The overall objective of our research program is to identify the biopsychosocial origins of the Type A behavior pattern. During the next three years, we propose to assess the familial patterns of individual Type A behaviors, their associated cardiovascular reactivity, and their determinants including family history of CHD, sex, modes of coping with and experiencing anxiety and anger, and parental childrearing practices and attitudes. To achieve this objective, all children currently enrolled in the ongoing longitudinal cohort study begun in 1979, their siblings attending school in the same school district as the case children, and their parents (number of families = 187) will be asked to participate in an individually administered experimental session, during which they will perform a difficult cognitive task, a frustrating psychomotor task, and an isometric exercise while their blood pressure and heart rate are intermittently measured. Participants will be administered the Type A interview and several questionnaires on their modes of coping with anxiety and anger. Parents only will complete several questionnaires on their reactions to their children's achievement and attitudes toward childrearing. Family medical history and Framingham Type A scores were already obtained from the parents and MYTH Type A ratings of the children were already obtained from the children's classroom teachers. In addition, three substudies of children only are planned.
The aims of these substudies are to assess (a) the generalizability of children's cardiovascular responses to laboratory stressors to those induced by a naturally occurring stressor -- making a speech in class; (b) the consistency across one year of children's task-induced cardiovascular responses and their Type A interview behavior; and (c) the consistency of children's Type A behaviors in the classroom and their determinants across the six years during which approximately 190 children have been enrolled in the longitudinal study of children's Type A behaviors.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Research Project (R01)
Project #
5R01HL025767-06
Application #
3338226
Study Section
Behavioral Medicine Study Section (BEM)
Project Start
1980-04-01
Project End
1987-03-31
Budget Start
1985-04-01
Budget End
1986-03-31
Support Year
6
Fiscal Year
1985
Total Cost
Indirect Cost
Name
University of Pittsburgh
Department
Type
Schools of Medicine
DUNS #
053785812
City
Pittsburgh
State
PA
Country
United States
Zip Code
15213
Jennings, J Richard; Matthews, Karen A; Pardini, Dustin et al. (2018) Heart rate and hurtful behavior from teens to adults: Paths to adult health. Dev Psychopathol :1-13
Jakubowski, Karen P; Hall, Martica H; Lee, Laisze et al. (2017) Temporal Relationships Between Napping and Nocturnal Sleep in Healthy Adolescents. Behav Sleep Med 15:257-269
Matthews, Karen A; Pantesco, Elizabeth J M (2016) Sleep characteristics and cardiovascular risk in children and adolescents: an enumerative review. Sleep Med 18:36-49
Matthews, Karen A; Hall, Martica H; Cousins, Jennifer et al. (2016) Getting a Good Night's Sleep in Adolescence: Do Strategies for Coping With Stress Matter? Behav Sleep Med 14:367-77
Jakubowski, Karen P; Hall, Martica H; Marsland, Anna L et al. (2016) Is daytime napping associated with inflammation in adolescents? Health Psychol 35:1298-1306
Hall, Martica H; Lee, Laisze; Matthews, Karen A (2015) Sleep duration during the school week is associated with C-reactive protein risk groups in healthy adolescents. Sleep Med 16:73-8
Troxel, Wendy M; Lee, Laisze; Hall, Martica et al. (2014) Single-parent family structure and sleep problems in black and white adolescents. Sleep Med 15:255-61
Matthews, Karen A; Hall, Martica; Dahl, Ronald E (2014) Sleep in healthy black and white adolescents. Pediatrics 133:e1189-96
Midei, Aimee J; Matthews, Karen A (2014) Positive attributes protect adolescents from risk for the metabolic syndrome. J Adolesc Health 55:678-83
Burford, Tanisha I; Low, Carissa A; Matthews, Karen A (2013) Night/day ratios of ambulatory blood pressure among healthy adolescents: roles of race, socioeconomic status, and psychosocial factors. Ann Behav Med 46:217-26

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