García-Vera M P, Sanz J, Labrador F J
Universidad Complutense de Madrid, Spain.
Appl Psychophysiol Biofeedback. 1998 Sep;23(3):159-78. doi: 10.1023/a:1022295321208.
In a previous controlled study, 21 participants with essential hypertension were treated with a program based on education, relaxation and D'Zurilla problem-solving training, and another 21 participants were assigned to a waiting list control condition (García-Vera, Labrador, & Sanz, 1997). In this report, the pre-post-treatment psychological changes accompanying those conditions were examined with the Jenkins Activity Survey, the Rosenbaum Self-Control Schedule, the Spielberger State-Trait Anxiety Inventory, and the D'Zurilla-Nezu Social Problem-Solving Inventory. Treatment yielded significant psychological changes that included an increase of problem-solving abilities. Moreover, correlation and multiple regression analyses revealed that, when clinic blood pressure (BP) values were considered, increases in problem-solving abilities were correlated with systolic and diastolic BP reductions for participants in the stress-management condition, and they mediated partially the antihypertensive effects of stress-management training on BP. No significant correlations were found between psychological changes and self-measured systolic or diastolic BP reductions.
在之前的一项对照研究中，21名原发性高血压患者接受了一项基于教育、放松和D'Zurilla问题解决训练的项目，另外21名参与者被分配到等待名单控制组（加西亚 - 维拉、拉布拉多和桑斯，1997年）。在本报告中，使用詹金斯活动调查、罗森鲍姆自我控制量表、斯皮尔伯格状态 - 特质焦虑量表和D'Zurilla - Nezu社会问题解决量表，对这些情况下治疗前后的心理变化进行了检查。治疗产生了显著的心理变化，包括解决问题能力的提高。此外，相关性和多元回归分析表明，当考虑临床血压（BP）值时，解决问题能力的提高与压力管理组参与者的收缩压和舒张压降低相关，并且它们部分介导了压力管理训练对血压的降压作用。在心理变化与自我测量的收缩压或舒张压降低之间未发现显著相关性。
