Trudel-Fitzgerald Claudia, Gilsanz Paola, Mittleman Murray A, Kubzansky Laura D
Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, Kresge Building, Boston, MA, 02115, USA.
Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, 02215, USA.
Curr Hypertens Rep. 2015 Dec;17(12):92. doi: 10.1007/s11906-015-0605-6.
Despite having identified key physiological and behavioral risk factors, the prevalence of hypertension continues to rise, affecting two thirds of American adults 60 years or older. An important condition in its own right, hypertension is also a leading risk factor for cardiovascular diseases; thus, identifying additional modifiable determinants remains a public health priority. Psychological states and negative emotions more specifically have been proposed as risk factors, but the research findings are inconsistent. Additional prospective studies have recently been published increasing the availability of longitudinal data. The aim of this literature review is to evaluate these findings focusing on those from the last 3 years. We synthesize current research on whether negative (e.g., depression, anxiety) or positive (e.g., optimism) emotion-related factors are associated with high blood pressure onset. We discuss discrepant findings and propose considering emotion regulation as a novel approach to explain inconsistencies. Finally, we provide thoughts on future research directions.
尽管已经确定了关键的生理和行为风险因素，但高血压的患病率仍在持续上升，影响着三分之二的60岁及以上美国成年人。高血压本身就是一种重要疾病，也是心血管疾病的主要风险因素；因此，确定其他可改变的决定因素仍然是公共卫生的优先事项。心理状态和更具体的负面情绪已被提出作为风险因素，但研究结果并不一致。最近发表了更多前瞻性研究，增加了纵向数据的可用性。这篇文献综述的目的是评估这些研究结果，重点关注过去3年的研究结果。我们综合了当前关于负面（如抑郁、焦虑）或正面（如乐观）情绪相关因素是否与高血压发病相关的研究。我们讨论了不一致的研究结果，并提出将情绪调节作为一种新方法来解释这些不一致之处。最后，我们对未来的研究方向提出了想法。
