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Blood pressure program incorporated into crisis intervention groups for widows
ABSTRACTS:
HIGH
113
BLOOD PRESSURE CONTROL
A-161 BLOOD PRESSURE PRC'XtAM INCORPORATED lXl-0 CRISIS -ION
CROUPS FORWIWWS
HelenMiles, Dorothea Hays, Elizabeth Kaywin, Barbara Rindmsn,Sylvia Gershenson A significant reduction in both systolic and diastolic blood pressureswas observed amongtwo groups of widowswho participated in a 12-weekcrisis intervention support program. The data showrises in meanblood pressures betweenthe second and fifth sessionsand declining pressures betweenthe sixth and eleventh sessions. (Pressureswere not recorded during the first and last sessions.) In one group of 18 widowsthe first recorded screening showeda systolic meanpressure of 133.6; a meanrise to 140.8 at 5th session and a significant lowered meanto 126 at last recorded session. The diastolic readings were meanpressure of 81.6 at first screening; a meanrise to 82.7 at 5th session snd a meanlowered pressure 74.6 at last recorded screening. In the secondgroup of 11 widows, the first recorded screening showeda systolic meanpressure of 138.5; a meanrise to 143.3 at 5th session and a lowered mean pressure to 131.3 at last recorded session. The diastolic readings were a meanof 80.8 during first screening; a meanrise to 81.8 and a meanlowered pressure to 77.6 at last recorded session. The data suggest the importance of monitoring blood pressures of groups under stress, such as newly bereaved widows; and the possible importance of crisis intervention techniques in lowering blood pressures.
A-162 THE PROPORTION OF GARDIOVASCDLARDISEASE PREVEXABLF. BY HIGH BIGOD PRESSlJRECOHTROL George D. Miller, Johns Hopkins University Baltimore, Maryland
School of Hygiene and Public
Health,
A simple method of estimating the proportion of cardiovascular disease (cvd) that's preventable (P) by high blood pressure control in the general population is presented. The method requires knowledge of the proportion of each cvd that's attributable (AR) to high blood pressure and the effectiveness of antihypertensive therapy. The former is a function of the prevalence of high blood pressure and risks of developing the specific cvds given high blood pressure. The latter, i.e., effectiveness, is a function of the efficacy (ef) of antihypertensive therapy, the degree to which the free-living population will comply (cp) and the proportion of the population offered and subsequently partake and comply with the program (cv). In simplest terms, this concept may be expressed by the formula P=AR CVd - ef * cp * cv+AR - ef * cp * cv + . . . + AR * ef * cp * cv 1 cvd2 cvdn Where cvdl refers to specific cardiovascular related diseases. "'n For purpose of demonstration, the proportion of coronary heart, cerebrovascular and hypertensive heart disease preventable by a massive anti-high blood pressure program in the general population is presented. Area8 in which data are needed to make more precise estimates of P, and areas in which additional research is badly needed if antihypertensive programs are to be intelligently planned, conducted and evaluated are identified and discussed.
HIGH
113
BLOOD PRESSURE CONTROL
A-161 BLOOD PRESSURE PRC'XtAM INCORPORATED lXl-0 CRISIS -ION
CROUPS FORWIWWS
HelenMiles, Dorothea Hays, Elizabeth Kaywin, Barbara Rindmsn,Sylvia Gershenson A significant reduction in both systolic and diastolic blood pressureswas observed amongtwo groups of widowswho participated in a 12-weekcrisis intervention support program. The data showrises in meanblood pressures betweenthe second and fifth sessionsand declining pressures betweenthe sixth and eleventh sessions. (Pressureswere not recorded during the first and last sessions.) In one group of 18 widowsthe first recorded screening showeda systolic meanpressure of 133.6; a meanrise to 140.8 at 5th session and a significant lowered meanto 126 at last recorded session. The diastolic readings were meanpressure of 81.6 at first screening; a meanrise to 82.7 at 5th session snd a meanlowered pressure 74.6 at last recorded screening. In the secondgroup of 11 widows, the first recorded screening showeda systolic meanpressure of 138.5; a meanrise to 143.3 at 5th session and a lowered mean pressure to 131.3 at last recorded session. The diastolic readings were a meanof 80.8 during first screening; a meanrise to 81.8 and a meanlowered pressure to 77.6 at last recorded session. The data suggest the importance of monitoring blood pressures of groups under stress, such as newly bereaved widows; and the possible importance of crisis intervention techniques in lowering blood pressures.
A-162 THE PROPORTION OF GARDIOVASCDLARDISEASE PREVEXABLF. BY HIGH BIGOD PRESSlJRECOHTROL George D. Miller, Johns Hopkins University Baltimore, Maryland
School of Hygiene and Public
Health,
A simple method of estimating the proportion of cardiovascular disease (cvd) that's preventable (P) by high blood pressure control in the general population is presented. The method requires knowledge of the proportion of each cvd that's attributable (AR) to high blood pressure and the effectiveness of antihypertensive therapy. The former is a function of the prevalence of high blood pressure and risks of developing the specific cvds given high blood pressure. The latter, i.e., effectiveness, is a function of the efficacy (ef) of antihypertensive therapy, the degree to which the free-living population will comply (cp) and the proportion of the population offered and subsequently partake and comply with the program (cv). In simplest terms, this concept may be expressed by the formula P=AR CVd - ef * cp * cv+AR - ef * cp * cv + . . . + AR * ef * cp * cv 1 cvd2 cvdn Where cvdl refers to specific cardiovascular related diseases. "'n For purpose of demonstration, the proportion of coronary heart, cerebrovascular and hypertensive heart disease preventable by a massive anti-high blood pressure program in the general population is presented. Area8 in which data are needed to make more precise estimates of P, and areas in which additional research is badly needed if antihypertensive programs are to be intelligently planned, conducted and evaluated are identified and discussed.