MacDougall J M, Dembroski T M, Dimsdale J E, Hackett T P
Health Psychol. 1985;4(2):137-52. doi: 10.1037//0278-6133.4.2.137.
In a previous study of patients undergoing angiography at Duke University Medical Center, we reported that of all components of the Type A behavior pattern (TABP), only Potential for Hostility and Anger-In were significantly associated with extent of coronary artery disease (CAD). The present study was undertaken to replicate these findings using a different patient population. Tape-recorded structured interviews from 125 angiography patients at Massachusetts General Hospital were blind scored using the component scoring system employed in the Duke study. The results confirmed our previous findings. Global TABP was completely unrelated to extent of CAD, while Potential for Hostility and Anger-In were significant independent predictors of disease severity. These findings argue for a reconceptualization of the manner in which the TABP is defined and assessed.
在之前一项针对杜克大学医学中心接受血管造影术患者的研究中，我们报告称，在A型行为模式（TABP）的所有组成部分中，只有敌意潜能和愤怒内化与冠状动脉疾病（CAD）的严重程度显著相关。本研究旨在使用不同的患者群体来重复这些发现。对麻省总医院125名血管造影术患者的录音结构化访谈，采用杜克大学研究中使用的成分评分系统进行盲法评分。结果证实了我们之前的发现。整体A型行为模式与冠状动脉疾病严重程度完全无关，而敌意潜能和愤怒内化是疾病严重程度的重要独立预测因素。这些发现支持对A型行为模式的定义和评估方式进行重新概念化。
