We studied 1035 consecutive postinfarction patients to determine the feasibility of altering type A behavior and the effect such alteration might have on subsequent rates of infarction and cardiovascular death. Approximately 300 subjects were enrolled in small groups and primarily received cardiologic counseling on the usually accepted coronary risk factors. Six hundred subjects received, in addition to cardiologic counseling, advice and instructions designed to diminish the intensity of their type A behavior. The remaining subjects, serving as controls, received no counseling, but were examined and interviewed annually, as were those who dropped out of counseling groups. More than 98% of the 1035 subjects exhibited moderate-to-severe type A behavior during a videotaped structured interview. After the first year of this 5-year study, the rates of infarction and cardiovascular death were lower (p less than 0.01 and p less than 0.05, respectively) among subjects who received both cardiologic and behavioral counseling than among the control subjects. The rate of nonfatal infarction was lower (p less than 0.05) among subjects who received behavioral counseling than among those who received only cardiologic counseling or those who d...Continue Reading
The relationship of psychosocial factors to coronary heart disease in the Framingham study. II. Prevalence of coronary heart disease
Medical progress. Recent evidence supporting psychologic and social risk factors for coronary disease (first of two parts)
Competitive drive, pattern A, and coronary heart disease: a further analysis of some data from the Western Collaborative Group Study
The pathogenesis of neurogenic hypercholesterolemia. IV. Abnormal metabolism of chylomicronous cholesterol
Coronary heart disease in the Western Collaborative Group Study. A follow-up experience of 4 and one-half years
The relationship of behavior pattern A to the state of the coronary vasculature. A study of fifty-one autopsy subjects
Behavior patterns and personality characteristics related to prevalence rates of coronary heart disease in American monks
The relationship of psychosocial factors to coronary heart disease in the Framingham Study. III. Eight-year incidence of coronary heart disease
Association of specific overt behavior pattern with blood and cardiovascular findings; blood cholesterol level, blood clotting time, incidence of arcus senilis, and clinical coronary artery disease
Excretion of catecholamines, 17-ketosteroids, 17-hydroxycorticoids and 5-hydroxyindole in men exhibiting a particular behavior pattern (A) associated with high incidence of clinical coronary artery disease
EFFECT OF UNSATURATED FATS UPON LIPEMIA AND CONJUNCTIVAL CIRCULATION. A STUDY OF CORONARY-PRONE (PATTERN A) MEN
Relaxation, reduction in angry articulated thoughts, and improvements in borderline hypertension and heart rate
Contingent and non-contingent biofeedback training for Type A and B healthy adults: can Type As relax by competing?
Risk factor modification through nonpharmacological interventions in patients with coronary heart disease
Type A behavior intervention in primary health care reduces hostility and time pressure: a study in Sweden
Can the premises of the spasm of resistance vessel concept permit improvement in the treatment and prevention of ischemic heart disease?
Influence of psychosocial factors and biopsychosocial interventions on outcomes after myocardial infarction
Optimism, cynical hostility, and incident coronary heart disease and mortality in the Women's Health Initiative
Psychological interventions for coronary heart disease: cochrane systematic review and meta-analysis
Measurement of the Type A behavior pattern in adolescents and young adults: cross-cultural development of AATAB
A pathogenetic mechanism for COX-2 inhibitor-induced cardiovascular events proposed to be useful in structuring medical testimony in rofecoxib trials
Effects of a stress management program on vital exhaustion and depression in women with coronary heart disease: a randomized controlled intervention study
Probable superiority of behavioral interventions--II: Empirical status of the equivalence of therapies hypothesis
Effect of discontinuance of type A behavioral counseling on type A behavior and cardiac recurrence rate of post myocardial infarction patients
Alteration of type A behavior and its effect on cardiac recurrences in post myocardial infarction patients: summary results of the recurrent coronary prevention project
A new system for classification of cardiac death as arrhythmic, ischemic, or due to myocardial pump failure
Affect cognizance and the type A behavior pattern: labeling, cognitive effort or phenomenological loss?
Intervention for the prevention and control of hypertension and atherosclerotic diseases: United States and international experience
Dietary advice given by a dietitian versus other health professional or self-help resources to reduce blood cholesterol
Discover the latest cardiology research in this collection of the top cardiology journals.