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.     

Type A behavior and stress in college males

Substantial inconsistency can be noted among studies that have considered the relationship between Type A status and subsequent cardiac pathology. This erratic prediction pattern could be partially explained by the failure to consider level of stress in Type As, because only Type As that experience excessive and sustained stress should be at special risk. A stress-vulnerability model for young Type A college students was proposed involving selected Type A characteristics and other personality moderator variables serving to elicit, augment, and sustain stress. We considered self-preoccupation as a stress moderator in Type A college males and found evidence that it serves this function. Self-preoccupied Type As reported excessive stress over the previous year, whereas less self-centered Type As did not. Self-preoccupation was of no importance in moderating stress in Type Bs.     

Type A behavior, job satisfaction, and stress among black professionals.

Most studies of work-related Type A behavior have been conducted with samples of white men. Using a mail questionnaire to assess Type A behavior, job satisfaction, and daily stress and tension among 250 black men and 233 black women public accountants, the prevalence of Type A behavior and its relationship with satisfaction and stress were highly consistent with those reported for other samples of white men and women.     

Type A behavior and parenting stress in mothers with young children

Type A Behavior Pattern (TABP) is characterized by competitiveness, a sense of time-urgency, impatience, and aggression/hostility and it has been associated with coronary heart disease and occupational stress in men. Recently, research had begun to examine TABP in women. However, the majority of studies focus on women as student or employee and not in the role of mother. Thus, although women spend a significant proportion of their adult lives bearing and raising children, little is known about TABP relationships in these roles. Further, the parenting adjustment literature amply describes the stressful nature of parenting a young child but with little attention paid to the relationship between maternal individual characteristics and parenting stress. This study investigated maternal adjustment and TABP in order to provide a clearer picture of Type A women as mothers as well as to expand information on individual characteristics which contribute to or mediate a woman’s adjustment to motherhood. Because of its presumed relationship to TABP and stress, maternal employment status was a control variable. One hundred twenty-six women with children between the ages of 9–24 months completed questionnaires reporting maternal stress, maternal perceptions of her child and somatic complaints. TABP was assessed by two measures, the Framingham Type A Scale (FTAS) and a recent measure, the Adolescent/Adult Type A Behavior Scale (AATABS), which yields factor scores as well as a global TABP rating. Overall, Type A women reported higher levels of child-related stress and personal stress than Type B women. Certain factors such as Hurry, Control, and Hostility were also associated with stress indices. There was qualified support for a relationship between the TABP factor, Hurry, and self-reported somatic complaints. Directions for future research are discussed.     

Type A behavior and parenting stress in mothers with young children

Type A Behavior Pattern (TABP) is characterized by competitiveness, a sense of time-urgency, impatience, and aggression/hostility and it has been associated with coronary heart disease and occupational stress in men. Recently, research had begun to examine TABP in women. However, the majority of studies focus on women as student or employee and not in the role of mother. Thus, although women spend a significant proportion of their adult lives bearing and raising children, little is known about TABP relationships in these roles. Further, the parenting adjustment literature amply describes the stressful nature of parenting a young child but with little attention paid to the relationship between maternal individual characteristics and parenting stress. This study investigated maternal adjustment and TABP in order to provide a clearer picture of Type A women as mothers as well as to expand information on individual characteristics which contribute to or mediate a woman’s adjustment to motherhood. Because of its presumed relationship to TABP and stress, maternal employment status was a control variable. One hundred twenty-six women with children between the ages of 9–24 months completed questionnaires reporting maternal stress, maternal perceptions of her child and somatic complaints. TABP was assessed by two measures, the Framingham Type A Scale (FTAS) and a recent measure, the Adolescent/Adult Type A Behavior Scale (AATABS), which yields factor scores as well as a global TABP rating. Overall, Type A women reported higher levels of child-related stress and personal stress than Type B women. Certain factors such as Hurry, Control, and Hostility were also associated with stress indices. There was qualified support for a relationship between the TABP factor, Hurry, and self-reported somatic complaints. Directions for future research are discussed.     

