Skip to main content
SpringerLink
Log in
Book cover

Encyclopedia of Behavioral Medicine pp 1–4Cite as

Heart Disease and Type A Behavior

  • Living reference work entry
  • First Online:

  • 60 Accesses

Definition

A comprehensive meta-analysis of prospective studies failed to show an association between Type A behavior pattern (TABP) and coronary heart disease (CHD) (Myrtek 2001), while another meta-analysis of randomized controlled trials has recently suggested that TABP has strong effects on deteriorating depression in CHD patients (Whalley et al. 2011). However, the previous meta-analytic investigation on prospective studies showed that anger and hostility, one of the key dimensions of TABP, are significantly associated with not only increased CHD events in initially healthy populations but also poor prognosis in the patients with existing CHD (Chida and Steptoe 2009), suggesting that clinical trials focusing on anger and hostility in CHD interventions are necessary for the more effective prevention and treatment of CHD.

Description

Type A behavior pattern (TABP) was first noted by two American cardiologist, Meyer Fredman and Ray Rosenman in 1959 (Friedman and Rosenman 1959). They...

This is a preview of subscription content, log in via an institution.

References and Further Reading

  • Brotman, D. J., Golden, S. H., & Wittstein, I. S. (2007). The cardiovascular toll of stress. Lancet, 370, 1089–1100.

    Article  PubMed  Google Scholar 

  • Chida, Y., & Hamer, M. (2008). Chronic psychosocial factors and acute physiological responses to laboratory-induced stress in healthy populations: A quantitative review of 30 years of investigations. Psychological Bulletin, 134, 829–885.

    Article  PubMed  Google Scholar 

  • Chida, Y., & Steptoe, A. (2009). The association of anger and hostility with future coronary heart disease: A meta-analytic review of prospective evidence. Journal of the American College of Cardiology, 53, 936–946.

    Article  PubMed  Google Scholar 

  • Dimsdale, J. E. (2008). Psychological stress and cardiovascular disease. Journal of the American College of Cardiology, 51, 1237–1246.

    Article  PubMed  PubMed Central  Google Scholar 

  • Everson-Rose, S. A., & Lewis, T. T. (2005). Psychosocial factors and cardiovascular disease. Annual Review of Public Health, 26, 469–500.

    Article  PubMed  Google Scholar 

  • Friedman, M., & Rosenman, R. H. (1959). Association of specific overt behavior pattern with blood and cardiovascular findings: Blood cholesterol level, blood clotting time, incidence of arcus senilis, and clinical coronary artery disease. Journal of the American Medical Association, 169, 1286–1296.

    Article  CAS  PubMed  Google Scholar 

  • Jenkins, C. D., Rosenman, R. H., & Zyanski, S. J. (1974). Prediction of clinical coronary heart disease by a test of the coronary–prone behaviour pattern. New England Journal of Medicine, 290, 1271–1275.

    Article  CAS  PubMed  Google Scholar 

  • Markovitz, J. H. (1998). Hostility is associated with increased platelet activation in coronary heart disease. Psychosomatic Medicine, 60, 586–591.

    Article  CAS  PubMed  Google Scholar 

  • Martin, R., Watson, D., & Wan, C. K. (2000). A three-factor model of trait anger: Dimensions of affect, behavior, and cognition. Journal of Personality, 68, 869–897.

    Article  CAS  PubMed  Google Scholar 

  • Matthews, K. A., Owens, J. F., Kuller, L. H., Sutton-Tyrrell, K., & Jansen-McWilliams, L. (1998). Are hostility and anxiety associated with carotid atherosclerosis in healthy postmenopausal women? Psychosomatic Medicine, 60, 633–638.

    Article  CAS  PubMed  Google Scholar 

  • Mittleman, M. A., Maclure, M., Sherwood, J. B., Mulry, R. P., Tofler, G. H., Jacobs, S. C., Friedman, R., Benson, H., & Muller, J. E. (1995). Triggering of acute myocardial-infarction onset by episodes of anger. Circulation, 282, 1720–1725.

    Article  Google Scholar 

  • Möller, J., Hallqvist, J., Diderichsen, F., Theorell, T., Reuterwall, C., & Ahlbom, A. (1999). Do episodes of anger trigger myocardial infarction? A case-crossover analysis in the Stockholm Heart Epidemiology Program (SHEEP). Psychosomatic Medicine, 61, 842–849.

    Article  PubMed  Google Scholar 

  • Myrtek, M. (2001). Meta-analyses of prospective studies on coronary heart disease, type A personality, and hostility. International Journal of Cardiology, 79, 245–251.

    Article  CAS  PubMed  Google Scholar 

  • Raikkonen, K., Matthews, K. A., Sutton-Tyrrell, K., & Kuller, L. H. (2004). Trait anger and the metabolic syndrome predict progression of carotid atherosclerosis in healthy middle-aged women. Psychosomatic Medicine, 66, 903–908.

