This study evaluated the effect of family conflict interactions on cardiovascular responses of African American hypertensive and normotensive mother-daughter dyads and determined degree of mother-daughter concordance of physiologic response. Sixteen African American hypertensive mothers and 21 African American normotensive mothers and their teenage daughters discussed 2 topics, one involving no conflict and the other involving participant-identified conflict. Differences in blood pressure (BP), both systolic and diastolic, and heart rate (HR) were examined. As expected, hypertensive mothers and their daughters had higher BP levels (responsivity) than did their normotensive counterparts. For mothers, differences were due largely to group differences at baseline. For daughters, differences were due largely to group differences in body mass. BP reactivity (change) did not differ significantly between the groups. Few HR effects were observed. There was moderate BP concordance and low HR concordance. The findings suggest that conflict management and body mass may be important factors to consider among families at risk for hypertension.
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References
1.
Akinkugbe, O.
(1985). World epidemiology of hypertension in Blacks. In W. D. Hall, E. Saunders, & N. B. Shulman (Eds), Hypertension in Blacks: Epidemiology, pathophysiology, and treatment. Chicago: Yearbook.
2.
Allen, M. T.
, & Matthews, K. A. (1997). Hemodynamic responses to laboratory stressors in children and adolescents: The influence of age, race, and gender. Psychophysiology, 34, 329-339.
3.
Anderson, N. B.
(1989). Racial differences in stress-induced cardiovascular reactivity and hypertension: Current status and substantive issues. Psychological Bulletin, 105, 89-105.
4.
Anderson, N. B.
, & McNeilly, M. (1991). Age, gender and ethnicity as variables in psychophysiological assessment: Sociodemographics in context. Psychological Assessment, 3, 376-384.
5.
Anderson, N. B.
, McNeilly, M. D., Armstead, C., Clark, R., & Pieper, C. (1993). Assessment of cardiovascular reactivity: A methodological overview. Ethnicity and Disease, 3Suppl: S29-S37.
6.
Anderson, N. B.
, McNeilly, M., & Myers, H. F. (1991). Autonomic reactivity and hypertension in Blacks: A review and proposed model. Ethnicity & Disease, 1, 129-169.
7.
Anderson, N. B.
, Williams, R. B., Jr., Lane, J. D., Houseworth, S., & Muranaka, M. (1987). Parental history of hypertension and cardiovascular responses to behavioral stress in young Black women. Journal of Psychosomatic Research, 31, 723-729.
8.
Baer, P. E.
, Reed, J., Bartlett, P. C., Vincent, J. P., Williams, B. J., & Bourianoff, G. G. (1983). Studies of gaze during induced conflict in families with a hypertensive father. Psychosomatic Medicine, 45, 233-242.
9.
Baer, P. E.
, Vincent, J., Williams, B., Bourianoff, G. G., & Bartlett, P. (1980). Behavioral response to induced conflict in families with a hypertensive father. Hypertension, 2, 70-77.
10.
Ballard, M. E.
, Cummings, E. M., & Larkin, K. (1993). Emotional and cardiovascular responses to adults’angry behavior and to challenging tasks in children of hypertensive and normotensive parents. Child Development, 64, 500-515.
11.
Biron, P.
, & Mongeau, J. (1978). Familial aggregation of blood pressure and its components. Pediatric Clinics of North America, 25, 1057-1063.
12.
Calhoun, D. A.
(1992). Hypertension in Blacks: Socioeconomic stress and sympathetic nervous system activity. American Journal of Medical Science, 304, 306-311.
13.
Derogatis, L.
, Lipman, R., Rickels, K., Uhlenhuth, E., & Covi, L. (1974). The Hopkins Symptom Checklist (HSCL): A self-report symptom inventory. Behavioral Science, 19, 1-15.
14.
Dysart, J. M.
, Treiber, F. A., Pflieger, K., Davis, H., & Strong, W. B. (1994). Ethnic differences in myocardial and vascular reactivity to stress in normotensive girls. American Journal of Hypertension, 7, 15-22.
15.
Falkner, B.
(1996). The role of cardiovascular reactivity as a mediator of hypertension in African Americans. Seminar in Nephrology, 16, 117-125.
16.
Glass, J. C.
, McKinney, M. E., Hofshire, P. J., & Fedorko, S. (1990). Cardiovascular reactivity to stress: An examination of familial trends. International Journal of Psychophysiology, 9, 1-11.
17.
Green, L.
(1970). Manual for scoring socio-economic status for research on health behavior. Public Health Reports, 85, 815-827.
18.
Grim, C. E.
, Henry, J. P., & Myers, H. F. (1995). High blood pressure in Blacks: Salt, slavery, survival, stress and racism. In J. H. Laragh & B. M. Brenner (Eds.), Hypertension: Pathophysiology, diagnosis, & management (2nd ed., pp. 171-207). New York: Raven.
19.
Guyll, M.
, & Contrada, R. J. (1998). Trait hostility and ambulatory cardiovascular activity: Responses to social interaction. Health Psychology, 17, 30-39.
20.
Hastrup, J. L.
, Kraemer, D. L., Hotchkiss, A. P., & Johnson, C. A. (1986). Cardiovascular responsivity to stress: Family patterns and the effects of instructions. Journal of Psychosomatic Research, 30, 233-241.
21.
Hohn, A. R.
