Type A Personality and Coronary Artery Disease

Jin ho Shin

doi:10.7599/hmr.2014.34.2.72

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Shin: Type A Personality and Coronary Artery Disease

Review Article

Hanyang Medical Reviews 2014; 34(2): 72-76.

Published online: 23 May 2014

DOI: https://doi.org/10.7599/hmr.2014.34.2.72

Type A Personality and Coronary Artery Disease

Jin ho Shin

Department of Internal Medicine, Division of Cardiology, Hanyang University College of Medicine, Seoul, Korea.

Correspondence to: Jin ho Shin. Department of Internal Medicine, Hanyang University Seoul Hospital, 222 Wangsimni-ro, Sungdong-gu, Seoul 133-792, Korea. Tel: +82-2-2290-8308, Fax: +82-2-3655-2076, jhs2003@hanyang.ac.kr

Received 24 February 2014 Revised 21 April 2014 Accepted 25 April 2014

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Cardiovascular diseases are well known to be associated with several psychiatric illnesses. Most of the related psychological problems were type A personality, stress related problems, anxiety, and depressive illnesses. The dimensions of the associations are various from risk factor to triggering factor. With recent advances in the understanding of the mechanisms of heart attacks, the pathogenesis model by type A personality or depression might be associated with both longstanding atherogenic components or risk factors and decisive momentum to trigger the heart attack. Accordingly, in addition to the management of the unhealthy behavior related to the type A personality, intervention for the acute psychologic crisis might be equally important. Moreover, the association between the type A personality and cardiovascular diseases is observed in the primary prevention as well as secondary prevention studies. Due to the nature of the associated psychological problems, the background of the social environments seems to be deeply involved in the associations. The understanding of the complexity of the association is the key to further studies.

Keywords: Type A Personality, Cardiovascular Disease, Risk Factors

Figures and Tables

Fig. 1

A hypothetical schema to explain the contributions conferred by action-emotion complex in response to stressful situations on the cardiovascular events.

References

1. Stewart IM. Coronary disease and modern stress. Lancet. 1950; 2:867–870.

2. Enos WF, Holmes RH, Beyer J. Coronary disease among United States soldiers killed in action in Korea; preliminary report. J Am Med Assoc. 1953; 152:1090–1093.

3. Wardwell WI, Hyman M, Bahnson CB. Stress and coronary heart disease in three field studies. J Chronic Dis. 1964; 17:73–84.

4. Jenkins CD. Components of the coronary-prone behavior pattern. Their relation to silent myocardial infarction and blood lipids. J Chronic Dis. 1966; 19:599–609.

5. Mordkoff AM, Parsons OA. The coronary personality: a critique. Psychosom Med. 1967; 29:1–14.

6. Friedman M, Byers SO, Roseman RH, Elevitch FR. Coronary-prone individuals (type A behavior pattern). Some biochemical characteristics. JAMA. 1970; 212:1030–1037.

7. Jenkins CD. Psychologic and social precursors of coronary disease (first of two parts). N Engl J Med. 1971; 284:244–255.

8. Coronary-prone behavior and coronary heart disease: a critical review. The review panel on coronary-prone behavior and coronary heart disease. Circulation. 1981; 63:1199–1215.

9. Friedman M, Rosenman RH. Association of specific overt behavior pattern with blood and cardiovascular findings; blood cholesterol level, blood clotting time, incidence of arcus senilis, and clinical coronary artery disease. J Am Med Assoc. 1959; 169:1286–1296.

10. Smith T. Social stress and cardiovascular disease. Factors involving sociocultural incongruity and change. A review of empirical findings. Milbank Mem Fund Q. 1967; 45:Suppl. 23–39.

11. Lachar BL. Coronary-prone behavior. Type A behavior revisited. Tex Heart Inst J. 1993; 20:143–151.

12. Friedman M, Ulmer D. Treating type A behavior and your heart (Book). Libr J. 1984; 109:1856.

13. Rosenman RH, Friedman M, Straus R, Wurm M, Kositchek R, Hahn W, et al. A predictive study of coronary heart disease. JAMA. 1964; 189:15–22.

