Smith D F, Sterndorff B, Røpcke G, Gustavsen E M, Hansen J K
Institute for Basic Research in Psychiatry, Aarhus University Hospital, Psychiatric Hospital, Risskov, Denmark.
Scand J Psychol. 1996 Sep;37(3):249-58. doi: 10.1111/j.1467-9450.1996.tb00657.x.
The role of psychological factors in coronary heart disease was examined by administering the Bech Rating Scale (BRS) of mood disorders and the Jenkins Activity Survey (JAS) for Type A behavior patterns (TABP) to a consecutive sample of angina patients (N = 94), to a consecutive sample of noncardiac patients (N = 47), and to a random sample of adults from the general population (N = 217). Anxiety and depression were both more frequent and more severe in angina patients than in noncardiac patients or in the general population. There was a tendency for certain components of TABP (i.e. speed, impatience, hard-driving and competitive disposition) to be elevated in angina patients, but a similar trend was noted in noncardiac patients. Although no consistent relations were observed between negative emotions and TABP scores in angina patients, their anxiety and depression scores were reliably related to their use of nitroglycerin. The findings concur with previous studies concerning the presence of anxiety and depression in patients with angina pectoris and indicate that such negative emotions are not closely related to Type A personality trails.
通过对连续选取的心绞痛患者样本（N = 94）、连续选取的非心脏疾病患者样本（N = 47）以及来自普通人群的随机成人样本（N = 217）进行情绪障碍的贝克评定量表（BRS）和A型行为模式（TABP）的詹金斯活动调查（JAS），研究了心理因素在冠心病中的作用。心绞痛患者的焦虑和抑郁在频率和严重程度上均高于非心脏疾病患者或普通人群。心绞痛患者的某些A型行为模式成分（即速度、不耐烦、争强好胜和竞争倾向）有升高的趋势，但在非心脏疾病患者中也观察到了类似趋势。虽然在心绞痛患者中未观察到负面情绪与A型行为模式得分之间存在一致的关系，但他们的焦虑和抑郁得分与硝酸甘油的使用确实相关。这些发现与先前关于心绞痛患者存在焦虑和抑郁的研究结果一致，并表明此类负面情绪与A型人格特质没有密切关系。
