Type A behaviour: a reappraisal of its characteristics incardiovascular disease

Sirri, L.; Fava, G. A.; Guidi, J.; Porcelli, P.; Rafanelli, C.; Bellomo, A.; Grandi, S.; Grassi, L.; Pasquini, P.; Picardi, A.; Quartesan, R.; Rigatelli, Marco; Sonino, N.

doi:10.1111/j.1742-1241.2012.02993.x

Aims: The role of type A behaviour in cardiovascular disease is controversial andmost of the research is based on self-rating scales. The aim of this study was toassess the prevalence of type A behaviour in cardiology and in other medical set-tings using reliable interview methods that reflect its original description.Methods: A sample of 1398 consecutive medical patients (198 with heart trans-plantation, 153 with a myocardial infarction, 190 with functional gastrointestinaldisorders, 104 with cancer, 545 with skin disorders and 208 referred for psychiat-ric consultation) was administered the Structured Clinical Interview for the DSM-IVand the Structured Interview for the Diagnostic Criteria for Psychosomatic Research(DCPR) which identifies 12 clusters, including type A behaviour. Results: A cardiaccondition was present in 366 patients. There was a significant difference in theprevalence of type A behaviour in cardiovascular disease (36.1%) compared withother medical disorders (10.8%). Type A behaviour frequently occurred togetherwith psychiatric and psychosomatic disturbances, particularly irritable mood, eventhough in the majority of cases it was not associated with DSM diagnoses. Amongcardiac patients, those with type A behaviour were less depressed, demoralisedand worried about their illness. Conclusions: Type A behaviour was found tooccur in about a third of cases of patients with cardiovascular disease. Only in alimited number of cases was it associated with depression. It has a lifestyle conno-tation that may have important clinical consequences as to stress vulnerability andillness behaviour.

Type A behaviour: a reappraisal of its characteristics incardiovascular disease / L., Sirri; G. A., Fava; J., Guidi; P., Porcelli; C., Rafanelli; A., Bellomo; S., Grandi; L., Grassi; P., Pasquini; A., Picardi; R., Quartesan; Rigatelli, Marco; N., Sonino. - In: INTERNATIONAL JOURNAL OF CLINICAL PRACTICE. - ISSN 1742-1241. - ELETTRONICO. - 66(9)(2012), pp. 854-861.

Data di pubblicazione:	2012
Titolo:	Type A behaviour: a reappraisal of its characteristics incardiovascular disease
Autore/i:	L., Sirri; G. A., Fava; J., Guidi; P., Porcelli; C., Rafanelli; A., Bellomo; S., Grandi; L., Grassi; P., Pasquini; A., Picardi; R., Quartesan; Rigatelli, Marco; N., Sonino
Autore/i UNIMORE:	L. Sirri G. A. Fava J. Guidi P. Porcelli C. Rafanelli A. Bellomo S. Grandi L. Grassi P. Pasquini A. Picardi R. Quartesan RIGATELLI, Marco N. Sonino mostra contributor esterni nascondi contributor esterni
Digital Object Identifier (DOI):	http://dx.doi.org/10.1111/j.1742-1241.2012.02993.x
Rivista:	INTERNATIONAL JOURNAL OF CLINICAL PRACTICE
Volume:	66(9)
Pagina iniziale:	854
Pagina finale:	861
Codice identificativo ISI:	WOS:000307885800006
Codice identificativo Scopus:	2-s2.0-84865224989
Codice identificativo Pubmed:	22897462
Citazione:	Type A behaviour: a reappraisal of its characteristics incardiovascular disease / L., Sirri; G. A., Fava; J., Guidi; P., Porcelli; C., Rafanelli; A., Bellomo; S., Grandi; L., Grassi; P., Pasquini; A., Picardi; R., Quartesan; Rigatelli, Marco; N., Sonino. - In: INTERNATIONAL JOURNAL OF CLINICAL PRACTICE. - ISSN 1742-1241. - ELETTRONICO. - 66(9)(2012), pp. 854-861.
Tipologia	Articolo su rivista

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