{"title":"Assessment of type A behavior in children: a comparison of two instruments.","authors":"E G Bishop, B J Hailey, H N Anderson","doi":"10.1080/0097840X.1987.9936804","DOIUrl":"https://doi.org/10.1080/0097840X.1987.9936804","url":null,"abstract":"<p><p>The agreement of classifications yielded from two instruments used to assess children's Type A-Type B behavior, the Matthews Youth Test for Health (MYTH) and Hunter-Wolf (HWolf), was evaluated with a sample of rural children from the southern United States. Fifth grade children (N = 276) served as subjects. MYTH and HWolf scores were found to be only weakly correlated and the agreement of Type A-Type B classifications occurred at a rate only slightly above chance. To assess the psychometric properties of the instruments, both were subjected to factor analysis and reliability/internal consistency estimates were obtained and compared with previous results. A factor structure remarkably similar to that of previous reports was found for the MYTH but not the HWolf. The results closely parallel those of another recent report and provide further support for the recommendation that these instruments should not be considered interchangeable measures of Type A behavior and that when multiple measures cannot be employed for research, the investigator should use the MYTH. Caution is indicated in interpreting scores of either measure, however, since neither has yet been shown to relate to later development of coronary heart disease.</p>","PeriodicalId":76006,"journal":{"name":"Journal of human stress","volume":"13 3","pages":"121-7"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0097840X.1987.9936804","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14775566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The preoperative use of the relaxation response with ambulatory surgery patients.","authors":"A D Domar, J M Noe, H Benson","doi":"10.1080/0097840X.1987.9936801","DOIUrl":"https://doi.org/10.1080/0097840X.1987.9936801","url":null,"abstract":"<p><p>The efficacy of the regular elicitation of the relaxation response in reducing surgical anxiety and pain in an ambulatory surgery setting was studied in a population of patients scheduled for the surgical removal of a skin cancer. Forty-nine patients with skin cancer were enrolled in the study immediately after being informed of the ned for surgery; 21 of these patients elicited the relaxation response 20 minutes per day until the day of surgery, 21 read for 20 minutes per day, and 7 were noncompliant and were excluded from the study. Contrary to expectations, neither group of patients showed any increase in anxiety immediately before or after surgery on either psychological or physiological measures. Thus, there were no differences between the two groups on any of the psychological or physiological measures of anxiety, nor were there any differences in pain perception. There were statistically significant subjective differences; the experimental patients stated that the relaxation-response technique had reduced their anxiety several days before surgery and reportedly experienced their highest levels of anxiety prior to entering the study, while the controls experienced their highest levels of anxiety during and after surgery. This suggests that (1) minor outpatient surgery does not lead to detectable increased anxiety levels on the day of surgery and (2) regular elicitation of the relaxation response can alter subjective reports of distress associated with surgery.</p>","PeriodicalId":76006,"journal":{"name":"Journal of human stress","volume":"13 3","pages":"101-7"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0097840X.1987.9936801","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14435718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Secretory IgA as a measure of immunocompetence.","authors":"A A Stone, D S Cox, H Valdimarsdottir, J M Neale","doi":"10.1080/0097840X.1987.9936806","DOIUrl":"https://doi.org/10.1080/0097840X.1987.9936806","url":null,"abstract":"<p><p>The field of psychoimmunology has rapidly expanded in recent years and various parameters of the immune system have been examined in relation to psychological factors. The secretory immune system is one of the more interesting aspects of the entire immune system because it protects mucosal membranes from invading organisms. Stress-produced changes in secretory immunoglobulin A (s-IgA) as measured by radial immunodiffusion assays have been reported in several studies. We present three reasons why total s-IgA protein, the measure derived from radial immunodiffusion assays, may not be a reasonable measure of immune system functioning, and we suggest an alternative method for examining secretory IgA that focuses on s-IgA antibody response to a novel antigen.