Coping style in hypertensive patients: nature and consequences.

Examined the coping styles and health behaviors of hypertensive and normotensive patients visiting a primary care setting for acute medical problems. Hypertensive individuals were far more likely to display a "high-monitoring" (information-seeking) mode of coping than normotensive individuals, who tended to be "low monitoring" (information avoiding) in their coping. Although hypertensive patients reported less dysfunction in their current medical problems than did normotensive patients, they nonetheless reported greater concerns about their condition and its impact. Finally, hypertensive patients were rated by physicians as more likely to desire help with both their presenting medical problem and their stress-related problems. Future research should help to specify the exact relations among coping style, stress, and symptom reporting in hypertension.

[1]  Suzanne M. Miller,et al.  Styles of coping with threat: Implications for health. , 1988 .

[2]  D. Mechanic The experience and reporting of common physical complaints. , 1980, Journal of health and social behavior.

[3]  A Steptoe,et al.  Monitoring and blunting coping styles in women prior to surgery. , 1986, The British journal of clinical psychology.

[4]  A. Beck Depression : clinical, experimental, and theoretical aspects , 1967 .

[5]  D. Mechanic Effects of psychological distress on perceptions of physical health and use of medical and psychiatric facilities. , 1978, Journal of human stress.

[6]  J. Williams,et al.  Are hypertensives less assertive? A controlled evaluation. , 1982, Journal of consulting and clinical psychology.

[7]  S. Manuck,et al.  Role of social competence in borderline essential hypertension. , 1985, Journal of consulting and clinical psychology.

[8]  Suzanne M. Miller Monitoring and blunting: Validation of a questionnaire to assess styles of information seeking under threat. , 1987 .

[9]  S. Phipps,et al.  Psychological response to amniocentesis: II. Effects of coping style. , 1986, American journal of medical genetics.

[10]  L. Watkins,et al.  Preparation for cardiac catheterization: tailoring the content of instruction to coping style. , 1986, Heart & lung : the journal of critical care.

[11]  R. Herberman,et al.  Prognostic risk assessment in primary breast cancer by behavioral and immunological parameters. , 1985, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[12]  H. Leventhal,et al.  Common-sense models of illness: the example of hypertension. , 1985, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[13]  Suzanne M. Miller,et al.  Interacting effects of information and coping style in adapting to gynecologic stress: should the doctor tell all? , 1983, Journal of personality and social psychology.

[14]  J. T. Reason,et al.  Handbook of Life Stress, Cognition and Health , 1988 .

[15]  D. Mechanic,et al.  Factors Affecting Children's Use of Physician Services in a Prepaid Group Practice , 1978, Medical care.

[16]  D Gard,et al.  Sensitizing effects of pretreatment measures on cancer chemotherapy nausea and vomiting. , 1988, Journal of consulting and clinical psychology.

[17]  Psychosocial enhancement of immunocompetence in a geriatric population. , 1985 .

[18]  M. M. Spirek,et al.  Individual Differences in Coping with Stressful Mass Media An Activation-Arousal View , 1988 .