LrgpV1, Istex, Corpus, bibRecord, 000185

Type A behaviour: a reappraisal of its characteristics in cardiovascular disease

Identifieur interne : 000185 ( Istex/Corpus ); précédent : 000184; suivant : 000186

Type A behaviour: a reappraisal of its characteristics in cardiovascular disease

Auteurs : L. Sirri ; G. A. Fava ; J. Guidi ; P. Porcelli ; C. Rafanelli ; A. Bellomo ; S. Grandi ; L. Grassi ; P. Pasquini ; A. Picardi ; R. Quartesan ; M. Rigatelli ; N. Sonino

Source :

International Journal of Clinical Practice [ 1368-5031 ] ; 2012-09.

RBID : ISTEX:DEF964361FFBBD37561E0C0BE0CB25986EC2AE43

English descriptors

Abstract

Aims: The role of type A behaviour in cardiovascular disease is controversial and most of the research is based on self‐rating scales. The aim of this study was to assess the prevalence of type A behaviour in cardiology and in other medical settings using reliable interview methods that reflect its original description.

Url:

https://api.istex.fr/document/DEF964361FFBBD37561E0C0BE0CB25986EC2AE43/fulltext/pdf

DOI: 10.1111/j.1742-1241.2012.02993.x

Links to Exploration step

ISTEX:DEF964361FFBBD37561E0C0BE0CB25986EC2AE43

Le document en format XML

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<front><div type="abstract">Aims:  The role of type A behaviour in cardiovascular disease is controversial and most of the research is based on self‐rating scales. The aim of this study was to assess the prevalence of type A behaviour in cardiology and in other medical settings using reliable interview methods that reflect its original description.</div>
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<profileDesc><abstract xml:lang="en" style="main"><head>Summary</head>
<p><hi rend="bold">Aims: </hi>
 The role of type A behaviour in cardiovascular disease is controversial and most of the research is based on self‐rating scales. The aim of this study was to assess the prevalence of type A behaviour in cardiology and in other medical settings using reliable interview methods that reflect its original description.</p>
<p><hi rend="bold">Methods: </hi>
 A sample of 1398 consecutive medical patients (198 with heart transplantation, 153 with a myocardial infarction, 190 with functional gastrointestinal disorders, 104 with cancer, 545 with skin disorders and 208 referred for psychiatric consultation) was administered the Structured Clinical Interview for the DSM‐IV and the Structured Interview for the Diagnostic Criteria for Psychosomatic Research (DCPR) which identifies 12 clusters, including type A behaviour.</p>
<p><hi rend="bold">Results: </hi>
 A cardiac condition was present in 366 patients. There was a significant difference in the prevalence of type A behaviour in cardiovascular disease (36.1%) compared with other medical disorders (10.8%). Type A behaviour frequently occurred together with psychiatric and psychosomatic disturbances, particularly irritable mood, even though in the majority of cases it was not associated with DSM‐IV diagnoses. Among cardiac patients, those with type A behaviour were less depressed, demoralised and worried about their illness.</p>
<p><hi rend="bold">Conclusions: </hi>
 Type A behaviour was found to occur in about a third of cases of patients with cardiovascular disease. Only in a limited number of cases was it associated with depression. It has a lifestyle connotation that may have important clinical consequences as to stress vulnerability and illness behaviour.</p>
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<abstractGroup><abstract type="main" xml:lang="en"><title type="main">Summary</title>
<p><b>Aims: </b>
 The role of type A behaviour in cardiovascular disease is controversial and most of the research is based on self‐rating scales. The aim of this study was to assess the prevalence of type A behaviour in cardiology and in other medical settings using reliable interview methods that reflect its original description.</p>
<p><b>Methods: </b>
 A sample of 1398 consecutive medical patients (198 with heart transplantation, 153 with a myocardial infarction, 190 with functional gastrointestinal disorders, 104 with cancer, 545 with skin disorders and 208 referred for psychiatric consultation) was administered the Structured Clinical Interview for the DSM‐IV and the Structured Interview for the Diagnostic Criteria for Psychosomatic Research (DCPR) which identifies 12 clusters, including type A behaviour.</p>
<p><b>Results: </b>
 A cardiac condition was present in 366 patients. There was a significant difference in the prevalence of type A behaviour in cardiovascular disease (36.1%) compared with other medical disorders (10.8%). Type A behaviour frequently occurred together with psychiatric and psychosomatic disturbances, particularly irritable mood, even though in the majority of cases it was not associated with DSM‐IV diagnoses. Among cardiac patients, those with type A behaviour were less depressed, demoralised and worried about their illness.</p>
<p><b>Conclusions: </b>
 Type A behaviour was found to occur in about a third of cases of patients with cardiovascular disease. Only in a limited number of cases was it associated with depression. It has a lifestyle connotation that may have important clinical consequences as to stress vulnerability and illness behaviour.</p>
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<noteGroup><note xml:id="fn1"><p><b>Disclosures</b>
 Drs Sirri, Fava, Guidi, Porcelli, Rafanelli, Grandi, Grassi, Pasquini, Picardi, Quartesan, Rigatelli and Sonino have no conflict of interest to declare. Dr Bellomo has been sponsored as speaker at meetings and congresses by Ely‐Lilly, Janssen‐Cilag, AstraZeneca, Bristol Meyers Squibb, Lundbeck, Pfeizer and Glaxo‐SmithKline in the last two years.</p>
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<affiliation>Laboratory of Psychosomatics and Clinimetrics, Department of Psychology, University of Bologna, Bologna, Italy</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">P.</namePart>
