Type A behavior, personality hardiness, and cardiovascular responses to stress

Type A behavior and hardiness were examined as predictors of cardiovascular responses to stress in 68 male undergraduates. Systolic and diastolic blood pressure (SBP and DBP) and heart rate were monitored while subjects performed a difficult mirror-tracing task. Type A assessments based on the Structured Interview, but not those based on the Jenkins Activity Survey, were associated with significantly enhanced SBP and DBP elevations. Hardiness was associated with significantly reduced DBP responsiveness. In addition, a significant interaction indicated that the Type B-high hardiness group showed the least DBP reactivity. A near-significant interaction (p = .06) suggested that Type B-high hardiness subjects also reported the least anger. Further exploration of the data indicated that the challenge component of hardiness accounted for its relationship to DBP reactivity. These results have implications both for the psychophysiologic study of Type A behavior and for understanding the health-promoting effects of hardiness.     

The Novacco Anger Scale and Jenkins Activity Survey as predictors of cardiovascular reactivity

This study investigated the relationship among anger, the Type A construct, and cardiovascular reactivity. The Novacco Anger Scale and the Jenkins Activity Survey (JAS) were used to measure anger proneness and Type A characteristics, respectively. Twenty-four college males were selected from the upper and lower quintiles of the JAS distribution. During the study, the subjects were exposed to varying levels of experimentally induced challenge, while measurements were taken of heart-rate and blood-pressure changes. The results showed a modest but significant correlation between scores on the Novacco Anger Scale and the JAS. More importantly, scores on the Novacco Anger Scale correlated significantly with heart rate and systolic blood pressure under all challenge conditions, while those on the JAS were unrelated to cardiovascular excitability. These results raise questions about the usefulness of the JAS as a predictor of CHD risk. They are also consistent with the beliefs of other investigators that anger and hostility are the most important Type A behaviors in predisposing patients to coronary heart disease. Additional implications of the study are discussed.     

The Time-Urgency Component of the Type A Behavior Pattern: Time Pressure and Performance1

We investigated the effects of time pressure on the performance of Type A and Type B individuals. We predicted that Type As would perform more poorly than Type Bs on an anagram task during a timed condition, but not during an untimed condition. Subjects were 40 female undergraduates and the Jenkins Activity Survey was used to measure Type A behavior. The results confirmed our hypothesis. Type As made significantly more errors than Type Bs when timed, but not when untimed. Implications of these findings and the time-urgency component of the Type A behavior pattern are discussed.     

Allocation of attention and physiological responsivity in the type A coronary-prone individual

Recent studies have suggested that persons exhibiting the Type A coronary-prone behavior pattern allocate their attention to the environment differently than those not exhibiting the pattern. The present study was done to relate such differences in cognitive responding to cardiovascular changes during a dual-focus task. Heart rate and blood pressure were monitored in Types A and B male college students while they performed a color/word conflict primary task and a reaction-time secondary task. There were no differences in the behavioral performance of the Types A and B individuals. However, Types A and B subjects differed in mean heart rate, heart-rate variability, and phasic heart-rate pattern to the reaction-time stimuli. The reaction-time paradigm appears a fruitful base from which to explore cognitive/physiological response relations for Type A and Type B individuals.     

The Dimensionality of Type A Behavior within a Stressful Work Simulation

The present study was conducted to examine the dimensionality of overt Type A behaviors elicited in a simulated stressful work environment. University students played a managerial role while being subjected to time and work-load pressures, and completed the Survey of Work Styles (SWS; Jackson & Gray, 1989). Eighteen behaviors, coded by two raters based on audiovisual recordings, yielded relatively high interrater reliabilities. Principal components analysis revealed four primary factors: Hurriedness, Irritability, Tension of the Lower Extremities, and Restlessness. These factors contribute to an understanding of Type A behavior in that they are the first to be derived from a purely observational approach rather than a combination of observational and self-report methods. Consistent with previous research, differential correlations between the factors and the SWS subscales supported a multi-dimensional interpretation of the Type A behavior pattern. Present findings are compared to those of previous studies of Type A dimensionality.     

Differences between informants about type a,anger, and social support and the relationship with blood pressure

Abstract

In a study on the influence of different natural environments on self-perception and that of significant others, behavioral manifestations of Type A, Anger, and Social Support were assessed. It was hypothesized that due to different environmental demands, participants will be perceived as displaying differences in Type A behavior, anger, and social support at home and at work. Participants were 45 university employees, constituting a convenience sample. Assessment included Type A Structured Interview scores of participants and questionnaire scores for Type A, anger, and social support of participants who were also evaluated by their spouses and work supervisors. Other risk factors for coronary heart disease (i.e., blood pressure, smoking, previous heart condition, being sedentary, and family history) and their relationships with Type A, anger, and social support were also examined.

Participants and spouses agreed significantly on all measures, whereas participants and work supervisors agreed only on Type A behavior. Spouses' and work supervisors' evaluations of the participants' behavior were not or only marginally associated. Multiple regression analysis showed that the level of disagreement between the different informants with respect to Type A and social support were associated with elevated blood pressure. These results suggest that the perception of Vpe A behavior, anger, and social support may be situationally determined.     

