Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

CiteULike is a free service for managing and discovering scholarly references - click here to get started.

Sign In to gain access to subscriptions and/or personal tools.
Biological Research For Nursing
This Article
Right arrow Abstract Freely available
Right arrow Free Full Text (Free PDF) Free
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Webb, M.
Right arrow Articles by Robinson, S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Webb, M.
Right arrow Articles by Robinson, S.
Social Bookmarking
 Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Stress Management for African American Women With Elevated Blood Pressure: A Pilot Study

Mary Webb, PhD, RN

College of Nursing at University of South Florida, Tampa, mwebb{at}hsc.usf.edu

Jason Beckstead, PhD

College of Nursing at University of South Florida, Tampa

Janet Meininger, PhD, RN, FAAN

School of Nursing at the University of Texas Health Science Center, Houston

Sabrina Robinson, RN, BS

College of Nursing at the University of South Florida, Tampa

This article reports the results of a pilot study testing the effects of two stress management interventions on blood pressure (BP) and stress-related variables in employed African American women. Thirty-three women with mean age 44.8 ± 7.6 years were randomly assigned to a cognitive mediation group (n = 10), a relaxation group (n = 12), or a delayed treatment control group (n = 11). The participants in the two stress management groups participated in a 10-week intervention; the delayed treatment control group received BP monitoring during the 10-week period. Measures included BP, the State-Trait Anger Expression Inventory, Personal Strain, and Coping Resources. Although no significant Group x Time effects were found in BP, anger, or personal strain, several of the outcome measures appear to be sensitive and showed cell means in the hypothesized direction. Further study of the effects of stress management interventions on BP and stress, with a larger sample, is warranted.

Key Words: hypertension • high blood pressure • stress management • African American women • Black women

