Attitudinal and behavioral correlates of coronary heart disease

Young, Laurens D.; Barboriak, Joseph J.; Anderson, Alfred A.; Hoffman, Raymond G.

doi:10.1016/0022-3999(80)90022-7

Cited by 25 publications

(7 citation statements)

References 14 publications

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“…The extent of CAD was positively correlated with both the Jenkins Activity Survey (JAS) (9) and by structured interview assessments of behavior type (10)(11)(12). However, three studies (11,13,14) found no link between JAS assessments and angiographic findings, one study found no relationship between their own self-report questionnaire measure and CAD (15), and two recent studies also found no relationship between structured interview assessments and angiographic findings (14,16).…”

mentioning

confidence: 93%

Type A Behavior, Self-Involvement, and Coronary Atherosclerosis

Scherwitz

Mckelvain

Laman

et al. 1983

Psychosomatic Medicine

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Prior to coronary angiography, 150 men were assessed for Type A behavior using the structured interview and two questionnaire measures. The results show no relationship between Type A behavior and extent of coronary artery disease (CAD). A second finding is that the number of self-references (I, me, my) derived from speech in the structured interview correlated positively with the number of previous myocardial infarctions and the extent of CAD; self-references correlated negatively with time on the treadmill and catheterization ejection fraction. Multiple regression analyses show self-references to remain a significant correlate of extent of disease when controlled for age, blood pressure, cholesterol, and Type A behavior.

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mentioning

confidence: 93%

Type A Behavior, Self-Involvement, and Coronary Atherosclerosis

Scherwitz

Mckelvain

Laman

et al. 1983

Psychosomatic Medicine

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“…The questionnaire is a large composite of over 500 items that are important to the risk of coronary heart disease including demographic data, diet, daily activity, work, general emotional state and state of health [10]. All patients entering the study had been scheduled for coronary arteriography.…”

Section: Methodsmentioning

confidence: 99%

“…Neurotic traits were assessed on the basis of 20 true false items which have been used to measure neuroticism in previous studies [10], The neurotic trait scale has been statistically vali dated against a generally accepted clinical instrument, the Hopkins Symptom Checklist [14], Finally, assess ment of eating habits, work-related behavior and All variables except the scales for coronary occlu sion, coronary-prone attitudes and neurotic attitudes were scored dichotomously and expressed as group proportions. Separate analyses were made for patients less than 55 years and 55 or more years of age.…”

Section: -mentioning

confidence: 99%

Chest Pain and Behavior in Suspected Coronary Artery Disease

Young¹,

Barboriak

Anderson

1988

Cardiology

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This study assessed behavioral activity, dietary and emotional variables among patient cohorts with angina pectoris, atypical chest pain, and no chest pain in whom coronary disease is suspected. Questionnaire responses of 3,899 employed male patients at the time of coronary arteriography were analyzed. Patients with angina pectoris had high levels of coronary-prone and neurotic attitudes, and fatigue variables including feeling unrested on awakening, easy fatiguability, reducing activity at work and arriving home tired. Atypical chest pain patients showed coronary-prone and neurotic attitudes similar to the angina pectoris group but had less coronary occlusion and lower levels of fatigue variables. Compared to the other groups, atypical chest pain patients were more likely to skip breakfast and showed a trend to eat fast. These findings suggest that including assessment of activity levels, fatiguability, eating behavior, neurotic traits and coronary-prone attitudes at time of coronary arteriography can have some limited value for patients with chest pain who may seek cardiac treatment but could benefit from alternative approaches.

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“…Type A behaviour may result in transient increases in blood pressure, excessive demands on cardiac output, and cardiac ischaemia (angina) in those with some degree of coronary artery disease. Preliminary evidence, for example reported by Young et al (1980), indicates a closer relation between type A behaviour and a history of angina than with atherosclerosis.…”

Section: Commentmentioning

confidence: 87%

Type A Behaviours and Heart Disease: Epidemiological and Experimental Foundations

Bennett

1990

Behavioural Neurology

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This paper critically examines three strands of evidence that concern the relationship between type A behaviours and coronary heart disease; prospective epidemiological studies of healthy populations, studies of those at high risk for coronary heart disease, and angiographic studies of atherosclerosis. The first of these would seem to provide the strongest test. Methodological and conceptual issues mean that the results of studies using the other methods should be interpreted with care. It is concluded that there is relatively strong evidence of an association between Type A behaviour as measured by Structured Interview and coronary heart disease. Hostility and anger appear to be the most powerful determinants of CHD. However, it is likely that they interact with other type A behaviours and related environmental factors in determining risk.

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Attitudinal and behavioral correlates of coronary heart disease

Cited by 25 publications

References 14 publications

Type A Behavior, Self-Involvement, and Coronary Atherosclerosis

Type A Behavior, Self-Involvement, and Coronary Atherosclerosis

Chest Pain and Behavior in Suspected Coronary Artery Disease

Type A Behaviours and Heart Disease: Epidemiological and Experimental Foundations

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