Trial reportJournal of psychosomatic research2013
Are there consequences of labeling patients with prehypertension? An experimental study of effects on blood pressure and quality of life.
Trial report in Journal of psychosomatic research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Genetic Testing for APOL1 in Adults With Hypertension: The GUARDD-US Randomized Clinical Trial.JAMA network open · 2026Trial
- Developing lifestyle intervention program for pre-hypertensive patients; consensus building using a modified Delphi approach.PloS one · 2024Article
- Cost-effectiveness and potential budget impact of non-pharmacological interventions for early management in prehypertensive people: an economic evaluation for China.BMC public health · 2023Article
- Risk reduction intervention for raised blood pressure (REVERSE): protocol for a mixed-methods feasibility study.BMJ open · 2023Article
- Changes in the prevalence of measures associated with hypertension among Iranian adults according to classification by ACC/AHA guideline 2017.BMC cardiovascular disorders · 2020Article
- The Psychosocial Impact of a Diagnosis of Hypertension in Pediatric Patients.Kidney international reports · 2020Article
- Beliefs about the causes of hypertension and associations with pro-health behaviors.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2018Article
- Integrating Out-of-Office Blood Pressure in the Diagnosis and Management of Hypertension.Current cardiology reports · 2016Review
- Quality of Life in Treatment-Resistant Hypertension.Current hypertension reports · 2015Review
- Ambulatory blood pressure phenotypes and the risk for hypertension.Current hypertension reports · 2014Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
objectiveThe prehypertension classification was introduced to facilitate prevention efforts among patients at increased risk for hypertension. Although patients who have been told that they have hypertension report worse outcomes than unaware hypertensives, little is known about whether or not prehypertension labeling has negative effects. We evaluated the effects of labeling individuals with prehypertension on blood pressure and health-related quality of life three months later.
methodsOne hundred adults (aged 19 to 82 [mean=40.0] years; 54% women; 64% racial/ethnic minorities) with screening blood pressure in the prehypertensive range (120-139/80-89 mmHg) and no history of diagnosis or treatment of elevated blood pressure were randomly assigned to either a "Labeled" group in which they were informed of their prehypertension, or an "Unlabeled" group in which they were not informed. Subjects underwent office blood pressure measurement, 24-hour ambulatory blood pressure monitoring and completed self-report questionnaires at baseline and at three months.
resultsMultilevel mixed effects regression analyses indicated that changes in the white coat effect, office blood pressure, mean daytime ambulatory blood pressure, and physical and mental health did not differ significantly between the two groups. Adjusting for age, sex, race/ethnicity and body mass index did not affect the results.
conclusionThese findings suggest that labeling patients with prehypertension does not have negative effects on blood pressure or quality of life. Additional research is needed to develop approaches to communicating with patients about their blood pressure that will maximize the clinical and public health impact of the prehypertension classification.
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