By Richard J. Brand (auth.), Theodore M. Dembroski Ph.D., Stephen M. Weiss Ph.D., Jim L. Shields Ph.D., Suzanne G. Haynes Ph.D., Manning Feinleib M.D., Dr. P.H. (eds.)
Almost 20 years in the past, Drs. Meyer Friedman and Ray Rosenman de veloped the concept that of the kind A coronary-prone habit trend and pioneered study within the quarter. considering then, a lot attempt has been dedicated to investigating either clinical and psychosocial implications of this phenomenon by means of a magnificent array of biomedical and behavioral scientists. at the foundation of the nationwide center, Lung, and Blood Institute's (NHLBI) contemporary Congressional mandate pertaining to sickness prevention and keep watch over, the department of center and Vascular ailments undertook a radical evaluate of the prevailing literature during this zone. The overview underscored that the very nature of the idea that of coronary-prone habit calls for exam by means of researchers from numerous disciplines. e-book of findings in either the scientific and behavioral literature, although, has created problems in gaining a really com prehensive figuring out of the entire attempt during this zone. It turned visible that there has been no coherent integration of data in regards to the power of the organization among behaviors and ailment tactics (or outcomes), how be havioral elements linked to heart ailment have been measured, the potential physiological mechanisms mediating the connection among be havior and disorder, no matter if intervention might be potent, and what varieties of intervention seemed such a lot promising. briefly, a transparent desire existed to or ganize this knowledge in a extra coherent type in order that it may be subjected to severe assessment by means of individuals of either the clinical and behavioral medical communities.
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Additional info for Coronary-Prone Behavior
02 A, Type A Scale; S. Speed-Impatience Scale; J, Job Involvement Scale; H, Hard-driving Scale. 001 (two-tailed) a factors and JAS Type A, found the Type A score positively though weakly related only to one risk factor-cigarette smoking. 31), but not with age, cholesterol, or serum uric acid levels. Thus, in the majority of studies measuring both JAS Type A and standard CHD risk factors, it was found that the Type A score remained consistently uncorrelated with these CHD risk measures. These findings, then, argue that the behavior pattern is an added risk factor, independent of the standard risk factors commonly studied.
L Its observed relationships to various cardiovascular endpoints, including myocardial infarction (MI), recurrent infarction, and atherosclerosis (as determined by coronary angiography), will be stressed, as well as its relationships to a variety of demographic indices. The strengths and weaknesses of the Structured Interview, the Bortner scale, and other methods for assessing the behavior pattern will be covered by other sections within this volume. Similarly, the three-factor analytically-derived scales of the JAS, which are related to the coronary-prone behavior pattern but are independent of each other, will also not be considered in this report.
Multiple variable discriminant function equations showed the Type A score to be the single strongest predictor of recurrent CHD among the variables tested. Furthermore, Type A scores significantly discriminated recurrent from single event cases, even after the variables of age, diastolic blood pressure, cholesterol, and number of cigarettes were controlled statistically in a step-wise regression analysis. Finally, a comparison of the magnitude of differences of Type A scores for these clinical groups suggests that scores on the JAS Type A scale distinguish even more effectively between recurrent and single event groups than between the single event and the CHD-free population.
Coronary-Prone Behavior by Richard J. Brand (auth.), Theodore M. Dembroski Ph.D., Stephen M. Weiss Ph.D., Jim L. Shields Ph.D., Suzanne G. Haynes Ph.D., Manning Feinleib M.D., Dr. P.H. (eds.)