A group of Italian investigators led by Drs Francesco Fallo (Department of Medical and Surgical Sciences, University of Padova) and Dr Nicoletta Sonino (Department of Mental Health, Padova) explores a neglected issue: the relationship between daytime stress and the physiological lowering of blood pressure which should occur during sleep (dipping).
Scarce data are available on the influence of psychological aspects on 24-hour ambulatory blood pressure patterns either in normotensive or hypertensive subjects. This study was designed to evaluate the relationship between psychological profile and changes in daytime/nighttime blood pressure rhythm. Nocturnal dipping was defined as the night/day ratio of ambulatory mean systolic and/or diastolic blood pressure 0.87.
Three-hundred and two outpatients underwent 24-hour ambulatory blood pressure monitoring. They were administered a self-rating scale, the Psychosocial Index, as an indicator of stress, psychological distress, sleep disturbances, well-being, abnormal illness behavior and quality of life.. Patients were divided according to the presence (n = 125) or absence (n = 177) of night blood pressure dipping.
Francesco Fallo | alfa
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