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Changing the coronary-prone (type A) behavior pattern in a nonclinical population

E Roskies, M Spevack, A Surkis

Journal of Behavioral Medicine

|June 1, 1978

Summary

Modifying Type A behavior patterns through brief psychotherapy and behavior therapy may reduce coronary heart disease risk in healthy men. These findings, while tentative, suggest a promising avenue for cardiovascular risk reduction.

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Area of Science:

Cardiology
Behavioral Medicine
Psychotherapy

Background:

Coronary heart disease (CHD) remains a leading cause of mortality.
Type A behavior pattern is a recognized risk factor for CHD.
Behavioral interventions offer a potential strategy for CHD risk reduction.

Purpose of the Study:

To investigate the efficacy of brief psychotherapy and behavior therapy in modifying Type A behavior.
To assess the impact of these interventions on physiological and psychological risk factors for CHD.

Main Methods:

27 healthy men (aged 39-59) with no prior CHD were recruited.
Participants were randomly assigned to either psychotherapy or behavior therapy groups.
Interventions consisted of 14 sessions over 5 months, with pre- and post-treatment assessments of physiological and psychological variables.

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Main Results:

Both treatment groups showed positive changes in most psychological and physiological variables.
Improvements were observed without significant alterations in diet, exercise, smoking, or workload.
Key physiological measures like serum cholesterol, triglycerides, and blood pressure, alongside psychological markers like anxiety, were favorably affected.

Conclusions:

Brief psychotherapy and behavior therapy show potential in modifying Type A behavior and reducing CHD risk factors.
While findings are preliminary and require further validation regarding clinical significance, durability, and generalizability, this approach warrants continued research.