Journal of the American Academy of Child Psychiatry
Volume 25, Issue 6 , Pages 771-778, November 1986

Stress and Type A Behavior in Children

  • ULF LUNDBERG, PH.D.

      Affiliations

    • Corresponding Author InformationAddress for correspondence: Ulf Lundberg, Psychology Division, c/o Department of Psychology, University of Stockholm, S-10691 Stockholm, Sweden

Preparation of this paper was supported by grants from the Swedish Medical Research Council (Project No. 997). The Swedish Council for Research in the Humanities and Social Sciences, the Karolinska Institute Research Funds and the John D. and Catherine T. Mac Arthur Foundation

Received 10 June 1985; received in revised form 28 January 1986; accepted 19 February 1986.

Article Outline

This paper examines developmental aspects of type A behavior and physiological stress responses in children. It is shown that adrenal medullary activity sensitively reflects the impact of various stressful conditions in children, and that antecedents of type A behavior (aggressiveness, impatience, competitiveness) can be found at an early age. As with adults, type A-like behaviors in children seem to correlate with sympathetic reactivity to “challenge.” Higher type A scores and higher catecholamine levels were found in boys than in girls. As elevated blood pressure and catecholamine reactivity are assumed to predispose to coronary heart disease (CHD), individual differences in sympathetic reactivity from early childhood may be of relevance for susceptibility to CHD in adulthood.

No full text is available. To read the body of this article, please view the PDF online.

 

