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Change in coronary-prone behaviors in the recurrent coronary prevention project

Bibliographic Data

ID19306129
AuthorsCarlos F Mendes De Leon (0000-0003-3020-826X, Yale University), Lynda H Powell (0000-0002-3527-8227, Yale University), B H Kaplan (0000-0003-1077-2146)
Year1991
Volume53
Issue4
Pages407-419
Publication date1991-07-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenuePsychosomatic Medicine (JOURNAL)
Journal identifiersISSN: 0033-3174 • E-ISSN: 1534-7796
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00006842-199107000-00006
PMID1924653
OpenAlexW2325085977
LanguageEN
Citations received7

The Recurrent Coronary Preventive Project (RCPP) demonstrated that the addition of Type A counseling to standard cardiac counseling resulted in significant reductions in Type A behavior and in a 44% reduction in reinfarction in post-myocardial infarction patients. The purpose of the present study was to describe the specific behavioural and psychosocial changes that occurred during this Type A treatment. Patients undergoing Type A counseling showed significant reductions not only in Type A behavior, but also in the Type A components of hostility, time urgency, and impatience, when compared with patients in the cardiac control group. They also showed significant decreases in depression and anger, and gains in self-efficacy, and marginally significant gains in social support and well-being. Type A counseling resulted in a dose-response relationship with most psychosocial outcomes, such that an increasing amount of treatment contacts was associated with increasing change. These data are important in that they specify a range of psychosocial factors that were influenced by treatment. These factors can be considered to be among the possible explanations for the efficacy of the RCPP treatment on the reduction of cardiac recurrences

Anger · Anxiety · Coronary heart disease · Depression (economics) · Hostility · Myocardial infarction · Psychiatry · Psychosocial · Psychotherapist · Social support · Type A and Type B personality theory · Cardiac Health and Mental Health · Clinical Psychology · Internal Medicine · Medicine · Psychology

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    Raymond Brady Williams•Psychosomatic Medicine•2002

  • Rationale and Design of a Randomized Clinical Trial Comparing Stress Reduction Treatment to Usual Cardiac Care

    Rebecca G Donahue, Rachel Lampert et al.•Psychosomatic Medicine•2010

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  • Psychosocial Treatment Within Sex by Ethnicity Subgroups in the Enhancing Recovery in Coronary Heart Disease Clinical Trial

    Neil Schneiderman, Patrice G Saab et al.•Psychosomatic Medicine•2004

  • Self-Efficacy and Self-Reported Functional Status in Coronary Heart Disease

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Unique citing works7
Citations per year0,25
Citation span1998 - 2010 (13)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 7

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