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The Type A Structured Interview: A behavioral assessment in the rough

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Abstract

The Type A behavior pattern is the focus of considerable research in behavioral medicine because of its causal relevance to coronary heart disease. The primary assessment of Type A behavior is a global rating made from a structured interview. From the perspective of behavioral assessment, this Structured Interview (SI) is important for two reasons. First, it provides an example of the superiority of an observed behavioral measure compared to self-report questionnaires for the assessment of an overt behavior pattern. Second, it provides a unique opportunity for the application of behavioral assessment technology. However, while the SI has demonstrated its clinical and research utility as a diagnostic procedure, its usefulness could be further enhanced in the areas of treatment selection and evaluation. The historical relationship between behavior and coronary heart disease is described. The development of the SI and the strengths of this assessment relative to other measurement approaches are reviewed. The standard questions and administration procedures for the interview are presented, along with several variations and modifications. Following this overview, the SI is discussed from the perspective of behavioral assessment.

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References

  • Blumenthal, J. A., Williams, R., Kong, Y., Schanberg, S. M., & Thompson, L. W. Type A behavior and angiographically documented coronary disease.Circulation 1978,58 634–639.

    Google Scholar 

  • Bortner, R. W. A short rating scale as a potential measure of Pattern A behavior.Journal of Chronic Diseases 1969,22 87–91.

    Google Scholar 

  • Bortner, R. W., & Rosenman, R. H. The measurement of Pattern A behavior.Journal of Chronic Diseases 1967,20 525–533.

    Google Scholar 

  • Brand, R. J., Rosenman, R. H., Jenkins, C. D., Sholtz, R. I., & Zyzanski, S. J. Comparison of coronary heart disease prediction in the Western Collaborative Group Study using the Structured Interview and the Jenkins Activity Survey assessment of the coronary-prone Type A behavior pattern.Journal of Chronic Diseases, in press.

  • Brand, R. J., Rosenman, R. H., Sholtz, R. I., & Friedman, M. Multivariate prediction of coronary heart disease in the Western Collaborative Group Study compared to the findings of the Framingham Study.Circulation 1976,53 938–955.

    Google Scholar 

  • Butensky, A., Faralli, V., Heebner, D., & Waldron, I. Elements of the coronary prone behavior pattern in children and teen-agers.Journal of Psychosomatic Research 1976,20 439–444.

    Google Scholar 

  • Caffrey, B. Behavior patterns and personality characteristics related to prevalence rates of coronary heart disease.Journal of Chronic Diseases 1968,21 191–204.

    Google Scholar 

  • Caplan, R. D., Cobb, S., French, J. R. P., Harrison, R. V., & Pinneau, S. R.Job demands and worker health. U.S. Department of Health, Education, and Welfare, Publication No. (NIOSH) 75–160, 1975.

  • Chesney, M. A., Black, G. W., Feuerstein, M., Rosenman, R. H., Colligan, M. J., & Chadwick, J. H. Coronary-prone behavior: Characteristics and therapeutic implications. Paper presented at the annual meeting of the American Psychological Association, Toronto, Canada, August 1978.

  • Ciminero, A. R. Behavioral assessment: an overview. In Ciminero, A. R., Calhoun, K. S., Adams, H. E. (eds.).Handbook of behavioral assessment. New York: Wiley, 1977.

    Google Scholar 

  • Conner, L. A. The psychic factor in cardiac disorders.Journal of the American Medical Association 1930,94 447–452.

    Google Scholar 

  • Dembroski, T. M., MacDougall, J. M., & Lushene, R. Interpersonal interaction and cardiovascular response in Type A subjects and coronary patients.Journal of Human Stress 1979,5 28–36.

    Google Scholar 

  • Dembroski, T. M., Weiss, S. M., Shields, J. L., Haynes, S. G., & Feinleib, M.Coronary-prone behavior. New York: Springer-Verlag, 1978.

    Google Scholar 

  • Dunbar, H. F.Psychosomatic diagnosis. New York: Paul B. Hoeber, 1943.

    Google Scholar 

  • Frank, K. A., Heller, S. S., Kornfeld, D. S., Sporn, A. A., & Weiss, M. B. Type A behavior pattern and coronary angiographic findings.Journal of the American Medical Association 1978,240 761–763.

    Google Scholar 

  • Friedman, E., Hellerstein, H., Eastwood, G., & Jones, S. Behavior pattern and serum cholesterol in two groups of normal males.American Journal of Medical Science 1968,255 237–244.

