Religious Coping, Ethnicity, and Ambulatory Blood Pressure

Steffen, Patrick R.; Hinderliter, Alan L.; Blumenthal, James A.; Sherwood, Andrew

doi:10.1097/00006842-200107000-00002

Cited by 177Religion, Spirituality, and PsychologyBlood Pressure and Hypertension StudiesCardiac Health and Mental Health

Religious Coping, Ethnicity, and Ambulatory Blood Pressure

Steffen, Patrick R., Hinderliter, Alan L., Blumenthal, James A., Sherwood, Andrew·2001·Psychosomatic Medicine

DOI 10.1097/00006842-200107000-00002

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Abstract

OBJECTIVE: To investigate the relationship between religious coping, ethnicity, and ambulatory blood pressure (ABP) measured during daily life. METHODS: A 24-hour ABP was obtained from 155 men and women (78 African American and 77 white) on a typical workday. ABP was averaged over awake and sleep periods, and clinic BP was also assessed. Psychosocial measures of coping style, negative affect, social support, stress, and health behaviors were completed before ABP measurement. RESULTS: Multiple regression analyses, controlling for demographic variables, revealed a significant religious coping by ethnicity interaction for ABP (p < .01) and clinic BP (p < .05). Religious coping was not related to BP among whites. Among African Americans, however, higher levels of religious coping were associated with lower awake (p < .05) and sleep (p < .01) ABP. Social support satisfaction also was related to lower awake ABP among African Americans, but it did not mediate the relationship between religious coping and ABP. CONCLUSIONS: The results of this study extend previous findings by showing that, among African Americans, religious coping and BP are related during daily activities as well as in the clinic. Lower 24-hour BP load may be a pathway through which religiosity and cardiovascular health are related.

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Of the 39 highest-quality blood pressure studies, 24 (62%) report lower BP, including one at a trend level, among those who are more R/S or in response to an R/S intervention.
“Of the 39 highest quality studies, 24 (62%) report lower BP (including one at a trend level) among those who are more R/S [382–394] or in response to an R/S intervention [328, 395–404]”
From Religion, Spirituality, and Health: The Research and Clinical Implications (2012) · cites this paper as [383]

