Keltikangas-Järvinen L, Jokinen J
Department of Psychology, University of Helsinki, Finland.
J Psychosom Res. 1989;33(1):17-27. doi: 10.1016/0022-3999(89)90102-5.
Type A behavior, coping mechanisms, emotions and somatic risk factors of coronary heart disease were studied in 208 randomly selected healthy adolescents. Type A behavior was evaluated by the Wolf-Hunter A-B Rating Scale and a questionnaire developed for the present study. Subjects' coping mechanisms and emotions were assessed by interviews. The somatic risk factors used were SBP, DBP, serum total cholesterol, LDL, HDL, triglycerides and body mass index. In boys, type A behavior consistently correlated negatively with somatic risk factors of CHD while in girls, 'traditional' type A components like impatience and a sense of hurry correlated positively with somatic risk. The key finding was that inability to recognize and express negative emotions and the denial of problems correlated with somatic risk.
对208名随机选取的健康青少年研究了冠心病的A型行为、应对机制、情绪和躯体危险因素。采用Wolf-Hunter A-B评定量表和为本研究编制的问卷对A型行为进行评估。通过访谈评估受试者的应对机制和情绪。所采用的躯体危险因素为收缩压、舒张压、血清总胆固醇、低密度脂蛋白、高密度脂蛋白、甘油三酯和体重指数。在男孩中，A型行为与冠心病的躯体危险因素始终呈负相关，而在女孩中，不耐烦和紧迫感等“传统”A型成分与躯体风险呈正相关。关键发现是，无法识别和表达负面情绪以及否认问题与躯体风险相关。
