T. Kohler et al., PSYCHOPHYSIOLOGICAL RESPONSES OF BORDERLINE HYPERTENSIVES IN 2 EXPERIMENTAL SITUATIONS, Psychotherapy and psychosomatics, 63(1), 1995, pp. 44-53
Given the contradictory reports concerning psychophysiological reactiv
ity of hypertensives this issue was reexamined. In contrast to the lar
ge majority of studies, the hypertensive sample should not be made up
of patients in medical care and the control group should be comparable
in all relevant aspects other than blood pressure. Twelve male subjec
ts with blood pressure values in the borderline range and 12 normotens
ive controls were recruited from a blood donation program. Experiments
consisted of two parts with baseline, stress and followup. Stressors
were a short distressing movie and mental arithmetic. Systolic and dia
stolic blood pressure (SEP and DBP), heart rate (HR), skin conductance
level (SCL) and number of spontaneous electrodermal fluctuations (SF)
were assessed in 2-min intervals, plasma adrenaline and noradrenaline
once during baselines, stress 2 and follow-up 2. Hypertensives exhibi
ted significantly higher SPB levels, and partially elevated values for
DBP, HR and SCL. Response reactions to stressors, however, did not di
ffer between groups. There was no evidence that psychophysiological ad
aptation during stress and recovery thereafter was impaired in hyperte
nsives. Our results do not support the reactivity hypothesis of hypert
ension. Possible reasons for our failure to replicate findings from ot
her studies are discussed.