    Google Scholar 

  • Friedman, M., & Rosenman, R. H. Association of specific overt behavior pattern with blood and cardiovascular findings.Journal of the American Medical Association 1959,169(12), 1286–1296.

    Google Scholar 

  • Friedman, M., Rosenman, R. H., Straus, R., Wurm, M., & Kositchek, R. The relationship of behavior Pattern A to the state of the coronary vasculature: a study of fifty-one autopsy subjects.American Journal of Medicine, April 1968,44 525–537.

    Google Scholar 

  • Glass, D. C. Stress, behavior patterns and coronary disease.American Scientist 1977,65 177–187.

    Google Scholar 

  • Gough, H. H., & Heilbrun, A. B.The adjective checklist. Palo Alto, Calif.: Consulting Psychologists Press, 1975.

    Google Scholar 

  • Haynes, S., Feinleib, M., Levine, S., Scotch, N., & Kannel, W. The relationship of psychosocial factors to coronary heart disease in the Framingham study: II. Prevalence of coronary heart disease.American Journal of Epidemiology 1978a,107 384–402.

    Google Scholar 

  • Haynes, S. G., Feinleib, M., & Kannel, W. The relationship of psychosocial factors to coronary heart disease in the Framingham study: eight-year incidence of coronary heart disease.American Journal of Epidemiology 1980,111 37–58.

    Google Scholar 

  • Haynes, S. G., Levine, S., Scotch, N., Feinleib, M., & Kannel, W. G. The relationship of psychosocial factors to coronary heart disease in the Framingham study: methods and risk factors.American Journal of Epidemiology 1978b,107(5), 362–383.

    Google Scholar 

  • Heller, R. F. Type A behavior and coronary heart disease.British Medical Journal, 1979, 368.

  • Horine, E. F. Psychologic factors in heart disease.Journal of the Indiana Medical Association 1939,32 675–677.

    Google Scholar 

  • Jenkins, C. D., Rosenman, R. H., & Friedman, M. Development of an objective psychological test for the determination of the coronary-prone behavior pattern in employed men.Journal of Chronic Diseases 1967,20 371–379.

    Google Scholar 

  • Jenkins, C. D., Rosenman, R. H., & Friedman, M. Replicability of rating the coronary-prone behavior pattern.British Journal of Preventive and Sociological Medicine 1968,22 16–22.

    Google Scholar 

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

    Google Scholar 

  • Keith, R., Lown, B., & Stare, F. Coronary heart disease and behavior patterns.Psychosomatic Medicine 1965,27 424–434.

    Google Scholar 

  • Kittel, F., Kornitzer, M., Zyzanski, S. J., Jenkins, C. D., Rustin, R. M., & Degre, C. Two methods of assessing the Type A coronary-prone behavior pattern in Belgium.Journal of Chronic Diseases 1978,31(3), 147–155.

    Google Scholar 

  • Krantz, D. S., Glass, D. C., & Snyder, M. L. Helplessness, stress level, and the coronary-prone behavior pattern.Journal of Experimental Social Psychology 1974,10 284–300.

    Google Scholar 

  • Matthews, K. A. Caregiver: child interactions and Type A coronary-prone behavior pattern.Child Development 1977,48 1752–1756.

    Google Scholar 

  • Matthews, K. A., & Krantz, D. S. Components of Pattern A associated with interview assessment and coronary artery disease: A case control study. Unpublished manuscript. Kansas State University, 1978.

  • Matthews, K. A., & Angulo, J. Measurement of the Type A behavior pattern in children: Assessment of children's competitiveness, impatience-anger, and aggression. Unpublished manuscript, 1979.

  • Matthews, K. A., Glass, D. C., Rosenman, R. H., & Bortner, R. W. Competitive drive, Pattern A and coronary heart disease: a further analysis of some data from the Western Collaborative Group Study.Journal of Chronic Diseases 1977,30 489–498.

    Google Scholar 

  • Menninger, K. A., & Menninger, W. C. Psychoanalytic observations in cardiac disorders.American Heart Journal 1936,11 10.

    Google Scholar 

  • Osler, W. Lumleian lectures.Lancet 1910,1 687, 839–973.

    Google Scholar 

  • Rahe, R. H., Hervig, L., & Rosenman, R. H. Heritability of Type A Behavior. Paper presented at the annual meeting of the American Psychosomatic Society, New Orleans, March 1978.

  • Rosenman, R. H., Brand, R. J., Jenkins, D., Friedman, M., Straus, R., & Wurm, M. Coronary heart disease in the Western Collaborative Group Study: final follow-up experience of 8 1/2 years.Journal of the American Medical Association 1975,233 872–877.

