Type A behavior and illness in general

Woods, Paul J.; Burns, Jane S.

doi:10.1007/bf00845273

Cited by 48 publications

(20 citation statements)

References 3 publications

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“…While the role of type A behaviour in cardiac diseases has been the object of a large body of literature, its occurrence in the setting of other medical conditions has been virtually neglected. Few preliminary data suggested a possible involvement of type A behaviour in some non-cardiac diseases (12)(13)(14)(15)(16)(17)(18)(19)(20). However, the lack of a systematic comparison between type A behaviour as observed in cardiology settings and in other medical environments does not allow to infer whether such characteristics are specific or not to cardiovascular diseases.…”

Section: S Umma Rymentioning

confidence: 99%

Type A behaviour: a reappraisal of its characteristics in cardiovascular disease

Sirri¹,

Fava²,

Guidi³

et al. 2012

International Journal of Clinical Practice

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Summary Aims: The role of type A behaviour in cardiovascular disease is controversial and most of the research is based on self‐rating scales. The aim of this study was to assess the prevalence of type A behaviour in cardiology and in other medical settings using reliable interview methods that reflect its original description. Methods: A sample of 1398 consecutive medical patients (198 with heart transplantation, 153 with a myocardial infarction, 190 with functional gastrointestinal disorders, 104 with cancer, 545 with skin disorders and 208 referred for psychiatric consultation) was administered the Structured Clinical Interview for the DSM‐IV and the Structured Interview for the Diagnostic Criteria for Psychosomatic Research (DCPR) which identifies 12 clusters, including type A behaviour. Results: A cardiac condition was present in 366 patients. There was a significant difference in the prevalence of type A behaviour in cardiovascular disease (36.1%) compared with other medical disorders (10.8%). Type A behaviour frequently occurred together with psychiatric and psychosomatic disturbances, particularly irritable mood, even though in the majority of cases it was not associated with DSM‐IV diagnoses. Among cardiac patients, those with type A behaviour were less depressed, demoralised and worried about their illness. Conclusions: Type A behaviour was found to occur in about a third of cases of patients with cardiovascular disease. Only in a limited number of cases was it associated with depression. It has a lifestyle connotation that may have important clinical consequences as to stress vulnerability and illness behaviour.

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Section: S Umma Rymentioning

confidence: 99%

Type A behaviour: a reappraisal of its characteristics in cardiovascular disease

Sirri¹,

Fava²,

Guidi³

et al. 2012

International Journal of Clinical Practice

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“…Es evidente que la excesiva activación dei proceso de estrés, particularmente cuando esta es frecuente, intensa y con larga recuperación, puede ser considerada como un factor de predisposición para distintos sintomas en el grupo de mujeres Tipo A. Esta afirmación coincide con las conclusiones de diversos autores (Dinning & Guptill, 1992;Eagleston, Kirmil-Gray, Thoresen, Wiedenfeld, Bracke, Heft & Arnow, 1985;Kobasa, Maddi & Zola, 1983;Mayes, Sime & Ganster, 1984;Nowack, 1986;Suls, 1979;Thomas, 1995;Woods & Burns, 1984), en las que se plantea que la mayor incidência de sintomatologia diversa en los indivíduos Tipo A es un reflejo probable de la mayor vulnerabilidad de estas personas para sufrir trastornos variados, encontrándose estas dos características estrechamente vinculadas a la excesiva activación y reactividad cardiovasculares. Consiguientemente, es lógico encontrar que Ias personas Tipo A sean más propensas que Ias Tipo B a sufrir diversos sintomas psicológicos y fisiológi-cos.…”

Section: Discussionunclassified

“…Si bien es cierto que existe abundante investigación sobre este tema (Woods & Burns, 1984), esta arroja resultados muy dispares. Así, mientras que algunos autores no encuentran diferencias entre los individuos Tipo A y los individuos Tipo B en cuanto a sintomas como ansiedad, depresión o trastornos somáticos (Bryant & Yarnold, 1990), otros encuentran que los individuos Tipo A sufren una mayor incidência sintomatológica (fisiológica y psicológica) que los individuos Tipo B (Kuiper & Martin, 1989).…”

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“…Igualmente, en los últimos anos, algunos estúdios se han centrado en la población femenina, considerando que podría haber diferencias importantes en función dei sexo, aspecto que justificaria el estúdio individualizado de ambas poblaciones. Así, podemos observar que existe investigación que pone de manifiesto que Ias mujeres Tipo A sufren más enfermedades en general y, en particular, enfermedades coronarias (Thomas, 1995) que Ias mujeres Tipo B. Por lo que se refiere a otro tipo de trastornos, cuando se utilizan muestras de mujeres, existe copiosa investigación que se centra en la incidência dei PCTA en la sintomatologia premenstrual, tanto física como psíquica (Dinning & Guptill, 1992;Hicks,01sen&Smith-Robinson, 1986;Woods & Burns, 1984), pudiéndose apreciar una mayor tendência a la experiência de sintomas diversos por parte de Ias mujeres Tipo A.…”

