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Biomedical subjects

K A Lawler

Publications and source records attributed to K A Lawler.

At least 19 recordsLinked to original sources

The anger recall interview and cardiovascular reactivity in women: an examination of context and experience.

Recent research has focused on the role of hostility as a risk factor for coronary heart disease. Hostility has been linked independently to cardiovascular mortality and, as a component of Type A behavior, to atherogenesis and myocardial infarction; however, the mechanisms by which hostility manifests its effects on the cardiovascular system have not been determined. In addition, hostility has been evaluated as a trait measure, with little emphasis on how anger-provoking episodes may be perceived by individuals. The present study seeks to evaluate the affective experience of hostility, through an anger recall interview, and relate qualities of that experience to one potential mechanism of cardiovascular risk, cardiovascular reactivity. Fifty-eight women, classified by structured interview as Type A or B, participated in an anger recall interview while their heart rate and blood pressure were monitored. Type A women manifested greater systolic reactivity when their anger was in response to frustration of autonomy needs, while Type B women exhibited greater heart rate reactivity in response to frustration of affiliation needs. All women who suppressed anger expression experienced higher pressor responses than women who expressed anger assertively. Future investigations may find the content of an interview as useful as the procedure itself in studies of cardiovascular reactivity.

Adolescent

The relationship of parenting styles and social competency to Type A behavior in children.

This study examined parenting styles, Type A behavior in parents and children, and social competence in children. Fifty 1st-6th grade children, parents, and their teachers participated. Type A behavior in parents was associated with a controlling style of parenting, but not with pressuring the child to achieve. Parenting styles of achievement pressure and high control were related to impatient and aggressive behaviors in children, as measured by the MYTH, a teacher-scored Type A behavior instrument. In addition, impatience and aggressiveness in the children were negatively correlated with the child's social competency and ability to function in school. Parenting practices, Type A behavior, and social competency in children may play important roles in the origins of detrimental components of Type A behavior, such as impatience and aggression.

Child

A prospective study of women's health: the effects of stress, hardiness, locus of control, Type A behavior, and physiological reactivity.

This study was a five-year follow-up of women who had participated in a previous experiment. At time one, we obtained measures of hardiness, Type A behavior, locus of control, stress, illness, and physiological reactivity. At time two, we obtained measures of illness for the past twelve months. Multiple regression analyses support the hypotheses that both hardiness and locus of control buffer the effects of stress on illness. Furthermore, Type A classification was associated with greater illness frequency and resting systolic blood pressure predicted future health status. An examination of all variables simultaneously revealed that future illness frequency is best predicted by locus of control x stress, high resting systolic blood pressure and low systolic reactivity. Future illness severity was best predicted by locus of control and resting systolic blood pressure. These results support the hypotheses that hardiness and locus of control buffer the effects of stress on health in women employed as clerical workers; however, the predictive power of hardiness in these women is largely accounted for by the contribution of locus of control.

Adaptation, Psychological

Family history of hypertension, gender, and cardiovascular responsivity during stress.

The relationships of family history of hypertension and gender to cardiovascular responses to stress were investigated in this research. One hundred twenty-three subjects were monitored while they rested and performed two tasks, reaction time and Ravens progressive matrices. Positive-family history males exhibited higher levels of systolic blood pressure than the negative male group and higher levels of rate pressure product than the positive-family history female group. Positive-family history males also had heart rate levels as high as the females. Female subjects did not differ from each other based on family history. In addition, subjects were grouped by gender and by high- or low-heart rate reactivity. The results suggest that heart rate reactivity has equally broad effects on cardiovascular function for males and females; for males, this reactivity during rests and tasks also tends to be associated with family history of hypertension.

Adolescent

Control, type A behavior and cardiovascular responsivity in adult women employed as clerical workers.

The purpose of the present study was to examine the relationship among control, Type A behavior and cardiovascular responsivity in female clerical workers. Control was examined by assessing locus of control and by employing a learned helplessness paradigm. Helplessness was varied by three treatment conditions on a concept identification task: (1) a helplessness condition where noncontingent feedback was provided, (2) a moderate helplessness condition, and (3) a no helplessness (no feedback) condition. The effects of these treatments on performance were examined by measuring trials to criterion on a subsequent anagram task. Heart rate and blood pressure were monitored during rest periods and tasks. Both Types A and B women exhibited learned helplessness. Type As who experienced the helplessness treatment responded with greater increases in systolic blood pressure and greater decreases in heart rate variability on the anagram task. During the helplessness task itself, Type A women with an external locus of control were the most reactive group as indexed by heart rate and heart rate variability. For those women experiencing moderate helplessness, external locus of control Type As had higher systolic blood pressure levels on both tasks. These results suggest that task-induced lack of control or external locus of control is associated with increased cardiovascular reactivity in Type A women.

Adult

Physiological correlates of the coronary-prone behavior pattern in women during examination stress.