    Article  CAS  PubMed  Google Scholar 

  • Rosenman, R. H. (1978). The interview method of assessment of the coronary–prone behaviors in the Western Collaborative Group Study. In T. M. Dembroski, S. M. Weiss, J. L. Shields, et al. (Eds.), Coronary prone behavior (pp. 55–69). New York: Springer-Verlag.

    Chapter  Google Scholar 

  • Rosenman, R. H. (1990). Type A behavior pattern: A personal overview. Journal of Social Behavior and Personality, 5, 1–24.

    Google Scholar 

  • Rosenman, R. H., Brand, R. J., Sholtz, R. I., & Friedman, M. (1976). Multivariate prediction of coronary heart disease during 8.5 year follow-up in the Western Collaborative Group Study. American Journal of Cardiology, 37, 903–909.

    Article  CAS  PubMed  Google Scholar 

  • Scherwitz, L. W., Perkins, L. L., Chesney, M. A., Hughes, G. H., Sidney, S., & Manolio, T. A. (1992). Hostility and health behaviors in young adults – The CARDIA study. American Journal of Epidemiology, 136, 136–145.

    Article  CAS  PubMed  Google Scholar 

  • Schulman, J. K., & Stromberg, S. (2007). On the value of doing nothing. Cardiology in Review, 15, 123–132.

    Article  PubMed  Google Scholar 

  • Shin, C., Kim, J. Y., Yi, H., Lee, H. J., Lee, J. B., & Shin, K. (2005). Relationship between trait anger and sleep disturbances in middle-aged men and women. Journal of Psychosomatic Research, 58, 183–189.

    Article  PubMed  Google Scholar 

  • Siegler, I. C., Peterson, B. L., Barefoot, J. C., & Williams, R. B. (1992). Hostility during late adolescence predicts coronary risk factors at mid-life. American Journal of Epidemiology, 136, 146–154.

    Article  CAS  PubMed  Google Scholar 

  • Steptoe, A., Cropley, M., Griffith, J., & Kirschbaum, C. (2000). Job strain and anger expression predict early morning elevation in salivary cortisol. Psychosomatic Medicine, 62, 286–292.

    Article  CAS  PubMed  Google Scholar 

  • Stewart, J. C., Janicki-Deverts, D., Muldoon, M. F., & Kamarch, T. W. (2008). Depressive symptoms moderate the influence of hostility on serum interleukin-6 and C-reactive protein. Psychosomatic Medicine, 70, 197–204.

    Article  CAS  PubMed  Google Scholar 

  • Thomas, K. S., Nelesen, R. A., & Dimsdale, J. E. (2004). Relationships between hostility, anger expression, and blood pressure dipping in an ethnically diverse sample. Psychosomatic Medicine, 66, 298–304.

    PubMed  Google Scholar 

  • Vella, E. J., & Friedman, B. H. (2007). Autonomic characteristics of defensive hostility: Reactivity and recovery to active and passive stressors. International Journal of Psychophysiology, 66, 95–101.

    Article  PubMed  Google Scholar 

  • Whalley, B., Rees, K., Davies, P., Bennett, P., Ebrahim, S., Liu, Z., West, R., Moxham, T., Thompson, D. R., & Taylor, R. S. (2011). Psychological interventions for coronary heart disease. Cochrane Database of Systematic Reviews, 8, CD002902.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Faculty of Human Happiness Office 4, Happy Science University 4F, 4427-1 Hitomatsuhei, 299-4325, Chosei-mura, Chosei-gun, Japan

    Yoichi Chida

  2. Department of Medical Science, Happy Science Clinic, Kawasaki City, Japan

    Yoichi Chida

Authors
  1. Yoichi Chida
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Yoichi Chida .

Editor information

Editors and Affiliations

  1. University of Miami School of Medicine, Miami, Florida, USA

    Marc Gellman

  2. Campbell University School of Pharmacy, Buies Creek, North Carolina, USA

    J. Rick Turner

Section Editor information

  1. University of Minnesota Medical School, University of Minnesota, 235 School of Medicine, 1035 University Drive, 55812-2478, Duluth, MN, USA

    Mustafa al’Absi

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer Science+Business Media LLC

About this entry

Cite this entry

Chida, Y. (2018). Heart Disease and Type A Behavior. In: Gellman, M., Turner, J. (eds) Encyclopedia of Behavioral Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6439-6_252-2

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-6439-6_252-2

  • Received:

  • Accepted:

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-6439-6

  • Online ISBN: 978-1-4614-6439-6

  • eBook Packages: Springer Reference MedicineReference Module Medicine

Publish with us

Policies and ethics

Search

Navigation