Psicología y salud coronaria: historia de un trayecto emocional

• Francesc Palmero ^[1] ; Matilde Espinosa ^[1] ; Alicia Breva ^[1]
  1. [1] Universitat Jaume I

     Universitat Jaume I

     Castellón, España

     
• Localización: Ansiedad y estrés, ISSN 1134-7937, Nº 0, 1994, págs. 37-55
• Idioma: español
• Títulos paralelos:
  • Psychology and coronary health: history of an emotional evolution
• Enlaces
  • Texto completo (pdf)
• Dialnet Métricas: 2 Citas
• Resumen
  • español

    El presente trabajo revisa la consideración de los factores psicológicos en el padecimiento de enfermedades cardiovasculares. Partiendo del estudio del clásico Patrón de Conducta Tipo A las investigaciones realizadas apoyaron la existencia de relaciones entre dicho constructo y las enfermedades cardiovasculares. Sin embargo problemas relacionados principalmente con la definición y alcance de dicho concepto han hecho que la Hostilidad se haya perfilado como el nuevo patrón de predisposición coronaria. Los intentos de refinamiento teórico de este concepto junto al hallazgo de algunos resultados inconscientes han llevado a la reformulación de la Hostilidad como un amplio constructo multidimensional en el que se abarcan componentes afectivo/emocionales (Ira), cognitivos (Hostilidad) y conductuales (Agresión). Los estudios actuales enfatizan la relevancia de la reactividad psicofisiológica como parámetro adecuado para estudiar el modo en que los procesos emocionales repercuten sobre la salud coronaria.

  • English

    The implication of psychological (emotional processes) factors in suffering from coronary heart diseases is revisited in the present study. Researches dealing with traditional studies of Type A Behavior Pattern (TABP) supported the association between this contruct and coronary heart diseases. Nevertheless, Hostility has been considered as the new pattern of incidence of coronary heart disease, due to the problems related to the definition and reach of TABP. Both, the attempts of improving the theories concerning with this concept, and the findings of some inconsistent scores, have led to the readjustment of the concept of Hostility as a wide multidimensional construct in which not only affective/emotional components (Anger), but also cognitive (Hostility), and behavioral (aggression) elements are ranged. Current studies emphasize the relevance pf psychophysiological reactivity, and particularly the "fast activation-slow recovery" profile, as the appropriate parameter for investigating the way in which emotional processes affect coronary health.

• Referencias bibliográficas
  • Abbott, J. y Sutherland, C. (1990). Cognitive, cardiovascular and haematological responses of Type A and Type B individuals prior to and following...
  • Abbott, J., Sutherland, C. y Watt, D. (1987). Cooperative dyadic interactions, perceived control, and task difficulty in Type A and Type B...
  • Albright, G.L., Andreassi, J.L. y Steiner, S.S. (1988). Interactive effects of Type A personality and psichological an physical stressors...
  • Allen, M.T., Lawler, K.A., Mitchell, V.P., Matthews, K.A., Rakaczky, C.J. y Jamieson, W. (1987). Cooperative dyadic interactions, perceived...
  • Arrowood, M.E., Uhrich, K., Gomillion, C., Popio, K.A. y Raft, D. (1982). New markers of coronary-prone behavior in a rural population. Psychosomatic...
  • Barefoot, J.C. (1991). Developments in the measurement of Hostility. En H.S. Friedman (Ed.): Hostility, Coping and Health (pp. 13-32). Washington,...
  • Barefoot, J.C. y Lipkus, I.M. (1994). Assessment of Anger and Hostility. In A.W. Siegman y T.W. Smith (Eds.): Anger, Hostility, and the Heart...
  • Barefoot, J.C., Dahlstrom, W.G. y Williams, R.B. (1983). Hostility, CHD incidence and total mortality: A 25-year follow-up study of 255 physicians....
  • Barefoot, J.C., Dodge, K.A., Peterson, B.L., Dahlstrom, W.G. y Williams, R.B. (1989). The Cook-Medley Hostility Scale: item content and ability...
  • Bayer Cardiovascular. (1985). Estudio Sociológico de la Cardiopatía Isquémica en España. Barcelona: Química Farmacéutica Bayer.