This research is an assessment of the physiological correlates of Type A behavior in college-aged women. Subjects were monitored while they took a midterm statistics examination; the dependent variables were systolic and diastolic blood pressure, heart rate, and heart rate variability. Type A or B behavior was assessed with the student form of the Jenkins Activity Survey. The results indicated that Type A women had higher levels of systolic blood pressure and heart rate, and lower levels of heart rate variability. Thus, when the stressor was a genuine examination, Type A behavior in young women was associated with increased physiological response levels compared to Type B's, a finding consistent with the hypothesis that Type A behavior is associated with sympathetic nervous system activity.

Adult

Relationship of racial stressors to blood pressure responses and anger expression in black college students.

The physiological effects of racism, as a stressor, were examined as they related to blood pressure (BP) and anger experiences in Black college students. Current research has failed to consider the stressful effects of racism as a factor contributing to the higher incidence of essential hypertension among Blacks. Twenty-seven Black college students viewed three excerpts showing racist situations involving Blacks; anger-provoking, nonracist situations; and neutral situations. After each scene, BP was taken, and a mood checklist was administered. The Framingham Anger Scale and the Anger Expression Scale were administered. Analyses revealed that BP significantly increased during the presentation of racist stimuli but not of anger-provoking or neutral stimuli. Self-reports of state anger, as measured by the mood checklist, were significant for both the anger-provoking and racist stimuli. BP scores were significantly correlated to the two trait anger measures. Exposure to racist stimuli was associated with BP increases among Blacks. Such cumulative exposure to racism may have important implications for the etiology of essential hypertension.

Adaptation, Psychological

Aerobic power and cardiovascular response to stress.

The relationship between aerobic fitness as measured by maximal O2 uptake (VO2max) and the cardiovascular response to laboratory stressors was examined in two experiments. First, 34 male college students were screened on the basis of their heart rate (HR) response to a reaction time-shock avoidance (RT-AV) task. The six individuals showing an average HR increase of 45 beats/min (reactives) and the six subjects showing an average increase of 8 beats/min (nonreactives) did not differ in VO2max (47.7 +/- 2 vs. 48.7 +/- 1 ml.kg-1.min-1, respectively). However, a statistically significant association between a reported family history of hypertension and peak HR response to RT-AV was seen. In the second series of experiments, the plasma catecholamine and cardiovascular responses of eight elite endurance-trained athletes (VO2max 70.6 +/- 1 ml.kg-1.min-1) and eight untrained volunteers (VO2max 45.5 +/- 1 ml.kg-1.min-1) were compared on the following: RT-AV, reaction time for monetary reward (RT-AP), cold pressor, isometric handgrip, and orthostatic challenge (standing). The trained group exhibited a significantly lower mean HR at rest (P less than 0.05), otherwise there were no significant differences between the two groups. The results indicate that although individual differences (e.g., family history of hypertension and high resting HR) can be related to the potential for cardiovascular responses to novel laboratory challenges, the contribution of fitness to this characteristic is much less clear. Further exploration of questions pertaining to fitness and stress should focus on individuals with a predisposition to stress reactivity.

Adult

Allocation of attention and physiological responsivity in the type A coronary-prone individual.

Recent studies have suggested that persons exhibiting the Type A coronary-prone behavior pattern allocate their attention to the environment differently than those not exhibiting the pattern. The present study was done to relate such differences in cognitive responding to cardiovascular changes during a dual-focus task. Heart rate and blood pressure were monitored in Types A and B male college students while they performed a color/word conflict primary task and a reaction-time secondary task. There were no differences in the behavioral performance of the Types A and B individuals. However, Types A and B subjects differed in mean heart rate, heart-rate variability, and phasic heart-rate pattern to the reaction-time stimuli. The reaction-time paradigm appears a fruitful base from which to explore cognitive/physiological response relations for Type A and Type B individuals.

Attention

On the role of posterior parietal and prefrontal cortex in visuo-spatial perception and attention.

Monkeys with bilateral removal of caudal prefrontal cortex (area 8) or dorso-lateral parietal cortex (areas 5 and 7) or the inferior temporal cortex (area TE) were presented with two versions of a go-left/go-right visuo-spatial discrimination. In the first task they had to displace either the left or right of two identical plaques according to whether both plaques were black or white respectively. There were no performance differences among groups. In the second task, the two plaques were always red and the appropriate response was indicated by whether a spatially remote third plaque was black or white. Both the prefrontal and parietal groups were impaired relative to the inferotemporal group on this task. The results indicate that whether an impairment occurs on a task that is thought to test the perception of egocentric space may depend on whether the animal has to notice and attend to a remote cue, and that an attentional disorder may also explain impairments reported on tests of allocentric perception where the critical cue is spatially remote from the response site.

Animals

The relationship of stress, type A behavior and powerlessness to physiological responses in female clerical workers.

