Coronary-prone behavior may be declining in Danish men and women

Four hundred males and four hundred females were randomly selected from the Danish population and received the Jenkins Activity Survey (JAS) on two occasions, once in 1988 and again in 1992. The JAS was rated by the standard procedure, providing a measure of the degree of time urgency and ambitiousness (Factor A), speed and impatience (Factor S), hard-driving and competitiveness (Factor H) and job involvement (Factor J) shown by the subjects. The scores obtained for all four factors tended to be lower in 1992 than in 1988, and the differences were significant for Factor H. In addition, gender differences were observed for Factors A, S and J, with higher scores being obtained by males than by females. Age-related differences were observed for Factors A and J. The findings indicate that Type A behaviors have declined during the past four years in the Danish adult population and that different strategies may be required for encouraging health behaviors in men and women.     

Familial similarity in Type A behaviour and physiological measurements as related to sex

Thirty-one families with pre-school children were examined with regard to Type A behaviour and cardiovascular and neuroendocrine measurements. Type A scores (MYTH) of the children from the ages of three to six were positively correlated with independent Type A measurements (Jenkins Activity Survey, Bortner Type A scale) of the parents (significant for fathers but not for mothers). The children's resting systolic blood pressures were significantly correlated with maternal and paternal values, while no significant familial aggregation was found for diastolic blood pressure, heart rate, catecholamine or cortisol excretion. The children's systolic and diastolic blood pressures and adrenaline excretion were significantly correlated between ages three and six. The results are consistent with the assumption that genetic as well as environmental factors contribute to the development of Type A behaviour. No significant association was found between Type A scores and physiological measurements during routine activities in the children or the adults.     

Anger and denial as predictors of cardiovascular reactivity in women

The relationship between behavioral and physiological reactivity and cardiovascular disease has been extensively researched in men, indicating that the expression of anger may be a contributory factor in the development of coronary heart disease. Few studies, however, have focused on women. Among these, women generally have been found to be less reactive to laboratory tasks than men. In the present study, 45 women aged 19–21 years were selected to represent three groups—(1) low anger/low denial, (2) high anger/low denial, and (3) low anger/high denial—based on their scores on the State-Trait Anger Expression Inventory and the Marlowe-Crowne Social Desirability Scale. Subjects received three conditions: (1) no feedback, (2) error feedback without observer present, and (3) error feedback with observer present. As hypothesized, women who reported a high level of denial and low anger exhibited elevated stress-related reactivity. The results are suggestive of a subgroup of highly reactive women not previously identified within the literature. The hypothesis that all groups would display greater reactivity in a condition providing error feedback with observation was not supported.This study was supported by a research grant to Carol S. Emerson from the Women's Research Institute of Virginia.     

Change in goals and values of men and women from early to mature adulthood

Changes in goals and values between early and middle adulthood were investigated using a longitudinal sample of women and their male partners. Measures designed to assess personality changes as described by Gutmann and Jung were coded from open-ended responses to questions about middle-aged subjects' concurrent and recollected goals and values. The findings indicated that both women and men declined in gender-traditional goals and values and increased in individual goals and values. Archival data for women showed that recollections were accurate and that both cohort and personality factors were related to the extent to which individuals' goals and values changed over time.     

Prosocial behaviour mediates the relation between empathy and aggression in primary school children

ABSTRACT

The negative association between empathy and aggression has been widely investigated in the literature. However, the role of potential mediators and the extent to which their effects are gender-specific have been given considerably less attention. The present cross-sectional study was therefore aimed at examining the direct and indirect relations between empathy (differentiated into perspective taking and empathic concern), prosocial behaviour and aggression in a sample of 240 primary school children between 8 and 12 years of age. The results showed that perspective taking and empathic concern had indirect (rather than direct) negative effects on aggression by enhancing prosocial behaviour. These indirect paths applied equally well to boys and girls, although significant gender differences were observed in empathic concern, prosocial behaviour and aggression. Possible explanations and differences with previous studies are discussed.     