  • Booth-Kewley, S. y Friedman, H.S. (1987). Psychological predictors of heart disease. A quantitative review. Psychological Bulletin, 101, 343-362....
  • Brand, R.J. (1978). Coronary prone behavior as an independent risk factor for coronary heart disease. En T.M. Dembroski, S.M. Weiss, J.L....
  • Burns, J.W. y Katkin, E.S. (1991). Hostility and the coronary-prone personality. En H.S. Friedman. Hostility, Coping and Health (pp. 109-116)....
  • Buss, A.H. y Durkee, A. (1957). An Inventory for assessing different kinds of Hostility. Journal of Consulting Psychology, 4, 343-348.
  • Byrne, D.G., Rosenman, R.H., Schiller, E. y Chesney, M.A. (1985). Consistency and variation among instruments purporting to measure Type A...
  • Cannon, W. B. (1932). The Wisdom of the Body . New York: Norton.
  • Carmelli, D., Swan, G.E. y Rosenman, R.H. (1991). The heritability of the Cook and Medley Hostility Scale revisited. En M.J. Strube (Ed.)....
  • Cinciripini, P.M., Nezami, E. y Mace, R.M. (1989). Cardiovascular reactivity and smoking in coronary prone (type A) and non-coronary prone...
  • Cook, W. y Medley, D. (1954). Proposed hostility for pharisaic-virtue skills of the MMPI. Journal of Applied Psychology, 38, 414-418.
  • Costa, P.T., Zonderman, A.B. y McCrae, R.R. (1986). Cynism and paranoid alienation in the Cook and Medley Hostility Scale. Psychosomatic Medicine,...
  • Chesney, M.A., Ekman, P., Friesen, W.V., Black, G.W. y Hecker, M. (1990). Type-A behavior pattern: Facial behavior and speech components....
  • Christensen, A. y Smith, T. (1993). Cynical Hostility and cardiovascular reactivity during self- disclosure. Psychosomatic Medicine, 55, 193-202....
  • Dembroski, T.H., MacDougall, J.M., Costa P.T. y Grandits, G.A. (1989). Components of Hostility as predictors of sudden dealth and myocardial...
  • Dembroski, T.M., MacDougall, J.M., Shields, J.L., Petitto, J. y Lushene, R. (1978). Components of the Type A coronary-prone behavior pattern...
  • Dembroski, T.M., MacDougall, J.M., Williams, R.B., Haney, T.L. y Blumenthal, J.A. (1985) Components of Type A, hostility, and anger-in: Relationship...
  • Ewart, C.K. y Kolodner, K.B. (1992). Diminished pulse pressure response to psychological stress: early precursor of essential hypertension?....
  • Frank, K.A., Heller, S.S., Kornfeld, D.S., Sporn, A.A. y Weiss, M.B. (1978). Type A behavior and self-referencing: interactive risk factors?....
  • Frankenhaeuser, M. (1981). Coping with stress at work. International Journal of Health Services, 11, 491-510.
  • Friedman, H.S. y Booth-Kewley, S. (1987). Personality, Type A behavior, and coronary heart disease: The role of emotional expression. Journal...
  • Friedman, M. (1978). Type A behavior: Its possible relationship to pathogenetic processes responsible for coronary heart disease. En T. M....
  • Friedman, M. y Rosenman, R. (1974). Type A Behavior and your Heart. Nueva York: Knopf.
  • Ganster, D.C., Schaubroeck, J., Sime, W.E. y Mayes, B.T. (1991). The nomological validity of the type A personality among employed adults....
  • García-León, A. y Palmero, F. (1990). Reactividad y recuperación psicofisiológica en sujetos Tipo-A y Tipo-B. Psicologemas, 4(7), 81-106.
  • Gerace, T.A, Smith, J.C., Christakis, G., Kafatos, A.G., Trakas, D. y Osterweis-Stangos, L. (1991). Type A behavior in youg males in a country...
  • Glass, D. C. (1977). Behavior Patterns, Stress, and Coronary Disease. Hillsdale: LEA.
  • Goldband, S., Katkin, E.S. y Morrell, M.A. (1979). Personality and cardiovascular disorder. Steps toward demuystification. En I.G. Sarason...
  • Gray, A. y Jackson, D.N. (1990). Individual diferences in Type A behavior and cardiovascular responses to stress. Personality and Individual...
