The recurrent coronary prevention project. Some preliminary findings

Area of Science:

• Cardiology
• Behavioral Medicine
• Psychology

Background:

• Recurrent coronary heart disease (CHD) poses a significant health challenge.
• The Type A behavior pattern (TABP) is a known risk factor for CHD.
• Existing treatments often focus on medication, diet, and exercise, with less emphasis on behavioral modification.

Purpose of the Study:

• To evaluate the effectiveness of a behavioral change program in reducing CHD recurrence.
• To determine if altering TABP can lead to decreased CHD events.
• To compare behavioral change interventions with standard cardiology care and usual physician care.

Main Methods:

• A 5-year clinical trial comparing four groups: small group cardiology, behavioral change program, control, and dropout groups.
• Behavioral change program based on a cognitive social learning model to modify TABP.
• Assessment of CHD recurrence rates, TABP using questionnaires and structured interviews.

Main Results:

• The behavioral change group demonstrated significantly lower CHD recurrence rates compared to cardiology, control, and dropout groups.
• Subjects in the behavioral change program showed significant alterations in their TABP.
• Correlations observed between TABP modification and reduced CHD recurrences.

Conclusions:

• Behavioral change interventions are effective in reducing recurrent coronary heart disease.
• Modifying Type A behavior patterns is a viable strategy for secondary prevention of CHD.
• Future interventions should consider the personal meaning and underlying beliefs associated with TABP, focusing on hostility and controllability.