Alteration of type A behavior and reduction in cardiac recurrences in postmyocardial infarction patients
| Autor: | Diane Ulmer, Edward Bourg, William S. Breall, Richard P. Levy, Virginia A. Price, Leonti Thompson, Theodore Dixon, Carl E. Thoresen, Lynda H. Powell, Meyer Friedman, David D. Rabin, James J. Gill |
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| Rok vydání: | 1984 |
| Předmět: |
Counseling
Risk medicine.medical_specialty Myocardial Infarction Infarction Coronary Disease law.invention Random Allocation Randomized controlled trial law Recurrence Internal medicine medicine Humans Behavior business.industry Incidence (epidemiology) Type A and Type B personality theory Middle Aged medicine.disease Coronary heart disease Surgery Group Processes Clinical trial Group type Cardiology and Cardiovascular Medicine business Psychopathology |
| Zdroj: | American heart journal. 108(2) |
| ISSN: | 0002-8703 |
| Popis: | Eight hundred sixty-two postmyocardial infarction patients volunteered to be randomly selected and enrolled into: (1) a control section of 270 patients, who received group cardiologic counseling; and (2) an experimental section of 592 patients, who received group type A behavior counseling in addition to group cardiologic counseling. Reduction in type A behavior at the end of 3 years was observed in 43.8% of the 592 participants, who initially were enrolled to receive group cardiologic and type A behavioral counseling. This degree of behavioral reduction was significantly greater than that observed in participants who initially were enrolled to receive only group cardiologic counseling. The 3-year cumulative cardiac recurrence rate was 7.2% in participants who initially were enrolled to receive group cardiologic and type A behavioral counseling. This was significantly less (p less than 0.005) than that (13%) observed in participants who initially were enrolled to receive only cardiologic counseling. This difference in recurrence rates was due to a lesser incidence of nonfatal infarctions in the patients who had been enrolled in the section receiving type A behavioral as well as cardiologic counseling. These data suggest that type A behavior can be altered in a sizable fraction of postinfarction patients and that such alteration is associated with a significantly reduced rate of nonfatal myocardial infarctions. |
| Databáze: | OpenAIRE |
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