Emotional and familial determinants of elevated blood pressure in black and white adolescent males.

Emotional and familial determinants of elevated blood pressure in black and white adolescent males.
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黑人和白人青少年男性血压升高的情绪和家庭决定因素。

DOI:
10.1016/0022-3999(87)90048-1
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发表时间:
1987
影响因子:
4.7
通讯作者:
Jacobs,GA
Jacobs,GA
中科院分区:
医学3区
文献类型:
--
作者:
Johnson,EH;Spielberger,CD;Worden,TJ;Jacobs,GA

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在佛罗里达州坦帕市参加健康科学课程的黑人和白人青少年男性样本中,研究了血压与几种个性和传统风险因素之间的关系。虽然许多个性和传统风险因素对两组青春期男性的血压升高都有显著的预测作用,但压抑的愤怒和体重是主要的独立预测因素。在黑人和白人男性中,那些通常怀有怨恨和压抑愤怒的人的收缩压更高;只有经常压抑愤怒情绪的白人男性的舒张压更高。体重和过量食盐显著预测白人男性的收缩压和舒张压升高,而这些变量显著预测黑人男性的收缩压。家庭因素被发现只对白人青春期男性的收缩和舒张压有独立的预测作用。对愤怒被压制的频率之间的关系的进一步研究表明,愤怒情绪得分与血压之间的曲线形状似乎有一个“门槛”。这些发现表明,青春期男性收缩压和舒张压升高的风险增加,可以通过愤怒情绪被抑制和压抑的频率来确定。
The relationships between blood pressure and several personality and traditional risk factors were examined in a sample of black and white adolescent males who were enrolled in a health science course in Tampa, Florida. Although a number of personality and traditional risk factors significantly predicted elevated blood pressure for both groups of adolescent males, suppressed anger and weight were the major independent predictors. Among black and white males, those who generally harbored grudges and suppressed their anger had higher systolic blood pressure; diastolic blood pressure was higher only for the white males who frequently held in their angry feelings. Weight and excessive salt usage significantly predicted both elevated systolic and diastolic pressures for white males, while these variables significantly predicted systolic pressures for black males. Familial factors were found to be independent predictors of systolic and diastolic blood pressure only for the white adolescent males. A further examination of the relationship between the frequency that anger is suppressed shows that the shape of the curves relating anger-in scores to blood pressure appers to have a ‘threshold’. These findings indicate that adolescent males who are at increased risk for elevated systolic and diastolic blood pressure can be identified by how often angry feelings are held-in and suppressed.
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