  • Gray, A., Jackson, D.N. y Howard, J.H. (1990). Identification of a coronaryprone profile for business managers: comparison of three approaches...
  • Harburg, E., Blakelock, E.H. y Roeper, P.J. (1979). Resentful and reflective coping with arbitrary authority and blood pressure. Psychosomatic...
  • Hart, K.E. y Jamieson, J.L. (1983). Type A behavior and cardiovascular recovery from a psychosocial stressor. Journal of Human Stress, Marzo,...
  • Haynes, S.G., Feinleib, M. y Kannel, W.B. (1980). The relationship of psychoso cial factors to coronary heart disease in the Framingham Study:...
  • Hecker, H.L., Chesney, M.A., Black, G.W. y Frautschi, N. (1988). Coronary-prone behaviors in the Western Collaborative Group Study. Psychosomatic...
  • Helmer, D.C., Ragland, D.R. y Syme, S.L. (1991). Hostility and coronary artery disease. American Journal of Epidemiology, 133, 112-122.
  • Helmers, K.F., Posluszny, D.M. y Krantz, D.S. (1994). Associations of Hostility and coronary artery disease: A review of studies. En A.W....
  • Houston, B.K. (1983). Physiological responsibity and the Type A behavior pattern. Journal of Research in Personality, 17, 22-39.
  • Houston, B.K. (1994). Anger, Hostility, and Psychophysiological Reactivity. En A.W. Siegman y T.W. Smith (Eds.). Anger, Hostility, and the...
  • Houston, B.K., Smith, M.A., O'Connor, L. y Funk, S.C. (1988). Interiewer style, type A behavior, and cardiovascular re sponse. Behavioral...
  • Jamner, L.D., Shapiro, D., Goldstein, I.B. y Hug, R. (1991). Ambulatory blood pressure and heart rate in paramedics: Effects of cynical hostility...
  • Jenkins, C.D., Zyzansky, S. y Rosenman, R. (1979). JAS Manual. Nueva York: The Psychological Corp.
  • Johnson, E.H. (1990). The Deadly Emotions. The role of Anger, Hostility and Aggression in Health and Emotional Will-being. Nueva York: Praeger....
  • Kamarck, T.W., Manuck, S.B y Jennings, J.R. (1990). Social Support reduces cardiovascular reactivity to psychological challenge: A laboratory...
  • Kaplan, J.R., Botchin, M.B. y Manuck, S.B. (1994). Animal models of Agression and Cardiovascular Disease. In A.W. Siegman y T.W. Smith (Eds.)...
  • Kaplan, J.R., Manuck, S.B., Adams, M.R., Williams, J.K., Sewyn, A.P. y Clarkson, T.B. (1991). Nonhuman primates as a model for evaluating...
  • Kelsey, R. M. (1993). Habituation of cardiovascular reactivity to psychological stress: Evidence and implications. En J. Blascovich y E. S....
  • Koskenvuo, M., Kaprio, J., Rose, R.J., Kesaniemi, A., Heikkila, K. y Langin vainio, H. (1988). Hostility as a risk factor for mortality and...
  • Krantz, D.S, Glass, D.C. y Snyder, M.L. (1974). Helplessness, stress level, and the coronary prone behavior pattern. Journal of Experimental...
  • Krantz, D.S. y Manuck, S.B. (1984). Acute psychophysiologic reactivity and risk of cardiovascular disease: a review and methodologic critique....
  • Lawler, K.A, Schmied, L.A., Armstead, C.A. y Lacy, J.E. (1991). Type A Behavior, desire for control, and cardiovascular reactivity in young...
  • Lawler, K.A., Huck, S.W. y Smalley, L.B. (1989). Physiological correlates of the coronary-prone behavior pattern in women during examination...
  • Lovallo, W., Pincomb, G. y Wilson, M. (1986). Heart rate reactivity and Type A behavior as modifiers of physiological response to active and...
  • Lundberg, U., Hedmand, M., Melin, B. y Frankenhaueser, M. (1989). Type A bahavior in healthy males and females as related to physiological...
  • Lyness, S. A. (1993). Predictors of differences between Type A and B individuals in heart rate and blood pressure reactivity. Psychological...