Type A behavior pattern, parental history of hypertension, and cardiovascular reactivity in college males

Two risk factors for cardiovascular disorders, parental history of hypertension and the Type A behavior pattern, were investigated concurrently with respect to cardiovascular reactivity to challenging situations. Sixty-four college males were given both the Structured Interview (SI) and Jenkins Activity Survey (JAS) for the Type A behavior pattern and a family health questionnaire to determine parental history of hypertension. The students were monitored for blood pressure (BP), heart rate (HR), and pulse transit time (PTT) response to four tasks: cold pressor, isometric handgrip exercise, a reading comprehension task, and backwards digit span. Type As based on SI classification had significantly higher HR levels across all tasks than did Type Bs, as well as higher diastolic BP levels in the cold pressor task. No main effects for Type A-B using JAS classification were found. Positive parental history students had higher HR and shorter PTT levels across all the tasks. Type A and parental history did interact in a limited way on some tasks, but the interactions were also dependent on the Type A classification used.     

Preferred organizational climates of Type A individuals

In this study, the relationship of Type A behavior to organizational climate preferences was investigated. Respondents were 118 male and female students of administration who would soon be undertaking full-time employment. Each completed the Jenkins Activity Survey, a widely used paper-and-pencil measure of Type A behavior, and indicated their preferences for nine organizational climates. Type A behavior scores were related in consistent and meaningful ways to work climates characterized by high performance standards, spontaneity, ambiguity, and toughness. These results indicate that individuals are attracted to jobs and organizational climates which match their own stable behavioral and attitudinal propensities.     

Type A behavior, family history of hypertension, and cardiovascular responsivity among black women

The purpose of this study was to determine the effects of Type A behavior and family history of hypertension on cardiovascular reactivity to mental stress in a group of employed black women. Measures of heart rate and of systolic blood pressure (SBP) and diastolic blood pressure (DBP) were taken at rest, during a mental arithmetic task, and during the Type A Structured Interview (SI). Results indicated that the Type A behavior pattern was associated with SBP and DBP hyperresponsivity during the SI but not during mental arithmetic. Additionally, certain speech components of the Type A pattern, as well as features of the potential-for-hostility component, were also related to cardiovascular responses during the SI. Family history of hypertension did not influence the cardiovascular parameters either alone or in combination with Type A behavior. The results suggest that many of the cardiovascular response characteristics of the Type A pattern that have been observed in predominantly white samples also hold true for blacks. Replication of these findings with other subgroups of blacks, such as young females and middle-aged males, will help document the generality of these findings within the black population.     

The framingham Type A Scale: Cardiovascular and cognitive-behavioral responses to interpersonal challenge

Most of the primary measures of Type A behavior have been found to be associated with physiological reactivity to stressors, as well as coronary heart disease (CHD). While it does predict CHD, the Framingham Type A Scale (FTAS) has not been conclusively linked to physiological reactivity. Similarly, in contrast to other Type A measures, little is known concerning the cognitive behaviors associated with the FTAS in stressful situations. The present study was conducted to evaluate the cardiovascular and cognitive-behavioral responses to interpersonal challenge of Type A versus Type B subjects, as classified by the FTAS. Type A's evidenced increased systolic blood pressure (SBP) reactivity and a greater degree of negatively toned cognitive activity than did Type B's. The SBP findings are consistent with those obtained with other measures of Type A behavior, and with the hypothesis that neuroendocrine reactivity mediates the link between the behavior pattern and CHD. The somewhat unique cognitive-behavior findings, however, may reflect important psychological differences among the various Type A measures.Portions of this paper were presented at the meeting of the Society of Behavioral Medicine, Philadelphia, 1984.     

Would a Type A Date Another Type A?: Influence of Behavior Type and Personal Attributes In the Selection of Dating Partners1

Certain behavior type patterns in couples have been associated with heightened interpersonal distress and coronary heart disease risk. However, the factors that lead to such pairings seldom have been investigated. The present study examined the associations between personal behavior type and gender-role self-concept related to the selection of hypothetical dating partners. Eighty-one male and 116 female heterosexual college students completed questionnaires to assess behavior type (Jenkins Activity Survey) and gender-role self-concept (Personal Attributes Questionnaire, PAQ). Participants chose a preferred “dating partner” from vignettes differing in the degree of Type A-Type B behavior displayed. Results of CATMOD and chi-square analyses were generally consistent with the similarity theory of interpersonal attraction. Type A and B males as well as Type B females preferred hypothetical dating partners identical to their own behavior type. Type A females with high PAQ Masculinity scores selected Type A dates, whereas Type A females with low PAQ Masculinity preferred Type Bs. Implications for the selection of actual dating partners, spouses, potential interpersonal distress, and coronary heart disease risk are discussed.     

