Components of the type A coronary-prone behavior pattern and cardiovascular responses to psychomotor performance challenge

Dembroski, Théodore M.; MacDougall, James M.; Shields, J. L.; Petitto, John M.; Lushene, Robert E.

doi:10.1007/bf00846637

Cited by 280 publications

(124 citation statements)

References 20 publications

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“…Though there was no significant difference between the two groups, on average HR, blood pressure, and L/H ratio as the index for the sympathetic activity indicated significant higher values for TABP group than Type B group both during resting and task periods. This study suggests that the sympathetic nervous system is dominant for TABP individuals (Dembroski et al, 1978). Additionally, more recent studies suggest that the reduced function of the parasympathetic nervous system are related to cardiovascular disease (Hayano et al, 1990a;Martin et al, 1987).…”

Section: Discussionmentioning

confidence: 58%

“…For example, blood pressure (Dombroski et al, 1982;Lacy and Lacy, 1970) and the concentration of plasma epinephrine (William et al, 1982) in TABP individuals were found to be greater than that of Type B during stress conditions. It has been generally accepted that greater stress responses, particularly in the sympathetic nervous system, are observed in TABP individuals than in Type B individuals (Dembroski et al, 1978;Glass et al, 1980).…”

Section: Introductionmentioning

confidence: 99%

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Individual Differences in Physiological Responses and Type A Behavior Pattern.

Oishi

Kamimura²,

Nigorikawa

et al. 1999

Appl Human Sci

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Abstract.The relationships between individual differences in psychophysiological responses and tendency of Type A behavior pattern (TABP) were investigated during mental arithmetic (MA) at a steady rhythm, challenging calculation (Uchida-Kraepelin serial addition test: UK test), music listening, and exposure to an 80 dB SPL of white noise. Each mental task was sustained for 5 minutes. Sixteen healthy Japanese adults, (10 males and 6 females) with an age from 18 to 36 years old volunteered for this study. The KG's Daily Life Questionnaire (KG Questionnaire) was used to investigate the tendency toward TABP, which included three sub-factors: aggression-hostility, hard-driving and time urgency, and speed-power items. Recorded physiological variables were respiratory rate (RR), skin resistance response (SRR), eyeblinks, and heart rate (HR) calculated using frequency analysis to render high frequency power (HF) and the ratio of low/high frequencies (L/H ratio). During the MA and UK tests, significant increases in HR, L/H ratio, RR occurred, while significant decreases in HF were observed. Eyeblinks significantly increased during the MA test and significantly decreased during the UK test. During music and white noise, no significant changes occurred except for SRR, which decreased significantly. The coefficient of variances in each response was over 20% for almost all variables, indicating that individual differences in the magnitude of each response were large, even if the direction (increase or decrease) of the change was the same in almost all subjects. The highest correlation coefficients (r) between the mean values of relative magnitude for each variable and TABP scores during the MA and UK tests were obtained for the L/H ratio (MA: r=0.591, UK test: r=0.577) and the RR (MA: r= 0.576, UK test: r= 0.511). These values were statistically significant (p<0.05). Similar results were obtained for TABP sub-factors. Though other investigations have reported relationships between HF and TABP, we found no significant relationship. It was suggested that sympathetic nerve activity became greater for TABP individuals than for Type B individuals under stress conditions.

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Section: Discussionmentioning

confidence: 58%

Section: Introductionmentioning

confidence: 99%

Individual Differences in Physiological Responses and Type A Behavior Pattern.

Oishi

Kamimura²,

Nigorikawa

et al. 1999

Appl Human Sci

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“…Thus, nausea and vomiting can be a concomitant of state anxiety. Furthermore, since individual differences exist in physiological response to stress (28)(29)(30), it is presumed that some individuals are more prone than others to experience gastrointestinal distress under stressful conditions.…”

Section: Psychophysiology Of Nausea and Vomitingmentioning

confidence: 99%

The role of anxiety in the development of anticipatory nausea in cancer chemotherapy: a review and synthesis.

Andrykowski

1990

Psychosomatic Medicine

101

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The role of state anxiety in the development of anticipatory nausea and vomiting (ANV) in cancer chemotherapy has been the focus of considerable empirical investigation and theoretical speculation. However, while some relationship between state anxiety and ANV is presumed to exist, determination of its precise nature has proven elusive. Specific hypotheses linking state anxiety to ANV are described and evaluated in light of the empirical evidence. These hypotheses include (a) ANV is a symptomatic concomitant of state anxiety; (b) state anxiety directly facilitates the classical conditioning of ANV; (c) state anxiety exacerbates the magnitude of post-treatment nausea and vomiting experienced, thus increasing the risk of ANV; (d) ANV causes infusion-related state anxiety; and (e) the observed relationship between ANV and state anxiety is a result of methodological artifact. It is concluded that state anxiety can play a causal role in the development of ANV in some patients. In particular, the hypothesis that state anxiety exacerbates post-treatment nausea and vomiting and thus increases the risk for ANV appears best supported by the data. Finally, the clinical implications of the relationship between ANV and state anxiety for the treatment and prevention of ANV are discussed.

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“…We previously showed that type A personality, a coronary-prone character, is more common among hypertensive men than hypertensive women (9). Type A behavior is well known to be characterized by greater reactivity of cardiovascular systems in response to psychosocial stress (13).…”

Section: Discussionmentioning

confidence: 99%

Clinical Signicance of Blood Pressure Response Triggered by a Doctor's Visit in Patients with Essential Hypertension.

et al. 2002

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The clinical significance of the pressor response triggered by blood pressure measurement, the so-called "white-coat effect," was studied in relation to left ventricular structure and function in patients with essential hypertension. We studied 75 consecutive, never-before treated patients with essential hypertension (54 2 (SE) years; 31 men). Beat-to-beat blood pressure (Finapres) was monitored at rest, during conventional blood pressure measurement by a doctor, and during a mental stress test physicians must play close attention. In the clinical setting, the pressor response also impinges on treatment in other ways. Blood pressure reactivity to stress has been reported to be associated with a greater cardiovascular risk in men (2) and to be predictive of hypertension (3) and carotid atherosclerosis in post-menopausal women (4). However, it is not clear whether the pressor response triggered by taking a patient's BP has clinical relevance. The clinic-ambulatory dif-

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Components of the type A coronary-prone behavior pattern and cardiovascular responses to psychomotor performance challenge

Cited by 280 publications

References 20 publications

Individual Differences in Physiological Responses and Type A Behavior Pattern.

Individual Differences in Physiological Responses and Type A Behavior Pattern.

The role of anxiety in the development of anticipatory nausea in cancer chemotherapy: a review and synthesis.

Clinical Signicance of Blood Pressure Response Triggered by a Doctor's Visit in Patients with Essential Hypertension.

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