Greater pressor reactivity in women with pre-eclampsia is not related to specific psychological or emotional stressors

Psychol Rep. 2010 Oct;107(2):415-23. doi: 10.2466/02.13.PR0.107.5.415-423.

Abstract

To investigate whether emotional or psychosocial factors could be significantly related with the development of pre-eclampsia, 15 pregnant women with early diagnosis of pre-eclampsia and 15 normotensive pregnant controls of comparable age (23-37 yr.), gestational age (10-37 wk.), parity (70% primiparous), amount of instruction, and marital status underwent a blood pressure monitoring during a specific psychological assessment based on a semistructured interview followed by the administration of three different questionnaires: the Symptom Checklist 90-Revised, the Perceived Stress Questionnaire-Recent, and the Questionnaire about Social Relationships. Systolic and diastolic blood pressure and heart rate were measured at 2-min. intervals by an automatic device both during the interview and the questionnaires' administration. Both systolic and diastolic responses were significantly increased in both groups during the interview (deltaSBP = 15 vs. 10%; deltaDBP=28 vs. 15.8%), whereas no differences were observed in blood pressure while answering questionnaires. Conversely, differences in questionnaire responses between groups were not statistically significant. Present results confirm a greater pressor reactivity in these women with pre-eclampsia but does not specifically support that this was related to psychological or emotional stress.

MeSH terms

  • Adult
  • Arousal / physiology*
  • Blood Pressure / physiology*
  • Emotions / physiology*
  • Female
  • Heart Rate / physiology
  • Humans
  • Interview, Psychological
  • Personality Inventory / statistics & numerical data
  • Pre-Eclampsia / physiopathology*
  • Pre-Eclampsia / psychology*
  • Pregnancy
  • Pressoreceptors / physiopathology
  • Risk Factors
  • Stress, Psychological / complications*
  • Stress, Psychological / physiopathology