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Reducing Coronary Risk in Occupationally Successful Type A Men

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Behavioral Medicine: Work, Stress and Health

Part of the book series: NATO Science Series D: (closed) ((ASID,volume 19))

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Abstract

In seeking to develop a treatment program that would reduce the coronary risk associated with being type A in occupationally successful, apparently healthy, middle-aged men, two distinct types of problems are encountered: clinical and conceptual-methodological. The clinical issues in type A intervention are those common to all treatment programs, such as formulating a therapy and motivating individuals to accept the treatment preferred. The conceptual-methodological issues are more complex and more idiosyncratic since, contrary to obesity, smoking and hypertension where treatment goals and outcome measures are at least clearly defined, for type A there is considerable ambiguity concerning what specific behaviors in the global pattern lead to increased coronary risk and what changes indicate reduction in this risk (35,36). Thus, before the would-be therapist can embark on treatment he or she must first delineate the goals of treatment, as well as the measures used to evaluate treatment effects. In this chapter we shall trace the efforts of my colleagues and myself to develop a type A intervention program for healthy men, focusing both on the clinical and the methodological aspects of our treatment studies.

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Author information

Authors and Affiliations

  1. University of Montreal, Montreal, Canada

    Ethel Roskies

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  1. Ethel Roskies
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Editors and Affiliations

  1. Psychological Associates of Lynchburg, Lynchburg, 24502, VA, USA

    W. Doyle Gentry PhD

  2. Department of Behavioral Medicine & Psychiatry, University of Virginia, USA

    W. Doyle Gentry PhD

  3. Department of Medicine, Harvard Medical School and Beth Israel Hospital, USA

    Herbert Benson MD

  4. Workgroup on Psychology of Work and Organization, University of Nijmegen, The Netherlands

    Charles J. de Wolff (Director) (Director)

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© 1985 Martinus Nijhoff Publishers, Dordrecht

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Roskies, E. (1985). Reducing Coronary Risk in Occupationally Successful Type A Men. In: Gentry, W.D., Benson, H., de Wolff, C.J. (eds) Behavioral Medicine: Work, Stress and Health. NATO Science Series D: (closed), vol 19. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-5179-2_11

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  • DOI: https://doi.org/10.1007/978-94-009-5179-2_11

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-8792-6

  • Online ISBN: 978-94-009-5179-2

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