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Cited by 241Attachment and Relationship DynamicsBlood Pressure and Hypertension StudiesHeart Rate Variability and Autonomic Control

The DOI matches its Crossref record; 29 of the 29 references it cites were found in a registry or an index.

High blood pressure and marital discord: Not being nasty matters more than being nice.

Ewart, Craig K., Taylor, C. Barr, Kraemer, Helena C., Agras, W. Stewart·1991·Health Psychology
DOI 10.1037/0278-6133.10.3.155
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Abstract

Theories linking anger and blood pressure (BP) reactivity to cardiovascular disease must be able to identify naturally occurring stressors that arouse emotion with sufficient frequency to cause chronic physiologic stress. We examine the impact of normal family arguments on 43 patients (24 women, 19 men) with essential hypertension. Patients and their partners discussed a threatening disagreement for 10 min while BP and conversation were recorded. Discussing problems increased BP, but the causal pathways differed by sex. In women, hostile interaction and marital dissatisfaction were associated with increased BP; "supportive" or "neutral" exchanges were unrelated to BP. In men, BP fluctuations were related only to the patient's speech rate. These findings are consistent with other research on sex differences in communication and social problem-solving styles and implicate different mechanisms (frequent anger, active coping) through which marital discord could increase risk. Implications for intervention are considered.

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Crossref · 10.1037/0278-6133.10.3.155

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Metadata

Authors
Ewart, C. K., Taylor, C. B., Kraemer, H. C., & Agras, W. S.
Affiliations
Johns Hopkins University (US)
ORCID
Venue
Health Psychology
Publisher
American Psychological Association (APA)
Published
1991
Volume
10
Issue
3
Pages
155-163
ISSN
  • 0278-6133 (ISSN-L)
  • 1930-7810
DOI
10.1037/0278-6133.10.3.155
OpenAlex
W2047094339
Cited by
241
References
29
Citations by year
2025: 1 · 2024: 2 · 2023: 3 · 2022: 3 · 2021: 2 · 2020: 4 · 2019: 4 · 2018: 11 · 2017: 5 · 2016: 2 · 2015: 8 · 2014: 9 · 2013: 8 · 2012: 11
FWCI
6.68
Type
journal article
Language
en
Open access
closed
Locations
  • Health Psychology (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5r01hl036298-04)
  • National Heart, Lung, and Blood Institute (R01-HL 36298)
Topics
  • Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
Keywords
essential hypertension, marital conflict, blood pressure reactivity, hostility, marital dissatisfaction, sex differences, speech rate, anger, cardiovascular risk, marital communication
MeSH terms
Adaptation, Psychological, Adult, Affect, Aged, Arousal, Conflict, Psychological, Female, Humans, Hypertension, Internal-External Control, Male, Marriage, Middle Aged, Problem Solving, Social Environment, Social Support

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