Heart Disease and Type A Behavior
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...
References and Further Reading
- Friedman, M., & Rosenman, R. H. (1959). Association of specific overt behavior pattern with blood and cardiovascular findings: Blood cholesterol level, blood clotting time, incidence of arcus senilis, and clinical coronary artery disease. Journal of the American Medical Association, 169, 1286–1296.CrossRefPubMedGoogle Scholar
- Rosenman, R. H. (1990). Type A behavior pattern: A personal overview. Journal of Social Behavior and Personality, 5, 1–24.Google Scholar
- Whalley, B., Rees, K., Davies, P., Bennett, P., Ebrahim, S., Liu, Z., West, R., Moxham, T., Thompson, D. R., & Taylor, R. S. (2011). Psychological interventions for coronary heart disease. Cochrane Database of Systematic Reviews, 8, CD002902.Google Scholar