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PubMedDate not supplied

Antagonistic behavior, dominance, hostility, and coronary heart disease.

PURPOSE: This study investigated the relationship between antagonistic behavior, dominance, attitudinal hostility, and coronary heart disease (CHD). METHODS: One hundred one men and 95 women referred for thallium stress testing were administered the Structured Interview and the Cook-Medley Hostility Scale. The Hostile Behavior Index, derived from the Structured Interview and developed by Haney et al., served as an index of antagonism, and the frequency with which interviewees interrupted their interviewer served as a measure of dominance. On the basis of their medical history and thallium stress test results, patients were classified as having (N = 44) or not having (N = 99) CHD. RESULTS AND CONCLUSIONS: Multivariate logistic regressions (with age, gender, disease, and lifestyle risk factors in the model) revealed that both the Hostile Behavior Index and dominance were significant independent risk factors for CHD (relative risk [RR] = 1.22 and 1.47, p < .03). Of the two Hostile Behavior Index component scores, indirect challenge and irritability, only the latter correlated significantly with CHD (RR = 1.27, p < .03). Separate logistic regressions for men and women suggest that subtle, indirect manifestations of antagonism confer CHD risk in women and that more overt expressions of anger confer risk in men. A significant univariate correlation between hostility scale scores and CHD became not significant when we adjusted for socioeconomic status.

Aged↗

PubMedDate not supplied

Hostility and urine norepinephrine interact to predict insulin resistance: the VA Normative Aging Study.

OBJECTIVE: Previous research has produced mixed results pertaining to the association between hostility and insulin resistance. These inconsistent findings may be the result of a lack of studies examining potential moderators of this relationship and inconsistent measures of insulin resistance and/or hostility. We hypothesized that hostility may interact with circulating norepinephrine (NEPI) levels, indexed by 24-hour urine concentrations, to affect insulin resistance. METHODS: Six hundred forty-three men (mean age = 63.1 years) free of diabetic medications completed the Minnesota Multiphasic Personality Inventory and participated in a laboratory assessment. The Cook-Medley Hostility (Ho) and 24-hour urine NEPI were used to predict insulin resistance defined by the homeostatic model assessment (HOMA) index, 2-hour postchallenge glucose (PCGL), and insulin levels (PCIL) after controlling for nine common covariates. RESULTS: Multiple regression showed that the two-way interaction between Ho and NEPI significantly predicted HOMA and PCIL, but not PCGL, after controlling for covariates. Simple regression slopes of Ho on HOMA and PCIL were explored and indicated that, at higher levels of NEPI, higher Ho was associated with higher HOMA (beta = 0.14, p < .05). Ho was not a significant predictor of HOMA at mean and lower levels of NEPI. Similar results were obtained for PCIL, but not PCGL. Cynicism, but not other subscales of Ho, was similarly related to insulin resistance and NEPI. CONCLUSION: Individuals with high stress and high hostility were more likely to have insulin resistance. It is important to study moderators in the relationship between hostility and insulin resistance.

Adult↗

PubMed1993

The relationship between trait hostility and cardiovascular reactivity: a quantitative review and analysis.

Results of a series of meta-analyses indicated that high and low scorers on most trait hostility measures do not consistently differ in blood pressure or heart rate reactivity to traditional laboratory stressors. The few significant effects were modest in size, and instances of hyporeactivity were found. When stressors were classified as provocative versus nonprovocative, in accord with Trait x Situation approaches, however, Potential for Hostility-Interpersonal Style was predictive of exaggerated systolic and diastolic blood pressure responses and the Cook-Medley Hostility Inventory was predictive of diastolic blood pressure responses to provocative stressors. Hence, the next generation of studies of the hostility-reactivity hypothesis should emphasize interpersonal stressors. Alternative mechanisms for the disease consequences of hostility should also be examined, however, because the available evidence indicates that the hyperreactivity hypothesis is unlikely to furnish a complete explanation for the association between hostility and heart disease.

Arousal↗

PubMed2006

Cynical hostility as a determinant of toothbrushing frequency and oral hygiene.

