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May 1, 1982Psychosomatic Medicine

Behavioral Versus Pharmacological Treatments for Essential Hypertension—A Needed Comparison

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Why the study?

Do antihypertensive medication, relaxation, or biofeedback reduce blood pressure compared to mild exercise in patients with mild-to-moderate essential hypertension?

Population

Patients with mild-to-moderate essential hypertension

Comparison

Antihypertensive medication… vs Mild exercise control procedure for 6 weeks

Design

Other

Follow-up

6 weeks (with an optional second phase of 6 weeks)

Authors

LLLester LuborskyUniversity of the SciencesPCPaul Crits‐ChristophUniversity of PennsylvaniaJBJohn Paul BradyNational Institutes of Health

Discussion

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Implication

Antihypertensive medication was associated with greater BP reduction; leaves open whether relaxation or biofeedback outperform mild exercise.

Structured PICO

Do antihypertensive medication, relaxation, or biofeedback reduce blood pressure compared to mild exercise in patients with mild-to-moderate essential hypertension?

P
Population
Patients with mild-to-moderate essential hypertension
I
Intervention
Antihypertensive medication, metronome-conditioned relaxation, or biofeedback for 6 weeks
C
Comparator
Mild exercise control procedure for 6 weeks
O
Outcome
Decrease in blood pressuresurrogate

Antihypertensive medication provides a greater reduction in blood pressure than behavioral treatments such as relaxation or biofeedback in patients with mild-to-moderate essential hypertension.

Cite This Study

Luborsky et al. (1982) studied this question.

synapsesocial.com/papers/6a7e67cc55c19762e2b2a10ahttps://doi.org/10.1097/00006842-198205000-00006

Topics

Hypertension management
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Efficacy of relaxation techniques in hypertensive patients.1988 · 30 citations
  2. 2Treatment of Hypertension with Biofeedback and Relaxation Techniques1978 · 88 citations
  3. 3Blood Pressure-Lowering Effects of Biofeedback Treatment in Hypertension: A Meta-Analysis of Randomized Controlled Trials.2003 · 83 citations
  4. 4Comparison of Biofeedback Pulse Wave Velocity and Progressive Relaxation in Essential Hypertensives1977 · 21 citations
  5. 5Behavioral Treatment of High Blood Pressure I I. Acute and Sustained Effects of Relaxation and Systolic Blood Pressure Biofeedback1982 · 70 citations