Blumenthal J A, Lane J D, Williams R B
J Human Stress. 1985 Summer;11(2):82-92. doi: 10.1080/0097840X.1985.9936743.
The Type A behavior pattern and the inhibited power motive have been implicated in the development of coronary heart disease (CHD). Since it is widely believed that enhanced cardiovascular responsivity may be one mechanism by which individuals develop CHD, the present study examined the relationship of Type A behavior and the inhibited power motive to different patterns of cardiovascular response during two behavioral tasks. Forty-one (24 Type A's, 17 Type B's) male undergraduates underwent the Type A structured interview (SI) and the Thematic Apperception Test (TAT) while a broad range of cardiovascular functions were simultaneously recorded. Different patterns of cardiovascular response were observed during the SI and TAT, and Type A's showed a greater tendency than Type B's to exhibit increased heart rate (HR), systolic blood pressure (SBP), and forearm blood flow (FBF) during the SI and the preparatory phase (but not the story-telling phase) of the TAT. The inhibited power motive was not related to enhanced cardiovascular responsivity during the SI or TAT. The implications of these findings for the development of CHD are discussed.
A型行为模式和抑制性权力动机与冠心病(CHD)的发展有关。由于人们普遍认为心血管反应性增强可能是个体患冠心病的一种机制,因此本研究考察了A型行为和抑制性权力动机与两项行为任务中不同心血管反应模式之间的关系。41名男性本科生(24名A型,17名B型)接受了A型结构化访谈(SI)和主题统觉测验(TAT),同时记录了广泛的心血管功能。在SI和TAT过程中观察到了不同的心血管反应模式,在SI以及TAT的准备阶段(而非讲故事阶段),A型比B型表现出更大的心率(HR)、收缩压(SBP)和前臂血流量(FBF)增加的倾向。抑制性权力动机与SI或TAT期间心血管反应性增强无关。讨论了这些发现对冠心病发展的影响。