{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T08:33:16Z","timestamp":1772526796085,"version":"3.50.1"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circ: Cardiovascular Quality and Outcomes"],"published-print":{"date-parts":[[2015,7]]},"abstract":"<jats:p>Despite major advances in treating hypertension, &gt;50% of all individuals diagnosed with the condition remain in poor control. A fundamental issue may be that patients may not fully understand the meaning of the term hypertension or its cause, leading to poor adherence to medications and limiting other effective self-management behaviors. We posit that the word hypertension itself may contribute to these misunderstandings, particularly in regards to the role of stress in causing hypertension, which thus suggests stress management as a primary strategy for control. The word hypertension is often interpreted by patients to mean too much tension. In conjunction with cultural framings of stress causing high blood pressure, many patients turn to stress management to control their hypertension. The word hypertension can thus cause patients to think of it as more of a psychological than physiological condition, thus discounting the value of antihypertensive medications and interfering with medication adherence. We therefore suggest that clinicians reconsider the use of the term hypertension and the ways in which they explain the condition to patients. Reorienting the language to the more patient-centered term of high blood pressure may help patients better understand the condition and to more readily embrace the available efficacious therapies.<\/jats:p>","DOI":"10.1161\/circoutcomes.114.001662","type":"journal-article","created":{"date-parts":[[2015,7,8]],"date-time":"2015-07-08T02:32:14Z","timestamp":1436322734000},"page":"452-454","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":14,"title":["What Is in a Name?"],"prefix":"10.1161","volume":"8","author":[{"given":"Barbara G.","family":"Bokhour","sequence":"first","affiliation":[{"name":"From the Center for Healthcare Organization and Implementation Research (CHOIR)-VA HSR&amp;D Center of Innovation, VA Boston Healthcare System and Edith Nourse Rogers Memorial VA Medical Center, Bedford, MA (B.G.B., N.R.K.); Department of Health Policy and Management, Boston University School of Public Health, Boston, MA (B.G.B.); and Section of General Internal Medicine, Boston University School of Medicine, Boston, MA (N.R.K.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nancy R.","family":"Kressin","sequence":"additional","affiliation":[{"name":"From the Center for Healthcare Organization and Implementation Research (CHOIR)-VA HSR&amp;D Center of Innovation, VA Boston Healthcare System and Edith Nourse Rogers Memorial VA Medical Center, Bedford, MA (B.G.B., N.R.K.); Department of Health Policy and Management, Boston University School of Public Health, Boston, MA (B.G.B.); and Section of General Internal Medicine, Boston University School of Medicine, Boston, MA (N.R.K.)."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-012-2141-2"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1037\/0278-6133.27.3.320"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e3953"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e31828124ad"},{"key":"e_1_3_4_6_2","article-title":"Interventions used to improve control of blood pressure in patients with hypertension.","volume":"3","author":"Glynn LG","year":"2010","unstructured":"Glynn LG, Murphy AW, Smith SM, Schroeder K, Fahey T. 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Original reports: cardiovascular disease and risk factors\u2014ascribing meaning to hypertension: a qualitative study among African Americans with uncontrolled hypertension. Ethn Dis. 2007;17:29\u201334.","journal-title":"Ethn Dis"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1037\/0278-6133.4.2.115"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1093\/ajh\/5.11.787"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-94-010-9180-0_11"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.109.860841"},{"key":"e_1_3_4_18_2","volume-title":"The Sixth and Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure","author":"National Heart, Lung, and Blood Institute","year":"2013","unstructured":"National Heart, Lung, and Blood Institute. 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