Wadden T A
J Nerv Ment Dis. 1983 Nov;171(11):683-9. doi: 10.1097/00005053-198311000-00007.
This study investigated the relationship of relaxation practice to blood pressure reduction in 31 hypertensive subjects who participated in an 8-week treatment program. Subjects achieved significant post-treatment reductions in systolic and diastolic blood pressure, which were maintained at 5 months follow-up and were found to generalize to the subjects' home environment. Subjects who practiced relaxation with their spouses showed significantly better treatment adherence than those who practiced relaxation alone. No differences were found in blood pressure reduction between the two groups, however, due to the fact that pressure reduction was only modestly correlated with degree of relaxation practice. A significant, inverse relationship was found between blood pressure reduction and two measures associated with the Type A behavior pattern. Results of this study provide further evidence that relaxation training is effective in the treatment of some persons with mild, essential hypertension; however, further efforts are needed to identify predictors of treatment response.
本研究调查了31名高血压患者在参加为期8周的治疗项目中，放松练习与血压降低之间的关系。治疗后，受试者的收缩压和舒张压显著降低，在5个月的随访中保持稳定，并且这种降低在受试者的家庭环境中也普遍存在。与配偶一起进行放松练习的受试者比独自进行放松练习的受试者表现出更好的治疗依从性。然而，由于血压降低与放松练习程度仅呈适度相关，两组在血压降低方面未发现差异。在血压降低与两种与A型行为模式相关的测量指标之间发现了显著的负相关关系。本研究结果进一步证明，放松训练对一些轻度原发性高血压患者有效；然而，需要进一步努力确定治疗反应的预测因素。
