Barnes V, Schneider R, Alexander C, Staggers F
Center for Health and Aging Studies, College of Maharishi Vedic Medicine, Maharishi University of Management, Fairfield, Iowa 52557-1028, USA.
J Natl Med Assoc. 1997 Jul;89(7):464-76.
This is a comprehensive and integrative review of multiple factors underlying the greater prevalence of hypertension in African Americans compared with whites. Evidence linking stress with hypertension and cardiovascular disease in African Americans is reviewed. A survey of mechanisms of hypertension in African Americans and existing behavioral strategies for the treatment of hypertension is presented. Given that the excess of hypertension may be mediated in part by behavioral factors operating through biological mechanisms, a case is presented for behavioral stress reduction measures. This review of stress reduction techniques especially the Transcendental Mediation program for the treatment of hypertension in African Americans highlights current issues facing the field. New information is provided to help direct future nonpharmacological research and practice in hypertension to prevent morbidity and premature mortality in this underserved population.
这是一篇关于非裔美国人相较于白人高血压患病率更高的多种潜在因素的综合及整合性综述。文中回顾了将压力与非裔美国人的高血压及心血管疾病相联系的证据。介绍了对非裔美国人高血压机制及现有高血压行为治疗策略的一项调查。鉴于高血压患病率过高可能部分由通过生物学机制起作用的行为因素介导，本文提出了行为减压措施。这篇关于减压技术的综述，尤其是针对非裔美国人高血压治疗的超觉静坐计划，突出了该领域当前面临的问题。提供了新信息，以帮助指导未来高血压非药物研究及实践，从而预防这一服务不足人群的发病及过早死亡。