The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations.
Baron, R. M., & Kenny, D. A. (1986) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.51.6.1173 · Cited by 91,542 · see citing works
The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations
Baron, R. M., & Kenny, D. A. (1986) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.51.6.1173 · Cited by 91,532 · see citing works
Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation
Beck, A. T., Steer, R. A., & Carbin, M. G. (1988) · Clinical Psychology Review · doi:10.1016/0272-7358(88)90050-5 · Cited by 11,696 · see citing works
Assessing coping strategies: A theoretically based approach.
Carver, C. S., Scheier, M. F., & Weintraub, J. K. (1989) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.56.2.267 · Cited by 11,682 · see citing works
Assessing coping strategies: A theoretically based approach.
Carver, C. S., Scheier, M. F., & Weintraub, J. K. (1989) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.56.2.267 · Cited by 11,507 · see citing works
Prevalence of Hypertension in the US Adult Population: Results From the Third National Health and Nutrition Examination Survey, 1988-1991
Burt, V. L., Whelton, P., Roccella, E. J., Brown, C., Cutler, J. A., Higgins, M., Horan, M. J., & Labarthe, D. (1995) · Hypertension · doi:10.1161/01.hyp.25.3.305 · Cited by 2,998 · see citing works
The relationship between social support and physiological processes: A review with emphasis on underlying mechanisms and implications for health.
Uchino, B. N., Cacioppo, J. T., & Kiecolt-Glaser, J. K. (1996) · Psychological Bulletin · doi:10.1037/0033-2909.119.3.488 · Cited by 2,727 · see citing works
Socioeconomic status and health: how education, income, and occupation contribute to risk factors for cardiovascular disease.
Winkleby, M. A., Jatulis, D. E., Frank, E., & Fortmann, S. P. (1992) · American Journal of Public Health · doi:10.2105/ajph.82.6.816 · Cited by 2,048 · see citing works
A Brief Measure of Social Support: Practical and Theoretical Implications
Sarason, I. G., Sarason, B. R., Shearin, E. N., & Pierce, G. R. (1987) · Journal of Social and Personal Relationships · doi:10.1177/0265407587044007 · Cited by 1,977 · see citing works
Predicting Cardiovascular Risk Using Conventional vs Ambulatory Blood Pressure in Older Patients With Systolic Hypertension
Staessen, J. A. (1999) · JAMA · doi:10.1001/jama.282.6.539 · Cited by 1,592 · see citing works
Religious Involvement and Subjective Well-Being
Ellison, C. G. (1991) · Journal of Health and Social Behavior · doi:10.2307/2136801 · Cited by 1,472 · see citing works
The Religion-Health Connection: Evidence, Theory, and Future Directions
Ellison, C. G., & Levin, J. S. (1998) · Health Education & Behavior · doi:10.1177/109019819802500603 · Cited by 1,460 · see citing works
Cognitive therapy and emotional disorders
Wolpe, J. (1977) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/0005-7916(77)90053-2 · Cited by 1,282 · see citing works
Religion, spirituality, and medicine
Sloan, R., Bagiella, E., & Powell, T. P. (1999) · The Lancet · doi:10.1016/s0140-6736(98)07376-0 · Cited by 851 · see citing works
Frequent attendance at religious services and mortality over 28 years.
Strawbridge, W. J., Cohen, R. D., Shema, S. J., & Kaplan, G. A. (1997) · American Journal of Public Health · doi:10.2105/ajph.87.6.957 · Cited by 686 · see citing works
Social support, type A behavior, and coronary artery disease.
Blumenthal, J., Burg, M. M., Barefoot, J. C., Williams, R. B., Haney, T. L., & Zimet, G. D. (1987) · Psychosomatic Medicine · doi:10.1097/00006842-198707000-00002 · Cited by 645 · see citing works
Self-citation
End-stage renal disease in African-American and white men. 16-year MRFIT findings
Klag, M. J. (1997) · JAMA · doi:10.1001/jama.277.16.1293 · Cited by 614 · see citing works
Ambulatory Blood Pressure Is Superior to Clinic Blood Pressure in Predicting Treatment-Induced Regression of Left Ventricular Hypertrophy
Mancia, G., Zanchetti, A., Agebiti-Rosei, E., Benemio, G., De Cesaris, R., Fogari, R., Pessino, A., Porcellati, C., Salvetti, A., & Trimarco, B. (1997) · Circulation · doi:10.1161/01.cir.95.6.1464 · Cited by 596 · see citing works
Religion and health: Is there an association, is it valid, and is it causal?
Levin, J. S. (1994) · Social Science & Medicine · doi:10.1016/0277-9536(94)90109-0 · Cited by 581 · see citing works
Religious coping and depression among elderly, hospitalized medically ill men
(1992) · American Journal of Psychiatry · doi:10.1176/ajp.149.12.1693 · Cited by 544 · see citing works
Lack of Social Participation or Religious Strength and Comfort as Risk Factors for Death After Cardiac Surgery in the Elderly
Oxman, T. E., Freeman, D. H., & Manheimer, E. D. (1995) · Psychosomatic Medicine · doi:10.1097/00006842-199501000-00002 · Cited by 525 · see citing works
Race and Gender Differences in Religiosity Among Older Adults: Findings From Four National Surveys
Levin, J. S., Taylor, R. J., & Chatters, L. M. (1994) · Journal of Gerontology · doi:10.1093/geronj/49.3.s137 · Cited by 450 · see citing works
Racial, Ethnic, and Cultural Differences in Dementia Caregiving: Review and Analysis
Connell, C. M., & Gibson, G. D. (1997) · The Gerontologist · doi:10.1093/geront/37.3.355 · Cited by 448 · see citing works
Socio-economic status and blood pressure: an overview analysis
Colhoun, H., Hemingway, H., & Poulter, N. (1998) · Journal of Human Hypertension · doi:10.1038/sj.jhh.1000558 · Cited by 416 · see citing works
Advance Report of Final Mortality Statistics, 1994
Singh, G. K., Kochanek, K. D., & MacDorman, M. F. (1996) · Cited by 328 · see citing works
Factors Predictive of Long-Term Coronary Heart Disease Mortality among 10,059 Male Israeli Civil Servants and Municipal Employees
Goldbourt, U., Yaari, S., & Medalie, J. H. (2008) · Cardiology · doi:10.1159/000175862 · Cited by 304 · see citing works
PSYCHOSOCIAL PREDICTORS OF MORTALITY AMONG THE ELDERLY POOR
Zuckerman, D. M., Kasl, S. V., & Ostfeld, A. M. (1984) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a113759 · Cited by 285 · see citing works
The Relationship between Religious Activities and Blood Pressure in Older Adults
Koenig, H. G., George, L. K., Hays, J. C., Larson, D. B., Cohen, H. J., & Blazer, D. G. (1998) · The International Journal of Psychiatry in Medicine · doi:10.2190/75jm-j234-5jkn-4dqd · Cited by 284 · see citing works
Church attendance and health
Comstock, G. W., & Partridge, K. B. (1972) · Journal of Chronic Diseases · doi:10.1016/0021-9681(72)90002-1 · Cited by 269 · see citing works
Religion and differences in morbidity and mortality
Jarvis, G. K., & Northcott, H. C. (1987) · Social Science & Medicine · doi:10.1016/0277-9536(87)90039-6 · Cited by 247 · see citing works
Lose weight and win: A church-based weight loss program for blood pressure control among black women
Kumanyika, S. K., & Charleston, J. B. (1992) · Patient Education and Counseling · doi:10.1016/0738-3991(92)90099-5 · Cited by 235 · see citing works
Is religion therapeutically significant for hypertension?
Levin, J. S., & Vanderpool, H. Y. (1989) · Social Science & Medicine · doi:10.1016/0277-9536(89)90129-9 · Cited by 228 · see citing works
Religion and anxiety disorder: An examination and comparison of associations in young, middle-aged, and elderly adults
m.d., M. S. H. G. K., Ford, M. D. S. M., George, P. D. L. K., Ph., D., & m.d., T. M. K. G. M. (1993) · Journal of Anxiety Disorders · doi:10.1016/0887-6185(93)90028-j · Cited by 190 · see citing works
Task force 1. Pathogenesis of coronary disease: The biologic role of risk factors
Fuster, V., Gotto, A. M., Libby, P., Loscalzo, J., & McGill, H. C. (1996) · Journal of the American College of Cardiology · doi:10.1016/0735-1097(96)00014-9 · Cited by 186 · see citing works
Religion and spirituality in medicine: research and education
Levin, J. S. (1997) · JAMA · doi:10.1001/jama.278.9.792 · Cited by 185 · see citing works
Hypertension-Related Morbidity and Mortality in the Southeastern United States
Hall, W. D., Ferrario, C. M., Moore, M. A., Hall, J. E., Flack, J. M., Cooper, W., Simmons, J. D., Egan, B. M., Lackland, D. T., Perry, M. H., et al. (1997) · The American Journal of the Medical Sciences · doi:10.1097/00000441-199704000-00002 · Cited by 176 · see citing works
Social support, type A behavior, and coronary artery disease.
Cohen, S., & Matthews, K. A. (1987) · Psychosomatic Medicine · doi:10.1097/00006842-198707000-00001 · Cited by 125 · see citing works
The impact of religion on men's blood pressure
Larson, D. B., Koenig, H. G., Kaplan, B. H., Greenberg, R. S., Logue, E., & Tyroler, H. A. (1989) · Journal of Religion & Health · doi:10.1007/bf00986065 · Cited by 119 · see citing works
Coping with the Stress of Medical Problems among Black and White Elderly
Conway, K. (1986) · The International Journal of Aging and Human Development · doi:10.2190/b5f7-2bb3-yhel-n868 · Cited by 102 · see citing works
Affiliation Moderates the Effects of Social Threat on Stress-Related Cardiovascular Responses
Kamarck, T. W., Annunziato, B., & Amateau, L. M. (1995) · Psychosomatic Medicine · doi:10.1097/00006842-199503000-00011 · Cited by 102 · see citing works
Differences in Religiousness Among Black and White Women with Breast Cancer
Bourjolly, J. N. (1998) · Social Work in Health Care · doi:10.1300/j010v28n01_02 · Cited by 101 · see citing works
The epidemiology of essential hypertension
Scotch, N. A., & Geiger, H. J. (1963) · Journal of Chronic Diseases · doi:10.1016/0021-9681(63)90052-3 · Cited by 97 · see citing works
Social integration and black intraracial variation in blood pressure.
Il, L., Dm, L., & Moore, R. D. (1991) · PubMed · Cited by 96 · see citing works
Frequency of church attendance and blood pressure elevation
Graham, T. W., Kaplan, B. H., Cornoni-Huntley, J. C., James, S. A., Becker, C., Hames, C. G., & Heyden, S. (1978) · Journal of Behavioral Medicine · doi:10.1007/bf00846585 · Cited by 92 · see citing works
Cultural specificity of support sources, correlates and contexts: Three studies of African‐American and Caucasian youth
Matón, K. I., Teti, D. M., Corns, K. M., Vieira-Baker, C. C., Lavine, J. R., Gouze, K. R., & Keating, D. P. (1996) · American Journal of Community Psychology · doi:10.1007/bf02506796 · Cited by 90 · see citing works
Clinical evaluation of the Accutracker II ambulatory blood pressure monitor: assessment of performance in two countries and comparison with sphygmomanometry and intra-arterial blood pressure at rest and during exercise
White, W. B., Lund‐Johansen, P., McCabe, E. J., et al. (1989) · Journal of Hypertension · doi:10.1097/00004872-198912000-00007 · Cited by 76 · see citing works
Relationships between changes in left ventricular mass and in clinic and ambulatory blood pressure in response to antihypertensive therapy
Fagard, R. H., Staessen, J. A., & Thijs, L. (1997) · Journal of Hypertension · doi:10.1097/00004872-199715120-00018 · Cited by 75 · see citing works
Ethnic differences in intrinsic/extrinsic religious orientation and depression in the elderly.
Nelson, P. B. (1989) · PubMed · Cited by 69 · see citing works
The Relation between Religiosity, Selected Health Behaviors, and Blood Pressure among Adult Females
Hixson, K. A., Gruchow, H. W., & Morgan, D. W. (1998) · Preventive Medicine · doi:10.1006/pmed.1998.0321 · Cited by 61 · see citing works
Church‐based education: An outreach program for African Americans with hypertension
Smith, E. D., Merritt, S. L., & Patel, M. (1997) · Ethnicity and Health · doi:10.1080/13557858.1997.9961832 · Cited by 56 · see citing works
Social support and hostility interact to influence clinic, work, and home blood pressure in Black and White men and women
Brownley, K. A., Light, K. C., & Anderson, N. B. (1996) · Psychophysiology · doi:10.1111/j.1469-8986.1996.tb01069.x · Cited by 44 · see citing works
Left Ventricular Mass Index and Diastolic Filling
Hinderliter, A. L., Light, K. C., & Willis, P. W. (1991) · American Journal of Hypertension · doi:10.1093/ajh/4.7.579 · Cited by 39 · see citing works
Self-citation
THE TROMSØ HEART STUDY: CORONARY RISK FACTORS IN SEVENTH-DAY ADVENTISTS
Fønnebø, V. M. (1985) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a114162 · Cited by 15 · see citing works
Association between stress and blood pressure variation in a Caribbean population
Hutchinson, J. F. (1986) · American Journal of Physical Anthropology · doi:10.1002/ajpa.1330710109 · Cited by 14 · see citing works
The TAPS project 40: quality of care provisions for the elderly mentally ill?traditional vs alternative facilities
Wills, W., Trieman, N., & Leff, J. (1998) · International Journal of Geriatric Psychiatry · doi:10.1002/(sici)1099-1166(199804)13:4

