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International Journal of Epidemiology 2001;30:369-370
© International Epidemiological Association 2001

Cardiovascular Disease

Commentary: Is there any validity to the Type A concept?

Kenneth E Hart

In 1988, the New England Journal of Medicine published an editorial commentary by Joel Dimsdale,1 who commented on the ‘topsy-turvy’ career of the putative psychosocial risk factor for coronary heart disease (CHD) originally known as the Type A behaviour pattern (TAB), an action-emotion complex observed in people who are aggressively involved in a chronic struggle with life to achieve more and more in less and less time. Since its inception in the 1950s, the quest to legitimize TAB as a genuine risk factor for CHD has indeed been turbulent, suffering numerous setbacks. Most of the controversy came from epidemiological uncertainty generated by mixed results linking TAB to CHD outcomes. At the beginning of the new millennium, the vast majority of contemporary researchers would agree that the simple model . . . [Full Text of this Article]

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