Dysregulated Blood Pressure: Can Regulating Emotions Help?

Trudel-Fitzgerald, Claudia; Gilsanz, Paola; Mittleman, Murray A.; Kubzansky, Laura D.

doi:10.1007/s11906-015-0605-6

Cited by 48Blood Pressure and Hypertension StudiesCardiac Health and Mental HealthHeart Rate Variability and Autonomic Control

Dysregulated Blood Pressure: Can Regulating Emotions Help?

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Trudel-Fitzgerald, Claudia, Gilsanz, Paola, Mittleman, Murray A., Kubzansky, Laura D.·2015·Current Hypertension Reports

DOI 10.1007/s11906-015-0605-6PMC PMC4764066

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Abstract

Despite having identified key physiological and behavioral risk factors, the prevalence of hypertension continues to rise, affecting two thirds of American adults 60 years or older. An important condition in its own right, hypertension is also a leading risk factor for cardiovascular diseases; thus, identifying additional modifiable determinants remains a public health priority. Psychological states and negative emotions more specifically have been proposed as risk factors, but the research findings are inconsistent. Additional prospective studies have recently been published increasing the availability of longitudinal data. The aim of this literature review is to evaluate these findings focusing on those from the last 3 years. We synthesize current research on whether negative (e.g., depression, anxiety) or positive (e.g., optimism) emotion-related factors are associated with high blood pressure onset. We discuss discrepant findings and propose considering emotion regulation as a novel approach to explain inconsistencies. Finally, we provide thoughts on future research directions.

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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 [176]

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Authors: Trudel-Fitzgerald, C., Gilsanz, P., Mittleman, M. A., & Kubzansky, L. D.
Affiliations: Harvard University (US)
Beth Israel Deaconess Medical Center (US)
ORCID: Gilsanz, Paola
Mittleman, Murray A.
Kubzansky, Laura D.
Venue: Current Hypertension Reports
Publisher: Springer Science and Business Media LLC
Published: 2015-10-31
Volume: 17
Issue: 12
Pages: 92-92
ISSN: 1522-6417 (ISSN-L)
1534-3111
DOI: 10.1007/s11906-015-0605-6
PMC: PMC4764066
OpenAlex: W2247799614
Cited by: 48
References: 82
Citations by year: 2026: 6 · 2025: 4 · 2024: 4 · 2023: 2 · 2022: 3 · 2021: 4 · 2020: 10 · 2019: 3 · 2018: 7 · 2017: 3 · 2016: 2
FWCI: 0.69
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)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of Mental Health (T32MH017119)
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 › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
Keywords: hypertension, blood pressure, emotion regulation, negative emotions, depression, anxiety, optimism, positive emotions, cardiovascular risk factors, modifiable risk factors, longitudinal study
MeSH terms: Anxiety, Blood Pressure, Depression, Emotions, Humans, Hypertension, Stress, Psychological, Prevalence

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Dysregulated Blood Pressure: Can Regulating Emotions Help?

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