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Type A behaviour pattern: a concept revisited.

M I Rose

    CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne
    |February 15, 1987
    PubMed
    Summary
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    The Type A behavior pattern, characterized by competitiveness and aggression, is linked to coronary artery disease (CAD). Research suggests focusing on hostility and anger may improve predicting CAD risk.

    Area of Science:

    • Cardiology
    • Behavioral Medicine
    • Psychosomatic Medicine

    Background:

    • The Type A behavior pattern is widely accepted as a risk factor for coronary artery disease (CAD).
    • Previous attempts to link Type A behavior facets to CAD risk have yielded inconsistent results due to methodological variations and measurement inconsistencies.
    • Emerging research indicates that specific subcomponents of Type A behavior, namely hostility and anger, may be more reliable predictors of CAD outcomes.

    Purpose of the Study:

    • To review the existing literature on the Type A behavior pattern and its association with coronary artery disease (CAD).
    • To highlight the inconsistencies in previous research and the need for a refined understanding of Type A behavior's impact on CAD.
    • To propose a reconceptualization of the Type A behavior pattern, emphasizing hostility and anger as key predictors.

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    Main Methods:

    • Literature review of studies investigating the Type A behavior pattern and coronary artery disease (CAD).
    • Analysis of methodologies used to assess Type A behavior and define CAD outcomes.
    • Examination of research focusing on subcomponents of Type A behavior, such as hostility and anger.

    Main Results:

    • Conflicting results exist regarding the direct correlation between the overall Type A behavior pattern and increased CAD risk.
    • Methodological differences in study design and measurement tools contribute to inconsistent findings.
    • Hostility and anger, as components of the Type A behavior pattern, show promise as more consistent predictors of CAD.

    Conclusions:

    • A reconceptualization of the Type A behavior pattern is necessary for a clearer understanding of its role in coronary artery disease (CAD).
    • Focusing on specific behavioral components like hostility and anger may offer more reliable insights into CAD risk assessment.
    • Future research should prioritize the investigation of these specific subcomponents to improve the prediction and prevention of CAD.