High blood pressure and marital discord: not being nasty matters more than being nice.
High blood pressure and marital discord: not being nasty matters more than being nice.
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高血压和婚姻不和：不讨厌比友善更重要。
DOI：
10.1037//0278-6133.10.3.155
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发表时间：
1991
期刊：
影响因子：
--
通讯作者：
Agras,WS
中科院分区：
文献类型：
--
作者：
Ewart,CK;Taylor,CB;Kraemer,HC;Agras,WS
将愤怒和血压（BP）反应性与心血管疾病联系起来的理论必须能够识别自然发生的压力源，这些压力源以足够的频率激发情绪以引起慢性生理压力。我们研究了正常家庭争吵对 43 名原发性高血压患者（24 名女性，19 名男性）的影响。患者和他们的伴侣讨论了 10 分钟的威胁性分歧，同时记录了血压和对话。讨论问题会导致血压升高，但因果途径因性别而异。在女性中，敌意互动和婚姻不满与血压升高有关；“支持”或“中立”交流与血压无关。在男性中，血压波动仅与患者的语速相关。这些发现与其他关于沟通和社会问题解决方式的性别差异的研究一致，并暗示了婚姻不和谐可能增加风险的不同机制（经常愤怒、积极应对）。考虑干预的影响。
Theories linking anger and blood pressure (BP) reactivity to cardiovascular disease must be able to identify naturally occurring stressors that arouse emotion with sufficient frequency to cause chronic physiologic stress. We examined the impact of normal family arguments on 43 patients (24 women, 19 men) with essential hypertension. Patients and their partners discussed a threatening disagreement for 10 min while BP and conversation were recorded. Discussing problems increased BP, but the causal pathways differed by sex. In women, hostile interaction and marital dissatisfaction were associated with increased BP;“supportive” or “neutral” exchanges were unrelated to BP. In men, BP fluctuations were related only to the patient’s speech rate. These findings are consistent with other research on sex differences in communication and social problem-solving styles and implicate different mechanisms (frequent anger, active coping) through which marital discord could increase risk. Implications for intervention are considered.