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Religion and spirituality: Linkages to physical health.
Powell, L. H., Shahabi, L., & Thoresen, C. E. (2003) · American Psychologist · doi:10.1037/0003-066x.58.1.36 · Cited by 1,093 · see citing works
Religiosity/spirituality and health: A critical review of the evidence for biological pathways.
Seeman, T. E., Dubin, L. F., & Seeman, M. (2003) · American Psychologist · doi:10.1037/0003-066x.58.1.53 · Cited by 589 · see citing works
Socioeconomic Status and Health: Mediating and Moderating Factors
Chen, E., & Miller, G. E. (2013) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-050212-185634 · Cited by 402 · see citing works
Sources of inaccuracy in the measurement of adult patients’ resting blood pressure in clinical settings: a systematic review
Kallioinen, N., Hill, A., Horswill, M. S., Ward, H. E., & Watson, M. O. (2017) · Journal of Hypertension · doi:10.1097/hjh.0000000000001197 · Cited by 357 · see citing works
An 83-Year-Old Woman With Chronic Illness and Strong Religious Beliefs
Koenig, H. G. (2002) · JAMA · doi:10.1001/jama.288.4.487 · Cited by 182 · see citing works
Religious involvement and health outcomes among older persons in Taiwan
Yeager, D. M., Glei, D. A., Au, M., Lin, H.-S., Sloan, R. P., & Weinstein, M. (2006) · Social Science & Medicine · doi:10.1016/j.socscimed.2006.05.007 · Cited by 182 · see citing works
Exploring Heart and Soul: Effects of Religiosity/Spirituality and Gender on Blood Pressure and Cortisol Stress Responses
Tartaro, J., Luecken, L. J., & Gunn, H. E. (2005) · Journal of Health Psychology · doi:10.1177/1359105305057311 · Cited by 164 · see citing works
Frequency of Attendance at Religious Services, Hypertension, and Blood Pressure: The Third National Health and Nutrition Examination Survey
Gillum, R. F., & Ingram, D. D. (2006) · Psychosomatic Medicine · doi:10.1097/01.psy.0000221253.90559.dd · Cited by 154 · see citing works
Cognitive decline in Alzheimer disease: Impact of spirituality, religiosity, and QOL
Kaufman, Y., Anaki, D., Binns, M., & Freedman, M. (2007) · Neurology · doi:10.1212/01.wnl.0000260697.66617.59 · Cited by 109 · see citing works
Mediation Analysis in Psychosomatic Medicine Research
Lockhart, G., MacKinnon, D. P., & Ohlrich, V. (2011) · Psychosomatic Medicine · doi:10.1097/psy.0b013e318200a54b · Cited by 87 · see citing works
Coping and Psychological Distress in Mothers of Very Low Birth Weight Young Children
Eisengart, S. P., Singer, L. T., Fulton, S., & Baley, J. E. (2003) · Parenting · doi:10.1207/s15327922par0301_03 · Cited by 39 · see citing works
Religious Involvement and Perceived Social Support: Interactive Effects on Cardiovascular Reactivity to Laboratory Stressors
Chen, Y. Y., & Contrada, R. J. (2007) · Journal of Applied Biobehavioral Research · doi:10.1111/j.1751-9861.2007.00010.x · Cited by 15 · see citing works

