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Physical health correlates of Type A behavior in children and adolescents

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Abstract

A physical examination including resting blood pressure, heart rate, Tanner scales, height, and weight was administered to 184 students in the fifth, seventh, and ninth grades. They completed the Physical Symptoms of Stress Inventory, Health Habits Inventory, and two self-monitoring logs of physical symptoms. School absenteeism, medical records, physician ratings, and family health history data were collected. No significant differences between high-and low-Type A behavior pattern (TABP) subjects were found on any of the physical measurements. However, retrospective and prospective reports of physical symptoms revealed a consistent pattern: high TABP subjects reported significantly more physical symptoms than low-TABP subjects. Self-ratings of stress and tension were significantly higher for high-TABP subjects. High-TABP subjects, however, neither missed more school because of illness nor used physician services more often than low subjects. Further, expected relationships between physical symptoms and illness behavior, including school absence, were evident only for low subjects.

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References

  • Carmody, T., Hollis, J., Matarazzo, J., Fay, S., and Connor, W. (1984). Type A behavior, attentional style, and symptom reporting among adult men and women.Health Psychol. 3(1): 45–61.

    Google Scholar 

  • Carver, C., Coleman, A., and Glass, D. (1976). The coronary-prone behavior pattern and the suppression of fatigue on a treadmill test.J. Personal. Soc. Psychol. 36: 1213–1220.

    Google Scholar 

  • Case, R., Heller, S., Case, N., Moss, A., and Multicenter Post-Infarction Research Group (1985). Type A behavior and survival after acute myocardial infarction.N. Engl. J. Med. 312: 737–741.

    Google Scholar 

  • Chesney, M., Eagleston, J., and Rosenman, R. (1980). The Type A structured interview: A behavioral assessment in the rough.J. Behav. Assess. 2: 225–272.

    Google Scholar 

  • Dawber, T. R. (1980).The Framingham Heart Study: The Epidemiology of Atherosclerosis, Harvard University Press, Cambridge, Mass.

    Google Scholar 

  • Department of Psychosocial Nursing (1980).Symptoms of Stress Inventory, Unpublished document, University of Washington, Seattle.

    Google Scholar 

  • Eaker, E., Feinleib, M., and Wolf, P. (1983, March). Relationship of psychosocial factors to ten-year incidence of cerebrovascular accidents in Framingham Heart Study. Paper presented at the meeting of the American Heart Association Council of Epidemiology, San Diego, Calif.

  • Enos, W., Holmes, R., and Beyer, K. (1953). Coronary disease among U.S. soldiers killed in action in Korea.JAMA 152: 1090–1093.

    Google Scholar 

  • Friedman, M., and Rosenman, R. (1974).Type A Behavior and Your Heart, Fawcett, Greeenwich, Conn.

    Google Scholar 

  • Friedman, M., Thoresen, C. E., Gill, J. J., Powell, L. H., Ulmer, D., Thompson, L., Price, V., Rabin, D., Breall, W. S., Dixon, T., Levy, R., and Bourg, E. (1984). Alteration of Type A behavior and reduction in cardiac recurrences in postmyocardial infarction patients.Am. Heart J. 108: 237–248.

    Google Scholar 

  • Gerace, T., and Smith, J. (1982). Children's Type A interview: Interrater, test-retest reliability, and interviewer effect. Paper presented at the annual meeting of the American Psychological Association, Washington, D.C.

  • Hart, K. (1983). Physical symptom reporting and health perception among Type A and B college males.J. Hum. Stress 9: 17–22.

    Google Scholar 

  • Haynes, S., Levine, N., Scotch, M., Feinleib, M., and Kannnel, W. (1978). The relationship of psychosocial factors to coronary heart disease in the Framingham Study. I. Method and risk factors.Am. J. Epidemiol. 107: 367–383.

    Google Scholar 

  • Haynes, S., Feinleib, M., and Kannel, W. (1980). The relationship of psychosocial factors to coronary heart disease in the Framingham Study: III. Eight year incidence of coronary heart disease.Am. Epidemiol. 111: 37–58.

    Google Scholar 

  • Hunter, S., Wolf, T., Sklov, M., Webber, L., Watson, R., and Berenson, G. (1982). Type A coronary-prone behavior pattern and cardiovascular risk factor variables in children and adolescents: The Bogalusa Heart Study.J. Chron. Dis. 35: 613–621.

    Google Scholar 

  • Jenkins, C. (1982). Estimation of the coronary-prone behavior pattern by the use of the Structured Interview and the Activity Survey: Past experience and future directions. In Horvath, M., and Frastik, E. (eds.),Psychophysiological Risk Factors of Cardiovascular Diseases: Psychosocial Stress, Personality, and Occupational Specificity, Avicemum, Prague.

    Google Scholar 

  • Jenkins, C., Zyzanski, S., and Rosenman, R. (1979).Jenkins Activity Survey Manual, Psychological Corp. New York.

    Google Scholar 

  • Kirmil-Gray, K., Eagleston, J., Thoresen, C., Arnow, B., Heft, L., Bracke, P., and Wiedenfeld, S. (1985). Developing measures of Type A behavior in children and adolescents (submitted for publication).