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Tasa cardíaca y síntomatología en mujeres con infarto de miocardio

Palmero¹,

Breva²,

Díez³

2000

Paidéia (Ribeirão Preto)

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RESUMEN:En el presente trabajo se intenta establecer si alguno de los componentes dei clásico Patrón de Conducta Tipo A (PCTA) puede seguir siendo utilizado con alguna credibilidad a la hora de localizar el eventual riesgo de trastomo coronario. La muestra estuvo conformada por mujeres que habían sufrido un infarto de miocardio. Utilizando el Factor S del Jenkins Activity Survey, se formaron dos grupos de mujeres: con alta y baja puntuación. A todas se les registro la tasa cardíaca durante una prueba de esfuerzo, midiendo, además, la incidência sintomatológica diversa a lo largo de tres meses tras la alta en el Hospital. Nuestros resultados nos permiten sugerir que el Factor S del JAS, que mide prisa e impaciência, parece un critério apropiado para investigar el riesgo de enfermedad coronaria. Así, Ias mujeres que puntuaron alto en este factor mostraban perfiles psicofisiológicos específicos cartacterizados por la lenta recuperación tras la tarea o fase de esfuerzo. Además, estas mujeres experimentaron una mayor incidência de sintomas psicológicos. Se discute que Ias mujeres Tipo A parecen encontrarse más sensibilizadas en la percepción de Ias situaciones de estrés, y sus conseqüências.Palabras clave: enfermedad coronaria, emociones, tasa cardíaca, experiência sintomatológica CARDIAC RATE AND SYMPTOM IN WOMEN WITH INFARCTABSTRACT: The present work tries to settle down if some of the components of Type A Behavior Pattern (TABP) can be used with some credibility to locate an eventual risk of coronary dysfunction. The sample was composed by women that had suffered a myocardial infarct. Using the S Factor of the Jenkins Activity Survey, two groups of women were formed: with high and low score. To all these women the heart rate during a test of effort was measured, and also, the incidence of diverse symptoms along three months after the hospital depart. Our results allow us to suggest that the Factor S of the JAS, which measures speed and impatience, seems an appropriate approach to investigate the risk of coronary illness. So, the women that punctuated high in this factor showed specific psychophysiological profiles, in which a slow recovery after the effort phase was observed. Also, these women experienced a higher incidence of psychological symptoms. This fact makes us suggest that Type A women seem to be more sensitive in the perception of the stress situations.Key words: coronary illness, emotions, heart rate, symptoms experience La sociedad actual presenta una enorme variedad de situaciones estresantes a las que se deben enfrentar diariamente los ciudadanos. Estas situaciones pueden llegar a provocar reacciones fisiológicas excesivamente intensas y prolongadas, haciendo que algunos indivíduos sean más propensos que otros a reaccionar de forma desadaptativa a tales desafios y, consecuentemente, a sufrir los efectos 1 Artigo recebido para publicação em 11/00; aceito em 06/01 2 Endereço para correspondência: Francesc Palmero, Departamento de Psicologia Básica, Clínica y Psicobiologia, Universitat Jaume 1,12080, Ca...

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“…But symptoms commonly recognized as having psychological components in their aetiology (e.g. indigestion, colitis, diarrhoea) were reported much more frequently by young Type A than by young Type B subjects (Woods & Burns, 1984). Other studies which focused on diseases or symptoms with important psychogenic components yielded data in the same direction.…”

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confidence: 94%

Type A behaviour pattern: Specific coronary risk factor or general disease‐prone condition?*

Rimé¹,

Ucros²,

Bestgen³

et al. 1989

British Journal of Medical Psychology

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While the association between Type A behaviour pattern and coronary heart disease (CHD) has been abundantly investigated, the question of the specificity of this association remains virtually unexplored. The present study addressed this question by examining, in a sample of 1949 male and female adults, the relationship between JAS Type A measurement and self-reported diseases (i.e. CHD, scarlatina, rheumatoid arthritis, asthma, diseases of the liver, diseases of the gall-bladder, thyroid troubles, tuberculosis, peptic ulcer, renal disease, hypertension and diabetes). Type A subjects were found to report not only more CHD, but also more peptic ulcers, thyroid problems, asthma and rheumatoid arthritis. Globally, more Type A than Type B subjects reported having been ill, and the average number of reported diseases per person was higher among Type As than among Type Bs. These results were obtained in spite of the fact that Type A subjects in this study were markedly younger than Type Bs, and in spite of the empirically based reputation of the former to be symptom deniers rather than symptom reporters. Overall, the data supported the view that Type A behaviour pattern is a general disease-prone condition rather than merely a specific coronary risk factor.

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Type A behavior and illness in general

Cited by 48 publications

References 3 publications

Type A behaviour: a reappraisal of its characteristics in cardiovascular disease

Type A behaviour: a reappraisal of its characteristics in cardiovascular disease

Tasa cardíaca y síntomatología en mujeres con infarto de miocardio

Type A behaviour pattern: Specific coronary risk factor or general disease‐prone condition?*

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