Factores psicosociales implicados en el control de la hipertensión arterial

Departamento de Personalidad, Evaluación y Psicología Clínica, Facultad de Psicología, Universidad Complutense de Madrid, Madrid, España
Hipertensión y Riesgo Vascular 04/2012; 29(2):44–49. DOI: 10.1016/j.hipert.2011.12.002

ABSTRACT High blood pressure or hypertension is a major risk factor for cardiovascular disease, whose high prevalence and the ability to be modified by therapeutic intervention, make it a major public health challenge. Hypertension is a multifactorial health problem, involving three large categories of factors: classical biological factors, behavioral risk factors (diet, smoking, alcohol intake, and exercise) and psychological factors. Psychological factors include both the effects of stress on the cardiovascular system and personality factors (hostility and anger) and negative emotions such as anger, anxiety and depression.

  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Psychosocial characteristics predict the development and course of coronary heart disease (CHD). In this review, the authors discussed human and animal research on psychophysiological mechanisms influencing coronary artery disease and its progression to CHD. They then reviewed literature on personality and characteristics of the social environment as risk factors for CHD. Hostility confers increased risk, and a group of risk factors involving depression and anxiety may be especially important following myocardial infarction. Social isolation, interpersonal conflict, and job stress confer increased risk. Psychosocial interventions may have beneficial effects on CHD morbidity and mortality, although inconsistent results and a variety of methodological limitations preclude firm conclusions. Finally, they discussed implications for clinical care and the agenda for future research.
    Journal of Consulting and Clinical Psychology 07/2002; 70(3):548-68. · 4.85 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: A meta-analysis of 15 studies was conducted to investigate the relationship between trait anger and ambulatory blood pressure. Overall, the experience of anger was significantly and positively associated with systolic blood pressure (r+ = 0.049), but not reliably associated with diastolic blood pressure (r+ = 0.028). After removing an outlier, the expression of anger was found to have a reliable inverse relationship with diastolic blood pressure (r+ = -0.072). No reliable relationship between expression of anger and systolic blood pressure (r+ = -0.041) was found. These results continue to support the modest role of self-reported trait anger and anger expression in blood pressure levels. Several suggestions for future research are discussed, including increasing the focus on the complexity and synergism of these effects.
    Journal of Behavioral Medicine 11/2003; 26(5):395-415. · 3.10 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: The aim of this investigation was to assess the anxiety levels and the presence of symptoms of depression in elderly subjects with recently diagnosed mild systolic hypertension. We selected 13 elderly with new systolic hypertension and 13 elderly normotensive subjects; they underwent psychometric tests like state test anxiety inventory (STAI) for anxiety, and geriatric depression scale (GDS) for depression, and 24-hour ambulatory blood pressure monitoring (ABPM) to assess the real pressure values and exclude the white-coat effect. ABPM data reaffirmed the high values of systolic pressure in the elderly hypertensives identified by using clinical measurements, although it excluded the white-coat effect. Our study found significantly higher anxiety levels in the elderly with mild systolic hypertension, while the symptoms of depression are not significantly different from those of elderly normotensives.
    Archives of Gerontology and Geriatrics 01/1998; 26:79–82. · 1.53 Impact Factor


Available from
May 26, 2014