Components of Type A, hostility, and anger-in: Further relationships to angiographic findings.

Abstract

In a previous study of patients undergoing angiography at Duke University Medical Center, we reported that of all components of the Type A behavior pattern (TABP), only Potential for Hostility and Anger-In were significantly associated with extent of coronary artery disease (CAD). The present study was undertaken to replicate these findings using a different patient population. Tape-recorded structured interviews from 125 angiography patients at Massachusetts General Hospital were blind scored using the component scoring system employed in the Duke study. The results confirmed our previous findings. Global TABP was completely unrelated to extent of CAD, while Potential for Hostility and Anger-In were significant independent predictors of disease severity. These findings argue for a reconceptualization of the manner in which the TABP is defined and assessed.

Anger and denial as predictors of cardiovascular reactivity in women

“…Later studies however have found that the hostility/anger items of the Type A/B scales both differentiate between these personality types (Rosenman, Rahe, Borhani, & Feinleib, 1976;Chesney, Black, Chadwick, & Rosenman, 1981) Dembroski, Dimsdale and Hackett (1985) found that Global TABP (substantially correlated with explosiveness of speech, rapid-acce1erated speech and response latency) was completely unrelated to the severity of coronary artery disease. In this study, anger-in was the strongest predictor of CHD, and these results were consistent with an earlier study (Dembroski et al, 1985) in which potential for CHD was predictive only for those individuals who did notexpress their hostility openly. Anger-in was also found to be predictive of the incidence of CHD morbidity and mortality in both men and women in the Framingham population (Haynes et al, 1980).…”

The care of patients with ischaemic heart disease from a gender perspective

“…Tests showed that, above all, hostility and anger were components that were significantly related to cardiovascular disease in both sexes [29] . These findings, however, must be interpreted cautiously as many of the studies are methodologically weak.…”

Tramiento cognitivo-conductual para enfermos cardiovasculares

“…Aunque para ser más exactos, deberíamos hablar del componente irahostilidad del PCTA (Barefoot et al, 1983;Dembroski et al, 1989;Hecker, Chesney, Black, & Frautschi, 1988;King, 1997;MacDougall, Dembroski, Dimsdale, & Hackett, 1985;Richter et al, 2011;Shekelle et al, 1983;Williams et al, 1980). En general, existe una gran confusión entre los términos ira y hostilidad, siendo éstos en ocasiones empleados como sinónimos, sin serlo; en el siguiente apartado, se detallará más a este respecto.…”

“…A grandes rasgos, los resultados obtenidos con este tipo de trabajos siguen la misma tónica que acabamos de comentar. Esto es, existe una variedad de estudios en los que se encuentra una relación positiva entre la hostilidad y el grado de oclusión coronaria (Arrowood, Uhirich, Gomillion, Popio, & Raft, 1982;MacDougall et al, 1985;Williams et al, 1980).…”

“…En lo referente a la Hostilidad, como ya hemos expuesto anteriormente, ésta ha sido considerada como el componente tóxico del PCTA (Barefoot et al, 1983;Dembroski et al, 1989;Hecker et al, 1988;MacDougall et al, 1985;Shekelle et al, 1983;Siegman, 1994), de tal suerte que se puede plantear que es la única variable perteneciente al amplio constructo denominado PCTA que predice el riesgo de padecer algún tipo de alteraciones cardiovasculares . En este contexto, el apoyo social modularía la relación existente entre la hostilidad y el mecanismo psicofisiológico, la reactividad cardiovascular.…”