Religion,Type A behavior,and health

In a study of air traffic controllers, religious differences are found in the way Type A behavior is associated with several health status indicators. Associations between the Jenkins Activity Survey (JAS) and physical illness incidence, health-promotive behavior, diastolic and systolic blood pressure, subjective distress and impulse control problems, and alcohol consumption are examined by religious attendance, religious affiliation, and change in affiliation. Findings confirm that Type A does not vary significantly by religion. However, there are several significant findings between Type A and various health indicators. Type A is associated with illness incidence, overall and more strongly in several religion, subgroups. Type A and alcohol consumption are related positively in Protestants and converts, and negatively in churchgoing Catholics. Type A is related to impulse control problems in churchgoing Protestants and to subjective distress in churchgoing Catholics. Finally, in individuals with weak or no religious ties, Type A is associated with lower blood pressure. This last finding suggests that in some people (for example, the irreligious or unchurched), the coronary-prone behavior pattern may have cardiovascular effects which are salutary in at least one respect.The authors wish to thank Dr. Kyriakos S. Markides and Laura A. Ray for their assistance with this study. Address requests for reprints to Dr. Levin at the Institute of Gerontology, 300 North Ingalls, Ann Arbor, MI 48109.     

Type A behavior, age, and psychological well-being

We investigated psychological well-being among Type A and B individuals across the age span. We hypothesized that the hard-driving, achievement-oriented lifestyle exhibited by Type As would be adaptive in younger age groups, but would lead to lower well-being in later life because of increased limitations on the range and level of one's activities. By contrast, the more relaxed, easygoing style of the Type B matches better the slower pace of old age, but is not as conducive to success in younger age groups. Thus we expected older Type Bs more than younger Type Bs to exhibit greater well-being. Results confirmed these hypotheses, but indicated that psychological differences may be mediated in part by differences in physical well-being. Furthermore, experience with life events, and the structure and function of social networks, may contribute to the differences in well-being.     

Type A behavior and occupational stress: a cross-cultural study of blue-collar workers

Psychophysiological, archival, unobtrusive observation, and self-report data were compared for Type A and Type B male bus drivers in the United States and India. Type A bus drivers in comparison with their Type B counterparts have more accidents, absenteeism, official reprimands, and self-reports of occupational stress. In India, but not in the United States, Type A drivers brake, pass, and blow their horns more often than Type B drivers. Although drivers exhibited expected elevations in blood pressure and catecholamines on the job, the magnitude of these increases did not differ as a function of the Type A/B classification.     

Type A behavior pattern, sex, and social support

Low social support has been suggested as a contributing factor to cardiac disease in some individuals with Type A Behavior Pattern. A number of studies have focused on the relationship between social support and Type A traits in subjects without cardiac disease as a means of evaluating this hypothesis; however, results of these studies have been confusing. In the current study, involving samples of adolescents and working adults, there was a significant positive correlation between Type A scores and satisfaction with social support in men but not in women.     

Type A personality, self-control, and vulnerability to stress

Type A behavior (hard-driving, competitive, time-urgent, hostile-irritable) has been linked to high stress levels and the risk of eventual cardiovascular problems (i.e., coronary heart disease, CHD). However, this pattern of behavior closely resembles the traditional masculine instrumental (goal-oriented) orientation, and, if kept within limits, may be viewed as adaptive in success-oriented, middle-class college students. Hypothetically then, Type A behavior may be displayed by a broad group of individuals, and only in those cases when it is allowed to reach extreme proportions is stress sufficient enough to confer risk. This article considers two lines of reasoning. Is greater self-control required for college women to be Type As, because it involves crossing into traditional male role behavior? Type A women displayed significantly better self-control then Type B women; the opposite result was disclosed for college men with Type As displaying poorer self-control than Type Bs. The question of whether risk-conferring Type A behavior would result from poorer self-control was answered in the affirmative. Self-control assumed moderator status; poorer self-control in both male and female Type As was associated with high levels of day-to-day stress relative to Type As with better self-control. Self-control did not influence stress level in Type Bs. This moderator effect suggests that only Type As who cannot contain their behavior within adaptive limits will be vulnerable to excessive stress and at risk for CHD.     

A computational unification of cognitive behavior and emotion

Existing models that integrate emotion and cognition generally do not fully specify why cognition needs emotion and conversely why emotion needs cognition. In this paper, we present a unified computational model that combines an abstract cognitive theory of behavior control (PEACTIDM) and a detailed theory of emotion (based on an appraisal theory), integrated in a theory of cognitive architecture (Soar). The theory of cognitive control specifies a set of required computational functions and their abstract inputs and outputs, while the appraisal theory specifies in more detail the nature of these inputs and outputs and an ontology for their representation. We argue that there is a surprising functional symbiosis between these two independently motivated theories that leads to a deeper theoretical integration than has been previously obtained in other computational treatments of cognition and emotion. We use an implemented model in Soar to test the feasibility of the resulting integrated theory, and explore its implications and predictive power in several task domains.     

