The Importance of the Type A Subcomponent Hostility for Myocardial Infarction at Young Age

  • W. Langosch
  • G. Brodner
  • H. Borcherding


Results of recent studies suggest that hostility may be of importance in the pathogenesis of coronary heart disease (CHD). In a study by Kantor and Robertson (1977), repressed hostility as measured by the MMPI scales for “repression anxiety” and “manifest hostility”, increased systematically as the level of physiological risk of developing CHD increased. This relationship persisted across social class levels and different study samples (Evans County and Buffalo, New Jersey). Siltanen et al. (1975) compared a group of 41 subjects without any symptoms or signs of CHD who had a low risk of CHD, with a group of 40 subjects with ECG signs of CHD, but without symptoms of CHD, and a group of 40 subjects with ECG signs of CHD and symptoms of CHD. In comparison with the apparently healthy men, the members of the two other groups scored significantly higher on aggression as measured by a sentence completion test. Using a factor-analytically derived aggressiveness/hostility scale of the Rating of Statements List, van Dijl (1982) was able to show, in three different studies, that myocardial infarction patients score higher on this scale.


Heart Rate Variability Coronary Heart Disease Incidence Myocardial Infarction Patient Stressor Phase Vital Exhaustion 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. Appels A (1980) Vitale Erschöpfung und Depression als Vorboten des Herzinfarkts. In: Langosch W (ed) Psychosoziale Probleme und psychotherapeutische Interventionsmöglichkeiten bei Herzinfarktpatienten. Minerva, MünchenGoogle Scholar
  2. Appels A (1981) The syndrome of vital exhaustion and depression and its relationship to coronary heart disease. In: Siegrist J, Halhuber MJ (eds) Myocardial infarction and psychosocial risks. Springer, Berlin Heidelberg New YorkGoogle Scholar
  3. Appels A (1983) The year before myocardial infarction. In: Dembroski TM, Schmidt TH, Blümchen G (eds) Biobehavioral bases of coronary heart disease. Karger, BaselGoogle Scholar
  4. Barefoot JC, Dahlstrom WG, Williams RB (1983) Hostility, CHD incidence, and total mortality: a 25–year follow–up study of 255 physicians. Psychosom Med 45: 59–63PubMedGoogle Scholar
  5. Berkman LF, Syme SL (1979) Social networks, host resistance, and mortality: a nine–year follow-up study of Alameda County residents. Am J Epidemiol 109: 186–204PubMedGoogle Scholar
  6. Brodner G (1983) Beiträge zur Prognose des Rehabilitationserfolges bei “jugendlichen Herzinfarktpatienten”. Multivariate Analyse psychophysiologischer Befunde. Minerva, MünchenGoogle Scholar
  7. Buell JC, Eliot RS (1980) Psychosocial and behavioral influences in the pathogenesis of acquired cardiovascular disease. Am Heart J 100: 723–740PubMedCrossRefGoogle Scholar
  8. Buell JC, Eliot RS (1983) Behavior and the pathophysiology of coronary heart disease in humans. In: Dembroski TM, Schmidt TH, Blümchen G (eds) Biobehavioral bases of coronary heart disease. Karger, BaselGoogle Scholar
  9. Dembroski TM, MacDougall JM, Shields JL, Petitto J, Lushene R (1978) Components of the Type A coronary-prone behavior pattern and cardiovascular responses to psychomotor performance challenge. J Behav Med 1: 159–176PubMedCrossRefGoogle Scholar
  10. Dembroski TM, MacDougall JM, Herd JA, Shields JL (1979 a) Effects of level of challenge on pressor and heart rate responses in Type A and B subjects. J Appl Soc Psychol 9: 209–228Google Scholar
  11. Dembroski TM, MacDougall JM, Lushene R (1979 b) Interpersonal interaction and cardiovascular response in Type A subjects and coronary patients. J Human Stress 5: 28–36Google Scholar
  12. Diamond EL (1982) The role of anger and hostility in essential hypertension and coronary heart disease. Psychol Bull 92: 410–433PubMedCrossRefGoogle Scholar
  13. Fahrenberg J, Selg H, Hampel R (1978) Das Freiburger Persönlichkeitsinventar FPI. Hogrefe, GöttingenGoogle Scholar
  14. Gohlke H, Stürzenhofecker P, Thilo A, Droste C, Görnandt L, Roskam H (1981) Coronary angio-graphic findings and risk factors in postinfarction patients under the age of 40. In: Roskam H (ed) Myocardial infarction at young age. Springer, Berlin Heidelberg New YorkGoogle Scholar
