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Cobos B, Haskard-Zolnierek K, Howard K. White coat hypertension: improving the patient-health care practitioner relationship. Psychol Res Behav Manag. 2015;8:133-41doi: 10.2147/PRBM.S61192.
Cobos, B., Haskard-Zolnierek, K., & Howard, K. (2015). White coat hypertension: improving the patient-health care practitioner relationship. Psychology research and behavior management, 8133-41. https://doi.org/10.2147/PRBM.S61192
Cobos, Briana, et al. "White coat hypertension: improving the patient-health care practitioner relationship." Psychology research and behavior management vol. 8 (2015): 133-41. doi: https://doi.org/10.2147/PRBM.S61192
Cobos B, Haskard-Zolnierek K, Howard K. White coat hypertension: improving the patient-health care practitioner relationship. Psychol Res Behav Manag. 2015 May 02;8:133-41. doi: 10.2147/PRBM.S61192. eCollection 2015. PMID: 25999772; PMCID: PMC4427265.
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Psychol Res Behav Manag. 2015 May 02;8:133-41. doi: 10.2147/PRBM.S61192. eCollection 2015.

White coat hypertension: improving the patient-health care practitioner relationship.

Psychology research and behavior management

Briana Cobos, Kelly Haskard-Zolnierek, Krista Howard

Affiliations

  1. Department of Psychology, Texas State University, San Marcos, TX, USA.

PMID: 25999772 PMCID: PMC4427265 DOI: 10.2147/PRBM.S61192

Abstract

White coat hypertension is characterized by the variability of a patient's blood pressure measurements between the physician's office and the patient's home environment. A patient with white coat hypertension has high blood pressure levels in the physician's office and normal blood pressure levels in their typical environment. This condition is likely caused by the patient's anxiety within the physician's office and in the presence of the physician. Research has shown that improving the relationship between a patient and their health care provider can decrease the patient's anxiety, with the implication of decreasing the patient's likelihood of demonstrating white coat hypertension. This review provides an overview of the previous literature regarding white coat hypertension, its prevalence, and the consequences for those who develop persistent hypertension. Furthermore, this review discusses the implications of improving patient and health care provider interactions through effective communication, empathy, and trust, as well as the implications for future research studies in improving the patient and health care provider's relationship.

Keywords: anxiety; health care professional–patient relationship; physician–patient communication; white coat hypertension

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