Razin A M, Swencionis C, Zohman L R
Int J Psychiatry Med. 1986;16(1):31-47. doi: 10.2190/501p-g3ax-b11j-420x.
Recent reports indicate that Type A Behavior may be reducible by behavioral and other psychotherapeutic methods. To date, however, there has been virtually no demonstration of reduction of the actual, observed behavior. Furthermore, the physiologic hyperresponsiveness that seems to characterize many Type A individuals when under stress, has received relatively little therapeutic attention. This preliminary, uncontrolled report describes a cognitive-behavioral group intervention program, before and after which patients underwent assessment on physiologic, behavioral, and self-report assessments. These included heart rate and blood pressure responsiveness under stressful conditions, trained observer ratings of Type A Behavior, and a variety of subjective measures of Type A Behavior and psychological distress and symptoms. Results showed limited improvement on most behavioral and self-report indices. Relatively greater reduction of Type A Behavior was associated with higher pre-treatment levels of Type A Behavior, with the absence of coronary artery disease and with male gender.
最近的报告表明，A型行为可能可通过行为疗法及其他心理治疗方法得以改善。然而，迄今为止，几乎没有证据表明实际观察到的行为有所减少。此外，许多A型个体在压力下表现出的生理反应过度，相对而言很少受到治疗关注。这份初步的、非对照报告描述了一项认知行为团体干预计划，在该计划实施前后，患者接受了生理、行为和自我报告评估。这些评估包括压力条件下的心率和血压反应、训练有素的观察者对A型行为的评分，以及A型行为、心理困扰和症状的各种主观测量。结果显示，大多数行为和自我报告指标仅有有限的改善。A型行为相对更大程度的减少与治疗前较高的A型行为水平、无冠状动脉疾病以及男性性别有关。