Type A behaviour in pre-school children: Interrater reliability, stability over six months and subcomponents

Type A behaviour was measured in 250 boys and 245 girls (ages 3-7) using a Swedish version of Matthews' Youth Test for Health (MYTH). In addition, speech and voice characteristics (speed, loudness, response latency) were measured. Each child was independently rated by two play group leaders and measurements were repeated after a six month interval. Interrater reliability (first session) was 0.76 for both sexes and did not change with the age of the child. Boys obtained significantly (p less than 0.0001) higher scores than girls. Correlations over the six month period were 0.64 and 0.60 (p less than 0.001) for the two possible combinations of different raters and slightly higher (0.75 and 0.68, p less than 0.001) when the same rater was used. Two components of Type A behaviour were identified from a factor analysis of the data: impatience and competitiveness, and they accounted for 57% of the total variance. As for the total scale, boys obtained significantly higher scores than girls on both subscales. Scores on the competitiveness scale increased systematically with age. Speech and voice characteristics correlated significantly with Type A scores (total Type A behaviour: r = 0.50, using different raters, and 0.71, using the same raters, p less than 0.001) and, once again, boys obtained significantly (p less than 0.001) higher scores than girls. The results are in close agreement with the American findings from the original scale. It was concluded that the scale provides a reliable and valid instrument for measuring Type A or Type A-like behaviours in pre-school children.     

Consistency in physiological stress responses and electromyographic activity during induced stress exposure in women and men

Physiological responses serve the role as objective indicators of stress as well as a link between psychosocial stress and various health outcomes. The aim of the present exposure session was to compare different physiological stress responses (systolic and diastolic blood pressure, heart rate, urinary epinephrine and norepinephrine, salivary cortisol) as well as trapezius muscle activity, measured by surface electromyography, during mental and physical stress in 11 women and ten men. The results show significantly increased activity in all measures but cortisol and significant associations between sympathetic arousal and EMG activity. The association between sympathetic arousal and muscle activity is of importance for understanding the high prevalence of musculoskeletal disorders in mentally stressful but physically light work tasks. Men had higher blood pressure and a more pronounced increase in epinephrine output than women, whereas women had higher heart rate. It was concluded that sympathetic activity is more sensitive to moderately intense stress exposure than pituitary adrenocortical (cortisol) activity and that men respond to performance stress with more epinephrine output than women. Although the correlations between the different indicators of sympathetic arousal were high, together they could still only explain 30–70% of the inter-individual variance. Thus, several parameters are needed in order to obtain a reliable measure of sympathetic activity.     

Differential reactions of men and women to realism,physical damage,and emotionality in violent films

Community college students rated brief segments of violence from films selected to represent a variety of approaches to the depiction of violence. Men and women differed substantially on these sequences, men seeing them as more enjoyable, amusing, realistic, and emotional. Men also showed less inclination to restrict showing of such sequences to children, on television, or by X-rating. While no sex differences appeared in ratings of suffering or overall appraisals of violence, women' enjoyment ratings declined precipitously for the films rated as depicting more suffering, while those of men did not. However, both men and women saw more violence in sequences emphasizing suffering of characters, even when this ran counter to actual physical damage depicted. For men, enjoyment of these violent media excerpts and self-reports of recent physical violence were essentially unrelated, while women showed highly significant positive relations for the two variables. These findings suggest that the dynamics of violence for men and women may be different enough to make differential analysis by sex an especially productive research tactic.     

Acute effects of alcohol on cardiovascular reactivity to stress in college-age Type A (coronary prone) individuals

Healthy college-age males and females classified as Type A or Type B were randomly assigned to an alcohol (N=24) or a no-alcohol condition (N=24). Subjects were exposed to a verbal stress quiz while blood pressure, heart rate, peripheral vascular response (PVR), and self-reported anxiety indices were monitored. Results indicated that alcohol effected a reduction in resting levels of systolic blood pressure and a tonic reduction in the peripheral vascular response. Alcohol attenuated the systolic blood pressure, heart rate, and PVR to stress and efffected a decrease in anxiety following the Stressor. When analyzed relative to the participants' drinking experience, data indicated that the strongest stress-modulating effect of alcohol was evidenced by Type A subjects who have been identified as long-term drinkers. During recovery from stress Type A subjects identified as short-term drinkers maintained high levels of PVR. Types A and B subjects who did not ingest alcohol evidenced high PVR levels during stress. The findings are discussed in terms of the protective action of moderate chronic alcohol use on cardiovascular disease risk reduction in persons evidencing the coronary-prone behavior pattern.     

