ANTECEDENTS OF THE TYPE A BEHAVIOR PATTERN

我们研究计划的总体目标是确定 A型行为模式的生物心理社会起源。在下一次 三年后，我们建议评估个体类型的家庭模式 A的行为，他们相关的心血管反应性，以及他们的 决定因素包括冠心病家族史、性别、应对方式和 经历焦虑和愤怒，父母养育孩子的做法和 态度。为了实现这一目标，所有目前注册的儿童 正在进行的纵向队列研究始于1979年，他们的兄弟姐妹 与病例儿童在同一学区上学；以及 他们的父母(家庭数量=187)将被邀请参加一项 个人管理的试验性会议，在此期间，他们将 执行困难的认知任务，令人沮丧的精神运动任务，以及 当他们的血压和心率 间歇性测量。参与者将接受A型 访谈和几份关于他们应对焦虑方式的问卷 和愤怒。家长只需完成几份调查问卷 对子女成就的反应和对 养育孩子。家族病史和Framingham A型评分为 已经从父母那里获得了孩子的神话A类评级 已经从孩子们的课堂老师那里得到了。此外, 计划只对儿童进行三项子研究。这些活动的目的是 子研究将评估(A)儿童的普适性 对实验室应激源的心血管反应 自然产生的压力源--在课堂上演讲； 儿童任务诱发心血管疾病的一年一致性 回答和他们的A型面试行为；和(C)一致性 儿童课堂A型行为及其影响因素 在这六年中，大约有190名儿童参加了 儿童A型行为的纵向研究

The overall objective of our research program is to identify the biopsychosocial origins of the Type A behavior pattern. During the next three years, we propose to assess the familial patterns of individual Type A behaviors, their associated cardiovascular reactivity, and their determinants including family history of CHD, sex, modes of coping with and experiencing anxiety and anger, and parental childrearing practices and attitudes. To achieve this objective, all children currently enrolled in the ongoing longitudinal cohort study begun in 1979, their siblings attending school in the same school district as the case children, and their parents (number of families = 187) will be asked to participate in an individually administered experimental session, during which they will perform a difficult cognitive task, a frustrating psychomotor task, and an isometric exercise while their blood pressure and heart rate are intermittently measured. Participants will be administered the Type A interview and several questionnaires on their modes of coping with anxiety and anger. Parents only will complete several questionnaires on their reactions to their children's achievement and attitudes toward childrearing. Family medical history and Framingham Type A scores were already obtained from the parents and MYTH Type A ratings of the children were already obtained from the children's classroom teachers. In addition, three substudies of children only are planned. The aims of these substudies are to assess (a) the generalizability of children's cardiovascular responses to laboratory stressors to those induced by a naturally occurring stressor -- making a speech in class; (b) the consistency across one year of children's task-induced cardiovascular responses and their Type A interview behavior; and (c) the consistency of children's Type A behaviors in the classroom and their determinants across the six years during which approximately 190 children have been enrolled in the longitudinal study of children's Type A behaviors.