Type A personality and discrepancies between self-report and heart-rate responses to stress

The present study was done to replicate previous findings on the discrepancy between Type A persons' self-reports of stress and their physiological arousal. An attempt was made to clarify whether this discrepancy was due to Type A persons' denial of their arousal or an inability to discriminate physiological change. The students' version of the Jenkins Activity Survey was administered to 30 female students, aged 19 to 43 yr., who then performed a digit recall. A Multiple Affect Adjective Check List and a self-report questionnaire were used to measure affective reactions. Analysis showed that Type A individuals had higher heart-rate responses to stress but did not report greater subjective arousal. These results replicated the previously reported discrepancy. The current findings are somewhat consistent with an explanation based on discrimination.     

Psychophysiological arousal related to Type A components in adolescent boys

The association between psychophysiological responses (heart rate, skin conductance and blood volume) and Type A behavior was studied in adolescent boys (n = 48) in computer-controlled experiments. Although psychophysiological arousal was related to the type of stress-evoking element, task-specificity did not result in significant psychophysiological differences between Type As and Nontype As. The indication is that physiological arousal may be a constitutional characteristic of Type A behavior. The multidimensionality of type A behavior must be considered in any investigation examining the psychophysiological Type A-Nontype A differences. Different Type A dimensions, together with previously found psychological differences, were related to specific psychophysiological reactions.     

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.     

Cognitive appraisal of daily hassles in college students showing Type A or Type B behavior patterns

To test the hypothesized role of cognitive appraisal in Lazarus' model of life stress, 312 male and female undergraduate students completed the Hassles Scale and the Jenkins Activity Survey, Form C. Based upon their scores on the Type A scale of the Jenkins Activity Survey, subjects showing Type A behavior pattern differed significantly from subjects showing Type B behavior pattern on both reported frequencies of hassles (higher for Type A scoring subjects) and hassles content pattern. This is interpreted primarily as supportive of the cognitive appraisal variable in Lazarus' life stress model.     

The Work Addiction Risk Test: development of a tentative measure of workaholism

The development and analyses of the psychometric characteristics of a tentative self-report measure of work addiction are reported. A total of 363 college students completed a battery of tests including the Work Addiction Risk Test. Internal consistency of the scores was .88. Also, these scores were compared with those on the Type A Self-rating Scale and the Jenkins Activity Survey, which give self-reports of Type A behavior and the State-Trait Anxiety Inventory. That scores on the work addiction risk test were reliable and showed concurrent validity supported psychometric utility for research and clinical practice.     

The Jenkins Activity Survey measure of type a and frustration-induced anger

The present study examined the physiological and self-report responses of Type A and B males, defined by the Jenkins Activity Survey (JAS), to an anger-inducing frustration manipulation. Subjects jointly performed a task with a confederate and either were or were not frustrated by the confederate in their attempt to gain a prize. Physiological and self-report measures indicated that the frustration manipulation generated anger, but there was no evidence that Type A subjects were more angered than Type B subjects. Such findings may reflect a weakness in the Jenkins Activity Survey for adequately measuring the hostility component of the Type A pattern.The research reported here was supported by a Biomedical Sciences Support Grant RRO 7037 to the second author.     

Psychophysiological reactivity to mental arithmetic stress in black and white normotensive men

Racial differences in physiological responses to a behavioral stressor were examined. Thirty-four Black and 42 White male normotensives 34 to 55 years old (mean age = 43.01 years) performed a mental arithmetic task while blood pressure, heart rate, and skin conductance were recorded. Compared to Whites, Blacks had significantly higher baseline diastolic blood pressure (77.93 mm Hg vs. 73.11 mm Hg) and lower skin conductance levels (11.08 microS vs. 12.25 microS). These effects persisted during performance of the mental arithmetic task. However, when baseline differences were covaried, there were no significant physiological effects associated with the task. Analysis of changes in response levels from baseline revealed a nonsignificant trend for Whites to show greater increases in systolic blood pressure than Blacks. There were no significant race or family history effects. Further, task performance did not influence the outcome. Failure to demonstrate greater cardiovascular reactivity in Blacks and all men with a positive family history of hypertension is discussed with regard to possible "survivor effects" and methodologic limitations.     

Type A behavior, aerobic power, and cardiovascular recovery from a psychosocial stressor

Fifty-six male university students were tested for actual aerobic power and Type A behavior (Form T of the Jenkins Activity Survey) before performing the Stroop Color-Word Interference Test. Neither fitness nor Type A was related to magnitude of heart rate (HR) increase, and only Type A was related to speed of recovery following the test, with Type As being slower to return to baseline HR levels than Type Bs. These results are discussed in terms of the need to consider factors that mediate speed of recovery from stress.     

Task-related arousal of type A and type B persons: level of challenge and response specificity

To determine whether different levels of challenge had differential effects on the arousal levels of Type A and Type B persons, 30 Type A and 30 Type B male subjects worked on an intelligence test task (digits backwards recall) that was easy, moderately difficult, or extremely difficult. Arousal was measured in terms of systolic blood pressure, diastolic blood pressure, pulse rate, pulse volume, skin resistance, and subjective arousal. Results indicated that while working on the extremely difficult task, the Type A subjects evidenced reliably higher systolic blood pressure than did the Type B subjects (p = 0.1; difference = 7.52 mm of Hg) and that there were not reliable differences between the subjects in systolic blood pressure at other levels of challenge or on other measures of arousal.