Two methods of assessing the type A coronary-prone behavior pattern in Belgium

Area of Science:

• Cardiology
• Behavioral Science
• Cross-cultural Psychology

Background:

• The Type A behavior pattern is linked to coronary heart disease.
• Standardized measurement tools for Type A behavior exist in the USA.

Purpose of the Study:

• To translate and validate Type A behavior pattern measurement tools in Belgium.
• To assess the cross-cultural validity of the Type A behavior pattern concept.

Main Methods:

• Translation of the Structured Interview and Activity Survey into French and Flemish.
• Application of these instruments in a Belgian preventive cardiology study.
• Comparison of Belgian data with North American findings.

Main Results:

• Belgian Type A behavior pattern distributions were symmetrical but clustered centrally compared to North America.
• The Activity Survey indicated a more Type B tendency in the Belgian sample, particularly regarding job involvement and impatience.
• Strong correspondence (70% agreement) was found between the Activity Survey and Structured Interview.

Conclusions:

• The Type A behavior pattern concept demonstrates cross-cultural validity.
• Reliable measurement of Type A behavior is feasible across cultures.
• This supports international research into Type A behavior as a coronary disease risk factor.