Type A behaviour: A reappraisal of its characteristics in cardiovascular disease

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

Research output: Contribution to journalArticle

Abstract

Aims: The role of type A behaviour in cardiovascular disease is controversial and most of the research is based on self-rating scales. The aim of this study was to assess the prevalence of type A behaviour in cardiology and in other medical settings using reliable interview methods that reflect its original description. Methods: A sample of 1398 consecutive medical patients (198 with heart transplantation, 153 with a myocardial infarction, 190 with functional gastrointestinal disorders, 104 with cancer, 545 with skin disorders and 208 referred for psychiatric consultation) was administered the Structured Clinical Interview for the DSM-IV and the Structured Interview for the Diagnostic Criteria for Psychosomatic Research (DCPR) which identifies 12 clusters, including type A behaviour. Results: A cardiac condition was present in 366 patients. There was a significant difference in the prevalence of type A behaviour in cardiovascular disease (36.1%) compared with other medical disorders (10.8%). Type A behaviour frequently occurred together with psychiatric and psychosomatic disturbances, particularly irritable mood, even though in the majority of cases it was not associated with DSM-IV diagnoses. Among cardiac patients, those with type A behaviour were less depressed, demoralised and worried about their illness. Conclusions: Type A behaviour was found to occur in about a third of cases of patients with cardiovascular disease. Only in a limited number of cases was it associated with depression. It has a lifestyle connotation that may have important clinical consequences as to stress vulnerability and illness behaviour.

Original languageEnglish
Pages (from-to)854-861
Number of pages8
JournalInternational Journal of Clinical Practice
Volume66
Issue number9
DOIs
Publication statusPublished - Sep 2012

Fingerprint

Cardiovascular Diseases
Interviews
Diagnostic and Statistical Manual of Mental Disorders
Psychiatry
Irritable Mood
Illness Behavior
Gastrointestinal Diseases
Heart Transplantation
Cardiology
Research
Life Style
Referral and Consultation
Myocardial Infarction
Depression
Skin
Neoplasms

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Sirri, L., Fava, G. A., Guidi, J., Porcelli, P., Rafanelli, C., Bellomo, A., ... Sonino, N. (2012). Type A behaviour: A reappraisal of its characteristics in cardiovascular disease. International Journal of Clinical Practice, 66(9), 854-861. https://doi.org/10.1111/j.1742-1241.2012.02993.x

Type A behaviour : A reappraisal of its characteristics in cardiovascular 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, M.; Sonino, N.

In: International Journal of Clinical Practice, Vol. 66, No. 9, 09.2012, p. 854-861.

Research output: Contribution to journalArticle

Sirri, L, Fava, GA, Guidi, J, Porcelli, P, Rafanelli, C, Bellomo, A, Grandi, S, Grassi, L, Pasquini, P, Picardi, A, Quartesan, R, Rigatelli, M & Sonino, N 2012, 'Type A behaviour: A reappraisal of its characteristics in cardiovascular disease', International Journal of Clinical Practice, vol. 66, no. 9, pp. 854-861. https://doi.org/10.1111/j.1742-1241.2012.02993.x
Sirri, L. ; Fava, G. A. ; Guidi, J. ; Porcelli, P. ; Rafanelli, C. ; Bellomo, A. ; Grandi, S. ; Grassi, L. ; Pasquini, P. ; Picardi, A. ; Quartesan, R. ; Rigatelli, M. ; Sonino, N. / Type A behaviour : A reappraisal of its characteristics in cardiovascular disease. In: International Journal of Clinical Practice. 2012 ; Vol. 66, No. 9. pp. 854-861.
@article{e490f58c795f47dd83cb54c614fc8f52,
title = "Type A behaviour: A reappraisal of its characteristics in cardiovascular disease",
abstract = "Aims: The role of type A behaviour in cardiovascular disease is controversial and most of the research is based on self-rating scales. The aim of this study was to assess the prevalence of type A behaviour in cardiology and in other medical settings using reliable interview methods that reflect its original description. Methods: A sample of 1398 consecutive medical patients (198 with heart transplantation, 153 with a myocardial infarction, 190 with functional gastrointestinal disorders, 104 with cancer, 545 with skin disorders and 208 referred for psychiatric consultation) was administered the Structured Clinical Interview for the DSM-IV and the Structured Interview for the Diagnostic Criteria for Psychosomatic Research (DCPR) which identifies 12 clusters, including type A behaviour. Results: A cardiac condition was present in 366 patients. There was a significant difference in the prevalence of type A behaviour in cardiovascular disease (36.1{\%}) compared with other medical disorders (10.8{\%}). Type A behaviour frequently occurred together with psychiatric and psychosomatic disturbances, particularly irritable mood, even though in the majority of cases it was not associated with DSM-IV diagnoses. Among cardiac patients, those with type A behaviour were less depressed, demoralised and worried about their illness. Conclusions: Type A behaviour was found to occur in about a third of cases of patients with cardiovascular disease. Only in a limited number of cases was it associated with depression. It has a lifestyle connotation that may have important clinical consequences as to stress vulnerability and illness behaviour.",
author = "L. Sirri and Fava, {G. A.} and J. Guidi and P. Porcelli and C. Rafanelli and A. Bellomo and S. Grandi and L. Grassi and P. Pasquini and A. Picardi and R. Quartesan and M. Rigatelli and N. Sonino",
year = "2012",
month = "9",
doi = "10.1111/j.1742-1241.2012.02993.x",
language = "English",
volume = "66",
pages = "854--861",
journal = "International Journal of Clinical Practice",
issn = "1368-5031",
publisher = "Wiley-Blackwell",
number = "9",

