Can the Type A Behavior Pattern be Altered after Myocardial Infarction? A Second Year Report from the Recurrent Coronary Prevention Project
| Autor: | James J. Gill, Diane Ulmer, Carl E. Thoresen, Lynda H. Powell, Meyer Friedman |
|---|---|
| Rok vydání: | 1984 |
| Předmět: |
Counseling
Male medicine.medical_specialty Psychometrics Myocardial Infarction Blood Pressure Coronary prevention Electrocardiography Recurrence medicine Humans Myocardial infarction Applied Psychology Independent Rater business.industry Type A Personality Type A and Type B personality theory Middle Aged medicine.disease Psychiatry and Mental health Cholesterol Blood pressure Attitude Spouse Group counseling Structured interview Physical therapy Female business |
| Zdroj: | Psychosomatic Medicine. 46:293-313 |
| ISSN: | 0033-3174 |
| DOI: | 10.1097/00006842-198407000-00001 |
| Popis: | The feasibility of altering a Type A style of life was investigated in 1012 nonsmoking predominantly male postinfarction volunteers in the San Francisco Bay area. A total of 862 were randomly allocated into an experimental section receiving a combination of Type A and cardiac counseling, or a control section receiving cardiac counseling alone. The remaining 150 formed a nonrandom but statistically equivalent comparison section. Assessments of change in Type A behavior were made by the participant, his or her spouse, a work colleague, and an independent rater of a videotaped structured interview. Psychometric analyses indicated that these instruments were valid and reliable measures of Type A behavior. After 24 months, participants receiving Type A/cardiac counseling exhibited a significantly greater reduction in Type A behavior than the other two sections, and had a lower cardiovascular recurrence rate than the comparison section only. No differences among the three sections were observed in total cholesterol or resting blood pressure. The results suggest that Type A behavior can be altered by group counseling in postinfarction volunteers and that such alteration is superior to no group counseling at all in the secondary prevention of coronary heart disease. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|