Skip to main content

Psychophysiological Processes, the Coronary-Prone Behavior Pattern, and Coronary Heart Disease

  • Chapter
Coronary-Prone Behavior

Abstract

At one level of analysis, there are two avenues whereby behavior pattern might be playing a role in the etiology and course of CHD. First of all, the Type A behavior pattern might be instrumental in precipitating acute clinical events in patients with preexisting advanced coronary atherosclerosis. In addition, and perhaps in combination with this mechanism, behavior pattern might be playing a contributory role in the atherosclerotic process itself. The strongest available evidence, from the Western Collaborative Group Study1 indicates that Type A men experience about twice the incidence of clinical CHD events over an 81/2 year follow up compared to Type B men.

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

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 16.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Rosenman, R.H., Brand, R.J., Jenkins, C.D., Friedman, M., Straus, R., Wurm, M.: Coronary heart disease in the Western Collaborative Group Study: final follow-up experience of 81/2 years. JAMA 233:872–877, 1975.

    Article  PubMed  Google Scholar 

  2. Blumenthal, J.A., Williams, R.B., Kong, D., Schanberg, S.M., Thompson, L.W.: Coronary-prone behavior and angiographically documented coronary disease. Circulation (in press).

    Google Scholar 

  3. Zyzanski, S.J., Jenkins, C.D., Ryan, T.J., Plessas, A., Everist, M.: Psychological correlates of coronary angiographic findings. Arch Intern Med 136:1234–1237, 1976.

    Article  PubMed  Google Scholar 

  4. Kornfeld, D.S.: New York: Columbia University, unpublished research.

    Google Scholar 

  5. Friedman, M., Rosenman, R.H., Straus, R., et al.: The relationship of behavior pattern A to the state of the coronary vasculature: a study of 51 autopsied subjects. Am J Med 44:525–537, 1968.

    Article  PubMed  Google Scholar 

  6. Eliot, R.S.: Stress-induced myocardial necrosis. J SC Med Assoc (Suppl.) 33: 1976.

    Google Scholar 

  7. Haft, J.I., Kranz, P.D., Albert, F.J., Fani, K.: Intravascular platelet aggregation in the heart induced by norepinephrine. Circulation 46:698–708, 1972.

    PubMed  Google Scholar 

  8. Simpson, M.T., Olewine, D.A., Jenkins, C.D., Ramsey, F.H., Zyzanski, S.J., Thomas, G., Harnes, CG.: Exercise-induced catecholamines and platelet aggregation in the coronary-prone behavior pattern. Psychosom Med 36:476–487, 1974.

    PubMed  Google Scholar 

  9. Rosenman, R.H., Friedman, M.: Neurogenic factors in pathogenesis of coronary heart disease. Med Clin North Am 58:269–279, 1974.

    PubMed  Google Scholar 

  10. Glass, D.C.: Stress, behavior patterns and coronary disease. Am Sci 65:177–187, 1977.

    PubMed  Google Scholar 

  11. Dembroski, T.M., MacDougall, J.M., Shields, J.L.: Physiologic reactions to social challenge in persons evidencing the Type A coronary-prone behavior pattern. J Human Stress 3:2–9, 1977.

    Article  PubMed  Google Scholar 

  12. Manuck, J., Craft, R., Gold, K.: Coronary-prone behavior and cardiovascular response. Psychophysiology (in press).

    Google Scholar 

  13. Manuck, J.: Department of Psychology, University of Virginia. Personal communication.

    Google Scholar 

  14. Wolf, S.: Psychosocial forces in myocardial infarction and sudden death. In Society, Stress and Disease (Levi, L., ed.). London: Oxford University Press, 1971.

    Google Scholar 

  15. Ross, R., Glomset, J.A.: The pathogenesis of atherosclerosis. N Engl J Med 295:369–377, 420–425, 1976.

    Article  PubMed  Google Scholar 

  16. Williams, R.B.: Physiologic mechanisms underlying the association between psychosocial factors and coronary heart disease. In Psychosocial Aspects of Myocardial Infarction and Coronary Care (Gentry, W.D. and Williams, R.B., eds.). St. Louis: Mosby, 1975, pp. 37–50.

    Google Scholar 

  17. Brod, J., Fencl, V.Z., Hejl, Z., Jirka, J.: Circulatory changes underlying blood pressure elevation during acute emotional stress (mental arithmetic) in normotensive and hypertensive subjects. Clin Sci Mol Med 18:269–279, 1959.

    Google Scholar 

  18. Williams, R.B., Bittker, T.E., Buchsbaum, M.S., Wynne, L.C.: Cardiovascular and neurophysiologic correlates of sensory intake and rejection. I. Effect of cognitive tasks. Psychophysiology 12:427–433.

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1978 Springer-Verlag New York Inc.

About this chapter

Cite this chapter

Williams, R.B. (1978). Psychophysiological Processes, the Coronary-Prone Behavior Pattern, and Coronary Heart Disease. In: Dembroski, T.M., Weiss, S.M., Shields, J.L., Haynes, S.G., Feinleib, M. (eds) Coronary-Prone Behavior. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-86007-2_11

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-86007-2_11

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-86009-6

  • Online ISBN: 978-3-642-86007-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics