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Richard Friedman, PhD; William C. Siegel, MD; Sue C. Jacobs, PhD; Herbert Benson, MD
Harvard Medical School Boston, Mass

JAMA. 1992;268(2):198.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—A recent article in JAMA¹ concluded that while weight reduction and sodium reduction were effective nonpharmacologic interventions for subjects with high normal blood pressure, stress management and nutritional supplements were not. We have a number of concerns about the conclusion that stress management is ineffective.

First, the mean reductions in blood pressure associated with stress management (-4.20 mmHg systolic and -5.53 mm Hg diastolic) were similar to those reported with weight reduction (-5.35 mm Hg systolic and -6.16 diastolic) and sodium reduction (-4.86 mm Hg systolic and -4.12 mm Hg diastolic). The lack of a statistically significant effect of stress management on blood pressure was due to a greater fall in blood pressure in the stress management control group (-3.27 mm Hg systolic and -4.71 mm Hg diastolic than in the control groups for weight reduction (-2.45 mm Hg systolic and -3.91 mm Hg diastolic) or . . . [Full Text PDF of this Article]

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