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Vollmer, W. M., Appel, L. J., Svetkey, L. P., Moore, T. J., VOGT, T. M., Conlin, P. R., Proschan, M. A., & Harsha, D. W. (2004) · Journal of Human Hypertension · doi:10.1038/sj.jhh.1001772 · Cited by 40 · see citing works
A Comparison of Home Measurement and Ambulatory Monitoring of Blood Pressure in the Adjustment of Antihypertensive Treatment
NIIRANEN, T., KANTOLA, I., VESALAINEN, R., JOHANSSON, J., & RUUSKA, M. (2006) · American Journal of Hypertension · doi:10.1016/j.amjhyper.2005.10.017 · Cited by 42 · see citing works
Ambulatory blood pressure monitoring to assess antihypertensive therapy in private practice.
Waeber, B., & Brunner, H. R. (1993) · PubMed
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Kim, C. H., Kim, J. S., & Rhee, M. (2020) · Healthcare · doi:10.3390/healthcare8040457 · Cited by 7 · see citing works
What is the role of ambulatory blood pressure monitoring in the management of hypertensive patients?
Pickering, T. G., Harshfield, G. A., Devereux, R. B., & Laragh, J. H. (1985) · Hypertension · doi:10.1161/01.hyp.7.2.171 · Cited by 203 · see citing works