Back to Article Outline

References 

  1. Barefoot JC , Dahlstrom WG , Williams RB . Hostility, CHD incidence, and total mortality: a 25-year follow-up study of 255 physicians . Psychosom. Med. . 1983;45:59–64
  2. Bergman LR , Magnusson D . Overachievement and catecholamine output in an achievement-demanding situation . Psychosom. Med. . 1979;41:181–188
  3. Bergman LR , Magnusson D . Type A behavior: a longitudinal study from childhood to adulthood . Psychosom. Med. . 1986;48:134–142
  4. Bortner RW , Rosenman RH , Friedman M . Familial similarity in pattern A behavior . J. Chron. Dis. . 1970;23:39–43
  5. Cannon WB . The emergency function of the adrenal medulla in pain and the major emotions . Amer. J. Physiol. . 1914;33:356–372
  6. Cederblad M , Höök B . Daycare for three-year-olds . In:  Anthony EJ ,  Chiland C editor. The Child and His Family. Children in Turmoil: Tomorrow's Parents . New York: John Wiley & Sons; 1982;p. 129–144
  7. Cederblad M . Catecholamine excretion in children in relation to behavior deviance and psychosocial background factors. A longitudinal study . Acta Paedopsychiat. . 1984;50:191–200
  8. Chesney MA , Rosenman RH . Type A behavior in the work setting . In:  Cooper CL ,  Payne R editor. Current Concerns in Occupational Stress . New York: John Wiley & Sons; 1980;p. 187–212
  9. Chesney MA , Sevelius G , Black GW , Ward M , Swan GE , Rosenman RH . Work environment, type A behavior, and coronary heart disease risk factors . J. Occup. Med. . 1981;23:551–555
  10. Corrigan SA , Moskowitz DS . Type A behavior in preschool children: construct validation evidence for MYTH . Child Develpm. . 1983;54:1513–1521
  11. De Chateau P , Wiberg B . Long-term effect on mother-infant behavior of extra contact during the first hour post partum; II. A three months follow-up . Acta Paediat. Scand. . 1977;66:145–151
  12. De Schaepdryver AF , Hooft C , Delbeke M-J , Van Den Noortgaete M . Urinary catecholamines and metabolites in children . J. Pediatr. . 1978;93:266–268
  13. Dembroski TM , MacDougall JM , Herd JA , Shields JL . Effect of level of challenge on pressor and heart rate responses in type A and B subjects . J. Appl. Soc. Psychol. . 1979;9:209–228
  14. Diamond EL , Schneiderman N , Schwartz D , Smith JC , Vorp R , DeCarlo Pasin R . Harassment, hostility, and type A as determinants of cardiovascular reactivity during competition . J. Behav. Med. . 1984;7:171–189
  15. Dimsdale JE , Moos J . Plasma-catecholamines in stress and exercise . J. Amer. Med. Assn. . 1980;243:340–342
  16. Falkner B , Onesti G , Angelakos ET , Fernandes M , Langman C . Cardiovascular response to mental stress in normal adolescents with hypertensive parents . Hypertension . 1979;1:23–30
  17. Folkow BS . Physiological aspects of primary hypertension . Physiol. Rev. . 1982;62:347–504
  18. Frankenhaeuser M . Psychoneuroendocrine approaches to the study of emotion as related to stress and coping . In:  Howe HE ,  Dienstbier RA editor. Nebraska Symposium on Motivation 1978 . Lincoln: University of Nebraska Press; 1979;p. 123–161
  19. Frankenhaeuser M . The sympathetic-adrenal and pituitary-adrenal response to challenge: comparison between the sexes . In:  Dembroski TM ,  Schmidt TH ,  Blümchen G editor. Biobehavioral Bases of Coronary Heart Disease . New York: Karger; 1983;p. 91–105
  20. Frankenhaeuser M , Lundberg U . Sympathetic-adrenal and pituitary-adrenal response to challenge . In:  Pichot P ,  Berner P ,  Wolf R ,  Thau K editor. Psychiatry . Vol. 2: London: Plenum; 1985;p. 699–704
  21. Frankenhaeuser M , Lundberg U , Forsman L . Dissociation between sympathetic-adrenal and pituitary-adrenal responses to an achievement situation characterized by high controllability: comparison between type A and type B males and females . Biol. Psychol. . 1980;10:79–91
  22. Glass DC . Behaviour Patterns, Stress, and Coronary Disease . Hillsdale, N.J.: Lawrence Erlbaum; 1977;
  23. Glass DC , Carver CS . Helplessness and the coronary-prone personality . In:  Garber J ,  Seligman MEP editor. Human Helplessness: Theory and Applications . New York: Academic Press; 1980;p. 223–243
  24. Glass, D. C. & Contrada, R. J. (1983), Type A behavior and catecholamines: a critical review. In: Norepinephrine: Clinical Aspects, ed. C. R. Lake & M. Ziegler.
  25. Glass DC, Krakoff LR, Contrada R, Hilton WF, Kehoe K, Mannucci EG, et al. Effect of harassment and competition upon cardiovascular and plasma catecholamine responses in type A and type B individuals . Psychophysiology . 1980;17:453–463
  26. Henry JP , Stephens PM . Stress, Health, and the Social Environment. A Sociobiologic Approach to Medicine . New York: Springer-Verlag; 1977;
  27. Irestedt L , Lagercrantz H , Belfrage P . Causes and consequences of maternal and fetal sympathoadrenal activation during parturition . Acta Obstet. Gynecol. Scand. Suppl. . 1984;118:111–115
  28. Jenkins CD , Rosenman RH , Friedman M . Development of an objective psychological test for the determination of the coronary-prone behavior pattern in employed men . J. Chron. Dis. . 1967;20:371–379
  29. Jennings JR , Matthews KA . The impatience of youth: phasic cardiovascular response in type A and type B elementary school-aged boys . Psychosom. Med. . 1984;64:498–511
  30. Kahn JP , Kornfeld DS , Frank KA , Heller SS , Hoar PF . Type A behavior and blood pressure during coronary artery bypass surgery . Psychosom. Med. . 1980;42:407–414
  31. Karasek RA , Russell RS , Theorell T . Physiology of stress and regeneration in job related cardiovascular illness . J. Hum. Stress . 1982;8:29–42
  32. Krantz DS , Arabian JM , Davia JE , Parker JS . Type A behavior and coronary artery bypass surgery: intraoperative blood pressure and perioperative complications . Psychosom. Med. . 1982;44:273–284
