Psychological Distress and Hypertension: Results from the National Health Interview Survey for 2004-2013

Ojike, Nwakile; Sowers, James R.; Seixas, Azizi; Ravenell, Joseph; Rodriguez-Figueroa, G.; Awad-Allah, Mohammed Yehia Mohammed; Zizi, Ferdinand; Jean-Louis, Girardin; Ogedegbe, Olugbenga; McFarlane, Samy I.

doi:10.1159/000443933

Cited by 52 publications

(47 citation statements)

References 34 publications

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“…Fourth, male subjects in the IMT group had lower CHIPs scores at study end, suggesting that inspiratory muscle training lowers stress and favourably impacts mental health. Given that psychological status, stress and sleep quality contribute to fluctuations in blood pressure (Ojike et al, 2016;Rozanski, Blumenthal, & Kaplan, 1999;Vrijkotte, van Doornen, & de Geus, 2000), we cannot exclude the possibility that lowered stress levels and/or improved sleep also contributed to subjects' lowered blood pressure. However, given comparable ESS scores pre-versus post-training and the weak correlation between an individual's CHIPs score and blood pressure, we consider this possibility unlikely.…”

Section: Methodological Considerationsmentioning

confidence: 99%

Daily inspiratory muscle training lowers blood pressure and vascular resistance in healthy men and women

DeLucia

Asis

Bailey

2018

Experimental Physiology

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Previous work has shown that inspiratory muscle training (IMT) lowers blood pressure after a mere 6 weeks, identifying IMT as a potential therapeutic intervention to prevent or treat hypertension. Here, we explore the effects of IMT on respiratory muscle strength and select cardiovascular parameters in recreationally active men and women. Subjects were randomly assigned to IMT (n = 12, 75% maximal inspiratory pressure) or sham training (n = 13, 15% maximal inspiratory pressure) groups and underwent a 6-week intervention comprising 30 breaths day , 5 days week . Pre- and post-training measures included maximal inspiratory pressure and resting measures of blood pressure, cardiac output, heart rate, spontaneous cardiac baroreflex sensitivity and systemic vascular resistance. We evaluated psychological and sleep status via administration of the Cohen-Hoberman inventory of physical symptoms and the Epworth sleepiness scale. Male and female subjects in the IMT group showed declines in systolic/diastolic blood pressures (-4.3/-3.9 mmHg, P < 0.025) and systemic vascular resistance (-3.5 mmHg min l , P = 0.008) at week 6. There was no effect of IMT on cardiac output (P = 0.722), heart rate (P = 0.795) or spontaneous cardiac baroreflex sensitivity (P = 0.776). The IMT subjects also reported fewer stress-related symptoms (pre- versus post-training, 12.5 ± 8.5 versus 7.2 ± 9.7, P = 0.025). Based on these results, we suggest that a short course of IMT confers significant respiratory and cardiovascular improvements and parallel (modest) psychological benefits in healthy men and women.

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Section: Methodological Considerationsmentioning

confidence: 99%

Daily inspiratory muscle training lowers blood pressure and vascular resistance in healthy men and women

DeLucia

Asis

Bailey

2018

Experimental Physiology

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“…Several studies have shown associations between psychological distress and increased risk of mortality [3–6], cardiovascular disease [7, 8], and hypertension [9]. The Global Burden of Disease (GBD) Study 2010 ranked major mental disorders as a leading cause of burden [10, 11].…”

Section: Introductionmentioning

confidence: 99%

Types of social participation and psychological distress in Japanese older adults: A five-year cohort study

et al. 2017

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IntroductionThe most effective type of social participation against psychological distress in older adults is not well documented. The aim of this study was to examine whether different types of social participation are associated with changes in psychological distress level in older men and women in Japan.MethodsTwo thousand seven hundred community-dwelling older adults (aged 65–74 years, 50% women) were randomly selected from the resident registry of three cities. Of these, participants who reported social participation and psychological distress level in the baseline survey in 2010 were followed up. Psychological distress was evaluated based on K6 scales at baseline and follow-up (in 2015). Social participation level was examined using question items from the National Health and Nutrition Survey in Japan. Exploratory factor analysis was used to derive the underlying factor structure. Multiple linear regression analysis was used to examine the association between social participation and changes in psychological distress level after adjusting for covariates stratified by both gender and age group or living arrangement.ResultsData from 825 community-dwelling older adults (45.3% women) were analyzed. Social participation was categorized into two types using factor analysis: community involvement (volunteer activities, community events, clubs for the elderly) and individual relationship (friendship, communication with family and friends, hobbies). During the 5-year follow-up, 29.5% of participants reported a deterioration in psychological distress. Higher community involvement was independently associated with lower risk of psychological distress for older women (β = 0.099, p = 0.047), whereas there were no associations with individual relationship for either gender. Furthermore, in older women living with others, higher community involvement was also associated with lower risk of psychological distress (β = 0.110, p = 0.048).ConclusionCommunity involvement provides older women with mental health benefits regardless of individual relationship level. Promoting community involvement may be an effective strategy for healthy mental aging.

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“…It was revealed that patients with depression, which occurred during the development of various diseases, including hypertension, are subjected to strong emotional stress and are less inclined to solve problems of overcoming psychological stresses [35]. It is evident that people diagnosed with hypertension have an increased risk of the various psychological stresses [36,37]. However, in some studies, there is evidence that there is no direct relationship between the presence of psychological stress and an increase in systolic blood pressure in elderly males diagnosed with hypertension [38].…”

Section: Discussionmentioning

confidence: 99%

Arterial hypertension as a factor in the choice of conflict resolution strategies by the older persons

Tikhonova¹,

Демина²,

Klimatckaia³

et al. 2018

fmpcr

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Background. Interpersonal conflicts are one of the causes of depressive syndromes among patients, which contribute to the development of arterial hypertension. Minimizing the risk of conflicts between elderly patients is necessary for providing effective therapy. Objectives. To identify and analyze the behavioral patterns of elderly people in conflict situations suffering from and not suffering from hypertension. Material and methods. The number of patients of the gerontological center who took part in the research amounted to 117 females (55+ years of age). The studies of the Thomas-Kilmann Instrument (TKI) conflict assessment methodology were used to identify the characteristics of the behavior of elderly patients in conflict situations. Results. The largest number of patients was identified as the leading conflict resolution strategy in both groups. We agree that a significant number of those studied could not decide on the leading strategy of behavior in the conflict and use two or more strategies to resolve conflict situations. Patients with hypertension have higher rates of resistance to conflict than those who do not have this disease. Conclusions. The strategy of adaptation is the leading strategy for resolving conflict situations among elderly people who have and have not been diagnosed with hypertension. This is why it was revealed that elderly people with hypertension have higher levels of resistance to conflict.

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Psychological Distress and Hypertension: Results from the National Health Interview Survey for 2004-2013

Cited by 52 publications

References 34 publications

Daily inspiratory muscle training lowers blood pressure and vascular resistance in healthy men and women

Daily inspiratory muscle training lowers blood pressure and vascular resistance in healthy men and women

Types of social participation and psychological distress in Japanese older adults: A five-year cohort study

Arterial hypertension as a factor in the choice of conflict resolution strategies by the older persons

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