  • Llorente, M. (1988). Diferencias individuales y cardiopatía isquémica. En M. Valdés, T. De Flores y S. García (coords.): Estrés y Cardiopatía...
  • MacDougall, J.M., Dembroski, T.M. y Krantz, D. S. (1981). Effects of types of challenge on pressor and heart rate response in Type A and Type...
  • MacDougall, J.M., Dembroski, T.M., Dimsdale J.E y Hackett, T.P. (1985). Components of Type A, hostility, and anger-in: Further relationships...
  • Manuck, S.B., Kaplan, J.R., Clarkson, T.B., Adams, M.R. y Shively, C.A. (1991). Behavioral influences on coronary artery disease: a nonhuman...
  • Matthews, K.A. (1982). Psychological perspectives on the Type A behavior pattern. Pshychological Bulletin, 81, 293-332.
  • Matthews, K.A. (1988). Coronary heart disease and Type A behavior: Update on and alternative to the Booth-Kewley and Friedman (1987) quantitative...
  • Matthews, K.A., Glass, D.C., Rosenman, R.H. y Bostner, R.W. (1977). Competitive drive, pattern A, and coronry heart disease: A further analysis...
  • McCraine, E.W., Watkins, L.O., Bandsman, J.N. y Sisson, B.D. (1986). Hostility, coronary heart disease incidence, and total mortality: lack...
  • Ministerio de Sanidad y Consumo. (1993). Indicadores de Salud. Segunda Evaluación en España del Programa Regional Europeo: Salud para Todos....
  • Obrist, P.A. (1976). The cardiovascularbehavioral interaction as it appears today. Psychopsysiology, 13, 95-107.
  • Palmero, F. (1992). Correlatos fisiológicos de una situación de motivación de logro (examen real) en sujetos Tipo A y Tipo B. Análisis y Modificación...
  • Palmero, F. y García-León, A. (1989). Patrón A de conducta y enfermedad coronaria: relevancia de los aspectos psicobiológicos. Análisis y...
  • Palmero, F. y García-León, A. (1993). Metodología psicofisiológica básica en el estudio del Patrón A de conducta. Revista Mexicana de Análisis...
  • Palmero, F., Codina, V. y Rosel, J. (1993). Psychophysiological activation, reactivity, and recovery in Type A and Type B scorers when in...
  • Palmero, F., Espinosa, M., Codina, V. y Ballester, R. (1994). Stress and heart disease: Relevance of the fast activation-slow recovery pattern....
  • Price, V.A. (1982). What is Type A? A cognitive social learning model. Journal Occupational Behavior, 3, 109- 129.
  • Rose, M.I. (1987). Type A behaviour Pattern: a concept revisited. CMAJ, 136, 345-350.
  • Rosenman, R.H. (1991). Type A Behavior Pattern: A personal overview. En M.J. Strube (ed.): Type A Behavior (pp. 1- 24). Londres: Sage.
  • Rosenman, R.H. (Ed.)(1983). Psychosomatic Risk Factors and Coronary Heart Disease, Indications for Specific Preventive Therapy. Berna: Huber....
  • Rosenman, R.H. y Friedman, M. (1974). Neurogenic factors in pathogenesis of coronary heart disease. Medical Clinics of North America, 58,...
  • Rosenman, R.H., Brand R.J. y Jenkins, C.D. (1975). Coronary heart disease in the Western Collaborative Group Study. Final follow-up experience...
  • Seeman, T.E. y Syme, S.L. (1987). Social networks and coronary artery disease: A comparison of the structure and function of social relations...
  • Segura, R. (1988). Estrés y fisiología cardiovascular en la cardiopatía isquémica. En M. Valdés, T. De Flores y S. García (Coor.). Estrés...
  • Selye, H. (1956). The stress of life. Nueva York: McGraw-Hill.
  • Shekelle, R.B., Gale, M., Ostfeld, A.M. y Paul, O. (1983). Hostility, risk of coronary heart disease, and mortality. Psychosomatic Medicine,...
  • Shekelle, R.B., Hulley, S.B., Neaton, J.D., Billings, J.H., Borhani, N.O., Gerace, T.A. y cols. (1985). The MRFIT behavior pattern study:...
