Topic: Chronic psychosocial Stress and Hypertension
“Genetic and behavioral factors do not fully explain the development of hypertension, and there is increasing evidence suggesting that psychosocial factors may also play an important role. Exposure to chronic stress has been hypothesized as a risk factor for hypertension, and occupational stress, stressful aspects of the social environment, and low socioeconomic status have each been studied extensively” (Spruill, 2010, p.10).
“Much of the work to date regarding effects of rumination on BP has used laboratory stressors; though this approach is useful and important, the artificiality of the situation limits the generalizability of results to the real world. Response to laboratory stressors may be a poor indicator of the degree to which people ruminate about real-life stressors. Further, in the laboratory, the participant is forced to confront the stressor being studied, whereas in the field, the person may use various strategies (eg, distraction) to avoid such engagement. Thus, an important next step in evaluating rumination as a possible mechanism by which stress contributes to hypertension is to observe the effects of naturally occurring stressors on ruminative thoughts and BP outside the laboratory” (Spruill, 2010, p.14).
Spruill, T. M. (2010). Chronic psychosocial stress and hypertension. Current Hypertension Reports, 12(1), 10-6. doi:http://dx.doi.org/10.1007/s11906-009-0084-8
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