PREDICTION OF CLINICAL CORONARY HEART-DISEASE BY A TEST FOR CORONARY-PRONE BEHAVIOR PATTERN
PREDICTION OF CLINICAL CORONARY HEART-DISEASE BY A TEST FOR CORONARY-PRONE BEHAVIOR PATTERN
复制标题
DOI：
10.1056/nejm197406062902301
复制
发表时间：
1974-01-01
影响因子：
158.5
通讯作者：
ZYZANSKI, SJ
中科院分区：
文献类型：
--
作者：
JENKINS, CD;ROSENMAN, RH;ZYZANSKI, SJ
一项前瞻性研究对2750名男性雇员进行了调查，他们完成了一份测量冠心病倾向A型行为模式的计算机评分测试问卷，结果显示，在四年的时间里，高分者新发冠心病的发病率是低分者的两倍。具有不同的冠状动脉疾病初始临床表现的受试者在A型测试分数上没有差异。这些研究的双盲设计和A型评分与冠心病风险的有序关系表明，冠心病倾向行为模式与冠心病的发病机制有前瞻性联系。研究结果还表明，使用的测试问卷是测量行为导致冠心病风险的一些方式的有效手段。（《新英格兰医学杂志》290：1271-1275，1974）
Prospective study of 2750 employed men who completed a computer-scored test questionnaire measuring the coronary-prone Type A behavior pattern showed that high scorers had twice the incidence of new coronary heart disease as low scorers over a four-year period. Subjects with different initial clinical manifestations of coronary disease did not differ from one another in their Type A test scores. The double-blind design of these studies and the orderly relation of Type A scores to coronary-disease risk suggest that the coronary-prone behavior pattern is prospectively linked to the pathogenesis of coronary heart disease. The findings also indicate that the test questionnaire used is a valid means of measuring some of the ways in which behavior contributes to coronary risk. (N Engl J Med 290:1271–1275, 1974)