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

Uzoji Nwanaji-Enwerem1,2, Elijah O Onsomu2, Dionne Roberts2

  • 1Yale School of Nursing, Yale University, West Haven, CT, USA.

SAGE Open Nursing
|June 30, 2022
PubMed

Insights

Psychosocial stress, like job or financial strain, was linked to lower blood pressure in a young cohort. This finding may help refine hypertension risk screening and management strategies.

Area of Science:

  • Cardiovascular Health
  • Psychosocial Epidemiology
  • Hypertension Research

Background:

  • Psychosocial stress is linked to blood pressure, but definitions and relationships remain unclear in scientific literature.
  • Understanding these links is crucial for effective hypertension management.

Purpose of the Study:

  • To investigate the relationship between psychosocial stress (job strain, financial strain) and blood pressure.
  • To explore potential cofactors influencing these associations in a diverse cohort.

Main Methods:

  • Secondary analysis of the National Heart, Lung, and Blood Institute (NHLBI) Family Heart Study (2004-2008).
  • Cross-sectional study of 545 participants (350 White, 195 Black; 62% female; ages 18-56).
  • Psychosocial stress measured via Singh Stress Scale; blood pressure via SBP, DBP, and MAP; analyzed using multivariate linear regression.

Main Results:

  • Individuals reporting either financial or job strain had lower blood pressure than those reporting neither.
  • No significant association was found between reporting both stressors and blood pressure levels.
  • Observed effects suggest differential impacts based on sex and race.

Conclusions:

  • Findings indicate that specific types of psychosocial stress may be associated with lower blood pressure in younger populations.
  • Results highlight the need for nuanced approaches to hypertension risk assessment, considering individual stressors and demographic factors.
  • This research may inform targeted interventions for improved blood pressure management and hypertension prevention.
Abstract

Keywords:
adult healthgender diffefrenceshypertensionpsychosocial stressrisk factors

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