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Start Over Author "Tobe S." Journal american journal of hypertension
15 results on '"Tobe S."'

15. Marital cohesion and ambulatory blood pressure in early hypertension.

Author

Baker B, Helmers K, O'Kelly B, Sakinofsky I, Abelsohn A, and Tobe S

Subjects
Adult, Aged, Blood Pressure physiology, Circadian Rhythm physiology, Female, Follow-Up Studies, Humans, Hypertension diagnosis, Hypertension psychology, Male, Middle Aged, Risk Factors, Stress, Psychological, Surveys and Questionnaires, Blood Pressure Monitoring, Ambulatory, Hypertension physiopathology, Marriage psychology
Abstract

One hundred thirty-four men and seventy-one women, unmedicated mild hypertensives, underwent 24-h ambulatory blood pressure (BP) monitoring (ABP) and completed standardized questionnaires measuring marital and job stress. Of these, 44.8% had daytime diastolic BP < 90 mm Hg; 96.1% had left ventricular mass index in the normal range (N = 176). Lower marital cohesion (Cohesion, subscale of the Dyadic Adjustment Scale) was related to elevated nighttime ABP (P < or = .05) and 24-h diastolic BP (P < .05). With low Cohesion (N = 83), more reported spousal contact was associated with elevated nighttime ABP (P < .031). The 7.3% of subjects with very low Cohesion demonstrated approximately 6 mm Hg elevation of all ABP variables, controlling for other significant variables (P < .05, except for nighttime SBP). This study shows an association between marital cohesion and ABP and suggests that marital factors may have a role in sustaining BP in early hypertension.

Published
1999
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