{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T22:57:17Z","timestamp":1788994637637,"version":"build-2803163510"},"reference-count":49,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circulation"],"published-print":{"date-parts":[[1998,8,4]]},"abstract":"<jats:p>\n            <jats:italic>Background<\/jats:italic>\n            \u2014Several methods exist by which to assess type A behavior (TAB). Although the videotaped clinical interview is regarded as the \u201cgold standard,\u201d self-report measures have also proved useful in assessing TAB in large population studies. The purpose of this study was to examine prospectively the relationship of TAB to risk of coronary heart disease (CHD) incidence with the use of the revised Minnesota Multiphasic Personality Inventory (MMPI-2) Type A Scale. To the best of our knowledge, this is the first test of this scale in the context of predicting CHD incidence.\n          <\/jats:p>\n          <jats:p>\n            <jats:italic>Methods and Results<\/jats:italic>\n            \u2014The study was performed in the VA Normative Aging Study, an ongoing cohort of older (mean age, 61 years) community-dwelling men. A total of 1305 men who were free of diagnosed CHD in 1986 completed the MMPI-2 Type A Scale. During an average 7.0 years of follow-up, 110 cases of incident CHD occurred. Compared with men in the lowest quartile of type A scores, men in the highest quartile had multivariate adjusted relative risks of 2.86 (95% CI, 1.19 to 6.89;\n            <jats:italic>P<\/jats:italic>\n            for trend=0.016) for combined CHD death and nonfatal myocardial infarction (MI) and 2.30 (95% CI, 1.32 to 4.01;\n            <jats:italic>P<\/jats:italic>\n            for trend=0.001) for combined CHD death\/nonfatal MI plus angina pectoris. The relationship of TAB to CHD was independent of measures of anger and cynicism.\n          <\/jats:p>\n          <jats:p>\n            <jats:italic>Conclusions<\/jats:italic>\n            \u2014The MMPI-2 Type A Scale predicts CHD incidence. Further research is warranted to examine the correlation, if any, between this scale and the videotaped clinical interview.\n          <\/jats:p>","DOI":"10.1161\/01.cir.98.5.405","type":"journal-article","created":{"date-parts":[[2012,6,12]],"date-time":"2012-06-12T00:41:02Z","timestamp":1339461662000},"page":"405-412","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":55,"title":["Prospective Study of a Self-Report Type A Scale and Risk of Coronary Heart Disease"],"prefix":"10.1161","volume":"98","author":[{"given":"Ichiro","family":"Kawachi","sequence":"first","affiliation":[{"name":"From the Department of Health and Social Behavior, Harvard School of Public Health, and Channing Laboratory, Harvard Medical School (I.K., L.D.K.); Normative Aging Study, Department of Veterans Affairs Outpatient Clinic (D.S., A.S., P.S.V.); Boston University School of Public Health (A.S.), and Section of Preventive Medicine and Epidemiology and Evans Memorial Department of Clinical Research, Department of Medicine, Boston Medical Center, Boston University School of Medicine (P.S.V.); Channing..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Sparrow","sequence":"additional","affiliation":[{"name":"From the Department of Health and Social Behavior, Harvard School of Public Health, and Channing Laboratory, Harvard Medical School (I.K., L.D.K.); Normative Aging Study, Department of Veterans Affairs Outpatient Clinic (D.S., A.S., P.S.V.); Boston University School of Public Health (A.S.), and Section of Preventive Medicine and Epidemiology and Evans Memorial Department of Clinical Research, Department of Medicine, Boston Medical Center, Boston University School of Medicine (P.S.V.); Channing..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura D.","family":"Kubzansky","sequence":"additional","affiliation":[{"name":"From the Department of Health and Social Behavior, Harvard School of Public Health, and Channing Laboratory, Harvard Medical School (I.K., L.D.K.); Normative Aging Study, Department of Veterans Affairs Outpatient Clinic (D.S., A.S., P.S.V.); Boston University School of Public Health (A.S.), and Section of Preventive Medicine and Epidemiology and Evans Memorial Department of Clinical Research, Department of Medicine, Boston Medical Center, Boston University School of Medicine (P.S.V.); Channing..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avron","family":"Spiro","sequence":"additional","affiliation":[{"name":"From the Department of Health and Social Behavior, Harvard School of Public Health, and Channing Laboratory, Harvard Medical School (I.K., L.D.K.); Normative Aging Study, Department of Veterans Affairs Outpatient Clinic (D.S., A.S., P.S.V.); Boston University School of Public Health (A.S.), and Section of Preventive Medicine and Epidemiology and Evans Memorial Department of Clinical Research, Department of Medicine, Boston Medical Center, Boston University School of Medicine (P.S.V.); Channing..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pantel S.","family":"Vokonas","sequence":"additional","affiliation":[{"name":"From the Department of Health and Social Behavior, Harvard School of Public Health, and Channing Laboratory, Harvard Medical School (I.K., L.D.K.); Normative Aging Study, Department of Veterans Affairs Outpatient Clinic (D.S., A.S., P.S.V.); Boston University School of Public Health (A.S.), and Section of Preventive Medicine and Epidemiology and Evans Memorial Department of Clinical Research, Department of Medicine, Boston Medical Center, Boston University School of Medicine (P.S.V.); Channing..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott T.","family":"Weiss","sequence":"additional","affiliation":[{"name":"From the Department of Health and Social Behavior, Harvard School of Public Health, and Channing Laboratory, Harvard Medical School (I.K., L.D.K.); Normative Aging Study, Department of Veterans Affairs Outpatient Clinic (D.S., A.S., P.S.V.); Boston University School of Public Health (A.S.), and Section of Preventive Medicine and Epidemiology and Evans Memorial Department of Clinical Research, Department of Medicine, Boston Medical Center, Boston University School of Medicine (P.S.V.); Channing..."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_2_1_2","unstructured":"Hugdahl K. 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