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Psychiatric Aspects of Hypertension

Published online by Cambridge University Press:  29 January 2018

David Wheatley
Affiliation:
Head of the General Practitioner Research Group, 325 Staines Road, Twickenham, TW2 5AX
Mitchell Balter
Affiliation:
Psychopharmacology Research Branch, National Institute of Mental Health, U.S. Public Health Service
Jerome Levine
Affiliation:
Psychopharmacology Research Branch, National Institute of Mental Health, U.S. Public Health Service
Ronald Lipman
Affiliation:
Psychopharmacology Research Branch, National Institute of Mental Health, U.S. Public Health Service
Mary Lou Bauer
Affiliation:
Psychopharmacology Research Branch, National Institute of Mental Health, U.S. Public Health Service
Roland Bonato
Affiliation:
Biometrie Laboratory, George Washington University, Washington, U.S.A.

Extract

The physiological response to stress falls mainly on the cardiovascular system, adrenergic stimulation resulting in peripheral vasoconstriction and an increase in systemic blood pressure. The analogous effects that occur in anxiety-provoking situations immediately suggest an association, whether causal or effectual, between raised blood pressure and anxiety. It has also been suggested that hypertensive individuals exhibit more aggressive traits than others and that these may be hidden or suppressed, becoming manifest by abnormal elevation of the blood pressure (Smirk, 1957).

Type
Papers
Copyright
Copyright © Royal College of Psychiatrists, 1975 

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References

Bridges, P. K. (1973) Practical aspects of the use of some psychological tests of anxiety in a situation of stress. British Journal of Psychiatry, 123, 587–96.Google Scholar
Cobb, S. & Rose, R. M. (1973) Hypertension, peptic ulcer and diabetes in air traffic controllers. Journal of the American Medical Association, 224, 489–92.Google ScholarPubMed
Derogatis, L. R., Lipman, R. S., Rickels, K., Uhlen-huth, E. H. & Covi, L. (1974) The symptom distress checklist: a measure of primary symptom dimensions. Behavioural Science, 19, 1.Google Scholar
Evans, J. G. & Rose, G. (1971) Hypertension. British Medical Bulletin, 27, 3742.CrossRefGoogle ScholarPubMed
Farris, E. J., Yeakel, E. H. & Medoff, H. S. (1945) Development of hypertension in emotional gray Norway rats after air blasting. American Journal of Physiology, 144, 331–3.CrossRefGoogle Scholar
Graham, J. D. P. (1945) High blood pressure after battle. Lancet, i, 239–40.Google Scholar
Heine, B. E., Sainsbury, P. & Chynoweth, R. C. (1969) Hypertension and emotional disturbance. Journal of Psychiatric Research, 7, 119–30.CrossRefGoogle ScholarPubMed
Hudak, W.J. & Buckley, J. (1961) Production of hypertensive rats by experimental stress. Journal of Pharmaceutical Sciences, 50, 263–4.CrossRefGoogle ScholarPubMed
Littler, W. A., Honour, A. J. & Sleight, P. (1973) Direct arterial pressure and electrocardiogram during motor car driving. British Medical Journal, ii, 273–7.Google Scholar
Marwood, J. F., Ilett, K. F. & Lockett, M. F. (1973) Effects of adrenalectomy and of hypophysectomy on the development of sound-withdrawal hypertension. Journal of Pharmacy and Pharmacology, 25, 96100.Google Scholar
Marwood, J. F. & Lockett, M. F. (1973) Sound-withdrawal hypertension in rats—a new form of experimental hypertension. Journal of Pharmacy and Pharmacology, 25, 42–8.Google Scholar
Paykel, E. S., Myers, J. K., Dienelt, M. N., Klerman, G. L., Lindenthal, J. J. & Peooer, M. D. (1969) Life events and depression. Archives of General Psychiatry, 21, 753–60.Google Scholar
Robinson, J. O. (1969) Symptoms and the discovery of high blood pressure. Journal of Psychosomatic Research, 13, 157–61.CrossRefGoogle ScholarPubMed
Rosecrans, J. A., Watzman, N. & Buckley, J. P. (1966) The production of hypertension in male albino rats subjected to experimental stress. Biochemical Pharmacology, 15, 1707–18.Google Scholar
Smirk, F. H. (1949) Pathogenesis of essential hypertension. British Medical Journal, i, 791–9.Google Scholar
Smirk, F. H. (1957) High Arterial Pressure, p. 216. Oxford: Blackwell.Google Scholar
Stuart, K. L., Desai, P. & Lalsingh, A. (1974) Approach to assessment risk factors in mild hypertension. British Medical Journal, ii, 195–8.Google Scholar
Wolf, S. & Wolff, H. G. (1950) In Hypertension (ed. E. T. Bell), p. 288. Minneapolis: Minnesota Press.Google Scholar
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