Component analysis of the type A coronary-prone behavior pattern in male and female college students

Two studies investigated the psychological dimensions encompassed by the Rosenman Structured Interview (SI) method of assessing the Type A behavior pattern. In Study 1, female students completed the SI and Jenkins Activity Survey (JAS). Factor analysis of the verbal stylistic and answer content components of the SI yielded a 5-factor solution, with one factor--Clinical Rating--accounting for most nonerror variance in Type A ratings. The remaining factors were derived from answer content and correlated more substantially with JAS Type A ratings than with SI Type A ratings. In Study 2, male and female college students completed the SI and JAS and a battery of questionnaires that tap trait dimensions implied by the conceptual definition of Type A. For both males and females, SI ratings of Type A could almost be completely predicted by scores on the Clinical Rating factor. For both sexes, content dimensions of the SI related to other measures of Type A and to Type A-consistent traits, whereas the Clinical Rating factor was only modestly associated with such traits. Moreover, sex differences were observed in the trait constellations composing SI and JAS definitions of Type A. These results suggest that a discrepancy exists between conceptual and operational definitions of the Type A pattern.     

A psychometric investigation of the content of the structured interview

The responses of 92 British males to the questions of the Structured Interview (SI) were content analysed. The consistency of the content in measuring a single concept was investigated by means of item and factor analyses. A simple, unweighted sum of the content ratings was then compared with the scores achieved on the three prospectively validated Type A measures—the Jenkins Activity Survey, the Framingham Scale and the SI. The results from the analyses suggest that the content of the SI has many similarities with the questionnaire assessments of Type A behaviour and is a poor predictor of SI assessment. It is argued that the added dimension of style of response that is considered in the SI is the reason for different assessments being made by the SI and the questionnaire measures of Type A behaviour. The implications for the measurement of Type A behaviour are discussed.     

Type A behavior and its relation to personality variables in Swedish male and female university students

A questionnaire based on the Jenkins Activity Survey (JAS), given to 181 male and 280 female Swedish university students, showed that females had significantly higher Type A scores than males. Three factors were extracted by factor analysis, two of which, "speed and impatience" and "hard-driving", corresponded to two of the factors obtained by JAS in an American population of employed men (Zyzanski & Jenkins, 1970). The third factor was tentatively termed "engagement-involvement". Twelve male and 12 female subjects from opposite ends of the distribution were compared in terms of 22 personality variables measured by questionnaires. It was found that Type A subjects of both sexes scored higher on scales measuring anxiety-proneness, aggression-hostility, extraversion and neuroticism.     

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.     

Type A behaviour and its relation to seriousmindedness (telic dominance)

A sample of 222 students in medicine and psychology, of both sexes, completed the Jenkins Activity Survey (JAS: Norwegian translation of a Swedish student version) and the Telic Dominance Scale (TDS). The latter is a measure of an individual's tendency to take life seriously, i.e., to pursue important goals, to plan ahead, and to avoid arousal if possible. The total scores on both scales were found to be orthogonally related over the sample as a whole, and the same was true of the main factor extracted from the JAS in relation to both the TDS total scores and the scores of each of the subscales of the TDS (for the sample as a whole and for each of the subgroups). This implies that the JAS survey for Type A behaviour assessment and the TDS were measuring rather different psychological characteristics. It is argued that there are reasons for supposing that telic dominance may be a factor which predisposes the individual to high cardiovascular reactivity and that, since this factor appears to be different from the Type A personality as measured by the present JAS version, further investigation is called for.     

Making it without losing it: Type A, achievement motivation, and scientific attainment revisited

In a study by Matthews, Helmreich, Beane, and Lucker (1980), responses by academic psychologists to the Jenkins Activity Survey for Health Prediction (JAS), a measure of the Type A construct, were found to be significantly, positively correlated with two measures of attainment, citations by others to published work and number of publications. In the present study, JAS responses from the Matthews et al. sample were subjected to a factor analysis with oblique rotation and two new subscales were developed on the basis of this analysis. The first, Achievement Strivings (AS) was found to be significantly correlated with both the publication and citation measures. The second scale, Impatience and Irritability (I/I), was uncorrelated with the achievement criteria. Data from other samples indicate that I/I is related to a number of health symptoms. The results suggest that the current formulation of the Type A construct may contain two components, one associated with positive achievement and the other with poor health.     

Type A behavior and processing of social conflict information

Research suggests that the Type A pattern as assessed by the Jenkins Activity Survey (JAS) involves a number of stress-engendering cognitive/social responses. To identify potential responses responsible for social stress, the study tested the relationship between JAS Type A behavior and several cognitive/social variables relevant to assertiveness situations. Male undergraduates completed two measures of cognitive complexity and rated the reasonableness of another's request. Also, subjects were evaluated for positive content (i.e., consideration of the other) in role-played assertion responses. Type A behavior correlated with lower differentiation when sorting aspects of an assertion situation, lower integrative complexity when thinking about conflict topics, and less inclusion of consideration content.     

