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Results for “hostility”

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PubMed1997

The relationship between socioeconomic status, hostility, and blood pressure reactions to mental stress in men: data from the Whitehall II study.

This study investigated the relationship among blood pressure reactions to mental stress, cynical hostility, and socioeconomic status (SES) in 1,091 male public servants. Occupational grade served to index SES and cynical hostility was assessed using the Cook-Medley scale. (Cook & Medley, 1954). The magnitude of systolic, but not diastolic, blood pressure change scores to stress was positively associated with occupational grade: the higher the grade, the greater the reactions. Mental stress task performance also varied with occupational grade but was unrelated to reactivity. Ratings of task difficulty did not vary with occupational grade. Cynical hostility was negatively related to occupational grade, and, contrary to previous findings, negatively related to systolic blood pressure reactivity. Cynical hostility was also negatively related to mental stress task performance but unrelated to ratings of task difficulty.

Adult↗

PubMed1998

Trait hostility and ambulatory cardiovascular activity: responses to social interaction.

This study examined trait hostility and social interaction in relation to ambulatory cardiovascular activity in 40 male and 39 female undergraduates. Participants wore an ambulatory blood pressure monitor and completed diary entries while engaged in everyday activities. Diary reports indicating that participants had been talking were used to identify cardiovascular readings taken during social interaction. Interaction effects for overall diastolic blood pressure and heart rate levels indicated that hostility was positively associated with these variables in men only. In addition, hostility was associated with higher systolic blood pressure during social interaction, an effect primarily due to data for men. Because physical activity was controlled statistically, it is likely that these effects were mediated by psychological processes. These findings are consistent with the hypothesis that cardiovascular reactivity to social interaction mediates the relationship between hostility and coronary disease, and they may have implications for understanding sex differences in coronary risk.

Affect↗

PubMed1997

Hostility, social support, and perceptions of work.

The aim of this study was to determine whether hostility and perceived availability of social support are related to perceptions of the work environment. The W.W. Cook and D.M. Medley (1954) Hostility (Ho) scale; the Interpersonal Support Evaluation List (S. Cohen, R. Mermelstein, T. Kamarck, & H. Hoberman, 1985); and measures of collegiality, time pressure, and job dissatisfaction were completed by 204 attorneys (159 men and 45 women). After controlling for age, gender, and other job characteristics, high Ho scores were related to lower perceived supportive collegiality at work. Low perceived availability of social support was related to greater job dissatisfaction. Neither hostility nor social support was associated with perceptions of time pressure at work. These findings suggest that hostility and availability of social support may be an important pathway linking certain job characteristics to cardiovascular disease and other illnesses.

Adaptation, Psychological↗

PubMed2006

Anger, hostility, and posttraumatic stress disorder in trauma-exposed adults: a meta-analysis.

This meta-analysis synthesizes the available data on the strength of association between anger and posttraumatic stress disorder (PTSD) and between hostility and PTSD, covering 39 studies with trauma-exposed adults. Effect sizes did not differ for anger and hostility, which could therefore be combined; effect sizes for anger expression variables were analyzed separately. The analyses revealed large effects. The weighted mean effect size (r) was .48 for anger-hostility, .29 for anger out, .53 for anger in, and -.44 for anger control. Moderator analyses were conducted for anger-hostility, showing that effect sizes were substantially larger with increasing time since the event and that effect sizes were larger in samples with military war experience than in samples that had experienced other types of traumatic events.

Adult↗

PubMed1996

A meta-analytic review of research on hostility and physical health.

A new meta-analysis of research on hostility and physical health was conducted that includes 15 studies used in previous meta-analytic reviews and 30 new independent studies. Overall, the results suggest that hostility is an independent risk factor for coronary heart disease (CHD). For structured interview indicators of potential for hostility, the weighted mean r was .18. After controlling for other risk factors for CHD, the widely used Cook-Medley Hostility Scale and other cognitive-experiential measures were most predictive of all-cause mortality (weighted mean r = .16) and, to a lesser extent, CHD (weighted mean r = .08). Similar to other areas of research, the increased use of high-risk studies in recent years produced an increase in null findings.

Anger↗

PubMed2004

Hostility and distraction have differential influences on cardiovascular recovery from anger recall in women.