}

TY - JOUR

T1 - Type A behaviour

T2 - A reappraisal of its characteristics in cardiovascular disease

AU - Sirri, L.

AU - Fava, G. A.

AU - Guidi, J.

AU - Porcelli, P.

AU - Rafanelli, C.

AU - Bellomo, A.

AU - Grandi, S.

AU - Grassi, L.

AU - Pasquini, P.

AU - Picardi, A.

AU - Quartesan, R.

AU - Rigatelli, M.

AU - Sonino, N.

PY - 2012/9

Y1 - 2012/9

N2 - Aims: The role of type A behaviour in cardiovascular disease is controversial and most of the research is based on self-rating scales. The aim of this study was to assess the prevalence of type A behaviour in cardiology and in other medical settings using reliable interview methods that reflect its original description. Methods: A sample of 1398 consecutive medical patients (198 with heart transplantation, 153 with a myocardial infarction, 190 with functional gastrointestinal disorders, 104 with cancer, 545 with skin disorders and 208 referred for psychiatric consultation) was administered the Structured Clinical Interview for the DSM-IV and the Structured Interview for the Diagnostic Criteria for Psychosomatic Research (DCPR) which identifies 12 clusters, including type A behaviour. Results: A cardiac condition was present in 366 patients. There was a significant difference in the prevalence of type A behaviour in cardiovascular disease (36.1%) compared with other medical disorders (10.8%). Type A behaviour frequently occurred together with psychiatric and psychosomatic disturbances, particularly irritable mood, even though in the majority of cases it was not associated with DSM-IV diagnoses. Among cardiac patients, those with type A behaviour were less depressed, demoralised and worried about their illness. Conclusions: Type A behaviour was found to occur in about a third of cases of patients with cardiovascular disease. Only in a limited number of cases was it associated with depression. It has a lifestyle connotation that may have important clinical consequences as to stress vulnerability and illness behaviour.

AB - Aims: The role of type A behaviour in cardiovascular disease is controversial and most of the research is based on self-rating scales. The aim of this study was to assess the prevalence of type A behaviour in cardiology and in other medical settings using reliable interview methods that reflect its original description. Methods: A sample of 1398 consecutive medical patients (198 with heart transplantation, 153 with a myocardial infarction, 190 with functional gastrointestinal disorders, 104 with cancer, 545 with skin disorders and 208 referred for psychiatric consultation) was administered the Structured Clinical Interview for the DSM-IV and the Structured Interview for the Diagnostic Criteria for Psychosomatic Research (DCPR) which identifies 12 clusters, including type A behaviour. Results: A cardiac condition was present in 366 patients. There was a significant difference in the prevalence of type A behaviour in cardiovascular disease (36.1%) compared with other medical disorders (10.8%). Type A behaviour frequently occurred together with psychiatric and psychosomatic disturbances, particularly irritable mood, even though in the majority of cases it was not associated with DSM-IV diagnoses. Among cardiac patients, those with type A behaviour were less depressed, demoralised and worried about their illness. Conclusions: Type A behaviour was found to occur in about a third of cases of patients with cardiovascular disease. Only in a limited number of cases was it associated with depression. It has a lifestyle connotation that may have important clinical consequences as to stress vulnerability and illness behaviour.

UR - http://www.scopus.com/inward/record.url?scp=84865224989&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84865224989&partnerID=8YFLogxK

U2 - 10.1111/j.1742-1241.2012.02993.x

DO - 10.1111/j.1742-1241.2012.02993.x

M3 - Article

C2 - 22897462

AN - SCOPUS:84865224989

VL - 66

SP - 854

EP - 861

JO - International Journal of Clinical Practice

JF - International Journal of Clinical Practice

SN - 1368-5031

IS - 9

ER -