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Logo of jroyalcgpracBJGP at RCGPBJGP at PubMed CentralJ R Coll Gen Pract at PubMed CentralRCGP homepage
J R Coll Gen Pract. 1976 March; 26(164): 178–184.
PMCID: PMC2158058

High blood pressure and psychiatric disorder in general practice


A programme for the control of hypertension has been started in general practice with the principal aim of finding the most effective way of identifying and keeping patients with high blood pressure under continuing control. One objective is to determine the psychiatric state of hypertensive patients in the programme and this paper reports these results.

There was no significant difference between the percentage of psychiatric patients in a hypertensive group and a control group. There was no relationship between blood pressure recorded at the initial clinic and the psychiatric state. In both hypertensive and control groups, patients who were on hypertensive treatment at the initial clinic were more likely to be `psychiatric' than those who were not on treatment; this appears to be less likely to occur if the hypertension is controlled.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Cochrane R. Hostility and neuroticism among unselected essential hypertensives. J Psychosom Res. 1973 Jul;17(3):215–218. [PubMed]
  • Eastwood MR, Trevelyan H. Stress and coronary heart disease. J Psychosom Res. 1971 Sep;15(3):289–292. [PubMed]
  • Goldberg DP, Blackwell B. Psychiatric illness in general practice. A detailed study using a new method of case identification. Br Med J. 1970 May 23;1(5707):439–443. [PMC free article] [PubMed]
  • Heine B. Psychogenesis of hypertension. Proc R Soc Med. 1970 Dec;63(12):1267–1270. [PubMed]
  • KESSEL WI. Psychiatric morbidity in a London general practice. Br J Prev Soc Med. 1960 Jan;14:16–22. [PMC free article] [PubMed]
  • Kreitman N, Pearce KI, Ryle A. The relationship of psychiatric psychosomatic and organic illness in a general practice. Br J Psychiatry. 1966 Jun;112(487):569–579. [PubMed]
  • Morris JN. Four cheers for prevention. Proc R Soc Med. 1973 Mar;66(3):225–232. [PubMed]

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