14. Houston B, Snyder CR. Type A behavior pattern: research, theory, and intervention. Wiley series on health psychology/behavioral medicine. New York: John Wiley & Sons;1988. p. 32–50.

15. Cohen JB, Reed D. The type A behavior pattern and coronary heart disease among Japanese men in Hawaii. J Behav Med. 1985; 8:343–352.

16. Shekelle RB, Gale M, Norusis M. Type A score (Jenkins Activity Survey) and risk of recurrent coronary heart disease in the aspirin myocardial infarction study. Am J Cardiol. 1985; 56:221–225.

17. Shekelle RB, Hulley SB, Neaton JD, Billings JH, Borhani NO, Gerace TA, et al. The MRFIT behavior pattern study. II. Type A behavior and incidence of coronary heart disease. Am J Epidemiol. 1985; 122:559–570.

18. MacDougall JM, Dembroski TM, Dimsdale JE, Hackett TP. Components of type A, hostility, and anger-in: further relationships to angiographic findings. Health Psychol. 1985; 4:137–152.

19. Ragland DR, Brand RJ. Type A behavior and mortality from coronary heart disease. N Engl J Med. 1988; 318:65–69.

20. Nunes EV, Frank KA, Kornfeld DS. Psychologic treatment for the type A behavior pattern and for coronary heart disease: a meta-analysis of the literature. Psychosom Med. 1987; 49:159–173.

21. Thoresen CE, Powell LH. Type A behavior pattern: new perspectives on theory, assessment, and intervention. J Consult Clin Psychol. 1992; 60:595–604.

22. Pickering TG. Should studies of patients undergoing coronary angiography be used to evaluate the role of behavioral risk factors for coronary heart disease? J Behav Med. 1985; 8:203–213.

23. Shin J, Edelberg JE, Hong MK. Vulnerable atherosclerotic plaque: clinical implications. Curr Vasc Pharmacol. 2003; 1:183–204.

24. Dembroski TM, MacDougall JM, Williams RB, Haney TL, Blumenthal JA. Components of Type A, hostility, and anger-in: relationship to angiographic findings. Psychosom Med. 1985; 47:219–233.

25. Krantz DS, Manuck SB. Acute psychophysiologic reactivity and risk of cardiovascular disease: a review and methodologic critique. Psychol Bull. 1984; 96:435–464.

26. Follick MJ, Ahern DK, Gorkin L, Niaura RS, Herd JA, Ewart C, et al. Relation of psychosocial and stress reactivity variables to ventricular arrhythmias in the Cardiac Arrhythmia Pilot Study (CAPS). Am J Cardiol. 1990; 66:63–67.

27. Kop WJ. The integration of cardiovascular behavioral medicine and psychoneuroimmunology: new developments based on converging research fields. Brain Behav Immun. 2003; 17:233–237.

28. Garvin P, Nilsson L, Carstensen J, Jonasson L, Kristenson M. Plasma levels of matrix metalloproteinase-9 are independently associated with psychosocial factors in a middle-aged normal population. Psychosom Med. 2009; 71:292–300.

29. Owa M, Aizawa K, Urasawa N, Ichinose H, Yamamoto K, Karasawa K, et al. Emotional stress-induced 'ampulla cardiomyopathy': discrepancy between the metabolic and sympathetic innervation imaging performed during the recovery course. Jpn Circ J. 2001; 65:349–352.

30. Smith TW, Frohm KD. What's so unhealthy about hostility? Construct validity and psychosocial correlates of the Cook and Medley Ho scale. Health Psychol. 1985; 4:503–520.

31. Barefoot JC, Peterson BL, Dahlstrom WG, Siegler IC, Anderson NB, Williams RB Jr. Hostility patterns and health implications: correlates of Cook-Medley Hostility Scale scores in a national survey. Health Psychol. 1991; 10:18–24.