<namePart type="family">Porcelli</namePart>
<affiliation>Psychosomatic Unit, IRCSS De Bellis Hospital, Castellana Grotte, Bari, Italy</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">C.</namePart>
<namePart type="family">Rafanelli</namePart>
<affiliation>Laboratory of Psychosomatics and Clinimetrics, Department of Psychology, University of Bologna, Bologna, Italy</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">A.</namePart>
<namePart type="family">Bellomo</namePart>
<affiliation>Department of Medical Sciences, Psychiatry Unit, University of Foggia, Foggia, Italy</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">S.</namePart>
<namePart type="family">Grandi</namePart>
<affiliation>Laboratory of Psychosomatics and Clinimetrics, Department of Psychology, University of Bologna, Bologna, Italy</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">L.</namePart>
<namePart type="family">Grassi</namePart>
<affiliation>Section of Psychiatry, Department of Medical Sciences of Communication and Behaviour, University of Ferrara, Ferrara, Italy</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">P.</namePart>
<namePart type="family">Pasquini</namePart>
<affiliation>Clinical Epidemiology Unit, Istituto Dermopatico della Immacolata (IDI‐IRCSS), Rome, Italy</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">A.</namePart>
<namePart type="family">Picardi</namePart>
<affiliation>Italian National Institute of Health, Rome, Italy</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">R.</namePart>
<namePart type="family">Quartesan</namePart>
<affiliation>Section of Psychiatry, Clinical Psychology and Psychiatric Rehabilitation, Department of Clinical and Experimental Medicine, University of Perugia, Perugia, Italy</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">M.</namePart>
<namePart type="family">Rigatelli</namePart>
<affiliation>Department of Psychiatry, University of Modena and Reggio Emilia, Modena, Italy</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">N.</namePart>
<namePart type="family">Sonino</namePart>
<affiliation>Department of Psychiatry, State University of New York at Buffalo, Buffalo, NY, USA</affiliation>
<affiliation>Department of Statistical Sciences, University of Padova, Padova, Italy</affiliation>
<role><roleTerm type="text">author</roleTerm>
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<genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre>
<originInfo><publisher>Blackwell Publishing Ltd</publisher>
<place><placeTerm type="text">Oxford, UK</placeTerm>
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<dateIssued encoding="w3cdtf">2012-09</dateIssued>
<copyrightDate encoding="w3cdtf">2012</copyrightDate>
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<abstract>Aims:  The role of type A behaviour in cardiovascular disease is controversial and most of the research is based on self‐rating scales. The aim of this study was to assess the prevalence of type A behaviour in cardiology and in other medical settings using reliable interview methods that reflect its original description.</abstract>
<abstract>Methods:  A sample of 1398 consecutive medical patients (198 with heart transplantation, 153 with a myocardial infarction, 190 with functional gastrointestinal disorders, 104 with cancer, 545 with skin disorders and 208 referred for psychiatric consultation) was administered the Structured Clinical Interview for the DSM‐IV and the Structured Interview for the Diagnostic Criteria for Psychosomatic Research (DCPR) which identifies 12 clusters, including type A behaviour.</abstract>
<abstract>Results:  A cardiac condition was present in 366 patients. There was a significant difference in the prevalence of type A behaviour in cardiovascular disease (36.1%) compared with other medical disorders (10.8%). Type A behaviour frequently occurred together with psychiatric and psychosomatic disturbances, particularly irritable mood, even though in the majority of cases it was not associated with DSM‐IV diagnoses. Among cardiac patients, those with type A behaviour were less depressed, demoralised and worried about their illness.</abstract>
<abstract>Conclusions:  Type A behaviour was found to occur in about a third of cases of patients with cardiovascular disease. Only in a limited number of cases was it associated with depression. It has a lifestyle connotation that may have important clinical consequences as to stress vulnerability and illness behaviour.</abstract>
<relatedItem type="host"><titleInfo><title>International Journal of Clinical Practice</title>
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<genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre>
<subject><genre>article-category</genre>
<topic>ORIGINAL PAPER</topic>
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<identifier type="ISSN">1368-5031</identifier>
<identifier type="eISSN">1742-1241</identifier>
<identifier type="DOI">10.1111/(ISSN)1742-1241</identifier>
<identifier type="PublisherID">IJCP</identifier>
<part><date>2012</date>
<detail type="volume"><caption>vol.</caption>
<number>66</number>
</detail>
<detail type="issue"><caption>no.</caption>
<number>9</number>
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<extent unit="pages"><start>854</start>
<end>861</end>
<total>8</total>
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<identifier type="ark">ark:/67375/WNG-313V7QSX-H</identifier>
<identifier type="DOI">10.1111/j.1742-1241.2012.02993.x</identifier>
<identifier type="ArticleID">IJCP2993</identifier>
<accessCondition type="use and reproduction" contentType="copyright">© 2012 Blackwell Publishing Ltd</accessCondition>
<recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource>
<recordOrigin>Blackwell Publishing Ltd</recordOrigin>
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Type A behaviour: a reappraisal of its characteristics in cardiovascular disease

Type A behaviour: a reappraisal of its characteristics in cardiovascular disease

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