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Low blood pressure, low mood?

J A Pilgrim1, S Stansfeld, M Marmot

  • 1Department of Epidemiology and Population Sciences, London School of Hygiene and Tropical Medicine.

BMJ (Clinical Research Ed.)
|January 11, 1992
PubMed
Summary
This summary is machine-generated.

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Low systolic blood pressure is linked to physical symptoms like dizziness and tiredness, particularly when psychological factors are present. These symptoms appear secondary to underlying mental state disturbances.

Area of Science:

  • Epidemiology
  • Psychosomatic Medicine

Background:

  • The relationship between physical symptoms, blood pressure, and psychological factors is not fully understood.
  • The Whitehall II study provides a valuable dataset for investigating these associations in an employed population.

Purpose of the Study:

  • To examine the association between physical symptoms and low blood pressure.
  • To investigate the role of psychological factors in the occurrence of these symptoms.

Main Methods:

  • Analysis of questionnaire and physical screening data from the Whitehall II study.
  • Inclusion of 10,314 London-based civil servants (aged 35-55).
  • Assessment of symptoms (dizziness, tiredness) and psychological functioning using the General Health Questionnaire.

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Main Results:

  • Dizziness and unexplained tiredness were significantly related to low systolic blood pressure.
  • A strong inverse relationship was observed between General Health Questionnaire scores and systolic blood pressure, even after controlling for confounding variables.
  • The association between low blood pressure and physical symptoms diminished when psychological functioning was accounted for.

Conclusions:

  • Low systolic blood pressure is strongly associated with minor psychological dysfunction.
  • Physical symptoms accompanying low blood pressure may be secondary to psychological disturbances.