Psychosocial Risk Factors for Hypertension: an Update of the Literature
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A growing body of research demonstrates that psychosocial factors play an important role in the development of hypertension. Previous reviews have identified several key factors (i.e., occupational stress) that contribute to the onset of hypertension; however, they are now outdated. In this review, we provide an updated synthesis of the literature from 2010 to April 2014. We identified 21 articles for inclusion in the review, of which there were six categories of psychosocial stressors: occupational stress, personality, mental health, housing instability, social support/isolation, and sleep quality. Sixteen of the studies reported an association between the psychosocial stressor and blood pressure. While several findings were consistent with previous literature, new findings regarding mediating and moderating factors underlying the psychosocial-hypertension association help to untangle inconsistencies reported in the literature. Moreover, sleep quality is a novel additional factor that should undergo further exploration. Areas for future research based on these findings are discussed.
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Psychosocial stressors, negative personality traits, and reduced sleep duration/quality have been associated with high blood pressure.
“Psychosocial stressors (eg, occupational stress, low social support), negative personality traits (anxiety, anger, depression), and reduced sleep duration/quality have also been associated with high BP176–178; however, data linking them specifically to RH are lacking.”
From Resistant Hypertension: Detection, Evaluation, and Management: A Scientific Statement From the American Heart Association (2018) · cites this paper as [177]
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- Authors
- Cuffee, Y., Ogedegbe, C., Williams, N. J., Ogedegbe, G., & Schoenthaler, A.
- Affiliations
- New York University (US)
- Hackensack University Medical Center (US)
- NYU Langone Health (US)
- Corresponding author
- Schoenthaler, Antoinette
- Venue
- Current Hypertension Reports
- Published
- 2014-08-20
- Volume
- 16
- Issue
- 10
- Pages
- 483-483
- ISSN
- 1522-6417 (ISSN-L)
- 1534-3111
- PMC
- PMC4163921
- OpenAlex
- W2084296408
- Cited by
- 182
- References
- 67
- Citations by year
- 2026: 7 · 2025: 9 · 2024: 9 · 2023: 17 · 2022: 19 · 2021: 23 · 2020: 26 · 2019: 20 · 2018: 21 · 2017: 14 · 2016: 10 · 2015: 5 · 2014: 2
- FWCI
- 1.66
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Current Hypertension Reports (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Heart, Lung, and Blood Institute (K24HL111315, K23HL098564)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Nursing › Nutrition and Dietetics › Sodium Intake and Health
- Keywords
- hypertension, psychosocial risk factors, occupational stress, personality, mental health, housing instability, social support, social isolation, sleep quality, blood pressure, mediating and moderating factors
- MeSH terms
- Anxiety, Depression, Humans, Hypertension, Risk Factors, Social Isolation, Stress, Psychological
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