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Relationship Between Psychosocial Stress and Blood Pressure: The National Heart, Lung, and Blood Institute Family Heart Study.

Publication ,  Journal Article
Nwanaji-Enwerem, U; Onsomu, EO; Roberts, D; Singh, A; Brummett, BH; Williams, RB; Dungan, JR
Published in: SAGE Open Nurs
2022

INTRODUCTION: Various domains of psychosocial stress have been significantly related to blood pressure. However, ambiguity is present in how these relationships are defined in the literature. OBJECTIVE: To add to the existing literature and examine the relationship between psychosocial stress (financial strain and job strain) and other cofactors on blood pressure. METHODS: This secondary analysis is designed to analyze the relationship between levels of job and financial stress and blood pressure outcomes among participants in the National Heart, Lung, and Blood Institute (NHLBI) Family Heart Study 2004-2008. The descriptive, cross-sectional design uses data from a subset of study participants, 350 White and 195 Black (n = 545), 338 female (62%), and all aged 18-56 years. Psychosocial stress was measured using the Singh Stress Scale. Resting systolic (SBP) and diastolic (DBP) blood pressure values obtained on a stress reactivity protocol day in the primary study, as well as calculated mean arterial pressure (MAP) were used for this analysis. Multivariate linear regression analyses were used to explore the relationship between psychosocial stress and blood pressure. RESULTS: In this young cohort, self-report of either financial strain or job strain was associated with lower blood pressure levels than those of participants who reported neither stressor. Differential sex and race effects appear to contribute to these results. Blood pressure levels were not significantly associated with self-report of both stressors. CONCLUSION: Understanding the effects of various forms of stress on blood pressure may inform more precise HTN risk-factor screening and interventions to improve BP management.

Duke Scholars

Published In

SAGE Open Nurs

DOI

EISSN

2377-9608

Publication Date

2022

Volume

8

Start / End Page

23779608221107589

Location

United States

Related Subject Headings

  • 4205 Nursing
 

Citation

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ICMJE
MLA
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Nwanaji-Enwerem, U., Onsomu, E. O., Roberts, D., Singh, A., Brummett, B. H., Williams, R. B., & Dungan, J. R. (2022). Relationship Between Psychosocial Stress and Blood Pressure: The National Heart, Lung, and Blood Institute Family Heart Study. SAGE Open Nurs, 8, 23779608221107588. https://doi.org/10.1177/23779608221107589
Nwanaji-Enwerem, Uzoji, Elijah O. Onsomu, Dionne Roberts, Abanish Singh, Beverly H. Brummett, Redford B. Williams, and Jennifer R. Dungan. “Relationship Between Psychosocial Stress and Blood Pressure: The National Heart, Lung, and Blood Institute Family Heart Study.SAGE Open Nurs 8 (2022): 23779608221107588. https://doi.org/10.1177/23779608221107589.
Nwanaji-Enwerem U, Onsomu EO, Roberts D, Singh A, Brummett BH, Williams RB, et al. Relationship Between Psychosocial Stress and Blood Pressure: The National Heart, Lung, and Blood Institute Family Heart Study. SAGE Open Nurs. 2022;8:23779608221107588.
Nwanaji-Enwerem, Uzoji, et al. “Relationship Between Psychosocial Stress and Blood Pressure: The National Heart, Lung, and Blood Institute Family Heart Study.SAGE Open Nurs, vol. 8, 2022, p. 23779608221107588. Pubmed, doi:10.1177/23779608221107589.
Nwanaji-Enwerem U, Onsomu EO, Roberts D, Singh A, Brummett BH, Williams RB, Dungan JR. Relationship Between Psychosocial Stress and Blood Pressure: The National Heart, Lung, and Blood Institute Family Heart Study. SAGE Open Nurs. 2022;8:23779608221107588.
Journal cover image

Published In

SAGE Open Nurs

DOI

EISSN

2377-9608

Publication Date

2022

Volume

8

Start / End Page

23779608221107589

Location

United States

Related Subject Headings

  • 4205 Nursing