This study investigated the relation of dispositional hostility to cardiovascular reactivity during an anger-recall task and of hostility and distraction to posttask recovery in 80 healthy women (ages 18-30). Half were randomly assigned to distraction during recovery. Hostility predicted slower systolic blood pressure and preejection period during recovery. Distraction was related to faster cardiac recovery, higher high-frequency (HF) power, lower low-frequency (LF) power and LF:HF ratios, and lower state anger and rumination during recovery. These results indicate deleterious influences of hostility on cardiovascular recovery but not during anger recall. The findings also show beneficial effects of distraction in expediting cardiovascular recovery, possibly through reducing rumination and anger.

Adolescent↗

PubMed2006

The moderating effect of employee hostility on the association of long-term elderly care unit's negative resident characteristics to employee stress and well-being.

This study examined the moderating effect of employee hostility on the association of unit-level resident characteristics (depression and behavioral problems) to individual-level employee's resident-related stress and psychological well-being during 1-year follow-up study among 501 employees in elderly care. Our results showed that employee hostility was associated with decreased psychological well-being. In addition, hostility moderated the association between unit-level proportion of depressive residents and resident-related stress experienced by the individual employees. Hostile employees reported increased resident-related stress irrespective of the proportion of depressed residents in the unit. Instead, nonhostile employees were sensitive to the depression in the unit. They reported low levels of stress when depression levels in the unit were low and increased stress when depression levels were high.

Adult↗

PubMed2004

Working in a context of hostility toward women: implications for employees' well-being.

This study examined how working in an organizational context perceived as hostile toward women affects employees' well-being, even in the absence of personal hostility experiences. Participants were 289 public-sector employees who denied any personal history of being targeted with general or gender-based hostility at work. They completed measures of personal demographics, occupational and physical well-being, and perceptions of the organizational context for women. Results showed that 2 contextual indices of hostility toward women related to declines in well-being for male and female employees. The gender ratio of the workgroup moderated this relationship, with employees in male-skewed units reporting the most negative effects. These findings suggest that all employees in the workplace can suffer from working in a context of perceived misogyny.

Adult↗

PubMed2002

Psychiatric comorbidity and hostility in patients with psychogenic nonepileptic seizures compared with somatoform disorders and healthy controls.

PURPOSE: To investigate the prevalence of psychiatric comorbidity and level of anxiety, depression, and aggression in patients with psychogenic nonepileptic seizures compared with those in patients with somatoform disorders and healthy controls. METHODS: Twenty-three patients with psychogenic nonepileptic seizures (PNESs) and 23 age- and sex-matched patients with somatoform disorders (SDs) underwent a clinical and a semistructured psychiatric interview (MINI) and filled in the Hospital Anxiety and Depression scale (HAD) and the Aggression Questionnaire (AQ). Twenty-three sex- and age-matched controls without psychopathology also underwent a clinical interview and completed the HAD and AQ. RESULTS: PNES reported more minor head injuries in the past than did the two comparison groups, and more unspecific EEG dysrhythmias were observed on EEG. Twenty-one PNES patients and 18 with SDs had comorbid psychiatric diagnoses. However, the mean number of comorbid psychiatric diagnoses was higher in the PNES group (1.9 +/- 0.3 compared with 1.5 +/- 0.5 in the SD group; p = 0.003). Ten PNES patients additionally had a somatoform pain disorder, and seven had an undifferentiated somatoform disorder. Both patient groups reported significantly higher levels of anxiety, depression, and anger than did the healthy controls, but the PNES patients had significantly higher level of hostility than both comparison groups. CONCLUSIONS: Increased psychiatric comorbidity is known to be associated with poorer response to regular interventions, and hostility is associated with more hostile coping patterns, often interfering with treatment compliance. Thus the increased prevalence of soft neurologic signs and comorbid psychiatric disorders and increased hostility as well in the PNES group, emphasizes that assessment and treatment of patients with PNES referred to a tertiary center requires an integrated approach involving both neurologic and psychiatric resources.

Adult↗

PubMed1989

Hostility in group psychotherapy.

To run a psychodynamic group therapeutically, the leader must understand the meanings and functions of hostility. Fundamental to this task is the leader's awareness of his or her bias toward hostility as a constructive or destructive feeling and willingness to serve as a lightening rod for it. This paper discusses the sources of hostility during different stages of group development. The therapeutic handling of hostility is discussed under the following topics: theoretical considerations, defensive functions, and communicative functions. Case examples illustrate the proper handling of contractual violations, scapegoating, and narcissistic injury. Countertransference reactions to anger and rage in the group are discussed.

