Stewart H L, Olbrisch M E
J Behav Med. 1986 Jun;9(3):271-89. doi: 10.1007/BF00844774.
Although normative studies have traditionally found that blood pressure (BP) fluctuations are asymptomatic, recent research by Pennebaker et al. [(1982). Psychophysiology 19: 201-210] has suggested that systolic blood pressure (SBP) changes are, in fact, highly correlated with idiosyncratic patterns of symptoms within individuals. The present study was designed as a conceptual replication of those findings and as an initial attempt to develop a standardized clinical procedure for assessing symptom-BP relationships. Eleven normotensive male subjects participated in a series of 16 brief tasks. The first eight tasks were "mental" stressors (e.g., WAIS-R subtests), while the second eight were "physical" stressors (e.g., breath-holding, running in place). Following each task or baseline, blood pressure was measured and subjects rated the degree to which they were experiencing each of nine symptoms (e.g., racing heart, sweaty hands). For each subject, simple symptom-BP correlations were computed across the 16 measurement periods. High symptom-SBP correlations were obtained only for the physical task period. It is argued that the magnitudes of the correlations reported by Pennebaker et al. (1982) were spuriously inflated by the inclusion of strenuous physical exercise, and a reanalysis of the data from that study supports this contention. The clinical value of assessing idiosyncratic symptom-blood pressure relationships seems doubtful.
尽管传统的规范性研究发现血压（BP）波动是无症状的，但彭尼贝克等人[（1982年）。《心理生理学》19：201 - 210]最近的研究表明，事实上，收缩压（SBP）变化与个体内部独特的症状模式高度相关。本研究旨在对这些发现进行概念性重复，并初步尝试开发一种标准化的临床程序来评估症状与血压的关系。11名血压正常的男性受试者参与了一系列16项简短任务。前八项任务是“心理”应激源（如韦氏成人智力量表修订版分测验），而后八项是“身体”应激源（如屏气、原地跑步）。在每项任务或基线之后，测量血压，受试者对他们体验到的九种症状（如心跳加速、手心出汗）的程度进行评分。对于每个受试者，在16个测量周期内计算症状与血压的简单相关性。仅在身体任务期间获得了高症状与收缩压的相关性。有人认为，彭尼贝克等人（1982年）报告的相关性大小因纳入剧烈体育锻炼而被虚假夸大，对该研究数据的重新分析支持了这一观点。评估个体独特的症状与血压关系的临床价值似乎令人怀疑。
