Understanding hypertensive behaviour— I. Preference not to disclose

Cumes-Rayner, D.P.; Price, John

doi:10.1016/0022-3999(89)90106-2

Cited by 12 publications

(8 citation statements)

References 26 publications

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“…Consistent with this interpretation, per sons scoring high on the MCSDS and low on manifest anxiety, show stressor-induced CVR only under conditions of high evaluative threat [9,10]. High MCSDS scores have also been associated with essential hypertension, a major risk factor for cardiovascular disease [11]. Given possible links of the CMHS, MCSDS and CVR to the psychosomatic as pects of cardiovascular disease, it has been suggested that CVR be predicted from the MCSDS by CMHS interaction [6].…”

Section: Introductionmentioning

confidence: 67%

Defensiveness, Cynical Hostility and Cardiovascular Reactivity: A Moderator Analysis

Jorgensen¹,

Abdul-Karim²,

Kahan³

et al. 1995

Psychother Psychosom

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We examined the interaction of a defensive need for approval with cynical hostility, in the prediction of pressor and heart rate reactivity to a stressful mental arithmetic task. For both systolic blood pressure and heart rate, analyses revealed the predicted interaction between defensiveness and cynical hostility; subsequent analyses showed significant correlations of defensiveness with systolic blood pressure and heart rate reactivity only among the high cynical hostility subjects. These analyses support the theory and empirical findings linking the conflicting traits of cynical hostility and defensiveness to cardiovascular reactivity and, quite possibly, to stress-related coronary disease.

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Section: Introductionmentioning

confidence: 67%

Defensiveness, Cynical Hostility and Cardiovascular Reactivity: A Moderator Analysis

Jorgensen¹,

Abdul-Karim²,

Kahan³

et al. 1995

Psychother Psychosom

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“…They were also less likely to report feelings of being distressed after a cognitive task, even when blood pressure increases occurred. Finally, Cumes-Rayner and Price (1989) found that borderline hypertensive students preferred not to disclose information about their concerns in comparison to normotensives. When they felt that there was no other option than to disclose, this had a disregulatory effect on their blood pressure.…”

Section: Self-disclosurementioning

confidence: 99%

“…According to Cumes-Rayner and Price (1989), one may wonder whether the diagnosis of repression and denial often not merely represents a preference not to disclose. In this section, we discuss research that examined the relationship between blood pressure and disclosure of negative events or emotions without reference to a repressive coping style.…”

Section: Self-disclosurementioning

confidence: 99%

“…In this way defensive behaviour might be responsible for distortions of self-reported distress and stressor exposure. Literature on alexithymia, a personality concept related to repression (Cumes-Rayner & Price, 1989), will not be reviewed here.…”

Section: Blood Pressure and Defensive Behaviourmentioning

confidence: 99%

“…Although self-disclosure may be regarded as a reporting tendency rather than a coping style, a review of the literature on the relationship between blood pressure and self-disclosure will be included in this article. It has been suggested that frequently a false-positive diagnosis of repression was due to a mere tendency not to disclose threatening information (Cumes-Rayner & Price, 1989). …”

Section: Blood Pressure and Defensive Behaviourmentioning

confidence: 99%

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The under-reporting tendency of hypertensives: An analysis of potential psychological and physiological mechanisms

Nyklı́ček

Vingerhoets

Heck

1998

Psychology & Health

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Hypertensives have repeatedly been found to exhibit diminished self-report rates of stressor exposure and distress. In this article we discuss the evidence for two possible explanations for this phenomenon by means of reviews of the literatures on blood pressure in relation to defensive coping and pain perception. This approach provides support for the plausibility of two, not mutually exclusive, explanations: one based upon defensive coping and the other in terms of a physiologically based altered appraisal of aversive stimuli involving baroreceptor activity. Moreover, some indirect evidence has been obtained for a possible association between the two mechanisms. These findings have resulted in the formulation of a hypothetical model in which baroreceptor mediated central nervous system inhibition results in less negative appraisal of stressful situations and contributes to the development of hypertension via an operant conditioning mechanism. In addition, this mechanism may underlie the so-called defensive coping style. Finally, some directions for future research, aiming at testing the proposed model, are offered.

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Psychosocial Factors in Hypertension in Blacks: The Case for an Interactional Perspective

Myers¹,

McClure²

1993

Pathophysiology of Hypertension in Blacks

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Understanding hypertensive behaviour— I. Preference not to disclose

Cited by 12 publications

References 26 publications

Defensiveness, Cynical Hostility and Cardiovascular Reactivity: A Moderator Analysis

Defensiveness, Cynical Hostility and Cardiovascular Reactivity: A Moderator Analysis

The under-reporting tendency of hypertensives: An analysis of potential psychological and physiological mechanisms

Psychosocial Factors in Hypertension in Blacks: The Case for an Interactional Perspective

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