Components of Type A, hostility, and anger-in: relationship to angiographic findings.

Published

Journal Article

Previous research has linked the Type A coronary-prone behavior pattern to angiographically documented severity of coronary atherosclerosis (CAD). The present study sought through component scoring of the Type A Structured Interview (SI) to determine what elements of the multidimensional Type A pattern are related to coronary disease severity in a selected group of patients with minimal or severe CAD. Multivariate analyses controlling for the major risk factors showed no relationship between global Type A and extent of disease. Of all attributes measured, only Potential for Hostility and Anger-In were significantly and positively associated with the disease severity, including angina symptoms and number of myocardial infarctions. Further analysis revealed that Potential for Hostility and Anger-In were interactive in their association, such that Potential for Hostility was associated with disease endpoints only for patients who were high on the Anger-In dimension. These findings support previous research in suggesting that anger and hostility may be the critical aspects of the Type A pattern in predisposing individuals to risk of CAD.

Full Text

Duke Authors

Cited Authors

  • Dembroski, TM; MacDougall, JM; Williams, RB; Haney, TL; Blumenthal, JA

Published Date

  • May 1, 1985

Published In

Volume / Issue

  • 47 / 3

Start / End Page

  • 219 - 233

PubMed ID

  • 4001281

Pubmed Central ID

  • 4001281

International Standard Serial Number (ISSN)

  • 0033-3174

Language

  • eng

Conference Location

  • United States