Hostname: page-component-76fb5796d-skm99 Total loading time: 0 Render date: 2024-04-29T21:13:27.195Z Has data issue: false hasContentIssue false

The contribution of psychological features to the symptoms of treated hypertensive patients

Published online by Cambridge University Press:  09 July 2009

C. J. Bulpitt*
Affiliation:
From the Department of Medical Statistics and Epidemiology, London School of Hygiene and Tropical Medicine; Department of Clinical Pharmacology, Royal Postgraduate Medical School; and Whittington Hospital, London
C. T. Dollery
Affiliation:
From the Department of Medical Statistics and Epidemiology, London School of Hygiene and Tropical Medicine; Department of Clinical Pharmacology, Royal Postgraduate Medical School; and Whittington Hospital, London
B. I. Hoffbrand
Affiliation:
From the Department of Medical Statistics and Epidemiology, London School of Hygiene and Tropical Medicine; Department of Clinical Pharmacology, Royal Postgraduate Medical School; and Whittington Hospital, London
*
1Address for correspondence: Dr C. J. Bulpitt, Department fo Medical Statistics and Epidemiology, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT.

Synopsis

Twenty-seven symptoms of 859 treated hypertensive patients were evaluated using a self-administered questionnaire and correlated with the depression (DEP), free-floating anxiety (FFA), phobic anxiety (PHO), obsessionality (OBS) and extraversion (HYS) scores of the Middlesex Hospital Questionnaire. The psychological features were associated with 24 of the 27 symptoms, and the extent to 1which these measurements determined the presence of a symptom was calculated. DEP and FFA were correlated with most of the symptoms, PHO with weak limbs, blurred vision, slow walking pace, nocturia and a lessened interest in sex. HYS was positively associated with the frequency of sexual intercourse in men and negatively with complaints of dyspnoea, tingling in the limbs and a slow walking pace. OBS was only associated with diarrhoea.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1977

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Armitage, P. (1971). Statistical Methods in Medical Research Section 10.5. Blackwell: Oxford.Google Scholar
Ayman, D. & Pratt, J. H. (1931). Nature of the symptoms associated with essential hypertension. Archives of Internal Medicine 47, 675687.CrossRefGoogle Scholar
Bulpitt, C.J. & Dollery, C.T. (1977). Evaluation of the symptoms of treated hypertensive patients. In preparation.Google Scholar
Bulpitt, C. J., Dollery, C. T. & Carne, S. (1974). A symptom questionnaire for hypertensive patients. Journal of Chronic Diseases 27, 309323.CrossRefGoogle ScholarPubMed
Bulpitt, C. J., Dollery, C. T. & Carne, S. (1976 a). Change in symptoms of hypertensive patients after referral to hospital clinic. British Heart Journal 38, 121128.CrossRefGoogle ScholarPubMed
Bulpitt, C. J., Hoffbrand, B. I. & Dollery, C. T. (1976 b). Psychological features of patients with hypertension attending hospital follow-up clinics. Journal of Psychosomatic Research 20, 403410.CrossRefGoogle ScholarPubMed
Cockett, R. (1969). A short diagnostic self-rating scale in the pre-adult remand setting. British Journal of Psychiatry 115, 11411150.CrossRefGoogle Scholar
Crown, S. & Crisp, A. H. (1966). A short clinical diagnostic self-rating scale for psychoneurotic patients. British Journal of Psychiatry 111, 917923.CrossRefGoogle Scholar
Crown, S. & Crisp, A. H. (1970). Manual of the Middlesex Hospital Questionnaire (MHQ). Psychological Test Publications: Barnstaple, Devon.Google Scholar
Riseman, J. E. F. & Weiss, S. (1930). The symptomatology of arterial hypertension. American Journal of Medical Science 180, 4759.CrossRefGoogle Scholar