ArticleHeart (British Cardiac Society)2016
Low stress resilience in late adolescence and risk of hypertension in adulthood.
Article in Heart (British Cardiac Society), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Psychological Resilience, Cardiovascular Disease, and Metabolic Disturbances: A Systematic Review.Frontiers in psychology · 2022Pooled it
- Progressive exercise training improves cardiovascular psychophysiological outcomes in young adult women with a history of adverse childhood experiences.Journal of applied physiology (Bethesda, Md. : 1985) · 2023Trial
- Peripubertal pregnancies and associations with health and developmental outcomes in offspring during late adolescence and adulthood: sibling-comparison register study.International journal of epidemiology · 2026Article
- Mediating role of psychological resilience in the relationship between leisure-time activities and long-term mortality in older adults.BMC geriatrics · 2025Article
- Self-Reported Resilience During the COVID-19 Pandemic.JAMA network open · 2025Article
- Stress Resilience and Risk of Psychiatric Disorders After Childhood Bereavement.JAMA network open · 2025Article
- Mediation role of health behaviours in the relation between mental resilience and cardiovascular risk in young adults with a diagnosed congenital heart defect.BMC public health · 2025Observational
- Resilience, Survival, and Functional Independence in Older Adults Facing Critical Illness.Chest · 2024Article
- Are there sociodemographic-specific associations of coping with heart disease and diabetes incidence?Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2024Article
- The longitudinal association of adipose-to-lean ratio with incident cardiometabolic morbidity: The CARDIA study.Journal of diabetes and its complications · 2024Article
- Article
- Association of Psychological Resilience with All-Cause and Cardiovascular Mortality in a General Population in Italy: Prospective Findings from the Moli-Sani Study.International journal of environmental research and public health · 2021Article
- The Association of Adverse Childhood Experiences and Resilience With Health Outcomes in Adolescents: An Observational Study.Global pediatric health · 2021Article
- Optimism and risk of incident hypertension: a target for primordial prevention.Epidemiology and psychiatric sciences · 2020Article
- Greater Neurobiological Resilience to Chronic Socioeconomic or Environmental Stressors Associates With Lower Risk for Cardiovascular Disease Events.Circulation. Cardiovascular imaging · 2020Observational
- Self-management and psychological resilience moderate the relationships between symptoms and health-related quality of life among patients with hypertension in China.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2019Article
- Atopic dermatitis, educational attainment and psychological functioning: a national cohort study.The British journal of dermatology · 2019Article
- [Psychocardiology in inpatient rehabilitation].Wiener medizinische Wochenschrift (1946) · 2018Review
- Impact of parental cancer on IQ, stress resilience, and physical fitness in young men.Clinical epidemiology · 2018Article
- Resilience and Self-Management of Hypertension in African American Adults Using a Conceptualized Resilience Framework: An Exploratory Analysis.Nursing researchArticle
Corrections and comments
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4 authors.
Funding
Abstract
objectiveGreater blood pressure reactivity to psychological stress has been associated with higher risk of developing hypertension. We hypothesised that low stress resilience based on psychological assessment early in life is associated with hypertension in adulthood.
methodsNational cohort study of 1,547,182 military conscripts in Sweden during 1969-1997 (97-98% of all 18-year-old males) without prior history of hypertension, who underwent standardised psychological assessment by trained psychologists for stress resilience (1-9 scale), and were followed up for hypertension identified from outpatient and inpatient diagnoses during 1969-2012 (maximum age 62).
results93,028 men were diagnosed with hypertension in 39.4 million person-years of follow-up. Adjusting for body mass index (BMI), family history and socioeconomic factors, low stress resilience at age 18 was associated with increased risk of hypertension in adulthood (lowest vs highest quintile: HR 1.43; 95% CI 1.40 to 1.46; p < 0.001; incidence rates, 278.7 vs 180.0 per 100,000 person-years), including a strong linear trend across the full range of stress resilience (p(trend) < 0.0001). We also found a positive additive interaction between stress resilience and BMI (p < 0.001), indicating that low stress resilience accounted for more hypertension cases among those with high BMI. Men with a combination of low stress resilience and high BMI had a more than threefold risk of hypertension.
conclusionsThese findings suggest that low stress resilience may contribute to etiological pathways for hypertension and accounts for more cases among those with high BMI. If confirmed, this knowledge may help inform better preventive interventions by addressing psychosocial risk factors and stress management across the lifespan.
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