Psychological correlates of coronary heart disease

1985 ◽  
Vol 15 (3) ◽  
pp. 581-588 ◽  
Author(s):  
Christopher C. Tennant ◽  
Pauline M. Langeluddecke

SynopsisThe Type A behaviour pattern and other measures of psychological traits and symptom states were assessed in 92 subjects (predominantly male) presenting for coronary angiography. These measures were correlated with three angiographic indices of coronary heart disease (CHD) severity and two clinical indices (angina and the duration of CHD). The only psychological measures associated with atherosclerosis (assessed by angiography) were indices of personality: Type A (the Jenkins Activity Survey), trait tension, trait anxiety and suppression of anger. It was concluded that these traits may have some role in the pathogenesis of coronary atherosclerosis. None of the measures of psychological symptoms showed a significant association with angiography indices. However, depressive symptoms and expressed hostility were associated with the severity of angina and duration of heart disease. It was concluded that these affects are the consequences of the physical disability of CHD.

1996 ◽  
Vol 26 (1) ◽  
pp. 29-34 ◽  
Author(s):  
Timothy A. Barry ◽  
Douglas R. Wassenaar

This study investigated the relationship between coronary heart disease and a number of established coronary risk factors among Indian males. Included were factors such as Type A behaviour pattern (sometimes referred to as the coronary-prone behaviour pattern). The study investigated whether the following coronary risk factors were able to distinguish those with myocardial infarction from controls: Type A behaviour pattern, stress levels, anger levels, diabetes, previous coronary heart disease, hypertension, obesity, family history of coronary heart disease, physical exercise, cigarette smoking and alcohol consumption. Statistical analysis indicated that none of the risk factors, except Type A behaviour pattern, were able to significantly distinguish the myocardial infarction group from controls.


1993 ◽  
Vol 23 (3) ◽  
pp. 134-144 ◽  
Author(s):  
D.J.W. Strümpfer

Jenkins Activity Survey (JAS) data on samples of executives are reviewed first, followed by data on non-executive samples. A strong possibility exists of an unusually high incidence of the Type A behaviour pattern, as measured by the JAS Type A scale, among white managers in business and industries characterized by a strong marketing orientation and in occupations characterized by fast, personalized feedback on performance. Afrikaans speakers tended to obtain higher mean Type A scores than English speakers, in some cases significantly so. Patterns of scores on the Factor S, J and H scales suggest that the high Type A scores do not necessarily imply a high risk for coronary heart disease. However, the possibility of other ill-health as a consequence should be considered.


1994 ◽  
Vol 28 (2) ◽  
pp. 298-301 ◽  
Author(s):  
Michelle Atchison ◽  
John Condon

This paper describes further validation of the Spouse-Report Type A Behaviour Pattern Questionnaire. In a case controlled study of 61 cardiac patients versus 61 community controls, the questionnaire was found to discriminate statistically between a group of patients with proven coronary heart disease and a group of matched healthy controls on the anger/hostility subscale and total Type A score. No relationship between Type A score and coronary heart disease severity was found. Possible explanations for these findings are examined.


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