Adrenal-medullary and adrenal-cortical responses to understimulation and overstimulation: Comparison between Type A and Type B persons

Male and female university students, classified as Type A and Type B persons with the aid of a questionnaire measuring coronary-prone behavior, were studied while doing mental work under laboratory conditions, characterized by understimulation and overstimulation, and while unoccupied (baseline session). The urinary excretion of adrenaline, noradrenaline and cortisol, heart rate (in the understimulation and baseline conditions) and self-reports were used as indices of arousal. The overall picture showed that both experimental conditions increased arousal, the rise being particularly pronounced for cortisol excretion during understimulation and for adrenaline excretion during overstimulation. Comparison between groups showed that cortisol excretion was higher in Type A than in Type B persons of both sexes during understimulation. Adrenaline excretion was about the same in both sexes (Type A and Type B) during understimulation, but was higher in males than in females during overstimulation. There were no group differences in performance.

[1]  TORBJÖRN ÅKERSTEDT LENNART LEVI,et al.  Circadian rhythms in the secretion of cortisol, adrenaline and noradrenaline , 1978, European journal of clinical investigation.

[2]  K. F. Rowland,et al.  A review of research examining the coronary-prone behavior pattern. , 1977, Journal of human stress.

[3]  M. Ficher,et al.  Improved measurement of corticosteroids in plasma and urine by competitive protein-binding radioassay. , 1973, Clinical chemistry.

[4]  T. Åkerstedt,et al.  Day and night work: changes in cholesterol, uric acid, glucose and potassium in serum and in circadian patterns of urinary catecholamine excretion. A longitudinal cross-over study of railway workers. , 2009, Acta medica Scandinavica.

[5]  M. Friedman.  Pathogenesis of coronary artery disease , 1969 .

[6]  W. Raab.  Preventive myocardiology : fundamentals and targets , 1970 .

[7]  S. Manuck,et al.  Coronary-prone behavior pattern and cardiovascular response. , 1978, Psychophysiology.

[8]  Caracteristiques psychologiques et reactions physiologiques au stress de sujets normaux et coronariens—III. Incidence de certaines caracteristiques psychologiques sur les reactions physiologiques au stress , 1976 .

[9]  James F. O'Hanlon,et al.  Catecholamine correlates of radar monitoring performance , 1976, Biological Psychology.

[10]  U. Lundberg,et al.  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 , 1980, Biological Psychology.

[11]  S. Zyzanski,et al.  Exercise‐Induced Catecholamines and Platelet Aggregation in the Coronary‐Prone Behavior Pattern , 1974, Psychosomatic medicine.

[12]  U. S. Euler,et al.  Improved technique for the fluorimetric estimation of catecholamines. , 1961, Acta physiologica Scandinavica.

[13]  D. C. Glass,et al.  Behavior Patterns, Stress, and Coronary Disease , 1977 .

[14]  C. Karlsson,et al.  Analysis of urinary catecholamines: an improved auto-analyzer fluorescence method. , 1974, Clinica chimica acta; international journal of clinical chemistry.

[15]  M. Frankenhaeuser,et al.  Stress responses in male and female engineering students. , 1978, Journal of human stress.

[16]  M. Frankenhaeuser,et al.  Psychophysiological reactions to understimulation and overstimulation. , 1971 .

[17]  Van Egeren Lf.  Social interactions, communications, and the coronary-prone behavior pattern: a psychophysiological study. , 1979 .

[18]  M. Friedman,et al.  Plasma catecholamine response of coronary-prone subjects (type A) to a specific challenge. , 1975, Metabolism: clinical and experimental.

[19]  M. Friedman.  Type A behavior pattern: some of its pathophysiological components. , 1977, Bulletin of the New York Academy of Medicine.

[20]  J. Stamler,et al.  Correlates of the JAS Type A behavior pattern score. , 1976, Journal of chronic diseases.

[21]  J. V. von Wright,et al.  Sex Differences in Psychoneuroendocrine Reactions to Examination Stress , 1978, Psychosomatic medicine.

[22]  M. Friedman,et al.  Excretion of catecholamines, 17-ketosteroids, 17-hydroxycorticoids and 5-hydroxyindole in men exhibiting a particular behavior pattern (A) associated with high incidence of clinical coronary artery disease. , 1960, The Journal of clinical investigation.

[23]  H. Ruder,et al.  A radioimmunoassay for cortisol in plasma and urine. , 1972, The Journal of clinical endocrinology and metabolism.

[24]  U. Lundberg,et al.  Note on arousing type A persons by depriving them of work. , 1980, Journal of psychosomatic research.

[25]  W. Kübler,et al.  [Urinary excretion of the catecholamines adrenaline, noradrenaline and dopamine as well as the derivatives metanephrine and normetanephrine in heart disease patients]. , 1976, Zeitschrift für Kardiologie.

[26]  U. Lundberg.  Type A behavior and its relation to personality variables in Swedish male and female university students , 1980 .

[27]  R. Rose.  Editorial: Testosterone and aggression in man. , 1974, Psychosomatic medicine.

[28]  T. Dembroski,et al.  Physiologic reactions to social challenge in persons evidencing the type A coronary-prone behavior pattern. , 1977, Journal of human stress.

[29]  R. Brand,et al.  Multivariate prediction of coronary heart disease during 8.5 year follow-up in the Western Collaborative Group Study. , 1976, The American journal of cardiology.