32. Dobson AJ, Alexander HM, Malcolm JA, Steele PL, Miles TA. Heart attacks and the Newcastle earthquake. Med J Aust. 1991; 155:757–761.

33. Suzuki S, Sakamoto S, Koide M, Fujita H, Sakuramoto H, Kuroda T, et al. Hanshin-Awaji earthquake as a trigger for acute myocardial infarction. Am Heart J. 1997; 134:974–977.

34. Ahmadi N, Hajsadeghi F, Mirshkarlo HB, Budoff M, Yehuda R, Ebrahimi R. Post-traumatic stress disorder, coronary atherosclerosis, and mortality. Am J Cardiol. 2011; 108:29–33.

35. Boscarino JA. Post-traumatic stress disorder and cardiovascular disease link: time to identify specific pathways and interventions. Am J Cardiol. 2011; 108:1052–1053.

36. Farah VM, Joaquim LF, Bernatova I, Morris M. Acute and chronic stress influence blood pressure variability in mice. Physiol Behav. 2004; 83:135–142.

37. Pickering TG. The natural history of hypertension: prehypertension or masked hypertension? J Clin Hypertens (Greenwich). 2007; 9:807–810.

38. Bivanco-Lima D, de Souza Santos I, Vannucchi AM, de Almeida Ribeiro MC. Cardiovascular risk in individuals with depression. Rev Assoc Med Bras. 2013; 59:298–304.

39. Gustad LT, Laugsand LE, Janszky I, Dalen H, Bjerkeset O. Symptoms of anxiety and depression and risk of acute myocardial infarction: the HUNT 2 study. Eur Heart J. 2013; Forthcoming.

40. Yary T, Soleimannejad K, Abd Rahim F, Kandiah M, Aazami S, Poor SJ, et al. Contribution of diet and major depression to incidence of acute myocardial infarction (AMI). Lipids Health Dis. 2010; 9:133.

41. Appleton KM, Woodside JV, Arveiler D, Haas B, Amouyel P, Montaye M, et al. Depression and mortality: artifact of measurement and analysis? J Affect Disord. 2013; 151:632–638.

42. Funk M, Freeman M. Framework and methodology for evaluating mental health policy and plans. Int J Health Plann Manage. 2011; 26:134–157.

43. Knol MJ, Twisk JW, Beekman AT, Heine RJ, Snoek FJ, Pouwer F. Depression as a risk factor for the onset of type 2 diabetes mellitus. A meta-analysis. Diabetologia. 2006; 49:837–845.

44. DiMatteo MR, Lepper HS, Croghan TW. Depression is a risk factor for noncompliance with medical treatment: meta-analysis of the effects of anxiety and depression on patient adherence. Arch Intern Med. 2000; 160:2101–2107.

45. Vaccarino V, Votaw J, Faber T, Veledar E, Murrah NV, Jones LR, et al. Major depression and coronary flow reserve detected by positron emission tomography. Arch Intern Med. 2009; 169:1668–1676.

46. Laursen TM, Munk-Olsen T, Agerbo E, Gasse C, Mortensen PB. Somatic hospital contacts, invasive cardiac procedures, and mortality from heart disease in patients with severe mental disorder. Arch Gen Psychiatry. 2009; 66:713–720.

47. Strine TW, Mokdad AH, Dube SR, Balluz LS, Gonzalez O, Berry JT, et al. The association of depression and anxiety with obesity and unhealthy behaviors among community-dwelling US adults. Gen Hosp Psychiatry. 2008; 30:127–137.

48. Hoogwegt MT, Versteeg H, Hansen TB, Thygesen LC, Pedersen SS, Zwisler AD. Exercise mediates the association between positive affect and 5-year mortality in patients with ischemic heart disease. Circ Cardiovasc Qual Outcomes. 2013; 6:559–566.

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