AIM: Our aim was to investigate whether cynical hostility, self-reported toothbrushing frequency and objectively assessed levels of oral hygiene were associated. MATERIAL AND METHODS: The present study sample consisted of 4156 30-64-year-old dentate Finns. The questionnaire and the home interview included information about socioeconomic and sociodemographic factors and behavioural variables, such as toothbrushing frequency, dental attendance, smoking and cynical hostility. The level of oral hygiene was assessed during a clinical oral examination. The chi(2) test and ordinal logistic regression analyses were used. RESULTS: After controlling for sociodemographic and socioeconomic factors, smoking habits and reported dental attendance, the subjects belonging to the lowest cynical hostility level were found to brush their teeth significantly more often and to have better oral hygiene compared with those belonging the highest cynical hostility level. Toothbrushing frequency was adjusted when oral hygiene was used as the outcome variable. The association of cynical hostility with toothbrushing frequency and the oral hygiene seems to be partly dependent on the level of education. CONCLUSIONS: Cynical hostility is a psychosocial risk marker for the frequency and quality of toothbrushing and it could be a connecting trait between general health behaviour and oral health behaviour.

Adult↗

PubMed1979

The temporal relationship between hostility and depressed mood.

Nineteen depressed in-patients were studied in a follow-up design for 8 weeks or until discharge, using three depression scales and a hostility questionnaire. It was hypothesized within a cognitive theory of depression that, self-rated hostility being a measure of negative thoughts and attitudes, changes in hostility would precede mood changes. Analysis was by contemporaneous and cross-correlations between mood and hostility measures. High intercorrelations were obtained among the mood ratings which decreased significantly over time, as did two of the four hostility measures. The hypothesis was confirmed by the cross-correlations between nurses' mood ratings and intropunitiveness and direction of hostility. The cross-correlations with Beck and Hamilton scales supported the hypothesis at a non-significant level.

Adult↗

PubMed2004

Anger and hostility predict the development of atrial fibrillation in men in the Framingham Offspring Study.

BACKGROUND: Conflicting findings in the literature with regard to the ability of type A behavior, expressions of anger, or hostility to predict incident coronary heart disease (CHD) have created controversy. In addition, there are no prospective studies relating these characteristics to the development of atrial fibrillation (AF). METHODS AND RESULTS: From 1984 to 1987, 3873 men and women, 18 to 77 years of age, participating in the Framingham Offspring Study, were examined and monitored for 10 years for the incidence of CHD, AF, and total mortality. Measures of type A behavior, anger, hostility, and risk factors for CHD and AF were collected at the baseline examination. After controlling for age, diabetes, hypertension, history of myocardial infarction, history of congestive heart failure, and valvular heart disease in Cox proportional hazards models, trait-anger (RR=1.1; 95% CI, 1.0 to 1.4; P=0.04), symptoms of anger (RR=1.2; 95% CI, 1.0 to 1.4; P=0.008), and hostility (RR=1.3; 95% CI, 1.1 to 1.5; P=0.003) were predictive of 10-year incidence of AF in men. After controlling for risk factors for CHD, none of the measures of anger, type A behavior, or hostility were related to incident CHD; however, trait-anger (RR=1.2; 95% CI, 1.1 to 1.4; P<0.01) was related to total mortality in men. None of the psychosocial variables were related to the 3 outcomes in women. CONCLUSIONS: This is the first study to examine and demonstrate a predictive relation between measures of anger and hostility to the development of AF in men. As opposed to type A behavior, measures of anger and hostility may be more productive avenues for research in studying the risk of arrhythmias and total mortality in men.

Adaptation, Psychological↗

PubMed2003

Psychosocial antecedents of hostility in persons with coronary heart disease.

Although it is known that hostility precedes coronary heart disease (CHD), little is known about factors that influence the development and progression of hostile characteristics. The relations among hostility, self-esteem, self-concept, and psychosocial residual were conceptualized within the modeling and role-modeling theoretical framework and examined in a sample of 85 persons with CHD. There were significant associations between all variables. Regression analyses revealed that self-esteem, mistrust residual, isolation residual, and self-concept contributed significantly, accounting for 31% of the variation in hostility scores. These findings provide support for the belief that the development of hostility in persons with CHD is related to beliefs and attitudes about the self and others. Persons with self-esteem need deficits, and a subsequent build up of negative psychosocial residual, have poor self-concepts. This poor self-concept is hostile in nature and reflects a mistrust of others and a deep sense of isolation.

Adult↗

PubMed1987

Hostility and deliberate self-poisoning: the role of depression.

The evidence for an association between hostility and deliberate self-poisoning is reviewed. Although the concept of hostility is poorly defined and different measuring instruments may not measure the same entity, self-poisoning subjects as a group appear to have very high levels of hostility. However, depression is also associated with hostility and when studies have taken into account the psychiatric diagnosis of overdose patients it is outwardly-directed hostility which distinguishes these individuals from other psychiatric patients or normals. A model is proposed to show the inter-relationships of hostility, depression and self-poisoning.

