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Related Experiment Videos

Does labelling and treatment for hypertension increase illness behaviour?

C van Weel

    Family Practice
    |September 1, 1985
    PubMed
    Summary

    Treating borderline hypertension may cause more doctor visits and diagnoses without significant benefit. Long-term monitoring appears as effective as treatment for mild hypertension, emphasizing proactive care.

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    Area of Science:

    • Cardiology
    • General Practice
    • Preventive Medicine

    Background:

    • Hypertension diagnosis and treatment can lead to potential harms.
    • Borderline hypertension requires careful management strategies.

    Purpose of the Study:

    • To investigate the harmful effects of hypertension detection and treatment.
    • To compare morbidity between treated and untreated borderline hypertension patients.

    Main Methods:

    • Randomized controlled trial comparing hypertension treatment versus no treatment.
    • Patients with borderline diastolic blood pressure (96-109 mmHg) were randomized.
    • Morbidity differences were assessed between the intervention and control groups.

    Main Results:

    • Intervention group had more frequent doctor visits and diagnoses, excluding hypertension consultations.
    • No significant differences in problem behavior, psychosomatic, functional affections, or symptom diagnoses.
    • Small, non-significant difference in diastolic blood pressure reduction between groups.

    Conclusions:

    • For slightly elevated blood pressure, long-term monitoring may be as effective as active treatment.
    • General practitioners should prioritize anticipation and monitoring for borderline hypertension.
    • Avoidance of overtreatment is crucial in managing mild hypertension cases.

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