. B...
journal_title：Psychotherapy and psychosomatics
pub_type： 杂志文章
doi：10.1159/000288919
更新日期：1994-01-01 00:00:00
abstract：BACKGROUND:A specific psychotherapy for chronic depression, the Cognitive Behavioral Analysis System of Psychotherapy (CBASP), was compared to escitalopram (ESC). METHODS:Sixty patients with chronic major depression were randomized to 'CBASP' (22 sessions) or 'ESC plus clinical management' (ESC/CM) at two treatment si...
journal_title：Psychotherapy and psychosomatics
pub_type： 杂志文章,随机对照试验
doi：10.1159/000381957
更新日期：2015-01-01 00:00:00
