western collaborative group study (WCGS) (Friedman and Rosenman)
3000 males in california were medically assessed as free of CHD at the start of the study
Assessed for personalits type by answering 25 questions in a structured interview
Interviews were conducted to incite type-A related behaviour (eg interviewer would be aggressive and frequently interrupt)
type A link to CHD (Friedman and Rosenman)
8 1/2 years later = 257 men had developed CHD
70% of these had been assess at the start of the study as type A
Type As had higher levels of adrenaline and noradrenaline AND higher blood pressure/cholesterol
Suggests type A personality makes people vulnerable to stressors because impatience and hostility caused raised physiological stress response
type C personality
Pathological niceness
People pleasers
Compliant
Self-sacrificing
Avoid conflict by repressing emotions, especially anger (particularly relevant to cancer proneness)
type C link to cancer (proposed by Temoshok and studied by Dattore et al)
Dattore et al = studied 200 veterans of the Vietnam war (75 cancer patients and others with non-cancer diagnosis)
Cancer patients reported significantly greater emotional repression and fewer depression symptoms (unlikely to acknowledge depression because repressing emotions)
This is evidence of a link between type C and cancer proneness
strength = type A/B has RWA
Ragland and Brand = followed up heart attack survivors for the WCGS - years later death rate for type B was higher than for type As
One explanation is that type A survivors of a heart attack were more likely than type Bs to change their behaviour (healthier, less stress)
=> data from research can be useful in convincing type A individuals to change their behaviour and thus live longer
counterpoint to type A/B having RWA
WCGS and flow-up pps were men = knowledge based on how men respond to stress, not tested with women and may be less relevant to women (beta bias)
=> research into type A/B may be gender-biased as some of our knowledge is based on male pps only
limitation = type A concept is too broad
Researchers have focused on the hostility component (selfish, mistrusting, contemptuous) to explain the link between stress and CHD
Carmelli et al = found very high CHD-related deaths after 27 years in a subgroup of WCGS men with high hostility scores
=> its not the broad type A personality that is linked to illness but the narrower hostility component
limitation = evidence challenging the role of type C in cancer
Greer and Morris = found a link between breast cancer and emotional suppression of type C (as predicted by the theory)
BUT = the link only existed in women under the age of 50 AND research generally has inconsistent findings
Suggests that the role of personality in cancer is not straightforward and is moderated by age and probably other biological factors
extra evaluation = type A and type B difference
Evidence suggests 2 distinct personality types (A and B) tha response to stress differently
Type As are more likely to deal with stress in a way that harms their health
BUT = other evidence shows the link is weak and correlational - inconsistent and contradictory findings suggest the type A/B distinction is blurred
=> type A is no longer a particularly useful concept because it cannot be used to predict who will become in response to stress