Fear,attachment and affiliation: The interaction of functional systems in 8- and 12-month-old infants

In this research fear of strangers has been analysed as it interacts with attachment and affiliation, and in relation to developmental level, in conditions most similar to the natural situations where encounters with unfamiliar persons take place. A total of 30 infants and their mothers participated. The children were divided into two groups (8-9 and 11-12 months). Each infant was approached by two females, who, in turn, produced either of two natural sequences. Our results allowed us to confirm the universality of fear and its coexistence and interaction with attachment and affiliation. As far as the role that developmental level plays, it was noted that in the 12-month-old infants fear reactions were more intense than in the younger ones. Furthermore, the attachment system was more activated in the older group in the intrusive episodes, but when the threatening nature of the situation decreased, attachment was activated less in the 12-month-old group. Another difference was related to control resources. While in the younger infants we observed a tendency to control their own emotional state, the 12-month-old infants tried to gain control over the stranger. These results were interpreted by considering the adaptative value of an increase with age of the capacity to evaluate a situation's threat value, of attachment security, and of behavioural resources permitting some control over the stranger's behaviour.     

Repressive coping style and autonomic reactions to two experimental stressors in healthy men and women

Autonomic and affective responses to two different stress tasks were measured in 45 males and 74 females, categorized as repressive, true low-anxious, true high-anxious, and defensive high-anxious. Electrodermal activity (EDA) was used as a measure of sympathetic activity and the high frequency (HF) spectral component of heart rate variability as a measure of parasympathetic activity. Contrary to our predictions, reactivity of repressors did not differ from the reactivity of true low-anxious participants. The results draw attention to previous inconsistent findings within the literature on repressive coping style and autonomic nervous system dysregulation. It is suggested that future research could benefit from the use of more consistent operationalizations of the repressive coping construct and from comparing alternative measures of repressive coping within the same study.     

Chinese values and health: A cultural-level examination

Abstract

Previous research has identified two factors from the Chinese Value Survey, Integration vs Inwardness and Reputation vs Morality. In an effort to further establish their validities, the scores of a student sample on these two dimensions were calculated for each of 23 countries. These value profiles were then used as predictors of a number of health indices, after partialing out the confounding influence of per capita GNP. This country-level analysis revealed many relationships between the two value dimensions and 1. longevity measures, 2. modes of death, 3. health endangering behaviors, and 4. indicators of social well-being. These findings were related to theorizing about cultural emphases on individualism and on material success. It is hoped that this research will stimulate more comprehensive within-and cross-cultural research on the link between values and health.     

The Type A/B behaviour pattern in samples of urban and rural men

The present study assessed the prevalence of the Type A behaviour pattern in a rural and an urban sample of men in Norway. The study was carried through on data collected for other purposes, reported earlier in 1998 and 1999, to evaluate whether there were differences in Type A behaviour pattern between the two environmental settings. The Type A behaviour pattern was assessed in both studies using the Jenkins Activity Survey. Analysis of the data on the Global Type A scale indicated that, on average, participants in both environments reported as Type Bs as opposed to Type As. However, the distribution of scores on the subscales of the Jenkins Activity Survey showed that mean scores on the Type A behaviour attributes were higher in the urban sample than those in the rural sample. The results concerning the expression of the Global Type A from these samples supported expectations about differences in challenges of a competitive environment such as an urban setting, expressed in the literature.     

Birth-order and sex differences in the frequency of referral of children for psychological treatment: A partial replication and extension

A previous study of two-child families by Lahey, Hammer, Crumrine, and Forehand (1980) found that firstborn children were more likely to be referred for psychological treatment than second-borns and that males were more likely to be referred than females. Furthermore, there was a significant interaction between these two variables. In the present study, a new sample of two-child families from the same clinic was studied, confirming the previous findings of significant birth-order and sex effects but not the interaction. Separate analyses indicated that both birth-order and sex effects were significant for children given externalizing diagnoses, but only the birth-order effect was significant for heterogeneous internalizing diagnoses. Similarly, an analysis of only children revealed a significant sex effect for externalizers but not internalizers. A combined sample of two-child families independent of diagnosis (N=425)suggests that there are reliable associations of birth order and sex, but not the interaction, with referral rates in two-child families. Referred children were significantly more likely to have a female sibling than would be expected by chance, regardless of birth order or sex, suggesting that these children may look more deviant by comparison to female, vs. male, siblings, thus increasing the likelihood of clinic referral. The potential utility of birth order and sex as demographic marker variables for etiological research is discussed.     

