Stress, Stress Reduction, and Hypertension in African Americans: An Updated Review

Vernon Barnes, Robert Schneider, Charles Alexander, Frank Staggers

Research output: Contribution to journalArticlepeer-review

39 Scopus citations

Abstract

This is a comprehensive and integrative review of multiple factors underlying the greater prevalence of hypertension in African Americans compared with whites. Evidence linking stress with hypertension and cardiovascular disease in African Americans is reviewed. A survey of mechanisms of hypertension in African Americans and existing behavioral strategies for the treatment of hypertension is presented. Given that the excess of hypertension may be mediated in part by behavioral factors operating through biological mechanisms, a case is presented for behavioral stress reduction measures. This review of stress reduction techniques especially the Transcendental Mediation program for the treatment of hypertension in African Americans highlights current issues facing the field. New information is provided to help direct future nonpharmacological research and practice in hypertension to prevent morbidity and premature mortality in this underserved population.

Original languageEnglish (US)
Pages (from-to)464-476
Number of pages13
JournalJournal of the National Medical Association
Volume89
Issue number7
StatePublished - Jul 1997

Keywords

  • African Americans
  • Behavior
  • Hypertension
  • Meditation
  • Stress reduction

ASJC Scopus subject areas

  • Medicine(all)

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