References

  • Adams, J. H., Aubert, R. E., & Clark, V. R. (1999). The relationship among John Henryism, hostility, perceived stress, social support, and blood pressure in African-American college students. Ethnicity & Disease, 9, 359-368.
  • al’Absi, M., & Wittmers, L. E. (2003). Enhanced adrenocortical responses to hypertension-prone men and women. Annals of Behavioral Medicine, 25, 25-33.[CrossRef][Medline] [Order article via Infotrieve]
  • Alexander, C. N., Schneider, R. H., Staggers, F., Sheppard, W., Clayborne, B. M., Rainforth, M., et al. (1996). Trial of stress reduction for hypertension in older African Americans: Sex and risk subgroup analysis. Hypertension, 28, 228-237.[Abstract/Free Full Text]
  • American Heart Association. (2005). High blood pressure statistics. Retrieved June 1, 2005, from http://www.americanheart.org
  • Batey, D. M., Kaufmann, P. G., Racyzynski, J. M., Hollis, J. F., Murphy, J. K., Rosner, B., et al., for the Phase 1 Trials of Hypertension Prevention Collaborative Research Group. (2000). Stress management intervention for primary prevention of hypertension: Detailed results from phase-1 of hypertension prevention. Annals of Epidemiology, 10, 45-58.[CrossRef][Medline] [Order article via Infotrieve]
  • Bickley, L. S., & Hoekelman, R. A. (1999). Bates guide to physical examination and history taking. Philadelphia: Lippincott.
  • Castillo-Richmond, A., Schneider, R. H., Alexander, C. N., Cook, R., Myers, H., Nidich, S., et al. (2000). Effects of stress reduction on carotid atherosclerosis in hypertensive African Americans. Stress, 31, 568-573.
  • Chobanian, A. V., Bakris, G. L., Black, H. R., Cushman, W. C., Green, L. A., Izzo, J. L., et al. (2003). Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension, 42, 1206-1252.[Abstract/Free Full Text]
  • Clark, R., Anderson, N. B., Clark, V. R., & Williams, D. R. (1999). Racism as a stressor for African Americans. American Psychologist, 54, 805-816.[CrossRef][Medline] [Order article via Infotrieve]
  • Cooper, R., & Rotimi, C. (1997). Hypertension in Blacks. American Journal of Hypertension, 10, 804-812.[CrossRef][Medline] [Order article via Infotrieve]
  • Dressler, W. W. (1996). Social identity and arterial blood pressure in the African-American community. Ethnicity & Disease, 6, 176-189.
  • Fang, J., Madhavan, S., & Alderman, M. H. (1996). The association between birthplace and mortality form cardiovascular causes among Black and White residents of New York City. New England Journal of Medicine, 335, 1545-1551.[Abstract/Free Full Text]
  • Hicks, L. S., Fairchild, D. G., Cook, E. F., & Ayanian, J. Z. (2003). Association of Region of Residence and Immigrant Status With Hypertension, Renal Failure, Cardiovascular Disease, and Stroke, Among African-American Participants in the Third National Health and Nutrition Examination Survey (NHANES III). Ethnicity & Disease, 13, 316-323.
  • Hudson, H. M., & Stern H. (2000). The heart of the matter: The African American’s guide to heart disease, heart treatments, and heart wellness. Roscoe, IL: Hilton.
  • James, S. A. (1987). Psychosocial precursors of hypertension: A review of the epidemiological evidence. Circulation, 76, I60-I66.
  • Johnson, E. H. (1998). Brothers on the mend: Understanding and healing anger for African-American men and women. New York: Pocket Books.
  • Kaplan, N. M. (1998). Clinical Hypertension. Baltimore, MD: Williams & Wilkins.
  • Knox, S. S., Hausdorff, J., & Markovitz, J. H. (2002). Reactivity as a predictor of subsequent blood pressure: Racial differences in the Coronary Artery Risk Development in Young Adults (CARDIA) study. Hypertension, 40, 914-919.[Abstract/Free Full Text]
  • Linden, W. (1994). Autogenic training: A narrative and quantitative review of clinical outcomes. Biofeedback and Self-Regulation, 19, 227-264.[CrossRef][Medline] [Order article via Infotrieve]
  • Linden, W., Lenz, J. W., & Con, A. H. (2001). Individualized stress management for primary hypertension. Archives of Internal Medicine, 8, 106-110.
  • National Heart, Lung, and Blood Institute. (1997). The sixth report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (NIH Publication No. 99-4080). Bethesda, MD: National Institute of Health.
  • Osipow, S. H. (1998). Occupational stress inventory (rev ed.). Tampa, FL: Psychological Assessment Resources.
  • Pender, N. J. (1996). Health promotion in nursing practice (3rd ed.). Stamford, CT: Appleton Lange.
  • Reed, J. W., & Shulman, N. B. (2001). The Black man’s guide to good health: Essential advice for African American men and their families. Rosco, IL: Hilton.
  • Roskies, E. (1991). Stress management: A new approach. In A. Monat & R. Lazarus (Eds.), Stress and coping: An anthology (pp. 404-433). New York: Columbia University Press.
  • Schneider, R. H., Alexander, C. N., Staggers, F., Sheppard, W., Rainforth, M., Kondwani, K., et al. (1995). A randomized clinical trial of stress reduction for hypertension in older African Americans. Hypertension, 26, 820-827.[Abstract/Free Full Text]
  • Seaward, B. L. (2002). Managing stress: Principles and strategies for health and well-being (3rd ed.). Sudbury, MA: Jones and Bartlett.
  • Smith, J. C. (1985). Relaxation dynamics: A cognitive-behavioral approach to relaxation. Champaign, IL: Research Press.
  • Spielberger, C. D. (1999). STAXI professional manual. Tampa, FL: Psychological Assessment Resources.
  • Traustadottir, T., Bosch, P. R., & Matt, K. S. (2003). Gender differences in cardiovascular and hypothalamic-pituitary-adrenal axis responses to psychological stress in healthy older adult men and women. Stress, 6, 133-140.[Medline] [Order article via Infotrieve]
  • Williams, D. R., Neighbors, H. W., Jackson, J. S. (2003). Racial/ethnic discrimination and health: Findings from community studies. American Journal of Public Health, 93(2), 200-208.[Abstract/Free Full Text]
  • Yucha, C. B., Clark, L., Smith, M., Uris, P., LaFleur, B., & Duval, S. (2001). The effects of biofeedback in hypertension. Applied Nursing Research, 14, 29-35.[CrossRef][Medline] [Order article via Infotrieve]
  • Yucha, C. B., Tsai, P. S., Calderon, K. S., & Tian, L. (2005). Biofeedback assisted relaxation training for essential hypertension: Who is most likely to benefit? Journal of Cardiovascular Nursing, 20(2), 198-205.

Biological Research For Nursing, Vol. 7, No. 3, 187-196 (2006)
DOI: 10.1177/1099800405283144


Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
Research on Social Work PracticeHome page
A. A. Gonzalez-Prendes
Anger-Control Group Counseling for Women Recovering From Alcohol or Drug Addiction
Research on Social Work Practice, November 1, 2008; 18(6): 616 - 625.
[Abstract] [PDF]


This Article
Right arrow Abstract Freely available
Right arrow Free Full Text (Free PDF) Free
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Webb, M.
Right arrow Articles by Robinson, S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Webb, M.
Right arrow Articles by Robinson, S.
Social Bookmarking
 Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?