Bosley F, Allen T W
Department of Education, Washington University, St. Louis, Missouri 63130.
J Behav Med. 1989 Feb;12(1):77-89. doi: 10.1007/BF00844750.
The contribution of training procedures designed to alter individuals' psychological responses to stressful life stimuli to the reduction of blood-pressure levels of hypertensives was evaluated. The treatment consisted of a set of coping skill-building experiences. Forty-one black males, mildly to moderately hypertensive and under medical supervision in an outpatient cardiovascular unit of a veterans' hospital, participated. Subjects were randomly assigned to one of three groups: Cognitive Self-Management Training (CSM), Attention Placebo Control, and Current Clinic Conditions Control. The dependent measures were the State Anxiety Scale, Trait Anxiety Scale, Coping Strategic Inventory, systolic blood pressure, and diastolic blood pressure. Subjects in the CSM group reported significant increases in the use of cognitive coping strategies in their lives and demonstrated significant decreases in measured levels of state anxiety and systolic blood pressure. Promising reductions of diastolic blood pressure ratings were obtained as well.
研究评估了旨在改变个体对压力性生活刺激的心理反应的训练程序对降低高血压患者血压水平的作用。治疗包括一系列应对技能培养体验。41名黑人男性参与了研究，他们患有轻度至中度高血压，在一家退伍军人医院的门诊心血管科接受医学监督。受试者被随机分为三组：认知自我管理训练（CSM）组、注意力安慰剂对照组和当前临床条件对照组。因变量包括状态焦虑量表、特质焦虑量表、应对策略量表、收缩压和舒张压。CSM组的受试者报告称，他们在生活中使用认知应对策略的频率显著增加，并且状态焦虑水平和收缩压的测量值显著降低。舒张压评分也有明显下降。
