Document Detail

Psychologic treatment for the type A behavior pattern and for coronary heart disease: a meta-analysis of the literature.
MedLine Citation:
PMID:  3554294     Owner:  NLM     Status:  MEDLINE    
The Type A behavior pattern (TABP) is a recognized risk factor for coronary heart disease (CHD), and yet treatments aimed at its modification are not in widespread use. We reviewed the literature of controlled studies (N = 18) of the psychologic treatment of the TABP and of CHD with the statistical method of "meta-analysis." The results of each study were converted to a standardized "Effect Size" (ES). The mean ES for TABP measures was 0.61 +/- 0.20 (95% confidence interval) (p less than 0.001), indicating that after treatment subjects across all studies reduced their TABP scores by half a standard deviation. The combined significance probability (pc) across studies for reduction in 3-year combined mortality and myocardial infarction was pc less than 0.0001, corresponding to a reduction in coronary events of roughly 50% after psychologic treatment. This finding must be approached with caution because it is based on only two studies. The analysis suggested that a combination of treatment techniques is most effective in reducing TABP and CHD recurrences. The literature was critiqued, and limitations of the findings are discussed. We conclude that psychologic intervention to reduce TABP may improve clinical outcome of CHD and that this deserves further study and preliminary clinical application.
E V Nunes; K A Frank; D S Kornfeld
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Psychosomatic medicine     Volume:  49     ISSN:  0033-3174     ISO Abbreviation:  Psychosom Med     Publication Date:    1987 Mar-Apr
Date Detail:
Created Date:  1987-06-09     Completed Date:  1987-06-09     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0376505     Medline TA:  Psychosom Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  159-73     Citation Subset:  IM    
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MeSH Terms
Behavior Therapy* / methods
Coronary Disease / psychology,  therapy*
Middle Aged
Relaxation Therapy
Type A Personality*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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