Examining the Role of Psychosocial Stressors in Hypertension

Despite advances in medicine and preventive strategies, fewer than 1 in 5 people with hypertension have the problem under control. This could partly be due to gaps in fully elucidating the etiology of hypertension. Genetics and conventional lifestyle risk factors, such as the lack of exercise, unhea...

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Main Author: Komal Marwaha
Format: Article
Language:English
Published: Korean Society for Preventive Medicine 2022-11-01
Series:Journal of Preventive Medicine and Public Health
Subjects:
Online Access:http://jpmph.org/upload/pdf/jpmph-21-266.pdf
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author Komal Marwaha
author_facet Komal Marwaha
author_sort Komal Marwaha
collection DOAJ
description Despite advances in medicine and preventive strategies, fewer than 1 in 5 people with hypertension have the problem under control. This could partly be due to gaps in fully elucidating the etiology of hypertension. Genetics and conventional lifestyle risk factors, such as the lack of exercise, unhealthy diet, excess salt intake, and alcohol consumption, do not fully explain the pathogenesis of hypertension. Thus, it is necessary to revisit other suggested risk factors that have not been paid due attention. One such factor is psychosocial stress. This paper explores the evidence for the association of psychosocial stressors with hypertension and shows that robust evidence supports the role of a chronic stressful environment at work or in marriage, low socioeconomic status, lack of social support, depression, anxiety, post-traumatic stress, childhood psychological trauma, and racial discrimination in the development or progression of hypertension. Furthermore, the potential pathophysiological mechanisms that link psychosocial stress to hypertension are explained to address the ambiguity in this area and set the stage for further research.
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spelling doaj.art-9c005e2df4ea49abafbabad3e74c8ee22022-12-22T02:57:50ZengKorean Society for Preventive MedicineJournal of Preventive Medicine and Public Health1975-83752233-45212022-11-0155649950510.3961/jpmph.21.2662257Examining the Role of Psychosocial Stressors in HypertensionKomal Marwaha0 Department of Medical Education, Paul L Foster School of Medicine, Texas Tech University Health Science Center, El Paso, TX, USADespite advances in medicine and preventive strategies, fewer than 1 in 5 people with hypertension have the problem under control. This could partly be due to gaps in fully elucidating the etiology of hypertension. Genetics and conventional lifestyle risk factors, such as the lack of exercise, unhealthy diet, excess salt intake, and alcohol consumption, do not fully explain the pathogenesis of hypertension. Thus, it is necessary to revisit other suggested risk factors that have not been paid due attention. One such factor is psychosocial stress. This paper explores the evidence for the association of psychosocial stressors with hypertension and shows that robust evidence supports the role of a chronic stressful environment at work or in marriage, low socioeconomic status, lack of social support, depression, anxiety, post-traumatic stress, childhood psychological trauma, and racial discrimination in the development or progression of hypertension. Furthermore, the potential pathophysiological mechanisms that link psychosocial stress to hypertension are explained to address the ambiguity in this area and set the stage for further research.http://jpmph.org/upload/pdf/jpmph-21-266.pdfpsychosocial stresshypertensiondepressionanxietyracial discriminationlifestyle risk factors
spellingShingle Komal Marwaha
Examining the Role of Psychosocial Stressors in Hypertension
Journal of Preventive Medicine and Public Health
psychosocial stress
hypertension
depression
anxiety
racial discrimination
lifestyle risk factors
title Examining the Role of Psychosocial Stressors in Hypertension
title_full Examining the Role of Psychosocial Stressors in Hypertension
title_fullStr Examining the Role of Psychosocial Stressors in Hypertension
title_full_unstemmed Examining the Role of Psychosocial Stressors in Hypertension
title_short Examining the Role of Psychosocial Stressors in Hypertension
title_sort examining the role of psychosocial stressors in hypertension
topic psychosocial stress
hypertension
depression
anxiety
racial discrimination
lifestyle risk factors
url http://jpmph.org/upload/pdf/jpmph-21-266.pdf
work_keys_str_mv AT komalmarwaha examiningtheroleofpsychosocialstressorsinhypertension