  15. Haynes SG, Feinleib M, Kannel WB (1980) Hie relationship of psychosocial factors to coronary heart disease in the Framingham Study III. Eight–year incidence of coronary heart disease. Am J Epidemiol 111: 37–58Google Scholar
  16. Kahn JP, Kornfeld DS, Blood DK, Lynn RB, Heller SS, Frank KA (1982) Type A behavior and the thallium stress test. Psychosom Med 44: 431–436PubMedGoogle Scholar
  17. Kantor S, Robertson AJ (1977) Repressed hostility and coronary heart disease: reappraisal of a relationship in terms of a meaning-focussed approach to psychological measurement. Soc Sci Med 11: 625–634PubMedCrossRefGoogle Scholar
  18. Langosch W, Brodner G (1985) Psychophysiological reactivity of Type A and Type B postinfarction patients under the age of forty. In: Orlebeke JF, Mulder G, van Doornen LJP (eds) Cardiovascular psychophysiology. Theory and methods. Plenum, New YorkGoogle Scholar
  19. Langosch W, Prokoph JH, Brodner G (1980) Der psychologische Screeningbogen für Patienten mit Myokardinfarkt (PSM) bei verschiedenen kardiologischen Diagnosegruppen. In: Fassbender CF, Mahler E (eds) Der Herzinfarkt als psychosomatische Erkrankung in der Rehabilitation. Boehringer, MannheimGoogle Scholar
  20. Langosch W, Brodner G, Foerster F (1983) Psychophysiological testing of postinfarction patients. A study determining the cardiological importance of psychophysiological variables. In: Dembroski TM, Schmidt TH, Blümchen G (eds) Biobehavioral bases of coronary heart disease. Karger, BaselGoogle Scholar
  21. Langosch W, Schmidt TH, Rüddel H (1985) Die deutsche Form des strukturierten Interviews zur Diagnostik des Verhaltenstyp–A–Musters. In: Langosch W (ed) Psychische Bewältigung der chronischen Herzerkrankung. Springer, Berlin Heidelberg New YorkGoogle Scholar
  22. MacDougall JM, Dembroski TM, Musante L (1979) The structured interview and questionnaire methods of assessing coronary–prone behavior in male and female college students. J Behav Med 2: 71–83PubMedCrossRefGoogle Scholar
  23. Matthews KA (1982) Psychological perspectives on the Type A behavior pattern. Psychol Bull 91: 293–323PubMedCrossRefGoogle Scholar
  24. Matthews KA, Glass DC, Rosenman RH, Bortner RW (1977) Competitive drive, pattern A, and coronary heart disease: a further analysis of some data from the Western Collaborative Group Study. J Chron Dis 30: 489–498PubMedCrossRefGoogle Scholar
  25. Modick HE (1977) Ein dreiskaliger Fragebogen zur Erfassung des Leistungsmotivs–Bericht über eine deutschsprachige Weiterentwicklung des Prestatie Motivatie Test. Diagnostica 23: 298–321Google Scholar
  26. Rosenman RH (1978) The interview method of assessment of the coronary prone behavior. In: Dembroski TM, Weiss SM, Shields JL, Haynes SG, Feinleib M (eds) Coronary–prone behavior. Springer, Berlin Heidelberg New YorkGoogle Scholar
  27. Rosenman RH, Chesney MA (1980) The relationship of Type A behavior pattern to coronary heart disease. Act Nerv Super (Praha) 22: 1–45Google Scholar
  28. Roskamm H, GohlkeH, Stürzenhofecker P, Droste C, Thomas H, Schnellbacher K, BetzP (1983) Der Herzinfarkt im jugendlichen Alter (unter 40 Jahren): Koronarmorphologie, Risikofaktoren, Langzeitprognose der Erkrankung und Progression der Koronargefäßsklerose. Z Kardiol 72: 1–11Google Scholar
  29. Samek L, Roskamm H, Rentrop P, Kaiser P, Stürzenhofecker P, Schober B, Görnandt L, Velden R (1975) Belastungsprüfungen und Koronarangiogramm im chronischen Infarktstadium. Z Kar–diol 64: 809–814Google Scholar
  30. Shekelle R, Gale M, Ostfeld AM, Oglesby P (1983) Hostility, risk of coronary heart disease, and mortality. Psychosom Med 45: 109–114PubMedGoogle Scholar
  31. Siltanen P, Lauroma M, Nirkko O, Punsar S, Pyorala K, Tuominen H, Vanhala K (1975) Psychological characteristics related to coronary heart disease. J Psychosom Res 19: 183–195PubMedCrossRefGoogle Scholar
  32. van Dijl H (1982) Myocardial infarction patients and heightened aggressiveness/hostility. J Psychosom Res 26: 203–208PubMedCrossRefGoogle Scholar
  33. Williams RB, Haney TL, Lee KL, Kong Y, Blumenthal JA, Whalen RE (1980) Type A behavior, hostility, and coronary atherosclerosis. Psychosom Med 42: 539–549PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1986

Authors and Affiliations

  • W. Langosch
  • G. Brodner
  • H. Borcherding
    • 1
  1. 1.Benedikt Kreutz RehabilitationszentrumBad KrozingenFederal Republic of Germany

Personalised recommendations