The Efficacy of Behavioral Treatments for Hypertension

@article{Linden2006TheEO,
  title={The Efficacy of Behavioral Treatments for Hypertension},
  author={Wolfgang Linden and Janine V Moseley},
  journal={Applied Psychophysiology and Biofeedback},
  year={2006},
  volume={31},
  pages={51-63}
}
Evidence is reviewed for the efficacy of behavioral treatments for hypertension. The format chosen here is a review of reviews given that numerous consensus committee reports and quantitative reviews on the topic have been published. Extensive evidence from over 100 randomized controlled trials indicates that behavioral treatments reduce blood pressure (BP) to a modest degree, and this change is greater than what is seen in wait-list or other inactive controls. Effect sizes are quite variable… Expand
Biofeedback for hypertension: a systematic review
TLDR
No convincing evidence is found that consistently demonstrates the effectiveness of the use of any particular biofeedback treatment in the control of essential hypertension when compared with pharmacotherapy, placebo, no intervention or other behavioural therapies. Expand
Avoidable pitfalls in behavioral medicine outcome research
  • W. Linden, J. R. Satin
  • Medicine
  • Annals of behavioral medicine : a publication of the Society of Behavioral Medicine
  • 2007
TLDR
It is demonstrated how magnitude of change and corresponding statistical power are greatly reduced when patients with few problems are enrolled and how these flaws can be avoided in the protocol design stage. Expand
Beyond Medications and Diet: Alternative Approaches to Lowering Blood Pressure A Scientific Statement From the American Heart Association
TLDR
It is the consensus of the writing group that it is reasonable for all individuals with blood pressure levels >120/80 mm Hg to consider trials of alternative approaches as adjuvant methods to help lower blood pressure when clinically appropriate. Expand
The effects of biofeedback for the treatment of essential hypertension: a systematic review.
TLDR
No evidence was found that consistently demonstrated the effectiveness of any particular bio feedback treatment in the control of essential hypertension when compared with pharmacotherapy, placebo (sham biofeedback treatment), no intervention or other behavioural treatments. Expand
Stress reduction programs in patients with elevated blood pressure: A systematic review and meta-analysis
Substantial evidence indicates that psychosocial stress contributes to hypertension and cardiovascular disease (CVD). Previous meta-analyses of stress reduction and high blood pressure (BP) wereExpand
Profiles in Preventive Cardiology
TLDR
Yoga/meditation has been demonstrated to be an excellent stress management technique and may reduce blood pressure and it is suggested that this cost effective technique should be incorporated for prevention and control of mild hypertension and prevention of CHD. Expand
Comparative Effects of Improved Cardiorespiratory Fitness, Stress, and Weight on Blood Pressure in a Community-Based Treatment: Implications for Physician Referral
TLDR
Along with improvements in fitness and weight, managing stress appears to be especially important for reducing BP and the present community-based treatment may be a viable option for physician referral as either an alternate or adjunct to medications. Expand
Blood pressure biofeedback exerts intermediate-term effects on blood pressure and pressure reactivity in individuals with mild hypertension: a randomized controlled study.
TLDR
BP biofeedback exerts a specific treatment effect in reducing BP in individuals with mild hypertension, possibly through reducing pressor reactivity to stress. Expand
Efficacy of Biofeedback for Medical Conditions: an Evidence Map
TLDR
Clear, consistent evidence is found across a large number of trials that biofeedback can reduce headache pain and can provide benefit as adjunctive therapy to men experiencing urinary incontinence after a prostatectomy and headache. Expand
Commentary on “Effect of Feedback Signal on Blood Pressure Self-regulation Capability in Individuals With Prehypertension or Stage I Hypertension: A Randomized Controlled Study”
  • C. Yucha
  • Medicine
  • The Journal of cardiovascular nursing
  • 2016
TLDR
This commentary about the ‘‘Effect of Feedback Signal on Blood Pressure Self-regulation Capability in Individuals With Prehypertension or Stage I Hypertension: A Randomized Controlled Study’’ is an exemplary article investigating the effect of feedback signal on blood pressure (BP) self-regulation. Expand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 53 REFERENCES
Reduction in drug requirements for hypertension by means of a cognitive-behavioral intervention.
TLDR
The addition of a standardized and inexpensive group-administered cognitive-behavioral intervention to the drug treatment of hypertension is beneficial as an adjunctive treatment in reducing drug requirements for patients with hypertension, thereby reducing the costs and potential side effects of antihypertensive medications. Expand
Psychologic treatment for hypertension can be efficacious.
TLDR
This review challenges traditional view of psychologic treatments and their efficacy for treating primary hypertension by critically analyzing previous reviews and by also considering innovative, newer clinical trials. Expand
Cognitive Behavioral Techniques for Hypertension: Are They Effective?
TLDR
The purpose was to assess the efficacy of cognitive behavioral therapies in the treatment of hypertension, and to present a qualitative review of the strength of the evidence and a quantitative meta-analysis of published data from relevant randomized, controlled trials. Expand
Blood pressure-lowering effects of biofeedback treatment in hypertension: a meta-analysis of randomized controlled trials.
TLDR
The results suggested that biofeedback was more effective in reducing blood pressure in patients with essential hypertension than no intervention, however, the treatment was only found to be superior to sham or non-specific behavioral intervention when combined with other relaxation techniques. Expand
Individualized stress management for primary hypertension: a randomized trial.
TLDR
Reductions in psychological stress and improved anger coping appear to mediate the reductions in BP change, and individualized stress management is associated with ambulatory BP reduction. Expand
Hypertension Intervention Pooling Project.
  • P. Kaufmann, R. Jacob, +4 authors Wanda Mercer
  • Medicine
  • Health psychology : official journal of the Division of Health Psychology, American Psychological Association
  • 1988
TLDR
No significant improvement was detected in medicated patients, but potential differential effectiveness of prescribed medications and differences in compliance among patients prohibits separation of changes due to behavioral treatments alone. Expand
A Meta‐Analysis of the Effects Of Psychoeducational Care in Adults with Hypertension
A meta-analysis of 102 studies was conducted to determine the effects of psychoeducational care on blood pressure (n = 89), knowledge about hypertension (n = 30), medication compliance (n = 23),Expand
An historical context for behavioral models of hypertension.
TLDR
An overview of study designs and variables that should be incorporated into studies seeking to understand the ways in which cardiovascular responses to stress may influence the development of hypertension is provided. Expand
The Canadian consensus report on non-pharmacological approaches to the management of high blood pressure.
TLDR
The Canadian Consensus Conference on Non-Pharmacological Approaches to the Management of High Blood Pressure reviewed in March, 1989 data concerning the efficacy of eight interventional strategies used for controlling hypertension and concluded that a combination of pharmacological and non-pharmacological management is an efficacious measure. Expand
Is blood pressure treatment as effective in a population setting as in controlled trials? Results from a prospective study.
TLDR
The benefit experienced from the trials turned into an adverse effect of treatment in the population setting, particularly at low pretreatment blood pressure, and when blood pressure increased during treatment. Expand
...
1
2
3
4
5
...