Ambrosio G B, Dissegna L, Zamboni S, Santonastaso P, Canton G, Dal Palù C
J Hypertens Suppl. 1984 Dec;2(3):S171-3.
The possibility that subjects examined during a population screening programme may develop psychological disturbances as a consequence of being labelled as hypertensives has been investigated. The Symptom Rating Test (SRT) for the assessment of neurotic symptoms was completed by 210 screenees. Aware hypertensives were excluded from the study. It was subsequently found that 81 subjects had raised BP (systolic greater than or equal to 160 or diastolic greater than or equal to 95 mmHg; group 1), and 129 subjects were 'normotensive' (group 2). The total SRT score was significantly higher in group 2 than in group 1. After screening, all subjects were returned to their GPs, and 82% of them were re-examined 2 years later. SRT scores were significantly lower than the initial ones in both groups. At re-examination 35% of 'hypertensives', were found to have 'normal' BP values. The SRT scores of these falsely-labelled subjects were similar to those of the subjects found still to be hypertensive. These findings suggest that subjects with raised BP at screening have lower neuroticism scores than normotensives. More importantly still, hypertension labelling, whether 'true' or 'false', does not have any negative long-term psychological consequences.
一项研究调查了在人群筛查项目中接受检查的受试者，是否会因被标记为高血压患者而出现心理障碍。210名受检者完成了用于评估神经症症状的症状评定测试（SRT）。已知的高血压患者被排除在研究之外。随后发现，81名受试者血压升高（收缩压大于或等于160或舒张压大于或等于95 mmHg；第1组），129名受试者为“血压正常”（第2组）。第2组的SRT总分显著高于第1组。筛查后，所有受试者回到他们的全科医生处，其中82%的人在2年后接受了复查。两组的SRT分数均显著低于初始分数。在复查时，发现35%的“高血压患者”血压值“正常”。这些被错误标记的受试者的SRT分数与那些仍被发现患有高血压的受试者相似。这些发现表明，筛查时血压升高的受试者的神经质得分低于血压正常者。更重要的是，高血压标记，无论“真实”与否，都不会产生任何负面的长期心理影响。
