Boris B. Salenko

Institute of Experimental Cardiology

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ВП

В П Зайцев

Research Centre for Medical Genetics

Alexei P. Yurenev

Institute of Experimental Cardiology

Viktor V. Khramelashvili

Institute of Experimental Cardiology

Tatyana A. Aivazyan

"National Medical Research Center for Rehabilitation and Balneology" of the Ministry of Health of the Russian Federation

Marta Berger

University at Albany, State University of New York

I F Patrusheva

Institute of Experimental Cardiology

T A Aĭvazian

David A. Wittrock

North Dakota State University

Guy C. McCoy

Albany Medical Center Hospital

Edward B. Blanchard

University at Albany, State University of New York

Cooperative Institutions

University at Albany, State University of New York

University of Southern California

Albany Medical Center Hospital

Institute of Experimental Cardiology

Russian Academy of Sciences

National Medical Research Center of Cardiology

Albany State University

Institute of Cardiology

LAC+USC Medical Center

Academy of Medical Sciences

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[The comparative effectiveness of different psychological methods for treating patients with a labile course of hypertension (based on international research data)].

PubMed (1990)

T A Aĭvazian В П Зайцев E Richter-Heĭnrich U Knust Boris B. Salenko

Examination of 110 patients with essential hypertension (EH) carried out in the USSR and GDR revealed, by the end of the observation period (one year), a significant lowering and normalization of arterial pressure at rest and a certain reduction of the intensity of the hypertensive response to psychoemotional stress influences in the presence of psychological relaxation therapy (PRT). The survey made it possible to try the designed methods for PRT in both countries and demonstrated that the intensity of the hypotensive action of the methods appeared comparable in different populations of patients suffering from essential hypertension. The intensity of the hypotensive action of PRT correlated with the level of arterial pressure before treatment, with the age of EH patients, and with their psychological characteristics.

Essential hypertension

Relaxation Therapy

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Efficacy of relaxation techniques in hypertensive patients.

Health Psychology (1988)

Tatyana A. Aivazyan В П Зайцев Boris B. Salenko Alexei P. Yurenev I F Patrusheva

We examined 117 outpatients (20- to 45-year-old men) with mild essential hypertension before treatment, after the main treatment course (6 weeks), and at 12-month follow-up. The patients were randomized into two major groups: (a) a treatment group that received autogenic training (23 patients), biofeedback (24 patients), or breathing-relaxation training (23 patients) and (b) a control group that consisted of 24 patients who did not receive any intervention and 23 patients who were treated with a "psychological placebo." Clinical, psychological, and psychophysiological data from all patients who were offered relaxation therapy were analyzed. By the end of follow-up, and compared to the control group, the treatment group demonstrated a significant reduction in systolic and diastolic blood pressures, peripheral vascular resistance, and hypertensive response to emotional stress, and an improvement in psychological adaptation, quality of life, and capacity for work. Comparative analysis of the efficacy of different relaxation methods revealed that biofeedback and breathing-relaxation training resulted in the greatest reduction in blood pressure. The antihypertensive effect of relaxation therapy correlated positively with pretreatment blood pressure levels and negatively with the duration of illness and certain psychological features.

Autogenic training

Relaxation Therapy

Biofeedback

10.1037/0278-6133.7.suppl.193

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Citations (29)

[The effectiveness of psychorelaxation therapy in patients with hypertension].

PubMed (1988)

T A Aĭvazian В П Зайцев Boris B. Salenko А П Юренев I F Patrusheva

A study of 117 patients with labile essential hypertension before as well as 6 weeks and 12 months after psychorelaxation treatment (PRT), making use of autogenous training, biological feedback or respiratory relaxation training techniques (the main group), and the control patients, exposed to no psychological effects and those on the so-called psychological placebo, demonstrated a significantly greater fall of systolic and diastolic arterial blood pressure, total peripheral resistance and hypertensive response to emotional stress, as well as better psychological adaptation, quality of life and working capacity in the main-group patients, as compared to the controls, by the end of the study.

Placebo group

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The effects of thermal biofeedback and autogenic training of cardiovascular reactivity: The joint USSR-USA behavioral hypertension treatment project

Biofeedback and Self-Regulation (1988)

Edward B. Blanchard Guy C. McCoy Robert J. McCaffrey David A. Wittrock Alison Musso

Autogenic training

Biofeedback

Reactivity

Basal (medicine)

Mental arithmetic

Cold pressor test

10.1007/bf00998877

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Primary hypertension: Left ventricular mass and function, sympathetic nervous system activity, and therapy.

Health Psychology (1988)

Vincent DeQuattro Debora De-Ping Lee I. K. Shkhvatsabaya Alexei P. Yurenev Boris B. Salenko

Left ventricular (LV) mass is a predictor of morbidity in patients with hypertension. To elucidate the mechanisms of left ventricular hypertrophy (LVH) in primary hypertension, we examined the relationships of LV mass, arterial blood pressure, and plasma norepinephrine--as a marker of sympathetic nervous system tone--in three populations of patients with mild or moderate hypertension. We found linking of neural tone with (a) arterial blood pressure in mild and moderate hypertension, (b) LV mass in moderate hypertension, and (c) diastolic function in mild hypertension, suggesting that neural tone is a factor in both the pathogenesis and the sequelae of hypertension. Additionally, elevated norepinephrine level may reflect subtle loss of diastolic function before hypertrophy is manifest. Both nondrug and drug therapy may regress LV mass after blood pressure reduction with disparate effects on neural tone.

Sympathetic nervous system

Pathophysiology of hypertension

10.1037/0278-6133.7.suppl.165

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Citations (3)

The USA-USSR collaborative cross-cultural comparison of autogenic training and thermal biofeedback in the treatment of mild hypertension.

Health Psychology (1988)

Edward B. Blanchard Viktor V. Khramelashvili Guy C. McCoy Tatyana A. Aivazyan Robert J. McCaffrey

Autogenic training

Biofeedback

10.1037/0278-6133.7.suppl.175

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