Kaplan M S, Nunes A
School of Community Health, Portland State University, P.O. Box 751, Portland, Oregon 97207, USA.
Nutr Metab Cardiovasc Dis. 2003 Feb;13(1):52-9. doi: 10.1016/s0939-4753(03)80168-0.
To present currently available evidence on the role that adverse psychosocial factors play in the pathogenesis of hypertension. The specific objectives of the review were to (1) provide a picture of what is known about the relationship between psychosocial factors and hypertension, (2) summarize the major methodological and conceptual pitfalls, and (3) identify gaps in the literature and suggest areas for future research.
The scope of the literature review was adults and the literature published since 1990 (acknowledging that some articles published earlier would need to be taken into account). A number of journal searches were carried out. They included Medline, PsychInfo, and SocioFile, with keywords, such as hypertension, blood pressure, psychosocial, psychological, social, acculturation, occupation, socio-economic status, social class, education, depression, anger, and anxiety. The search included articles related to hypertension in developed countries and was limited to studies in the English language.
A growing body of evidence supports the thesis that psychosocial factors play a role in the pathogenesis for hypertension.
呈现目前关于不良心理社会因素在高血压发病机制中所起作用的现有证据。该综述的具体目标是：（1）描绘出心理社会因素与高血压之间关系的已知情况；（2）总结主要的方法学和概念性缺陷；（3）找出文献中的空白并提出未来研究方向。
文献综述范围为成年人以及1990年以来发表的文献（承认需要考虑一些更早发表的文章）。进行了多次期刊检索。检索数据库包括医学文献数据库（Medline）、心理学文摘数据库（PsychInfo）和社会科学文献数据库（SocioFile），使用的关键词有高血压、血压、心理社会、心理、社会、文化适应、职业、社会经济地位、社会阶层、教育、抑郁、愤怒和焦虑。检索包括发达国家与高血压相关的文章，且仅限于英文研究。
越来越多的证据支持心理社会因素在高血压发病机制中起作用这一论点。