The present study examined the relationship of stress levels, Type A behavior, and feelings of powerlessness to physiological reactivity in a group of adult women employed as secretaries. Reactivity was assessed by monitoring blood pressure, heart rate and frontalis EMG while subjects engaged in a series of tasks: rest, mental arithmetic, vigilance, a structured interview and a work interview. When Type A behavior was assessed by a structured interview, Type A's had higher overall levels of systolic and diastolic blood pressure, a tendency toward greater EMG reactivity, and high stress Type A's had higher heart rates than low stress Type A's. When Type A was assessed by a questionnaire, Type A interacted with stress levels and lack of control such that high stress, high powerlessness Type A's had higher overall levels of systolic and diastolic blood pressure and high powerlessness Type A's had higher levels of heart rate than high powerlessness Type B's. While reactivity was not related to Type A behavior, it was related to stress levels. Women with high levels of background stress responded with larger increases in systolic blood pressure and a tendency toward larger increases in heart rate. This research emphasizes the importance of examining multiple factors, especially when relating individual differences in risk to psychophysiological reactivity.

Adult

Type A behavior pattern, parental history of hypertension, and cardiovascular reactivity in college males.

Two risk factors for cardiovascular disorders, parental history of hypertension and the Type A behavior pattern, were investigated concurrently with respect to cardiovascular reactivity to challenging situations. Sixty-four college males were given both the Structured Interview (SI) and Jenkins Activity Survey (JAS) for the Type A behavior pattern and a family health questionnaire to determine parental history of hypertension. The students were monitored for blood pressure (BP), heart rate (HR), and pulse transit time (PTT) response to four tasks: cold pressor, isometric handgrip exercise, a reading comprehension task, and backwards digit span. Type As based on SI classification had significantly higher HR levels across all tasks than did Type Bs, as well as higher diastolic BP levels in the cold pressor task. No main effects for Type A-B using JAS classification were found. Positive parental history students had higher HR and shorter PTT levels across all the tasks. Type A and parental history did interact in a limited way on some tasks, but the interactions were also dependent on the Type A classification used.

Adolescent

The effects of pretectal and superior collicular lesions on binocular vision.

Monkeys with mid-brain lesions involving the pre-tectum and superior colliculi often have an odd stare, as if the visual axes were parallel and the animal was looking into the distance. Such a visuomotor abnormality could lead to double-vision for objects close to the animal. The experiments reported here were designed to test this hypothesis of diplopia in monkeys with combined bilateral ablations of the colliculi and frontal eye-fields (area 8). These animals performed better on a task of visually-guided reaching, and in a series of visual pattern discriminations, when they viewed stimuli monocularly rather than binocularly. Monkeys with other cortical lesions showed no such monocular superiority. We propose that an abnormality of vergence eye movements provides a simple explanation for some of the so-called perceptual impairments that follow damage to the mid-brain visual pathways in monkeys.

Animals

Hardiness, type A behavior, and the stress-illness relation in working women.

Hardiness has been proposed as a stress-resistance resource in maintaining health. This construct has been shown to act in conjunction with the Type A behavior pattern in affecting illness. In this study, we examined this relation in women (N = 82) with the use of the Structured Interview and the Jenkins Activity Survey to assess Type A behavior. As expected, there was a strong stress-illness association. However, there were no hardiness main effects nor interactions between stress, Type A behavior, and hardiness. Hardiness was significantly associated with age, education level, and marital status. No differences in hardiness composition were found between high stress/high illness and high stress/low illness groups. Only the Powerlessness scale of hardiness was related to illness. These results are discussed in comparison with other hardiness studies. Particular attention is focused on possible sex differences, and implications for future research are suggested.

Adult

Type A behavior and physiological responsivity in young women.

The purpose of this study was to assess the coronary-prone behavior pattern and physiological responses to stress in young women. Thirty-seven women, aged 18-25 yr, were tested; half were studying in nontraditional fields for women, half in traditional. Based on the Jenkins Activity Survey, women in the male-dominated fields of study were more Type A. Subjects were monitored while resting and while solving mental arithmetic problems and visual puzzles; the dependent variables were heart rate, and blood pressure. Comparisons were made based on both the Jenkins Activity Survey and the structured interview, and using both median splits and extreme groups. There were no physiological differences between Types A and B women. Possible methodological issues accounting for the lack of results are considered.

Achievement

The relationship of physiological responses to the coronary-prone behavior pattern in children.

Forty-one male and female children were tested for Type A (coronary-prone) behavior using the Bortner test and the MYTH questionnaire. Based on their classification as A or B, three physiological variables were compared: systolic blood pressure (SBP), heart rate (HR) (phasic, tonic, and variability), and skin conductance (SC) (magnitude and latency of responses, number of spontaneous responses) during a 3-min rest period, a 10-min unsignaled reaction time (RT), and a 10-min word task. When using the Bortner to classify groups, Type As showed a tendency toward higher SBP levels and greater SBP reactivity to tasks, and significantly greater HR levels, HR reactivity to tasks, HR variability during rest, and SCR magnitude to RT signals. When using the MYTH, Type A females showed larger increases in SBP and HR to tasks, a lower mean HR, and a faster RT. Type A males showed a higher mean HR. Thus, children classified as Type A resemble Type A adults when compared on physiological responses to stress; however, the results depend on the method used to determine Type A behavior.

Blood Pressure