  • Siegel, J.M. (1991). Anger and Cardiovascular Health. En H.S. Friedman (Ed.). Hostility, Coping and Health (pp. 49- 64). Washington, D.C.:...
  • Siegman, A.W. (1994a). From Type A to Hostility to Anger: reflections on the history of coronary-prone behavior. En A.W. Siegman y T.W. Smith...
  • Siegman, A.W. (1994b). Cardiovascular consequences of expressing and repressing Anger. En A.W. Siegman y T.W. Smith (Eds.): Anger, Hostility...
  • Siegman, A.W., Anderson, R., Herbst, J. y cols. (1992). Dimensions of anger-hostility and cardiovascular reactivity in provoked and angered...
  • Siegman, A.W., Dembroski, T.M. y Ringel, N. (1987). Components of Hostility and the severity of coronary artery disease. Psychosomatic Medicine,...
  • Smith, M.A. y Houston, B.K. (1987). Hostility, anger, expression, cardiovascular responsivity, and social support. Biological Psychology,...
  • Smith, T.W. (1994). Concepts and methods in the study of Anger, Hostility, and Health. En A.W. Siegman y T.W. Smith (Eds.): Anger, Hostility...
  • Smith, T.W. y Anderson, N.B. (1986). Models of personality and disease: an interactional approach to Type A behavior and cardiovascular risk....
  • Smith, T.W. y Christensen, A.J. (1991). Hostility, Health, and social contexts. En H.S. Friedman (Ed.). Hostility, Coping and Health (pp....
  • Smith, T.W. y Frohm. K.D. (1985). What's so unhealthy about hostility? Construct validity and psychosocial correlates of the Cook and...
  • Smith, T.W. y Pope, M.K. (1991). Cynical Hostility as a health risk: current status and future directions. En M.J. Strube (Ed.). Type A Behavior...
  • Spielberger, D., Johnson, E.H., Russell, S.F., Crane, R.J., Jacobs, G.A. y Worden, T.J. (1985). The experience and expresion of anger: Construction...
  • Suarez, E. y Williams, R. (1989). Situational determinants of cardiovascular and emotional reactivity in high and low hostile men. Psychosomatic...
  • Suarez, E., Williams, R., Kuhn, C., Zimmerman, E. y Schanberg, S.M. (1991). Biobehavioral basis of coronary-prone behavior in midle-aged men....
  • Svebak, S., Knardahl, S., Nordby, H. y Aakuaag, A. (1992). Components of Type A behavior pattern as predictors of neuroendocrine and cardiovascular...
  • Swan, G.E., Carmelli, D. y Rosenman, R.H. (1991). Cook and Medley Hostility and the Type A behavior pattern: Psychological correlates of two...
  • Valdés, M. y De Flores, T. (1987). Behavior pattern A and vulnerability to disease: a spanish retrospective study. Stress Medicine, 3, 135-140....
  • Valdés, M. y De Flores, T. (1990). Psicobiología del Estrés. Barcelona: Martínez Roca.
  • Vickers, R.R., Hervig, L.K., Rahe, R.H. y Rosenman, R.H. (1981). Type A behavior pattern and coping and defense. Psychosomatic Medicine, 43,...
  • Weidner, G., Friend, R., Ficarotto, T.J. y Mendell, N.R. (1989). Hostility and cardiovascular reactivity to stress in women and men. Psychosomatic...
  • Weidner, G., Sexton, G., McLellarn, R., Connor, S. y Matarazzo, J. (1987). The role of Type A behavior and Hostility in an elevation of Plasma...
  • Williams, R.B., Barefoot, J.C. y Shekelle, R.B. (1985). The health consequences of hostility. En M.A. Chesney y R.H. Rosenman (eds.): Anger...
  • Williams, R.B., Barefoot, J.C., Haney, T.L., Lee, K.L., Kong, Y. Blumenthal, J.A. y Whalen, R.E. (1980). Type A behavior, hostility, and coronary...
  • Williams, R.B., Suarez, E., Kuhn, C., Zimmerman, E. y Schanberg, S. (1991). Biobehavioral basis of coronary-prone behavior in midle-aged men....
  • Zeichner, A., Allen, J.D., Spiga, R. y Rudd, J. (1990). Predictability of repeated change: effects on cardiovascular activity in the type...