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Pressured pattern or type A behavior in patients with peripheral arteriovascular disease: controlled retrospective
Psychosomatic Medicine
|June 1, 1983
Summary
Patients with combined coronary and peripheral artery disease exhibit more "pressured" behaviors and Type A personality traits. These behavioral patterns correlate with the extent of atherosclerotic disease, suggesting a link beyond just coronary artery disease.
Area of Science:
- Cardiology
- Psychology
- Behavioral Medicine
Background:
- Type A behavior patterns are often associated with coronary artery disease.
- The prevalence of these behaviors in broader atherosclerotic conditions is less understood.
Purpose of the Study:
- To investigate the relationship between "pressured" behavior, Type A personality, and peripheral atherosclerotic disease.
- To determine if these behavioral patterns are specific to coronary artery disease or indicative of generalized atherosclerotic disease.
Main Methods:
- A controlled retrospective study comparing three groups: intermittent claudication (IC), IC with coronary artery disease (CADIC), and without vascular disease (WVD).
- Behavioral patterns assessed via open-ended interviews and the Bortner Type A scale.
- Statistical analysis using Fisher's exact probability test and analysis of variance.
Main Results:
- A "pressured" behavior pattern was most prominent in the CADIC group and least in the WVD group.
- Arteriovenous disease patients showed a greater tendency to control people (p = 0.05).
- Type A behavior scores were highest in CADIC and lowest in WVD (p < 0.05), indicating IC patients have proneness to coronary disease.
Conclusions:
- "Pressured" and Type A behaviors are not exclusive to coronary artery disease but are associated with atherosclerotic disease in general.
- These behavioral patterns appear to correlate with the number of vascular areas affected by atherosclerosis.