Evaluating Psychosocial Variables and their Link to Hypertension Using Mindfulness-based Stress Reduction

• Main Author: Blom, Kimberly
• Other Authors: Tobe, Sheldon
• Language: en_ca
• Published: 2013
• Subjects: Hypertension; Perceived stress; Anger; Mindfulness-based stress reduction; Ambulatory blood pressure monitoring; 0566
• Online Access: http://hdl.handle.net/1807/35587

Previous research has reported positive associations between anger, perceived stress and blood pressure. These associations have largely been based on cross-sectional data and a small number of longitudinal works. Using a prospective longitudinal cohort design, this study more directly tested the relationships between anger, perceived stress and blood pressure by using a psychological therapeutic intervention (mindfulness-based stress reduction) to manipulate anger and perceived stress. Anger and perceived stress were in turn evaluated for association with blood pressure. Despite improvements in psychosocial functioning and reductions in blood pressure, findings from this study failed to demonstrate an association between change in anger or perceived stress with change in daytime or 24-hour ambulatory blood pressure. A model where these variables interact indirectly via stress coping mechanisms or health behaviours may be the linking mechanism in this study. Results from this thesis have contributed evidence to a divided field dominated by cross-sectional research.