Hart K E
J Behav Ther Exp Psychiatry. 1984 Jun;15(2):133-9. doi: 10.1016/0005-7916(84)90008-9.
The present study sought to explore whether training Type A coronary-prone individuals in stress management would result in a diminution of Type A behaviors. The effectiveness of a single-method approach that focused specifically on anger management was tested. Results showed that the treatment, a modified version of Suinn's Anxiety Management Training, was associated with significant reductions in Type A inventory (Jenkins Activity Survey) scores. Two possible explanations for the results were entertained. First, Type A subjects may have experienced a sense of increased control over potentially threatening person-environment transactions which decreased the need for Type A coping behaviors. And second, the program may have caused Type A subjects to become hypersensitive to the uncomfortable symptoms of stress, and since some Type A behaviors induce stress, Type B behavior may have been negatively reinforced by symptom reduction. It was concluded that the most promising therapeutic target for change may be anger/hostility and that a narrow-focus single-method approach may be the most efficient and effective strategy for modifying coronary-prone behaviors.
本研究旨在探讨对A型冠心病易感个体进行压力管理培训是否会导致A型行为减少。测试了一种专门针对愤怒管理的单一方法的有效性。结果表明，该治疗方法（Suinn焦虑管理培训的改良版）与A型量表（詹金斯活动调查）得分的显著降低相关。对结果提出了两种可能的解释。首先，A型受试者可能对潜在威胁性的人与环境互动有了更强的控制感，这减少了对A型应对行为的需求。其次，该项目可能使A型受试者对压力的不适症状变得高度敏感，而且由于一些A型行为会诱发压力，B型行为可能因症状减轻而得到了负强化。得出的结论是，最有希望的改变治疗靶点可能是愤怒/敌意，并且专注于单一方法的窄焦点方法可能是改变冠心病易感行为最有效率和效果的策略。
