PMID: 12764205May 24, 2003Paper

Is type A behavior really a trigger for coronary heart disease events?

Psychosomatic Medicine
John E J GallacherStephen A Stansfeld

Abstract

The purpose of this study was to compare chronic with acute mechanisms by which Type A might predict incident coronary heart disease (CHD). The study included 2394 men aged 50 to 64 years who were assessed for CHD, Type A behavior, and CHD risk factors. Type A was assessed using the Jenkins Activity Survey (JAS), the Bortner scale, and the Framingham scale. Further examinations were completed at 5 and 9 years for incident CHD. After 9 years, there was no increased risk of CHD associated with any Type A score. Nevertheless, high Bortner scores were associated with increased risk of incident CHD at 5 years and high JAS and Bortner scores were associated with a decreased risk between 5 and 9 years. Further analysis of Type A scores on time to first coronary event found strong inverse associations for all type A scores (JAS = 205 -0.49 months to first event, 95% CI = -0.20, -0.78, p =.001) (Bortner = 176 -0.27 months; 95% CI = -0.10, -0.44; p =.002) (Framingham = 0.44 -0.0011 months; 95% CI = -0.0002, -0.0019; p =.01). The data show Type A is a strong predictor of when incident coronary heart disease (or coronary event) will occur rather than if it will occur. These findings suggest that Type A increases exposure to potential trigg...Continue Reading

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Citations

Apr 1, 2006·The British Journal of Educational Psychology·Emma Jepson, Sarah Forrest
Apr 26, 2006·The Tohoku Journal of Experimental Medicine·Hongjian LiuTomoyuki Yambe
Aug 30, 2014·International Journal of Behavioral Medicine·Kastytis ŠmigelskasJussi Kauhanen
Nov 16, 2007·Journal of Personality Assessment·Nina Kupper, Johan Denollet
Feb 16, 2008·International Journal of Epidemiology·Hermann NabiArchana Singh-Manoux
Sep 11, 2008·International Journal of Epidemiology·John Gallacher
Aug 31, 2007·Holistic Nursing Practice·Toshiko MatsushitaEisuke Matsushima
Apr 12, 2007·Psychotherapy and Psychosomatics·Margarita BeresnevaitéR Michael Bagby
Feb 21, 2013·The Journal of Social Psychology·Alisha D Howarter, Kymberley K Bennett
May 8, 2015·Nordic Journal of Psychiatry·Theresa LahousenRottraut Ille
Dec 11, 2013·American Journal of Men's Health·Agata MakowskaEwa A Jankowska
Sep 12, 2012·Journal of Affective Disorders·Yumei WangYoshinori Mizokami

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