Foguet-Boreu Q, Ayerbe García-Morzon L
Servicio de Psiquiatría, Hospital Universitario de Vic, Vic, Barcelona, España; Facultad de Medicina, Universitat de Vic-Universitat Central de Catalunya (UVic-UCC), Vic, Barcelona, España.
Centre of Primary Care and Public Health, Queen Mary University of London, Londres, Reino Unido; Carnarvon Medical Centre, Southend-on-Sea, Reino Unido.
Hipertens Riesgo Vasc. 2021 Apr-Jun;38(2):83-90. doi: 10.1016/j.hipert.2020.09.001. Epub 2020 Oct 12.
Psychosocial stress can be the result of a wide variety of causes and circumstances. The experience of stress is often unique and experienced in a very personal way, although with common physiological responses. Predictably, it will increase in the modern world, which is subject to vertiginous social, cultural and technological changes. This review aims to determine the psychosocial factors that affect arterial hypertension (HT) and cardiovascular risk (CVR). Psychosocial stress more than doubles the risk of HT, the most related factors being post-traumatic stress disorder, anxiety and work stress. The factors that were most related to an increase in CVR were informal care, lower socioeconomic status, severe mental disorders, marital status, and post-traumatic stress disorder. Individual and collective psychosocial stress prevention strategies can be decisive in decreasing the prevalence of HT and CVR.
心理社会压力可能由各种各样的原因和情况导致。压力体验往往是独特的,并且以非常个人化的方式经历,尽管会有共同的生理反应。可以预见,在经历急剧社会、文化和技术变革的现代世界中,压力将会增加。本综述旨在确定影响动脉高血压(HT)和心血管风险(CVR)的心理社会因素。心理社会压力使患HT的风险增加一倍多,最相关的因素是创伤后应激障碍、焦虑和工作压力。与CVR增加最相关的因素是非正式护理、较低的社会经济地位、严重精神障碍、婚姻状况和创伤后应激障碍。个人和集体的心理社会压力预防策略对于降低HT和CVR的患病率可能具有决定性作用。