Depressive Disorder↗

PubMed2003

Coping strategies, hostility, and depressive symptoms: a path model.

Previous studies of coping, hostility, and depressive symptoms have highlighted the significant relations between all possible pairs of these 3 variables. To more completely explore the nature of depressive symptoms, we link them all together in this study by testing a coping-->hostility-->depressive symptoms path model. One hundred forty participants completed psychological questionnaires measuring coping strategies, hostility, and depressive symptoms. While controlling age and social class as covariates, SPSS stepwise regression analyses were used to examine relations among these 3 constructs. Results suggest that coping has a direct relation with depressive symptoms as well as an indirect relation mediated by hostility. Passive coping may lead to increased hostility, resulting in depressive symptoms. Active coping may have the opposite effect. These findings suggest that the inclusion of measures of both coping strategies and hostility yields a more thorough understanding of concomitants of depressive symptoms. From a clinical perspective, knowing what coping strategies a person uses and how much anger they experience and express may be useful in guiding the management of depressive symptoms.

Adaptation, Psychological↗

PubMed2003

Hostile attribution in perceived justification of workplace aggression.

A 10-item Hostile Attribution Scale was developed to test the hypothesis that hostile attribution is predictive of support for aggression in frustrating workplace situations in which a supervisor's motivation is ambiguous. The Hostile Attribution Scale showed good test-retest reliability (.80), but weak internal consistency (alpha=.60). For one workplace scenario (Steve), hostile attribution predicted aggression in the ambiguous but not the definite version of the scenario. For the other scenario (Dan), however, hostile attribution in both the ambiguous and definite versions was equally predictive of aggression. Ambiguous situations are the most problematic for generating workplace aggression so research should focus on individual differences in hostile attributions.

Adolescent↗

PubMed2003

[The effects of hostility on blood pressure and depression: role of conscious defensiveness].

This study used the approach-avoidance interpersonal conflict model to test the hypothesis that conscious defensiveness would enhance the effects of hostility on casual blood pressure and depression. The subjects were healthy schoolteachers (56 males and 48 females), aged 22 to 59 years. They completed a battery of questionnaires that contained the Japanese version of the Japanese version of Buss-Perry Aggression Questionnaire (BAQ) for hostility, the Conscious Defensiveness Questionnaire (CDQ) for conscious defensiveness, and the Center for Epidemiologic Studies Depression Scale (CES-D) for depression. Conscious defensiveness had no significant influence on the relationship between hostility and blood pressure. In contrast to earlier studies, hostility was a predictor of lower diastolic blood pressure in men. In addition, the hypothesis on depression was not supported. In order to prevent from developing cardiovascular disease and depression, future studies should investigate the role of conscious defensiveness in the effects of hostility on casual blood pressure and depression as well as the alleviating influence of hostility on casual diastolic blood pressure using a large sample.

Adult↗

PubMedDate not supplied

Managing hostility.

Hostility causes the breakdown of human relationships. In the workplace, it is a frequent cause of the stress which is characterized by anxiety, tension, depression, gross errors in judgment, and mental and physical exhaustion. Hostility has infectious properties, whereby it can easily spread throughout an organization creating factions and seriously impairing operations. Because medical group administrators face hostility from a variety of sources--doctors, employees, and patients and their families--they must learn to recognize hostility for what it is, and to manage it. Having researched the subject extensively, this well-published author has developed a method known as anti-hostility which not only aids in our understanding of the origin of hostility, but also provides a means for ridding ourselves and others of the disorder.

Conflict, Psychological↗

PubMed2002

Hostility and facial expression in young men and women: is social regulation more important than negative affect?

Behavioral differences may clarify the link between hostility and health. This study examined facial expression. Seventy-two low- and high-hostile undergraduates underwent the Type A Structured Interview (SI) and a test of social anxiety. Facial behavior was measured with the Facial Action Coding System. Low-hostile participants displayed non-Duchenne smiles more frequently than high-hostile participants during the SI. There were no group differences in the expression of disgust. The results identify differences in the nonverbal behavior of hostile people. Restricted use of non-Duchenne smiles may reflect limited use of appeasement, contributing to uncomfortable interpersonal relations and limited social support. The findings are consistent with a behavioral ecology perspective and suggest that social regulation may be as important as negative affect in determining the consequences of hostility.

Affect↗

PubMed1975

[Parental child-rearing styles, neuroticism and hostility of juvenile criminals (author's transl)].