  33. Krantz DS, Durel LA, Davia JE, Shaffer RT, Arabian JM, Dembroski TM, et al. Propranolol medication among coronary patients: relationship to type A behavior and cardiovascular response . J. Hum. Stress . 1982;8:4–12
  34. Krantz, D. S., Lundberg, U. & Frankenhaeuser, M. Stress and type A behavior. Interactions between environmental and biological factors. In: Handbook of Psychology and Health (Vol. 5). Stress and Coping, ed. A. Baum & J. E. Singer. Hillsdale, N. J.: Lawrence Erlbaum (in press).
  35. Lagercrantz H . Catecholamine surge at birth in the human infant . In: Catecholamines: Basic and Peripheral Mechanisms . New York: Alan R. Liss; 1984;p. 113–120
  36. Lawler KA , Allen MT , Critcher EC , Standard BA . The relationship of physiological responses to the coronary-prone behavior pattern in children . J. Behav. Med. . 1981;4:203–216
  37. Lazarus RS . Patterns of Adjustment . New York: McGraw-Hill; 1976;
  38. Leonetti G , Bianchini C , Picotti GB , Cesura A , Caccamo L , Marini A . Plasma catecholamines and plasma renin activity at birth and during the first days of life . Clin. Sci. . 1980;59:319–321
  39. Levi L . Stress and distress in response to psychosocial stimuli . Acta Med. Scand. Suppl. . 1972;528
  40. Lundberg U . Sex differences in behaviour pattern and catecholamine and cortisol excretion in 3-6-year-old day-care children . Biol. Psychol. . 1983;16:109–117
  41. Lundberg U . Note on type A behavior and cardiovascular responses to challenge in 3-6-year old children . J. Psychosom. Res. . 1983;27:39–42
  42. Lundberg U , Forsman L . Adrenal-medullary and adrenal-cortical responses to understimulation and overstimulation: comparison between type A and type B persons . Biol. Psychol. . 1979;9:79–89
  43. Lundberg U , De Chåteau P , Winberg J , Frankenhaeuser M . Catecholamine and cortisol excretion patterns in three year old children and their parents . J. Hum. Stress . 1981;7:3–11
  44. Matthews KA . Caregiver-child interactions and type-A coronary-prone behavior pattern . Child Develpm. . 1977;48:1752–1756
  45. Matthews KA . Efforts to control by children and adults with the type A coronary-prone behavior pattern . Child Develpm. . 1979;50:842–847
  46. Matthews KA , Angulo J . Measurement of the type A behavior pattern in children: assessment of children's competitiveness, impatience-anger, and aggression . Child Develpm. . 1980;51:466–475
  47. Matthews KA , Avis NE . Stability of overt type A behaviors in children: results from a one-year longitudinal study . Child Develpm. . 1983;54:1507–1512
  48. Matthews KA , Jennings JR . Cardiovascular responses of boys exhibiting the Type A behavior pattern . Psychom. Med. . 1984;46:484–497
  49. Matthews KA , Siegel JM . Type A behaviors by children, social comparison, and standards for self-evaluation . Develpm. Psychol. . 1983;19:141–148
  50. Matthews KA , Volkin JI . Effort to excell and the Type A behavior pattern in children . Child Develpm. . 1981;52:1283–1289
  51. Matthews KA , Rosenman RH , Dembroski TM , Harris EL , MacDougall TM . Familial resemblance in components of the type A behavior pattern: a reanalysis of the California type A twin study . Psychosom. Med. . 1984;46:484–497
  52. Murray JL , Bruhn JG . Reliability of the MYTH scale in assessing type A behavior in preschool children . J. Hum. Stress . 1983;9:23–28
  53. Murray JL , Bruhn JG , Bunce H . Assessment of type A behavior in preschoolers . J. Hum. Stress . 1983;9:32–39
  54. Musante L , MacDougall JM , Dembroski TM , Van Horn AE . Component analysis of the type A coronary-prone behavior pattern in male and female college students . J. Pers. Soc. Psychol. . 1983;465:1104–1117
  55. Parra A , RAMIRES DEL Angel A , Cervantes C , Sanchez M . Urinary excretion of catecholamines in healthy subjects in relation to body growth . Acta Endocr. . 1980;94:546–551
  56. Planz G , Bieber J , Mencke HJ , Bernuth GV . Plasma catecholamines in children . Experientia . 1983;39:497–498
  57. Rauste-Von Wright M , von Wright J , Frankenhaeuser M . Relationships between sex-related psychological characteristics during adolescence and catecholamine excretion during achievement stress . Psychophysiology . 1981;18:362–370
  58. Rosenman RH , Chesney MA . The relationship of Type A behavior to coronary heart-disease . Act. Nerv. Super. . 1980;22:1–45
  59. Schmieder R , Friedrich G , Neus H , Rudel H , VON Eiff AW . The influence of beta blockers on cardiovascular reactivity and Type A behavior pattern in hypertensives . Psychosom. Med. . 1983;45:417–424
  60. Selye H . Stress without Distress . Philadelphia: J. B. Lippincott; 1974;
  61. Snow, B. R. & Glass, D. C. (1981), Differential reactivity of Type A and B individuals to congruent and incongruent environments. Paper presented at the 52nd Annual Meeting of the Eastern Psychological Association, New York.
  62. Tennes T , Downey K , Vernandakis A . Urinary cortisol excretion rates and anxiety in normal 1-year old infants . Psychosom. Med. . 1977;39:178–187
  63. Von Eiff AW , Friedrich G , Neus H , Ruddel H , Schmieder R . Effects of beta-blockers on type-A coronary-prone behaviour . Klin. Wochenschr. . 1982;60:1315–1316
  64. Ward MM, Mefford IN, Parker SD, Chesney MA, Taylor CB, Keegan DL, et al. Epinephrine and norepinephrine responses in continuously collected human plasma to a series of stressors . Psychosom. Med. . 1983;45:471–486
  65. Weiss SM . Review Panel: Coronary-prone behavior and coronary heart disease: a critical review . Circulation . 1981;63:1199–1215

PII: S0002-7138(09)60194-1

doi:10.1016/S0002-7138(09)60194-1

Journal of the American Academy of Child Psychiatry
Volume 25, Issue 6 , Pages 771-778, November 1986