    Google Scholar 

  • Rosenman, R. H., Brand, R. J., Sholtz, R. I., & Friedman, M. Multivariate prediction of coronary heart disease during 8.5 year follow-up in the Western Collaborative Group Study.American Journal of Cardiology 1976,37 903–910.

    Google Scholar 

  • Rosenman, R. H., & Friedman, M. Association of specific behavior pattern in women with blood and cardiovascular findings.Circulation 1961,24 1173–1184.

    Google Scholar 

  • Rosenman, R. H., Friedman, M., Jenkins, C. D., Straus, R., Wurm, M., & Kositchek, R. The prediction of immunity to coronary heart disease.Journal of the American Medical Association 1966,198(11), 137–140.

    Google Scholar 

  • Rosenman, R. H., Friedman, M., Jenkins, C. D., Straus, R., Wurm, M., & Kositchek, R. Recurring and fatal myocardial infarction in the Western Collaborative Group Study.American Journal of Cardiology 1967a,19(6), 771–775.

    Google Scholar 

  • Rosenman, R. H., Friedman, M., Jenkins, C. D., Straus, R., Wurm, M., & Kositchek, R. Clinically unrecognized myocardial infarction in the Western Collaborative Group Study.American Journal of Cardiology 1967b,19(6), 776–782.

    Google Scholar 

  • Rosenman, R. H., Friedman, M., Straus, R., Wurm, M., Kositchek, R., Hahn, W., & Werthessen, N. T. A predictive study of coronary heart disease — The Western Collaborative Group Study.Journal of the American Medical Association 1964,189(1), 103–110.

    Google Scholar 

  • Rosenman, R. H., Friedman, M., Straus, R., Wurm, M., Jenkins, C. D., Messinger, H. B., Kositchek, R., Hahn, W., & Werthessen, N. T. Coronary heart disease in the Western Collaborative Group Study — A follow-up experience of two years.Journal of the American Medical Association 1966,195(2), 86–92.

    Google Scholar 

  • Rosenman, R. H., Friedman, M., Straus, R., Jenkins, C. D., Zyzanski, S. J., & Wurm, M. Coronary heart disease in the Western Collaborative Group Study — A follow-up experience of 4 1/2 years.Journal of Chronic Diseases 1970,23 173–190.

    Google Scholar 

  • Scherwitz, L., Berton, K., & Leventhal, H. Type A assessment and interaction in the behavior pattern interview.Psychosomatic Medicine 1977,39(4), 229–240.

    Google Scholar 

  • Stewart, I. M. G. Coronary disease and modern stress.Lancet, 1950, 867–870.

  • Thurstone, L. L.Thurstone temperament schedule. Chicago, Ill.: Science Research Associates, 1949.

    Google Scholar 

  • Von Dusch, T.Lehrbuch det Herskrankheiten. Leipzig: Verlag von Wilhem Engelman, 1868.

    Google Scholar 

  • Vickers, R. A short measure of the Type A personality. Unpublished document. Ann Arbor: University of Michigan, Institute for Social Research, February 1973.

    Google Scholar 

  • Wahl, E. F. Cardiac manifestations of psychoneurotic state.Journal of the Medical Association of Georgia 1932,21 428–430.

    Google Scholar 

  • Waldron, I. The coronary-prone behavior pattern, blood pressure, employment and socioeconomic status in women.Journal of Psychosomatic Research 1978,22 79–87.

    Google Scholar 

  • Wolfe, T. Dynamic aspects of cardiovascular symptomatology,American Journal of Psychology 1934,91 563.

    Google Scholar 

  • Zyzanski, S. J., Jenkins, C. D., Ryan, T. J., Flessas, A., & Everist, M. Psychological correlates of coronary angiographic findings.Archives of Internal Medicine 1976,136 1234–1237.

    Google Scholar 

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Authors and Affiliations

  1. SRI International, 333 Ravenswood Avenue, 94025, Menlo Park, California

    Margaret A. Chesney, Jean R. Eagleston & Ray H. Rosenman

Authors
  1. Margaret A. Chesney
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  2. Jean R. Eagleston
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  3. Ray H. Rosenman
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Preparation of this manuscript was supported in part by the National Institute of Mental Health Grant 31269.

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Chesney, M.A., Eagleston, J.R. & Rosenman, R.H. The Type A Structured Interview: A behavioral assessment in the rough. Journal of Behavioral Assessment 2, 255–272 (1980). https://doi.org/10.1007/BF01666785

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