, Riopel, D. A., Keil, J. E., Loadholt, C. B., Margolius, H. S., Halushka, P., Privtera, P.Webb, J., Medley, E. S., Schuman, S. H., Rubin, M., Pantel, R., & Braunstein, M. (1983). Childhood familial and racial differences in physiologic and biochemical factors related to hypertension. Hypertension, 5, 56-70.
22.
Jern, S.
, Bergbrant, A., Hedner, T., & Hansson, L. (1995). Enhanced pressor responses to experimental and daily-life stress in borderline hypertension. Journal of Hypertension, 13, 69-79.
23.
Johnson, E. H.
(1990). Cardiovascular reactivity, emotional factors and home blood pressures in Black males with and without a parental diagnosis of hypertension. Psychosomatic Medicine, 51, 420-432.
24.
Johnson, E. H.
, Nazzaro, P., & Gilbert, C. (1991). Cardiovascular reactivity to stress in Black male offspring of hypertensive parents. Psychosomatic Medicine, 53, 420-432.
25.
Johnson, E. H.
, Nazzaro, P., Gilbert, D.C., Weder, A., & Jamerson, K. (1992). Similarities in cardiovascular reactivity to behavioral stressors in African-American and White males. Ethnicity and Disease, 2, 232-245.
26.
Johnson, E. H.
, Schork, N. J., Spielberger, C. D. (1987). Emotional and familial determinants of elevated blood pressure in Black and White adolescent females. Journal of Psychosomatic Research, 31, 731-741.
27.
Johnson, E. H.
, Spielberger, C. D., Worden, T. J., & Jacobs, G. A. (1987). Emotional and familial determinants of elevated blood pressure in Black and White adolescent males. Journal of Psychosomatic Research, 31, 287-300.
28.
Jorgensen, R. S.
, Gelling, P. D., & Kliner, L. (1992). Patterns of social desirability and anger in young men with a parental history of hypertension: Association with cardiovascular activity. Health Psychology, 11, 403-412.
29.
Krantz, D. S.
, & Manuck, S. B. (1984). Acute psychophysiologic reactivity and risk of cardiovascular disease: A review and methodologic critique. Psychological Bulletin, 96, 435-464.
30.
Lawler, K. A.
, Wilcox, Z. C., & Anderson, S. F. (1995). Gender differences in patterns of cardiovascular regulation. Psychosomatic Medicine, 57, 357-365.
31.
Matthews, K. A.
, & Rakaczky, C. J. (1986). Familial aspects of the Type A behavior pattern and physiologic reactivity to stress. In T. H. Schmidt, T. M. Dembroski, & G. Bumchen (Eds.), Factors in cardiovascular disease. Berlin, Germany: Springer-Verlag.
32.
M’Buyamba-Kabangu, J. R.
, Amery A., & Lijnen, P. (1994). Differences in Black and White persons in blood pressure and related biological variables. Journal of Human Hypertension, 8, 163-170.
33.
Murphy, J. K.
, Alpert, B. S., & Walker, S. S. (1992). Ethnicity, pressor reactivity, and children’s blood pressure. Five years of observations. Hypertension, 20, 327-332.
34.
Musante, L.
, Treiber, F. A., Strong, W. B., & Levy, M. (1990). Family history of hypertension and cardiovascular reactivity to forehead cold stimulation in Black male children. Journal of Psychosomatic Research, 34, 111-116.
35.
Myers, H. F.
, & McClure, F. H. (1993). Psychosocial factors in hypertension in Blacks: The case for an interactional perspective. In J.C.S. Fray & J. G. Douglas (Eds.), Pathophysiology of hypertension in Blacks (pp. 90-106). New York: Oxford University Press.
36.
Pickering, T. G.
(1994). Hypertension in Blacks. Current Opinion in Nephrology and Hypertension, 3, 207-212.
37.
Potempa, K.
(1994). An overview of the role of cardiovascular reactivity to stressful challenges in the etiology of hypertension. Journal of Cardiovascular Nursing, 8, 27-38.
38.
Schieken, R. M.
(1993). Genetic factors that predispose the child to develop hypertension. Pediatric Clinics of North America, 40, 1-11.
39.
Semenchuk, E. M.
, & Larkin, K. T. (1993). Behavioral and cardiovascular responses to interpersonal challenges among male offspring of essential hypertensives. Health Psychology, 12, 416-419.
40.
Sorof, J. M.
, Forman, A., Cole, N., Jemerin, J. M., & Morris, R. C. (1997). Potassium intake and cardiovascular reactivity in children with risk factors for essential hypertension. Journal of Pediatrics, 131, 87-94.
41.
Spielberger, C. D.
, Johnson, E. H., Russell, S. F., Crane, R. J., Jacobs, G. A., & Worden, T. J. (1985). The experience and expression of anger: Construction and validation of an anger expression scale. In M. A. Chesney & R. H. Rosenman (Eds.), Anger and hostility in cardiovascular and behavioral disorders (pp. 5-30). Washington, DC: Hemisphere.
42.
Tuomisto, M. T.
(1997). Intra-arterial blood pressure and heart rate reactivity to behavioral stress in normotensive, borderline, and mild hypertensive men. Health Psychology, 16, 554-565.
43.
Vogele, C.
, & Steptoe A. (1993). Anger inhibition and family history as modulators of cardiovascular responses to mental stress in adolescent boys. Journal of Psychosomatic Research, 37, 503-514.
44.
Wright, L. B.
, Treiber, F. A., Davis, H., & Strong, W. B. (1996). Relationship of John Henryism to cardiovascular functioning at rest and during stress in youth. Annals of Behavioral Medicine, 18, 146-150.
