Lundberg U, Hedman M, Melin B, Frankenhaeuser M
Department of Psychiatry and Psychology, Karolinska Institutet, Stockholm, Sweden.
Psychosom Med. 1989 Mar-Apr;51(2):113-22. doi: 10.1097/00006842-198903000-00001.
Type A behavior was assessed in 30 men and 30 women (ages 30-50) by a Videotaped Structured Interview (VSI). Scores for total Type A behavior as well as subcomponents (competitiveness, time urgency, hostility) were examined in relation to cardiovascular and neuroendocrine reactivity during a work day (change from a work-free day) and during laboratory-induced stress (change from resting condition). In addition, Type A and Type B males and females were compared with regard to total serum cholesterol, LDL and HDL cholesterol, and triglycerides. The results showed relationships between 1) competitiveness/hostility and physiological reactivity at work in men, 2) total Type A behavior (and hostility) and serum cholesterol in men, and 3) hostility and serum cholesterol in women. As expected, the association between Type A behavior and physiological measurements was more pronounced for "extreme" Type A and B men and women (upper and lower 10 subjects, respectively) than for the total groups of each sex.
通过录像结构化访谈（VSI）对30名男性和30名女性（年龄在30至50岁之间）的A型行为进行了评估。研究了A型行为总分以及各子成分（竞争性、时间紧迫感、敌意）与工作日期间（与无工作日相比的变化）和实验室诱发应激期间（与静息状态相比的变化）心血管和神经内分泌反应性之间的关系。此外，还比较了A型和B型男性与女性的总血清胆固醇、低密度脂蛋白和高密度脂蛋白胆固醇以及甘油三酯水平。结果显示：1）男性的竞争性/敌意与工作时的生理反应性之间存在关联；2）男性的A型行为总分（以及敌意）与血清胆固醇之间存在关联；3）女性的敌意与血清胆固醇之间存在关联。正如预期的那样，“极端”A型和B型男性与女性（分别为每组中排名前10和后10的受试者）的A型行为与生理测量指标之间的关联比各性别的总体组更为明显。
