Encyclopedia of Behavioral Medicine

Living Edition
| Editors: Marc Gellman

Heart Disease and Type A Behavior

  • Yoichi Chida
Living reference work entry
DOI: https://doi.org/10.1007/978-1-4614-6439-6_252-2


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.


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

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References and Further Reading

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Copyright information

© Springer Science+Business Media LLC 2018

Authors and Affiliations

  1. 1.Faculty of Human Happiness Office 4Happy Science University 4FChosei-mura, Chosei-gunJapan
  2. 2.Department of Medical ScienceHappy Science ClinicKawasaki CityJapan

Section editors and affiliations

  • Mustafa al’Absi
    • 1
  1. 1.University of Minnesota Medical SchoolUniversity of Minnesota, 235 School of MedicineDuluthUSA