</p>","PeriodicalId":76006,"journal":{"name":"Journal of human stress","volume":"13 3","pages":"136-40"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0097840X.1987.9936806","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14775568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Perceptions of medical school stressors: their relationship to age, year of study and trait anxiety.","authors":"S Carmel, J Bernstein","doi":"10.1080/0097840X.1987.9936793","DOIUrl":"https://doi.org/10.1080/0097840X.1987.9936793","url":null,"abstract":"<p><p>It has been noted that medical school is a stressful social environment. This study proposes to determine domains of medical school stressors and to investigate to what extent the perceived stressfulness of these domains is explained by age, year of study, marital status, sex, and trait anxiety. Data were obtained by self-administered questionnaires filled out by 131 students in four classes of a six-year medical school. Four clusters of stressors were revealed by factor analysis: \"off-time death,\" \"incurable condition,\" \"patient contact,\" and \"medical practice demands.\" Marital status, sex, and year of study did not correlate with any of these stressor domains. Age was positively correlated with the perception of off-time death as stressful and negatively correlated with patient contact. Trait anxiety was directly correlated with the perceived stressfulness of patient contact and medical practice demands. No independent variable explained differences in perception of all four domains. It is suggested that there are some experiences, such as facing off-time death, that are so painful that repeated exposure to them augments, rather than decreases, the perception of their stressfulness.</p>","PeriodicalId":76006,"journal":{"name":"Journal of human stress","volume":"13 1","pages":"39-44"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0097840X.1987.9936793","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14707034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Noise-induced temporary threshold shifts: the effects of anticipatory stress and coping strategies.","authors":"P S Thompson, H A Dengerink, J M George","doi":"10.1080/0097840X.1987.9936792","DOIUrl":"https://doi.org/10.1080/0097840X.1987.9936792","url":null,"abstract":"<p><p>Temporary Thresholds Shifts were assessed in five groups from before to after 5-minute exposure to 110 dB SPL white noise and in one additional group without noise exposure. In each group the baseline conditions were designed to elevate psychological stress via anticipation of the noise and venipuncture procedures. In the three experimental groups, procedures to reduce psychological stress were employed: Information, Relaxation, and Behavioral Avoidance. Manipulation checks supported the effectiveness of these arousal-reducing interventions. Temporary threshold shifts were considerably greater in two of the experimental conditions than in the noise-exposed control conditions.</p>","PeriodicalId":76006,"journal":{"name":"Journal of human stress","volume":"13 1","pages":"32-8"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0097840X.1987.9936792","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14421340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Chronic stress, catecholamines, and sleep disturbance at Three Mile Island.","authors":"L M Davidson, R Fleming, A Baum","doi":"10.1080/0097840X.1987.9936798","DOIUrl":"https://doi.org/10.1080/0097840X.1987.9936798","url":null,"abstract":"<p><p>The present study was concerned with the relationship between chronic stress and sleep disturbance. Previous research has provided evidence of chronic stress responding among people living near the Three Mile Island nuclear generating facility. Compared to control subjects, the TMI group has exhibited greater symptom reporting, poorer performance on behavioral measures of concentration, and elevated levels of urinary norepinephrine and epinephrine. Other research has suggested a relationship between arousal and insomnia. The extent to which stress and sleep disturbances were experienced by residents at TMI was examined and compared to levels of stress and sleep disturbance among a group of control subjects. The relationship between stress and sleep disturbances was also examined. Results indicated that TMI area residents exhibited more stress than the controls and reported greater disturbance of sleep. Modest relationships among stress and sleep measures suggested that the symptoms of stress measured in this study were not primary determinants of sleep problems.</p>","PeriodicalId":76006,"journal":{"name":"Journal of human stress","volume":"13 2","pages":"75-83"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0097840X.1987.9936798","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14732188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Type A personality as a mediator of stress and strain in employed women.","authors":"M J Dearborn, J E Hastings","doi":"10.1080/0097840X.1987.9936795","DOIUrl":"https://doi.org/10.1080/0097840X.1987.9936795","url":null,"abstract":"<p><p>A survey of 136 employed women was conducted. Type A personality, demographic variables, job characteristics and attitudes, health habits, and physical and psychological symptoms of strain were assessed. Average Type A score was higher than the normative mean (57th percentile). Compared with Type Bs, the Type A women had been in their current jobs for a shorter time, worked longer hours, and were less satisfied with their jobs. None of the health habit behaviors was related to Type A score. Small but substantial proportions of the sample complained that they often or always experienced a variety of physical and psychological symptoms. The former were not related to Type A score, but Type A women did tend to report more nervousness in all situations and more dysphoria of all kinds at work. Correlations between job dissatisfaction and rated job stress with symptoms were calculated separately for Type As and Type Bs. Substantial correlations were found for the Type As but not the Type Bs. Dissatisfaction and stress were related to more frequent symptom complaints in the Type As. Correlations of health habits and symptoms were also computed for Type As and Bs separately. Implications for future research are discussed.