人間ドックにおけるタイプA行動パターンに関する検討(第1報) : その心理的側面と従来の冠危険因子および職業との関連について

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This study attempted to examine the psychological factors of Type A Behavior Pattern (TABP), and the relations between TABP and traditional coronary risk factors, and also TABP and occupational level in Japanese males. The behavior patterns were evaluated by JAS (Jenkins Activity Survey : form C) and the psychological factors by CMI (Cornell Medical Index) in 593 males who underwent regular health check-ups. The relationship between JAS standard scores and coronary risk factors (obesity index, blood pressure, serum cholesterol, triglycerides, HDL-cholesterol, serum glucose, serum uric acid and smoking habit), the psychological points of CMI, and occupational level were analized. The results are that 1) The mean value of the serum cholesterol level was significantly (p< 0.05) higher in JAS Type A cases than Type B. 2) The type A score was proportionally correlated with cholesterol (r=O.121,P<0.01) and triglycerides (r=0.084,P<0.05) values. The factor S score was correlated with obesity index (r=0.096,p<0.05) and uric acid (r=0.099,p<0.05), but inversely correlated with HDL-cholesterol (r=0.083,p<0.05) values. The factor J score was correlated with obesity index (r=0.087,p<0.05) and uric acid (r=0.130,p<0.01) values. 3) The mean value of the type A score of 10 to 20/day cigarette smoking group was significantly higher than either non-smoked (p<0.01) or former-smoked group (p<0.05). The mean value of the factor J score of non-smoked group was significantly lower than the other three groups of formersmoked, 10 to 20/day smoking and more than 20/day smoking. 4) The type A score was correlated with factors of both irritability (r=0.123,p<0.01) and anger (r=0.220,p<0.001) in CMI. The factor S score was correlated with factors of anxiety (r=0.125,p<0.001), irritability (r=0.224,p<0.001) and anger (r=0.341,p<0.001). 5) The mean values of the type A (p<0.0001) and factor J (p<0.001) scores of managerial level were significantly higher than non-managerial level. The results of this study indicate that the TABP has psychological factors of both anger and irritability in spite of those weak relations, and also suggest that there are relations between TABP and serum fatty levels, obesity and uric acid. These metabolic disorders may come from eating or smoking habits or the working stress as a manager in the TABP of Japanese males.
日本心身医学会の論文
1992-04-01

人間ドックにおけるタイプA行動パターンに関する検討(第1報) : その心理的側面と従来の冠危険因子および職業との関連について

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