Behavioral treatment of hypertensive heart disease in african americans: Rationale and design of a randomized controlled trial

  • Schneider R
  • Castillo-Richmond A
  • Alexander C
 et al. 
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Abstract

African Americans experience higher morbidity and mortality than Whites do as a result of hypertension and associated cardiovascular disease. Chronic psychosocial stress has been considered an important contributing factor to these high rates. The authors describe the rationale and design for a planned randomized controlled trial comparing Transcendental Meditation, a stress reduction technique, with lifestyle education in the treatment of hypertension and hypertensive heart disease in urban African Americans. The authors pretested 170 men and women aged 20-70 yrs over a 3-session baseline period, with posttests at 6 mo. Outcomes included clinic and ambulatory blood pressure, quality of life, left ventricular mass measured by M-mode echocardiography, left ventricular diastolic function measured by Doppler, and carotid atherosclerosis measured by β-mode ultrasound. This trial was designed to evaluate the hypothesis that a selected stress reduction technique is effective in reducing hypertension and hypertensive heart disease in African Americans. (PsycINFO Database Record (c) 2012 APA, all rights reserved)

Author-supplied keywords

  • Clinical trial
  • Hypertension
  • Left ventricular hypertrophy
  • Stress reduction
  • Transcendental meditation

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Authors

  • Robert H. Schneider

  • Amparo Castillo-Richmond

  • Charles N. Alexander

  • Hector Myers

  • Vidya Kaushik

  • Cesar Aranguri

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