</p>","PeriodicalId":76006,"journal":{"name":"Journal of human stress","volume":"13 2","pages":"53-60"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0097840X.1987.9936795","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14733904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Exploring the impact of a natural disaster on the health and psychological well-being of older adults.","authors":"N Krause","doi":"10.1080/0097840X.1987.9936796","DOIUrl":"https://doi.org/10.1080/0097840X.1987.9936796","url":null,"abstract":"<p><p>The failure of researchers to consider the temporal dimensions of the stress process may be at least partially responsible for the disappointing empirical findings from research on stress and health. We argue that careful consideration must be given to the time lag between the occurrence of a stressor and initial symptom development, as well as the length of time that is required for symptoms to abate. Using a synthetic cohort design, we examine the length of time needed for symptoms to dissipate following a natural disaster (Hurricane Alicia). Findings from a random community survey of older adults suggest that the major effects of the storm diminish in about 16 months. Significant gender differences were found in this adjustment process. The implications of these findings for stress research are discussed.</p>","PeriodicalId":76006,"journal":{"name":"Journal of human stress","volume":"13 2","pages":"61-9"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0097840X.1987.9936796","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14733905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
W W Lambert, B MacEvoy, I Klackenberg-Larsson, P Karlberg, J Karlberg
{"title":"The relation of stress hormone excretion to type A behavior and to health.","authors":"W W Lambert, B MacEvoy, I Klackenberg-Larsson, P Karlberg, J Karlberg","doi":"10.1080/0097840X.1987.9936805","DOIUrl":"https://doi.org/10.1080/0097840X.1987.9936805","url":null,"abstract":"<p><p>The relation between catecholamine and cortisol excretion and Type A behavior, assessed using an 11-item self-report questionnaire based on the Jenkins Activity Survey, is examined in a Swedish sample of young adults (N = 149). Cluster analysis indicates that the items measure four aspects of Type A behavior: irritability, hurried behavior, work achievement, and competitiveness. These clusters are not correlated with measures of recent health care utilization. In both sexes, a higher total Type A behavior score is related to decreased daytime urine concentrations of norepinephrine and day and night concentrations of cortisol. In males, increased hurried behavior is related to lower night levels of norepinephrine; higher irritability and competitiveness predict lower night levels of epinephrine and cortisol and increased urine excretion rate. In females, higher irritability and lower competitiveness scores are related to increases in daytime urine excretion and slightly lower levels of cortisol. These results indicate that only certain aspects of the Type A syndrome are related to stress processes and imply that the behaviors serve to lower stress responses in early adulthood.</p>","PeriodicalId":76006,"journal":{"name":"Journal of human stress","volume":"13 3","pages":"128-35"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0097840X.1987.9936805","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14775567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A test of the cognitive social learning model of type A behavior.","authors":"M T Matteson, J M Ivancevich, G O Gamble","doi":"10.1080/0097840X.1987.9936791","DOIUrl":"https://doi.org/10.1080/0097840X.1987.9936791","url":null,"abstract":"<p><p>Portions of the cognitive social learning model proposed by Price as an explanation for the development and maintenance of Type A behavior were examined empirically. Specifically, the hypothesis that Type A behavior is fostered by various beliefs and fears and that these same beliefs and fears arise, in part, as the result of certain parental characteristics was investigated. A questionnaire assessing Type A behavior and the beliefs, fears, and parental characteristics proposed by Price was constructed and administered to a sample of males and females. The results indicated moderate associations between the variables examined for both males and females, with no significant gender differences in the pattern of relationships. The findings are congruent with relationships proposed by Price's model. Implications of the model are discussed in terms of additional research needed.</p>","PeriodicalId":76006,"journal":{"name":"Journal of human stress","volume":"13 1","pages":"23-31"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0097840X.1987.9936791","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14707033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}