Pavek Karel, Taube Adam
Stress Clinic, Uppsala, Sweden.
Blood Press. 2009;18(1-2):30-5. doi: 10.1080/08037050902812648.
The evidence of emotional impacts on day and night blood pressure (BP), heart rate (HR) and non-dipping of BP remains fragmentary. Personality traits previously tested by self-reports as determinants of office, screening or mean daytime BP produced mixed results. Therefore, we hypothesized that some traits are acting together as modifiers of 24-h and day/night ambulatory BP and HR. A population sample of healthy 47-54 year-old men, n = 85, unaware of their BP status, was evaluated. In multiple regression, 25% of the 24-h systolic BP (SBP) variation was explained by independent augmenting predictors Trait Anger-Anger Expression Styles, Large and Lasting Emotions, and by an attenuating predictor Anxiety. Only Verbal Aggression increased night-time SBP much more than daytime SBP and diminished day-night dipping of SBP. Strong Large/Lasting Emotions and Indirect Aggression increased daytime SBP only. Day and night HR increased with a high Suspicious Hostility (7.4% of variation), in particular with items Distrust/Vulnerability (11.5% of variation). In conclusion, mean levels of HR and BP during a 24-h period are slightly modified by particular personality traits. Some traits appear to affect either daytime or night-time periods more. Day to night carry-over effects on SBP may occur.
情绪对昼夜血压(BP)、心率(HR)及血压非勺型变化的影响证据仍不完整。先前通过自我报告测试的人格特质作为诊室血压、筛查血压或日间平均血压的决定因素,结果不一。因此,我们假设某些特质共同作为24小时及昼夜动态血压和心率的调节因素。对85名年龄在47至54岁、未意识到自身血压状况的健康男性人群样本进行了评估。在多元回归分析中,24小时收缩压(SBP)变化的25%可由独立的增强预测因素——特质愤怒-愤怒表达风格、强烈且持久的情绪,以及减弱预测因素——焦虑来解释。只有言语攻击使夜间收缩压升高幅度远大于日间收缩压,并减弱了收缩压的昼夜差值。强烈的强烈/持久情绪和间接攻击仅使日间收缩压升高。昼夜心率升高与高度怀疑敌意有关(变异的7.4%),尤其是与不信任/易受伤害项目有关(变异的11.5%)。总之,特定人格特质会轻微改变24小时期间的心率和血压平均水平。某些特质似乎对日间或夜间影响更大。收缩压可能会出现昼夜延续效应。