Type A behavior,academic aspirations,and academic success1

This study investigated the link between the Type A coronary-prone behavior pattern and attainment of success in an academic setting. First semester college freshmen were administered 3 sets of questionnaires during the course of the fall semester that were designed to assess academic activities, outside responsibilities, and importance of academic success. Indices of actual academic performance were obtained from university records. The hypotheses that Type A students (1) would be involved in more activities, (2) place greater importance on academic success, and (3) actually achieve higher performance levels than Type B students, were confirmed. In addition, the results found that compared to Type B, the Type A students perceived more parental pressure, came from higher SES families, and were more clear as to what was expected of them. Implications for further research are discussed.     

Chronic stress, cognitive functioning and mental health

This review aims to discuss the evidence supporting the link between chronic stress, cognitive function and mental health. Over the years, the associations between these concepts have been investigated in different populations. This review summarizes the findings that have emerged from older populations as well as from populations suffering from pathological aging, namely Mild Cognitive Impairment and Alzheimer's Disease. Although older adults are an interesting population to study in terms of chronic stress, other stress-related diseases can occur throughout the lifespan. The second section covers some of these stress-related diseases that have recently received a great deal of attention, namely burnout, depression, and post-traumatic stress disorder. Given that chronic stress contributes to the development of certain pathologies by accelerating and/or exacerbating pre-existing vulnerabilities that vary from one individual to the other, the final section summarizes data obtained on potential variables contributing to the association between chronic stress and cognition.     

Type a behavior,field dependence,and hypervigilance: Toward increased Type A specificity

Field dependence and hypervigilance are two modes of sensory information processing that have been related to cardiovascular functioning. Two studies examined the relationship between these variables and Type A behavior. In both studies, Jenkins Activity Survey-defined Type A and B subjects were assessed for field dependence by the Embedded Figures Test (EFT) and then performed a size estimation task—the measure of hypervigilance. Results indicated that field-dependent Type A's were most hypervigilant. The possible contribution that perceptual style might make to the greater predictive specificity of Type A measures was discussed.Portions of this research were presented at the meeting of the American Psychological Association, Toronto, Canada, August 1984. The authors express their appreciation to Lois Haggard for the design of materials for Study II, and to Rick Smith and Kathy Connell for assistance in conducting Study II.     

Type A behavior in employed women: relation to work, marital, and leisure variables, social support, stress, tension, and health

Ninety-one women employed full-time were administered the Jenkins Activity Survey (JAS; Jenkins, Rosenman, & Zyzanski; 1974) and the Framingham Type A Scale (FTAS; Haynes, Levine, Scotch, Feinleib, & Kennel, 1978). Information concerning various work and nonwork-related variables was obtained via questionnaire or interview. Type A women had higher occupational levels and reported more demanding jobs and higher stress and tension than Type B women. Type A and B women did not differ in their reports of marital adjustment or in total hours spent in leisure activities. Type A behavior was related to both self-reported stress and tension--and for married women only, poorer self-reported physical health. Social support from various sources was not found to be related to Type A or Type B. Curiously, Type A was related to more reported stress and tension for women who felt they had many sources of support but not for women who did not perceive their having many sources of support.     

A cognitive model of posttraumatic stress disorder

Posttraumatic stress disorder (PTSD) is a common reaction to traumatic events. Many people recover in the ensuing months, but in a significant subgroup the symptoms persist, often for years. A cognitive model of persistence of PTSD is proposed. It is suggested that PTSD becomes persistent when individuals process the trauma in a way that leads to a sense of serious, current threat. The sense of threat arises as a consequence of: (1) excessively negative appraisals of the trauma and/or its sequelae and (2) a disturbance of autobiographical memory characterised by poor elaboration and contextualization, strong associative memory and strong perceptual priming. Change in the negative appraisals and the trauma memory are prevented by a series of problematic behavioural and cognitive strategies. The model is consistent with the main clinical features of PTSD, helps explain several apparently puzzling phenomena and provides a framework for treatment by identifying three key targets for change. Recent studies have provided preliminary support for several aspects of the model.