Relationship of physical symptoms and mood to perceived and actual blood pressure in hypertensive men: a repeated-measures design.
Relationship of physical symptoms and mood to perceived and actual blood pressure in hypertensive men: a repeated-measures design.
复制标题
高血压男性的身体症状和情绪与感知血压和实际血压的关系:重复测量设计。
DOI:
10.1097/00006842-199905000-00010
复制
发表时间:
1999
影响因子:
3.3
通讯作者:
Schwartz,JE
中科院分区:
文献类型:
--
作者:
Brondolo,E;Rosen,RC;Kostis,JB;Schwartz,JE
ObjectiveNoncompliance with antihypertensive treatment is a significant health concern. Researchers have suggested that the absence of definable symptoms associated with elevated blood pressure (BP) attenuates patients' motivation to use medication. The current study evaluated the relation of psychological variables, including symptoms, perceptions of BP, and perceptions of medication efficacy, to physiological variables, including actual BP and the use of active antihypertensive medication vs. placebo.MethodsParticipants included 54 mildly hypertensive men who were participating in a placebo-controlled, double-blind study of the quality-of-life effects of antihypertensive therapies. Survey data and BP measurements were obtained during a series of clinic visits.ResultsMixed-model analysis of variance was used to evaluate both between-and within-person relations of psychological to physiological state. Results revealed significant within-person associations between predicted and actual BP. Negative mood was closely related to predicted, but not actual, BP. Participants were also relatively accurate in rating active medications as more effective than placebo. Between-persons analyses did not show relations of symptoms or moods to actual BP.ConclusionsThe significant within-person relations of estimated to actual BP suggest that some individuals may be able to estimate their own BP, although the accuracy of these estimates is limited. The findings may explain patients' belief that they can self-monitor BP. The results have implications for theories of the mental representation of illness and for efforts to improve compliance with antihypertensive therapy.
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DOI:
--
发表时间:
1976
期刊:
Journal of the American Medical Association (JAMA)
影响因子:
--
作者:
J. Stamler;R. Stamler;W. F. Riedlinger;George Algera;Richard H. Roberts
通讯作者:
Richard H. Roberts
影响因子:
--
作者:
C. Bulpitt;C. Dollery;S. Carne
通讯作者:
S. Carne
影响因子:
4.7
作者:
J. O. Robinson
通讯作者:
J. O. Robinson
影响因子:
4.8
作者:
Kostis,JB;Rosen,RC;Brondolo,E;Taska,L;Smith,DE;Wilson,AC
通讯作者:
Wilson,AC
影响因子:
158.5
作者:
N. Weiss
通讯作者:
N. Weiss