J A Schneider’s research while affiliated with Stanford University and other places

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Publications (2)


Relaxation training for essential hypetension at the worksite: II. The poorly controlled hypertensive
  • Article

May 1987

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6 Reads

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35 Citations

Psychosomatic Medicine

W S Agras

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C B Taylor

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H C Kraemer

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[...]

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J A Schneider

This article reports the findings of a study designed to evaluate the long-term effectiveness of an industry-based relaxation training program in the treatment of hypertensives whose blood pressures were not well controlled by antihypertensive medication. Following a three-stage screening process, 137 participants were randomly allocated to either relaxation training (RT) or to blood pressure monitoring (BPM) at two worksites. Participants continued to receive medical care from their primary physicians during the course of the study. The advantage for participants receiving RT, in terms of mean blood pressure changes, was modest and of short duration. However, a larger proportion of participants in the RT group came into good control (blood pressures below 90 mm Hg) than in the BPM group following treatment (69.4% vs 41.5%, p less than 0.001). This advantage continued to 24 months' follow-up (63.9% vs 47.7%, p less than 0.05). At 30 months' follow-up there was no significant difference between the groups (75.0% vs 70.8%). Within-group analyses revealed that the BPM group also achieved significant blood pressure lowering which was maintained during the study. The largest initial difference between the two groups was for individuals whose entry diastolic blood pressures were most out of control despite several years of pharmacologic treatment. No difference was found between the two groups in the prescription of antihypertensive medication.


Relaxation Training: Twenty-Four-Hour Blood Pressure Reductions

September 1980

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13 Reads

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25 Citations

Archives of General Psychiatry

If the demonstrated effects of relaxation training on blood pressure (BP) occur only during relaxation practice, then little effect on the morbidity and mortality of exssential hypertensives would be expected. This question was addressed by inpatient monitoring of five hypertensive patients' BP for 24 hours during six experimental days, including a no-treatment baseline, three days of relaxation training, and one day of recovery. Lowering of both systolic and diastolic pressures persisted beyond the end of the training sessions. Moreover, systolic BP was significantly lower during relaxation training days than during either baseline or recovery days, a difference particularly noticeable at night when patients were sleeping. The BPs of the three patients showing the largest initial effects of training averaged 12.5/7.3 mm Hg less during nights following relaxation sessions than during nights following no treatment.

Citations (2)


... The eight other trials [56][57][58]62,63,[65][66][67][68][69] that reported results for blood pressure and changes in antihypertensive medication investigated the effects of stress-reduction techniques on both endpoints. ...

Reference:

Clinical effectiveness of stress-reduction techniques in patients with hypertension: Systematic reviewand meta-analysis
Relaxation training for essential hypetension at the worksite: II. The poorly controlled hypertensive
  • Citing Article
  • May 1987

Psychosomatic Medicine

... 39 A recent study conducted at the Stanford University School of Medicine (USA) demonstrated that the drop in blood pressure induced by daily yoga nidra practice has a far reaching effect, extending throughout the day and is not merely a transient effect coincident with the practice session. 40 Another controlled study which was conducted at the Langley Porter Neuropsychiatric Institute in California, found that reductions in blood pressure and anxiety levels in hypertensive patients continued for 12 months after yoga nidra training. 41 Stress A survey conducted by the Australian Federal Health Department in 1980 revealed that stress is the aspect of modern life that concerned most people. ...

Relaxation Training: Twenty-Four-Hour Blood Pressure Reductions
  • Citing Article
  • September 1980

Archives of General Psychiatry