Keltikangas-Järvinen L, Räikkönen K
Department of Psychology, University of Helsinki, Finland.
J Psychosom Res. 1990;34(1):89-97. doi: 10.1016/0022-3999(90)90011-r.
Type A factors related to the level of somatic risk factors of coronary heart disease were studied in 1209 healthy young Finns. They were 12-, 15- and 18-year-old adolescents who were clinically examined three times within a six-year follow-up period. The risk and non-risk groups were constructed on the basis of their risk level over three testings, separately in each somatic risk variable. Type A behavior was evaluated during the six-year follow-up using the AFMS questionnaire. The results showed that of the Type A factors 'hard-driving' had the strongest association with the somatic risk level. 'Aggression-competitiveness' was also related to the risk but not very strongly. 'Impatience' was of no importance while 'engagement-involvement' was likely to be a protective factor: a low score on it correlated with the risk.
在1209名健康的芬兰年轻人群中，研究了与冠心病躯体危险因素水平相关的A型因素。他们是年龄在12岁、15岁和18岁的青少年，在六年的随访期内接受了三次临床检查。根据三次检测中的风险水平，针对每个躯体风险变量分别构建了风险组和非风险组。在六年的随访期间，使用AFMS问卷对A型行为进行了评估。结果显示，A型因素中的“拼命工作”与躯体风险水平的关联最为强烈。“攻击性-竞争性”也与风险有关，但关联不太强烈。“不耐烦”无关紧要，而“投入-参与度”可能是一个保护因素：该因素得分低与风险相关。
