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Coronary-prone behavior attitudes in moderate to severe coronary artery occlusion

Abstract

This study was undertaken to clarify the relationship between coronary artery occlusion (CAO) and coronary-prone behavior attitudes (CPBA) in a large coronary arteriography population. A group of 2451 male patients responded to a questionnaire prior to coronary arteriography. Ten questions from the questionnaire, selected to form a scale measuring CPBA, were found to be reliably associated with standard measures of Type A behavior. No differences in CPBA were found when the group was divided into mild, moderate, and severe CAO, but angina pectoris (AP) tended to increase from mild to severe CAO. Multiple regression analysis confirmed that CPBA were independently associated with AP but were not associated with CAO. These findings suggest that angina pectoris is an important intervening variable between CPBA and CAO and that the relationship of AP in a population should be carefully considered before conclusions are drawn as to the relationship between CPBA and CAO.

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References

  1. Appels, A., Jenkins, C. D., and Rosenman, R. H. (1982). Coronary prone behavior in the Netherlands: A cross cultural validation study.J. Behav. Med. 5(1): 83–90.

  2. Blumenthal, J. A., Williams, R. B., King, Y.,et al. (1976). Type A behavior pattern and coronary atherosclerosis.Circulation 58: 634–639.

  3. Dimsdale, T. E., Hackett, T. P., and Holter, A. M. (1978). Type A personality and the extent of coronary atherosclerosis.Am. J. Cardiol. 42: 583–586.

  4. Frank, C. W., Weinblatt, E., Shapiro, S.,et al. (1963). The H.I.P. study of incidence and prognosis of coronary heart disease: Criteria for diagnosis.J. Chron. Dis. 16: 1293–1297.

  5. Frank, K. A., Heller, S. S., Kornfield, D. S.,et al. (1978). Type a behavior pattern and coronary atherosclerosis.JAMA 240: 761–763.

  6. Friedman, G. D., Ury, H. K., and Klatsky, A. L. (1974). A psychological questionnaire predictive of myocardial infarction: Results of the Kaoser-Permanente epidemiologic study of myocardial infarction.Psychosom. Med. 36: 327–343.

  7. Haynes, S. J., Feinlieb, M., and Kannel, W. B. (1980). The relationship of psychosocial factors to coronary heart disease in the Framingham study. III. Eight year incidence of coronary heart disease.Am. J. Epidemiol. 3: 37–58.

  8. Jenkins, C. D., Rosenman, R. H., and Friedman, M. (1967). Development of an objective psychological test for determination of coronary prone behavior in employed men.J. Chron. Dis. 20: 371–379.

  9. Jenkins, C. D., Zyzanski, S. J., and Rosenman, R. H. (1978). Coronary prone behavior: One pattern or several?Psychosom. Med. 40: 25–43.

  10. Kittel, F., Kornitzer, M., DeBacker, G., and Dramaix, M. (1982). Metrological study of psychological questionnaires with reference to social variables: The Belgian heart disease prevention program.J. Behav. Med. 5: 9–35.

  11. Kornitzer, M., Kittel, F., DeBacker, G.,et al. (1981a). The Belgian heart disease prevention program.J. Behav. Med. 5: 9–35.

  12. Kornitzer, M., Kittel, F., DeBacker, G.,et al. (1981b). The Belgian heart disease prevention project. Type A behavior pattern and the prevalence of coronary heart disease.Psychosom. Med. 43: 133–146.

  13. Krantz, D. S., San Marco, T. T., Selvester, R. F.,et al. (1979). Psychological correlates of the progression of atherosclerosis in men.Psychosom. Med. 41: 467.

  14. Medalie, J. H., Kahn, H. A., Groen, T. T.,et al. (1968). The prevalence of ischemic heart disease in relation to selected variables.Israel J. Med. Sci. 4: 789–800.

  15. Rosenman, R. H., (1978). The interview method of assessment of the coronary prone behavior pattern. In Dembroski, T. H., Weiss, S. M., Shields, T. L.,et al. (eds.),Coronary Prone Behavior, Springer-Verlag, New York.

  16. Rosenman, R. H., Friedman, M., Strauss, R.,et al. (1965). A predictive study of coronary heart disease.JAMA 189: 15–26.

  17. Rosenman, R. H., Brand, R. T., Jenkins, C. D.,et al. (1975). Coronary heart disease in the Western collaborative group study: Final follow-up experience of 5 1/2 years.JAMA 872–877.

  18. Rowe, G. G., Thomsen, T. H., Stenlund, R. R.et al. (1969). A study of hemodynamics and coronary blood flow in men with coronary artery disease.Circulation 39: 139–148.

  19. Williams, R. B., Hanley, T. L., Lee, K. L.,et al. (1980). Type A behavior, hostility, and coronary atherosclerosis.Psychosom. Med. 42: 539–549.

  20. Williams, R. B., Hanley, T. L., McKinnis, R. A.,et al. (1982). Psychosocial and physical factors predictive of anginal pain relief with medical treatment.Abstr. Psychosom. Med. 44: 124.

  21. Young, L. D., Barboriak, J. J., Anderson, A. B., and Hoffman, R. G. (1980). Attitudinal and behavioral correlates of coronary heart disease.J. Psychosomatic Research 24: 311–318.

  22. Zyzanski, S. J., Jenkins, C. D., Ryan, T. J.,et al. (1976). Psychological correlates of coronary angiographie findings.Arch. Int. Med. 136: 1223–1237.

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Author information

Correspondence to Laurens D. Young.

Additional information

This research was supported in part by Grant HL-14378 from the National Institute of Health and by the Veterans Administration. The authors wish to acknowledge the interest and support of the members of the Milwaukee Cardiovascular Data Registry, especially Drs. V. S. Bamrah, H. H. Gale, J. F. King, M. Malecki, B. J. Staller, F. E. Tristani, J. A. Walker, and H. J. Zeft. The authors wish to extend their appreciation to Dr. James E. Hastings for his assistance in scoring the scales used in this study and to Dr. John H. Kalbfleisch for his statistical assistance in testing the scales used.

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Young, L.D., Barboriak, J.J., Hoffman, R.G. et al. Coronary-prone behavior attitudes in moderate to severe coronary artery occlusion. J Behav Med 7, 205–215 (1984). https://doi.org/10.1007/BF00845387

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Key words

  • Type A pattern
  • coronary artery occlusion
  • angina pectoris