It was the purpose of this study to examine the relation of parental child-rearing styles, as reported (inventory) by juvenile criminals, and the neuroticism and hostility of juvenile criminals (sample of 171 subjects). Factor analysis of inventory data resulted in the isolation of three parental child-rearing styles, labeled affection-support, rejection-hostility and control-strictness. The child-rearing styles of rejection-hostility and control-strictness were found to be significantly correlated with four factors of hostility (set of inventory scales), aggressive tension (anger, rage), reactive hostility, guilt proneness, suppression of hostility, and with two questionnaire measures of neuroticism.

Aggression↗

PubMed2002

Levels of anxiety and hostility in South African Navy divers.

This study aimed to describe the levels of anxiety and hostility in a group of 45 SA Navy divers, by analysing their scores on an Anxiety Scale and Hostility and Directed Hostility Questionnaire. Results indicate that divers experience average anxiety compared with the norm groups. They have a higher urge for acting out their hostility, and are more critical of others than the norm group. Their overall hostility scores are higher than that of the general population. To determine if this differs from other naval personnel, the diver group was compared to a sample of 40 general navy sailors and 20 sport divers. The navy divers' scores displayed a higher urge to act out than the general navy, which in turn scored higher than the sport divers. Both the navy divers and general navy groups had higher total hostility scores than the civilian divers. It is concluded that the results are contextually appropriate, but not meaningful for selection of navy divers.

Adult↗

PubMed2005

Association of stress, hostility and plasma testosterone levels.

OBJECTIVES: Many studies assessing the role of sex hormones, like testosterone, on stress and hostility factors have been primarily conducted in selected atypical populations such as violent criminals as well as androgen users and abusers. Therefore, the main aim of the current study was to investigate the association between testosterone levels and two psychosocial variables: stress and hostility in a cohort of healthy individuals who were members of a health maintenance organization (HMO). METHODS: At five quarterly visits, psychosocial scales and blood draws were collected. Psychological stress was measured by using several scales that assessed different types of stress, including daily hassles, major life events and perceived stress. Similarly, different aspects of hostility were measured, among them cynicism, hostile affect and aggressive responding. Plasma collected from each visit was used for testosterone level determinations. RESULTS: Testosterone levels were significantly associated with stress in both males and females. However, whereas this association exhibited a "threshold effect" in males, it demonstrated a direct and continuous linear relationship between these variables in females. Hostility was not correlated with testosterone levels in neither males nor females. CONCLUSIONS: These results suggest that testosterone levels in normal males and females may be more reflective of an intricate balance between physiological responding and emotional coping to stressors than the hostility profile of the individual.

Adaptation, Psychological↗

PubMed2006

[Effects of hostility on the risk of arterial hypertension, myocardial infarction, stroke in a sample of males aged 25-64 years (epidemiological trial on the base of WHO program MONICA)].

AIM: To study effects of hostility on the risk of arterial hypertension (AH), myocardial infarction (MI) and stroke in males aged 25-64 years. MATERIALS AND METHODS: A screening study of the population was performed in 1994 according to WHO program MONICA-psychosocial. The response in a random representative sample of 25-64-year-old males (n = 657) living in Novosibirsk was 82.1%. New cases of MI, AH and stroke were registered in the control periods 1994-2000, 1994-2002. Computer program package SPSS-10 was used for statistic processing. Cox regression model of the relative risk (RR) was employed. RESULTS: Hostility was rather prevalent among the examinees (76.9%). MI risk for 8 years was 4.65 times higher in hostile men. Hostility was not associated with higher risk of AH and stroke. Hostility was seen more frequently in men with poor education, workers and retired persons. These groups are also at the highest risk of MI. CONCLUSION: Hostility raises MI risk in unstable society but had no effect on the risk of AH and stroke.

Adult↗

PubMed1988

[Type A personality and its relations: the significance of hostility, neuroticism and verbal behavior for coronary heart diseases].

Despite the growing body of evidence against Type-A behavior pattern as a risk factor for coronary heart disease, there remains much interest in the relationship between some of the Type-A components, especially hostility, and coronary heart disease. However, the construct of hostility too needs further refinement into overt-expressive hostility which correlated positively with the severity of coronary occlusion and the covert experience of hostility, or neurotic hostility, which is negatively correlated. Loud speech and the frequency of simultaneous interruptive speech are other attributes associated with coronary disease. The paper concludes with a biobehavioral model that assumes a synergistic interaction between hostility, speech style and cardiovascular reactivity.

Arousal↗