Bhatia M S, Tiwari A, Gupta H
Department of Psychiatry, Lady Hardinge Medical College, New Delhi.
Indian J Med Res. 1990 Apr;92:95-100.
Fifty patients of myocardial infarction and 50 normal controls were studied to find out the relationship of Type A behaviour and stressful life events with myocardial infarction and its sequelae. Type A behaviour was detected in 72 per cent of patients as compared to 16 per cent in control group. Among the different components of Type A behaviour, Factor S (measuring speed and impatience) was found to be significantly higher in the study group. Patients with myocardial infarction also scored significantly high on mean frequency and stress scores on total life events as well as on various subgroups of life events. The mean anxiety and depression scores (as measured on Hamilton's anxiety rating scale and Beck's depression inventory respectively) in patients also showed statistically significant improvement with the passage of time.
对50例心肌梗死患者和50例正常对照者进行研究,以探讨A型行为和应激性生活事件与心肌梗死及其后遗症之间的关系。72%的患者被检测出有A型行为,而对照组这一比例为16%。在A型行为的不同组成部分中,研究组的S因子(衡量速度和不耐烦程度)显著更高。心肌梗死患者在总生活事件以及生活事件各个亚组的平均频率和应激评分上也显著更高。随着时间的推移,患者的平均焦虑和抑郁评分(分别用汉密尔顿焦虑量表和贝克抑郁量表测量)也显示出具有统计学意义的改善。