Authors: Steffen, P. R., Hinderliter, A. L., Blumenthal, J. A., & Sherwood, A.
Affiliations: Duke Medical Center (US)
University of North Carolina at Chapel Hill (US)
ORCID: Steffen, Patrick R.
Hinderliter, Alan L.
Blumenthal, James A.
Sherwood, Andrew
Venue: Psychosomatic Medicine
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2001-07
Volume: 63
Issue: 4
Pages: 523-530
ISSN: 0033-3174 (ISSN-L)
DOI: 10.1097/00006842-200107000-00002
OpenAlex: W1990209243
Cited by: 177
References: 55
Citations by year: 2025: 5 · 2024: 6 · 2023: 2 · 2022: 5 · 2021: 6 · 2020: 5 · 2019: 1 · 2018: 8 · 2017: 4 · 2016: 5 · 2014: 5 · 2013: 10 · 2012: 8
FWCI: 15.56
Type: journal article
Language: en
Open access: closed
Locations: Psychosomatic Medicine (publishedVersion)
PubMed (publishedVersion)
Funders: National Heart, Lung, and Blood Institute (HL49427, R01HL049427)
National Institute of Mental Health (MH19109, T32MH019109)
National Center for Research Resources (M01 RR 30)
Topics: Social Sciences › Health › Religion, Spirituality, and Psychology
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
Keywords: religious coping, ethnicity, ambulatory blood pressure, African Americans, social support, sleep blood pressure, cardiovascular health, religiosity, stress, negative affect, health behavior
MeSH terms: Adaptation, Psychological, Adult, Black or African American, Blood Pressure, Female, Humans, Hypertension, Male, Middle Aged, Religion and Psychology, Social Support, Blood Pressure Monitoring, Ambulatory, White People

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Religious Coping, Ethnicity, and Ambulatory Blood Pressure

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