Ketterer M W
Department of Psychiatry, Henry Ford Hospital, Detroit, MI 48202.
Henry Ford Hosp Med J. 1990;38(4):207-12.
Recent research suggests that the most potent feature of the Type A behavior pattern for prospectively predicting cardiac disease is aggravation, irritation, anger, and impatience (AIAI). The present study examines psychometric properties of a new AIAI measure and its relationship to the severity of coronary artery disease (CAD). Subjects included 61 males undergoing coronary angiography. Comparisons were made of mean psychometric scores across groupings, defined by number of vessels occluded. These comparisons showed that the normal or subclinically occluded coronary angiographic group had high levels of depression and anxiety. Higher levels of AIAI were observed in patients with multivessel CAD compared to those with single vessel disease. Because of their psychological abnormality, the normal and subclinically occluded angiographic patients are an inappropriate control group for AIAI studies intended to address the etiology of CAD. Nonetheless, evaluation of these patients for the presence of depressive and anxiety disorders frequently has clinical importance.
近期研究表明，A型行为模式前瞻性预测心脏病的最显著特征是加重、易怒、愤怒和不耐烦（AIAI）。本研究考察了一种新的AIAI测量方法的心理测量特性及其与冠状动脉疾病（CAD）严重程度的关系。研究对象包括61名接受冠状动脉造影的男性。对根据阻塞血管数量定义的不同分组的平均心理测量得分进行了比较。这些比较表明，冠状动脉造影正常或亚临床阻塞组有较高水平的抑郁和焦虑。与单支血管疾病患者相比，多支血管CAD患者的AIAI水平更高。由于其心理异常，冠状动脉造影正常和亚临床阻塞的患者对于旨在探讨CAD病因的AIAI研究来说是不合适的对照组。尽管如此，评估这些患者是否存在抑郁和焦虑障碍往往具有临床重要性。
