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January 1, 1978Nursing Research

Type A Behavior Pattern and Hypertension among Inner-City Black Women

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Why the study?

Does Type A behavior pattern correlate with hypertension and blood pressure variability in inner-city Black women?

Population

Inner-city Black women

Comparison

Type A behavior pattern vs Type B behavior pattern

Design

Cross-sectional

Authors

KBKathleen Brewer‐SmythBC Mental Health & Substance Use ServicesJCJim CallUniversity of ChicagoSHStephen HansellRutgers, The State University of New Jersey

Discussion

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Overview

Type A behavior should not guide hypertension risk assessment in Black women; hypothesis-generating for adaptive effects on blood pressure variability.

Key Points

  • To evaluate the validity of the Type A behavior pattern and its relationship with hypertension and blood pressure variability in inner-city Black women.
  • Administered Rosenman and Friedman's structured A-B interview to inner-city Black women while discussing stress experiences and coronary heart disease risk factors.
  • Monitored blood pressure at two-minute intervals throughout the interview to measure intrasubject blood pressure variability across hypertensive and normotensive groups.
  • Type A behavioral classification proved reliable in this cohort, but Type A women were not significantly more likely to be hypertensive than Type B women.
  • Intrasubject blood pressure variability analysis identified an interaction between behavioral type and blood pressure status: hypertensives exhibited greater variability than normotensives exclusively among Type B women, whereas Type A women showed intermediate and undifferentiated variability.

Structured PICO

Does Type A behavior pattern correlate with hypertension and blood pressure variability in inner-city Black women?

P
Population
Inner-city Black women
I
Intervention
Type A behavior pattern (assessed via Rosenman and Friedman's A-B interview)
C
Comparator
Type B behavior pattern
O
Outcome
Hypertension status and intrasubject blood pressure variabilitysurrogate

The study suggests that Type A behavior may have an adaptive function regarding blood pressure variability among stressed inner-city Black women, challenging simplistic personality-disease models.

Cite This Study

Brewer‐Smyth et al. (1978) studied this question.

synapsesocial.com/papers/6a74955fa44b96c1f7dbda3dhttps://doi.org/10.1097/00006199-197801000-00014

Topics

Hypertension management
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Type A behavior, family history of hypertension, and cardiovascular responsivity among Black women.1986 · 37 citations
  2. 2Type A (Coronary-Prone) Behavior and Transient Blood Pressure Change1979 · 12 citations
  3. 3Prevalence of Type A behavior in untreated hypertensive individuals.1991 · 35 citations
  4. 4The association between Type A behavior and change in coronary risk factors among young adults.1990 · 11 citations
  5. 5Cardiovascular Responsivity, Type A Behavior, and Parental History of Heart Disease in Young Women1986 · 30 citations