Type A behavior, attentional style, and symptom reporting among adult men and women

Type A behavior and its components (measured on the JAS) were examined in relation to attentional style and symptom reporting in 294 healthy adult men and women. The results showed that for both men and women the JAS Type A, Job Involvement, and Hard Driving factors were all associated with self-reported attentional effectiveness as measured by the Nideffer Test of Attentional and Interpersonal Style. However, a fourth JAS factor, Speed and Impatience, was associated with Nideffer measures of cognitive overload. For both men and women, the Type A, Speed and Impatience, and Hard Driving factors were all positively associated with the number of medical and psychological symptoms reported on the Cornell Medical Index. In addition, acute psychological distress (Hopkins SCL-90R) was associated with Type A behavior for men and with Speed and Impatience for both sexes. Attention differences did not account for the observed positive relationships between Type A factors and symptom reporting with one exception; attentional overload (internal) appeared to partially explain the relationships between symptom reporting and Speed and Impatience in women. In summary, Type As described themselves as having a broader attentional focus and reported more naturally occurring physical and psychological symptoms than did Type Bs.     

Self-report measurement of type A behavior: toward refinement and improved prediction

Self-report measures of Type A personality receive wide research usage despite mounting evidence that they are poor predictors of coronary heart disease. It was proposed that the limited prediction results in part from the failure to restrict measurement to only those Type A characteristics that are demonstrably related to excessive stress. The first study in this article reports a factor analysis of all items on the Jenkins Activity Survey (JAS), the most popular Type A questionnaire, along with 25 stress symptoms. Self-ratings were obtained from both male and female college students. Only one stress-related factor emerged including 12 JAS items out of 44. These were relevant to (a) hard-driving and competitive, (b) time-urgent, and (c) hostile/irritated characteristics. Study 2 reports correlations of +.50 and +.43 between the stress-relevant JAS items and stress for new samples of female and male college students. Study 3 considers the broader personality correlates of scores on the stress-relevant Type A items and reports markedly different patterns for male and female college students. Predicted correlations were found on new samples between these personality correlates, considered as scales, and stress-relevant Type A scores and stress.     

Personality, type A behavior, and coronary heart disease: the role of emotional expression

The nature of the relation between personality factors and coronary heart disease (CHD, the nation's greatest killer) is one of the most important if controversial issues in the field of psychology and health. Although there is still a great deal of conceptual confusion, progress is being made in refining the key components of a predisposition to heart disease. In this article we examine the construct of a coronary-prone personality in the context of the relations among personality, emotional expression, and disease. Special consideration is given to mode of measurement of the Type A behavior pattern--Structural Interview (SI) versus Jenkins Activity Survey (JAS)--and to components and non-Type A correlates of the general coronary-prone construct. Fifty middle-aged men who had had a myocardial infarction were compared with 50 healthy controls in terms of relevant aspects of their psychological functioning. Results indicate that the SI is better than the JAS as a predictor of coronary heart disease (CHD) because of its attention to emotional expressive style. Traditional emphases on hurry sickness in coronary proneness are deemed wholly inadequate. Furthermore, the results indicate that depression, anxiety, or both may relate to CHD independently of and in addition to Type A behavior. Other aspects of personality and social support are also discussed in the context of improving the construct of coronary proneness.     

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 inequivalence of self-reports of Type A behavior: Differential relationships of the Jenkins Activity Survey and the Framingham cale with affect,stress, and control

The Jenkins Activity Survey (JAS) and the Framingham Type A Scale (FTAS) have been found to have different psychological correlates. The JAS is typically unrelated to anxiety, while the FTAS is consistently correlated with trait anxiety. The present study of 200 male and female college students clarifies further the psychological heterogeneity of these measures. Enhanced motivation to control the environment has been suggested as an underlying psychological component of Type A behavior (Glass, 1977). Dysphoric emotions and the perception of more environmental stresses, on the other hand, are typical of neuroticism or negative affectivity (Watson & Clark, 1984). Although the results indicate that the JAS and FTAS are highly correlated, the JAS is more closely related to control motivation than is the FTAS. Further, compared to the JAS, the FTAS is more closely correlated with dysphoric emotions and perceived daily stresses. Thus, the results indicate that the JAS is closely correlated with core psychological components of the Type A pattern, while the FTAS has a relatively unique association with general emotional distress. Such differences may account for the fact that these measures are related to different disease end points.     

