Treatment effectiveness and differential personality responsiveness to a biobehavioral treatment of hypertension in an industrial setting

dc.contributor.advisorDoughtie, Eugene R., Jr.
dc.contributor.advisorBaer, Paul E.
dc.contributor.committeeMemberWilliams, Ben
dc.contributor.committeeMemberVincent, John P.
dc.contributor.committeeMemberMaxwell, Scott E.
dc.contributor.committeeMemberHudson, H. Thomas
dc.creatorCharlesworth, Edward A., 1949-
dc.date.accessioned2023-12-08T20:57:44Z
dc.date.available2023-12-08T20:57:44Z
dc.date.copyright1981-01-09
dc.date.issued1980
dc.description.abstractThe effectiveness of relaxation therapy and stress management techniques for lowering blood pressure in essential hypertensives was tested. Twenty-six diagnosed and treated hypertensive employees participated in a ten week group based stress management program. Eighty-five percent of the subjects were on one or more medications. Seventy percent were defined as being well controlled by a criterion of systolic blood pressure being below 140 mm Hg and diastolic blood pressure being below 90 mm Hg. Meetings were conducted once per week during the lunch hour. Subjects also practiced extensively at home. The treated subjects were compared to a control group (N = 22) of hypertensive employees who, like the treated employees, self-monitored blood pressure on a daily basis. Five weeks of blood pressure self-monitoring baseline was taken for both the experimental and control groups. No change in medication regime was undertaken during the course of the training program. All participants were volunteers and had been identified through a company wide blood pressure screening program conducted approximately two months prior to the beginning of this study. The mean systolic blood pressure screening level for the treatment group was 136.23 mm Hg, S.D. = 16.32. The control group mean systolic blood pressure screening level was 135.20 mm Hg, S.D. = 13.46. The treatment group mean diastolic blood pressure screening level was 85.08 mm Hg, S.D. = 8.87. The control group mean diastolic blood pressure screening level was 86.80 mm Hg, S.D. = 7.63. After five weeks of baseline and ten weeks of treatment, the treatment group's mean systolic blood pressure was 126.91 mm Hg, S.D. = 12.53. At this time the mean diastolic blood pressure for the treatment group was 80.69 mm Hg, S.D. = 7.78. After 15 weeks of self-monitoring of blood pressure the control group's mean systolic blood pressure level was 134.64 mm Hg, S.D. = 9.49. The mean diastolic blood pressure for the control group at this time was 86.65 mm Hg, S.D. = 8.57. A repeated measure ANOVA yielded significant effects comparing baseline to treatment of the treatment group for systolic blood pressure (F = 4.87, p<.03) and for diastolic blood pressure (F = 5.38, p<.03). Covariance analyses comparing the treatment and control groups produced similar results. In the treated group, the mean reduction in systolic pressure was 9 mm Hg and in diastolic pressure 4.5 mm Hg from initial screening to treatment. The results suggest that a stress management program can have a significant effect on essential hypertension concurrently controlled on medication. Additionally, the intervention was relatively economical in that it was conducted at the worksite during the lunch hour with a therapist investment time of approximately 1 1/2 hours per subject. No differential response was noted in relation to personality characteristics of the treated subjects.
dc.description.departmentPsychology, Department of
dc.format.digitalOriginreformatted digital
dc.format.mimetypeapplication/pdf
dc.identifier.other7401262
dc.identifier.urihttps://hdl.handle.net/10657/15607
dc.language.isoen
dc.rightsThis item is protected by copyright but is made available here under a claim of fair use (17 U.S.C. Section 107) for non-profit research and educational purposes. Users of this work assume the responsibility for determining copyright status prior to reusing, publishing, or reproducing this item for purposes other than what is allowed by fair use or other copyright exemptions. Any reuse of this item in excess of fair use or other copyright exemptions requires express permission of the copyright holder.
dc.subjectHypertension
dc.titleTreatment effectiveness and differential personality responsiveness to a biobehavioral treatment of hypertension in an industrial setting
dc.type.dcmiText
dc.type.genreThesis
dcterms.accessRightsThe full text of this item is not available at this time because it contains documents that are presumed to be under copyright and are accessible only to users who have an active CougarNet ID. This item will continue to be made available through interlibrary loan.
thesis.degree.collegeCollege of Liberal Arts and Social Sciences
thesis.degree.departmentPsychology, Department of
thesis.degree.disciplinePsychology
thesis.degree.grantorUniversity of Houston
thesis.degree.levelDoctoral
thesis.degree.nameDoctor of Philosophy

Files

Original bundle

Now showing 1 - 1 of 1
No Thumbnail Available
Name:
Charlesworth_1980_7401262.pdf
Size:
8.17 MB
Format:
Adobe Portable Document Format