Mood and blood pressure responses in black female caregivers and noncaregivers.
Mood and blood pressure responses in black female caregivers and noncaregivers.
复制标题
黑人女性照顾者和非照顾者的情绪和血压反应。
DOI：
10.1097/00006199-199905000-00005
复制
发表时间：
1999
期刊：
影响因子：
2.5
通讯作者：
Holston,EC
中科院分区：
文献类型：
--
作者：
Picot,SJ;Zauszniewski,JA;Debanne,SM;Holston,EC
背景：大量的情绪和血压之间的相互作用，特别是在上下文中的依赖老年人，可能会增加风险的黑人妇女已经处于高血压或发病的高血压的风险。Objectives：研究情绪症状和日间动态血压之间的关系在12小时内在黑人女性carefulers and noncarefulers.Method：一个前瞻性队列设计研究黑人女性18岁或以上的随机选择的长者确定为提供者或潜在提供者的5个小时或更多的照顾，每周的老人。情绪症状由受试者在日记中的视觉模拟量表上测量，日记附在受试者佩戴的可伸缩夹钥匙环上。每30分钟用自动便携式血压监测仪测量血压反应。额外的风险和治疗因素被认为是描述性的purpose.Results：两组是等同的所有高血压的风险和治疗因素，但饮酒（更多的noncarefulers饮酒）。在照顾者中，愤怒与平均舒张压（DBP）呈负相关（参数=-0.64，SE=. 23，p=. 01)愤怒情绪与收缩压呈负相关（参数=-0.81，SE = 0.65，p= 0.10）。焦虑和悲伤没有显着predictors.Conclusion：在黑人照顾者，愤怒升高与DBP显着下降，而降低愤怒与DBP显着增加。是否较低的愤怒分数反映了低水平的感知愤怒或抑制愤怒的黑人照顾者应探讨在未来的研究。
Background:Substantial interaction between mood and blood pressure, especially in the context of caregiving for a dependent elder, could increase the risk in the already at-risk population of Black women for either higher blood pressure or the onset of hypertension.Objectives:To examine the relationship between mood symptoms and daytime ambulatory blood pressures during a 12-hour period in Black female caregivers and noncaregivers.Method:A prospective cohort design was employed to study Black females 18 years of age or older identified by randomly selected elders as the provider or potential provider of 5 or more hours of care per week to the elder. Mood symptoms were measured on visual analogue scales by the subjects in a diary attached to a retractable clip key ring worn by the subject. Blood pressure responses were measured with automated portable blood pressure monitors every 30 minutes. Additional risk and treatment factors were considered for descriptive purposes.Results:The two groups were equivalent on all hypertension risk and treatment factors except alcohol use (more noncaregivers consumed alcohol). Among caregivers, anger and mean diastolic blood pressure (DBP) were negatively related (parameter=-0.64, SE=. 23, p=. 01) and the negative relationship between anger and systolic blood pressure approached significance (parameter=-0.81, SE= 0.65, p= 0.10). Anxiety and sadness were not significant predictors.Conclusion:Among Black caregivers, elevated anger was associated with significant decreases in DBP, while lowered anger was associated with significant increases in DBP. Whether lower anger scores reflect a low level of perceived anger or suppressed anger among Black caregivers should be explored in future studies.