Normal values for Type A behaviour patterns in Danish men and women and in potential high-risk groups

The Jenkins Activity Survey (JAS) was administered to a normal population of randomly selected Danish adults, to patients consulting a cardiologist, and to physicians in order to compare those groups in terms of their coronary-prone (Type A) behaviour patterns. The standard procedure of rating the JAS was used in order to obtain scores for each of the four subscales: Type A (time urgency and ambitiousness), Factor S (speed and impatience) Factor H (hard-driving and competitive) and Factor J (job involvement). Gender differences were observed in the normal population for each of the four subscale scores, and age-related differences were obtained for Factor J. Elevated scores for Factor S were obtained by physicians and by people in the population who had a cardiovascular disorder. Physicians had also elevated scores for Factor J, whereas their Factor H scores tended to be reduced. No reliable differences in JAS subscale scores were observed between four groups of heart patients (i.e. angina pectoris, arterial hypertension, atrial fibrillation and atherosclerosis), although there was a tendency for Factor J to be elevated in atherosclerosis. The findings provide normal values for JAS scores in Danish men and women, and suggest that some facets of coronary-prone behaviour may be enhanced in Danish high-risk groups.     

Stability and Change in Type A Components and Cardiovascular Reactivity in Medical Students During Periods of Academic Stress1

This study examined the effects of academic stress upon components of Type A behavior and cardiovascular reactivity. In a longitudinal design, heart rate and blood pressure responses to the Type A Structured Interview (SI) and additional laboratory challenges were measured in medical students at three points during an academic semester. Sessions 1 and 3 were scheduled during vacation periods; Session 2 took place during an intensive examination week. Results indicated that three “stylistic” components of Pattern A derived from the SI—loud and explosive speech, short response latency, and potential for hostility—increased significantly during the exam period. Similar increases achieved marginal significance for another stylistic component, rapid and accelerated speech. By contrast, global Type A assessments did not increase with academic demands. Cardiovascular reactivity was significantly but only moderately stable across the three sessions, showing less consistency than has been reported in previous research. In addition, there was little evidence in this study that cardiovascular reactivity was potentiated by academic stress or by Type A behavior. These results demonstrate the influence of naturalistic environmental factors on overt behavioral components that have recently been suggested as coronary risk factors. Therefore, it is advisable for future experimental and epidemiological research to examine the social and environmental context in which these behaviors occur.     

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.     

Relationship between JAS- and FTAS-Type A behavior and non-CHD illness: a prospective study controlling for negative affectivity

In addition to posing a risk for coronary heart disease (CHD), Type A behavior has been suggested as a risk factor for non-CHD illness. Past evidence, however, has relied chiefly on retrospective studies of self-reported illness that failed to control for the potentially confounding effects of negative affectivity. The present investigation was an 18-month prospective study of Type A behavior and medical records of illness in which chronic negative affectivity was also assessed. Negative affectivity was associated with retrospective self-reported illness, but only Type A, as measured by the Jenkins Activity Survey (JAS) and the Framingham Type A Scale (FTAS), predicted medical records of subsequent illness severity and number of illness-related medical visits. Controlling for negative affectivity did not reduce these significant relationships. It was concluded that persons scoring high on the JAS or the FTAS may be a greater risk of minor illness when objective measures of illness are assessed over a period of 1 year or more. Alternative explanations and future directions for research are discussed.     

Type A behaviour,financial performance and organizational growth in small business firms

Eight hundred randomly selected members of the Smaller Business Association of New England were mailed the Jenkins Activity Survey (JAS) and a biodata questionnaire. A total of 368 chief executive officers completed both instruments, representing a response rate of 46***.0 per cent. Based on the JAS, 82 per cent of the respondents were characterized by the Type A or coronary-prone behaviour pattern. Corporate performance was plotted against Type A and B scores. Firms run by Type As showed a higher return on investment and greater five-year growth in sales revenue than firms run by Type Bs, but this pattern was found only for the Job Involvement subscale.     

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 nomological validity of the Type A personality among employed adults

The nomological validity of the Type A behavior pattern was explored. The Structured Interview (SI) and a battery of personality trait, physical health, and strain measures were administered to an occupationally diverse sample of 568 workers. Ss were also monitored for physiological reactivity and recovery (blood pressure, heart rate, skin temperature, and electrodermal response) to the SI and a subsequent Stroop Color-Word Conflict Task. A confirmatory factor analysis demonstrated that SI scores can be factored into three distinct dimensions. There was considerable overlap in the patterns of personality traits that characterized the Type A components, but only a Hostility dimension was significantly related to physiological reactivity and recovery. The results have implications for distinguishing coronary-proneness from the more traditional Type A conceptualization.