Byrne D G, Reinhart M I
Department of Psychology, Australian National University, Canberra, ACT.
J Psychosom Res. 1989;33(5):609-19. doi: 10.1016/0022-3999(89)90068-8.
The utility of the Type A Behavior Pattern (TABP) as an explanatory concept in psychosomatic medicine has recently been challenged by the appearance of data casting doubt on associations between the TABP and coronary disease. The present study examined an interactive view of the relationship between the TABP and self-reported angina pectoris by suggesting that the TABP exerts a pathogenic influence only under certain occupational conditions. The data gave broad support to this view, and while the results are as yet preliminary, they point to a means of extending the usefulness of the TABP as a variable in epidemiological studies of cardiovascular disease.
A型行为模式(TABP)作为心身医学中的一个解释性概念,其效用最近受到了质疑,因为出现了一些数据,对TABP与冠心病之间的关联提出了疑问。本研究通过提出A型行为模式仅在某些职业条件下才会产生致病影响,来检验A型行为模式与自我报告的心绞痛之间关系的一种交互观点。数据广泛支持了这一观点,虽然结果仍属初步,但它们指出了一种方法,可扩展A型行为模式作为心血管疾病流行病学研究变量的有用性。