  • Krantz, D., and Durel, L. (1983). Psychobiological subtraits of the Type A behavior pattern.Health Psychol. 2: 393–411.

    Google Scholar 

  • Matthews, K., and Angulo, J. (1980). Measurement of the Type A behavior pattern in children: Assessment of children's competitiveness, impatience-anger, and aggression.Child Dev. 51: 466–475.

    Google Scholar 

  • Matthews, K., and Cara, J. (1982). Suppression of menstrual distress symptoms: A study of Type A behavior.Personal. Soc. Psychol. Bull. 8: 146–151.

    Google Scholar 

  • Matthews, K., Jamison, W., and Cottington, E. (1983). Assessment of Type A, anger, and hostility: A review of measures through 1982.Psychol. Doc.

  • McNamara, S., Molot, M., Stremple, J., and Cutting, R. (1971). Coronary artery disease in combat casualties in Vietnam.JAMA 216: 1185.

    Google Scholar 

  • Morris, N., and Udry, J. (1980). Validation of a self-administered instrument to assess stages of adolescent development.J. Youth Adoles. 9: 271–280.

    Google Scholar 

  • Pulford, G., and Coddington, R. (1983). A seriousness of illness scale for pediatric illnesses, Unpublished manuscript, Palo Alto Medical Foundation, Palo Alto, Calif.

    Google Scholar 

  • Review Panel on Coronary-Prone Behavior and Coronary Heart Disease (1981). Coronary-prone behavior and coronary heart disease: A critical review.Circulation 63: 119–215.

    Google Scholar 

  • Rosenman, R., Brand, R., Jenkins, C., Friedman, M., Straus, R., and Wurm, M. (1975). Coronary heart disease in the Western Collaborative Group Study: Final follow-up experience of 81/2 years.JAMA 233: 872–877.

    Google Scholar 

  • Ruberman, W., Weinblatt, E., Goldberg, J. D., and Claudbury, B. (1984). Psychosocial influence on mortality after myocardial infarction.N. Engl. J. Med. 311: 552–559.

    Google Scholar 

  • Siegel, J. (1982). Type A behavior and self reports of cardiovascular arousal in adolescents.J. Hum. Stress 8: 24–30.

    Google Scholar 

  • Siegel, J., and Leitch, C. (1981). Assessment of the Type A behavior pattern in adolescents.Psychosom. Med. 43(1): 45–56.

    Google Scholar 

  • Siegel, J., Matthews, K. A., and Leitch, J. (1981). Validation of the Type A interview assessment of adolescents: A multidimensional approach.Psychosom. Med. 43(4): 311–320.

    Google Scholar 

  • Smith, J., and Gerace, T. (1983). Children's Type A interview: Validity using MYTH total and factor scores. Paper presented at the annual meeting of the American Psychological Association, Anaheim, Calif.

  • Stout, C., and Bloom, L. (1982). Type A behavior and upper respiratory infections.J. Hum. Stress. 8 (2): 4–7.

    Google Scholar 

  • Tanner, J. (1975). Growth and endocrinology of the adolescent. In Gardner, L. J. (ed.),Endocrine and Diseases of Childhood, 2nd ed., W. B. Saunders, Philadelphia.

    Google Scholar 

  • Weidner, G., and Matthews, K. (1978). Reported physical symptoms elicited by unpredictable events and the Type A coronary-prone behavior pattern.J. Personal. Soc. Psychol. 36: 1213–1220.

    Google Scholar 

  • Williams, R. B. (1984). Neuroendocrine response patterns and stress: Biobehavioral mechanisms of disease. In Williams, R. B. (ed.),Perspectives on Behavioral Medicine: Neuroendocrine Control and Behavior, Academic Press, New York.

    Google Scholar 

  • Williams, R., Lane, J., Kuhn, C., Melosh, W., White, A., and Schanberg, S. (1982). Type A behavior and elevated physiological and neuroendocrine responses to cognitive tasks.Science 218: 483–485.

    Google Scholar 

  • Wolf, T., Sklov, M., Wenzl, P., Hunter, S., and Berenson, G. (1982). Validation of a measure of Type A behavior pattern in children: Bogalusa Heart Study.Child Dev. 53: 126–135.

    Google Scholar 

  • Woods, P., and Burns, J. (1984). Type A behavior and illness in general.J. Behav. Med. 7: 411–415.

    Google Scholar 

  • Woods, D., Morgan, B., Day, B., Jefferson, T., and Harris, C. (1984). Findings on a relationship between Type A behavior and headaches.J. Behav. Med. 7: 277–286.

    Google Scholar 

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Support for this research was provided by a grant from the John D. and Catherine T. MacArthur Foundation. We gratefully acknowledge the assistance of our project secretary, Donna Juds Gomola.

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Eagleston, J.R., Kirmil-Gray, K., Thoresen, C.E. et al. Physical health correlates of Type A behavior in children and adolescents. J Behav Med 9, 341–362 (1986). https://doi.org/10.1007/BF00845119

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