Johnston D W
J Psychosom Res. 1985;29(5):447-56. doi: 10.1016/0022-3999(85)90078-9.
The literature on the behavioural treatment of primary hypertension, reduction of Type A behaviour, and psychological interventions during acute coronary care and rehabilitation after a myocardial infarction are selectively reviewed. There is growing evidence that relaxation and stress management can lower blood pressure by useful amounts in mild primary hypertension although the mechanisms underlying these reductions are unclear. Type A behaviour has been reduced in patients following a myocardial infarction and this led to reduced morbidity. Other interventions following myocardial infarction, both when the patient is in hospital and after discharge have produced at best only modest benefits and are, therefore, not widely applicable. Future research in rehabilitation should be directed at reducing the disabilities of patients with clearly identifiable problems that stem from their response to cardiovascular disease.
本文选择性地回顾了有关原发性高血压行为治疗、A型行为模式减少以及急性冠脉护理和心肌梗死后康复期间心理干预的文献。越来越多的证据表明，在轻度原发性高血压中，放松和压力管理可有效降低血压，尽管血压降低背后的机制尚不清楚。心肌梗死后患者的A型行为模式有所减少，这导致发病率降低。心肌梗死后的其他干预措施，无论是在患者住院期间还是出院后，充其量只产生了适度的益处，因此并未得到广泛应用。未来康复研究应针对减少因对心血管疾病的反应而产生明显可识别问题的患者的残疾情况。
