Solid scientific evidence supporting the adverse effects of stress on
health began to emerge nearly 30 years ago with the report by Rosenman et
al1 showing that men with type A behavior (time
urgency, hostility, achievement striving) were twice as likely as their counterparts
with type B behavior (lacking type A characteristics) to develop coronary
heart disease (CHD) over an 8-½ year period.1 Failure
to replicate this finding in another large-scale prospective study2 raised questions about the validity of type A behavior
as a CHD risk factor. However, subsequent research makes a strong case that
of the 3 components of the global type A behavior pattern, hostility is the
one most reliably associated with increased CHD risk.3- 5
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