Predicting high risk sexual behaviour in heterosexual and homosexual men: the roles of impulsivity and sensation seeking

Impulsivity and sexual sensation seeking were examined as personality correlates of high risk sexual behaviour — unprotected sex with multiple partners — in samples of heterosexual (n=112) and homosexual (n=104) men. Among heterosexuals, both personality variables were associated with frequency of unprotected sex but only sexual sensation seeking was associated with number of sex partners. Sexual sensation seeking also mediated the association between use of drugs other than alcohol and number of sex partners. Among homosexuals, no personality or substance use variables predicted high risk sexual behaviour. Implications of the findings for the study of determinants of sexual risk-taking are discussed.     

Predicting intention and behaviour following participation in a theory-based intervention to improve gluten free diet adherence in coeliac disease

Objective: To determine whether changes in theory of planned behaviour (TPB) constructs could predict intention and gluten-free diet (GFD) adherence following participation in an online theory-based intervention designed to improve adherence in coeliac disease.

Design: Theory-based process evaluation of the mechanisms of change over the course of a six-week online intervention. Measures of GFD adherence and TPB variables were administered at baseline and follow-up (immediate post-intervention: n = 74; three-month: n = 68; six-month: n = 65). Hierarchical regression analyses using residualised change scores were conducted at each time point (dependent variables: intention and adherence).

Results: Baseline intention and GFD adherence were the strongest predictors of follow-up intention and adherence, respectively. Change in attitude accounted for significant variance in intention. Change in intention accounted for significant variance in GFD adherence immediately post-intervention; by the six-month follow-up change in perceived behavioural control was the stronger predictor.

Conclusions: Partial support for the hypotheses suggests that, for certain behaviours, the TPB may be relevant in explaining the mechanism of action responsible for changes in intention and behaviour following participation in a behaviour change intervention. Additional predictive pathways are also likely to exist and, in the area of GFD adherence, may include habit strength and actual behavioural control.     

Psychopathy and the Five Factor Model in a Noninstitutionalized Sample: A Domain and Facet Level Analysis

The relationship of primary and secondary psychopathic dispositions as measured by the Levenson Self-Report Psychopathy (LSRP) Scales to NEO-PI-R domain and facet scales of the Five Factor Model (FFM) was examined in a sample (N = 463) of young adults. Previous investigations were extended by (1) addressing the relationship of higher- (i.e., domain) and lower-order (i.e., facet) FFM traits to primary and secondary psychopathy in noninstitutionalized persons, in an attempt to validate hypotheses by T. A. Widiger and D. R. Lynam (1998); (2) examining sex differences in FFM traits in relation to these two psychopathic dispositions; and (3) lending further evidence for the validity of the LSRP. LSRP primary psychopathy was marked by low Agreeableness whereas LSRP secondary psychopathy was characterized by high Neuroticism, low Agreeableness, and low Conscientiousness. Although few sex differences were found between primary and secondary psychopathy, findings support the use of NEO-PI-R domain and facet scales in the identification of personality disorder.     

Hallucinations and REM sleep behaviour disorder in Parkinson's disease: dream imagery intrusions and other hypotheses

REM sleep behaviour disorder (RBD) is a REM sleep-related parasomnia which may be considered a “dissociated state of wakefulness and sleep”, given that conflicting elements of REM sleep (dreaming) and of wakefulness (sustained muscle tone and movements) coexist during the episodes, leading to motor and behavioural manifestations reminiscent of an enacted dream. RBD has been reported in association with α-synucleinopathies: around a third of patients with Parkinson’s disease (PD) have full-blown RBD.Recent data indicate that PD patients with RBD are more prone to hallucinations than PD patients without this parasomnia. However it is still not clear why RBD in PD is associated with an increased prevalence of VHs.Data exist which suggest that visual hallucinations in PD may be the result of untimely intrusions of REM visual imagery into wakefulness. RBD, which is characterised by a REM sleep dissociation pattern, might be a condition that particularly favours such intrusions. However, other hypotheses may be advanced. In fact, deficits in attentional, executive, visuoperceptual and visuospatial abilities have been documented in RBD and found to occur far more frequently in PD with RBD than in PD without RBD. Neuropsychological deficits involving visual perception and attentional processes are thought to play an important role in the pathophysiology of VHs. On this basis, RBD in PD could be viewed as a contributory risk factor for VHs.     

Prevalence and severity of anxiety, depression and Type A behaviors in angina pectoris

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 traits.