Countertransference↗

PubMed2003

Investigation of the laterality of hostility, cardiovascular regulation, and auditory recognition.

This experiment tested a hypothesis linking the right cerebral regulation of hostility and cardiovascular arousal. First, replication of previous research supporting heightened cardiovascular (systolic blood pressure [SBP] and diastolic blood pressure [DBP]) reactivity among high hostile participants was partially successful. Second, dynamic variations in functional cerebral asymmetry in response to emotional linguistic processing was measured. Thirty low- and high-hostile, undergraduate volunteer participants (n = 30) were identified using the Cook Medley Hostility Scale (CMHS). Only healthy, right-handed male participants completed the experiment. All participants completed the negative affective auditory verbal learning test (AAVLT). Cardiovascular measures (SBP and DBP) were recorded and dichotic listening procedures were administered before and after the cognitive affective stressor. The results support greater left cerebral activation among both groups following the dichotic phoneme listening tasks and greater right cerebral activation among both groups following an emotional linguistic (affective verbal learning) cognitive stressor.

Affect↗

PubMed2004

Dynamic lateralization: hostility, cardiovascular regulation, and tachistoscopic recognition.

This experiment tested a hypothesis linking the right cerebral regulation of hostility and cardiovascular arousal. It also replicates related research regarding hostility, cardiovascular regulation, and auditory recognition (Shenal Harrison, 2003) through the visual modality. Thirty low- and high-hostile participants (n = 30) were identified using the Cook Medley Hostility Scale (CMHS). Only right-handed male participants with no significant medical or psychological history completed the experiment. All participants completed the cold pressor paradigm. Cardiovascular measures (systolic blood pressure [SBP] and diastolic blood pressure [DBP]) were recorded and tachistoscopic lexical recognition procedures were administered before and after the physical stressor. The primary finding of this research was greater left cerebral activation (decreased cardiovascular reactivity) following the tachistoscopic lexical recognition tasks and greater right cerebral activation following the painful (cold pressor) stressor.

Analysis of Variance↗

PubMed1990

Cognitive, behavioral, and affective correlates of the Cook and Medley Hostility Scale.

The Cook and Medley Hostility (Ho) Scale is an increasingly important measure in studies examining health consequences of hostility. The two studies discussed herein provide further evidence of the construct validity of this measure. In Study 1, high Ho scores were associated with a greater level of aroused anger and disparaging appraisals of subjects' partners in a competitive reaction-time game as well as marginally more frequent antagonistic behavior. In Study 2, high Ho scores were associated with greater levels of angry and suspicious thoughts and feelings in response to hypothetical interpersonal conflicts and the tendency to attribute hostile intent to actors' displays of negative social behaviors. These findings are consistent with previous conceptual descriptions of the cognitive, behavioral, and affective correlates of hostility. The results are discussed in terms of interpretation of studies using the Ho scale and possible refinements of the measure.

Adult↗

PubMed2006

Anger, hostility, and cardiac symptoms in women with suspected coronary artery disease: the Women's Ischemia Syndrome Evaluation (WISE) Study.

OBJECTIVE: To determine the relationship of anger and hostility to angiographic coronary artery disease (CAD), symptoms, and functional status among women with suspected CAD. METHODS: Data were collected from 636 women with suspected CAD referred for diagnostic angiography in the Women's Ischemia Syndrome Evaluation (WISE) Study. CAD was assessed as angiographic presence/absence of disease (> or =50% stenosis in any epicardial coronary artery). Hostility/anger, angina, symptoms, and functional status were assessed by the Cook-Medley Hostility Inventory, Spielberger Anger Expression Scale, cardiovascular symptom history, and the Duke Activity Status Index. RESULTS: Logistic regression revealed that anger-out (i.e., aggressive behavior in response to angry feelings) was independently associated with the presence/absence of angiographic CAD (OR = 1.09, CI 1.01-1.17). Anger and hostility were higher among women reporting increased cardiovascular symptoms. In women without angiographic CAD, those with nonanginal cardiac symptoms had the highest anger-out, anger expression, hostile affect, and aggressive responding scores, and those with typical angina reported the lowest functional status. Among women with CAD, functional status was lowest in women with atypical angina. CONCLUSIONS: Among women with suspected CAD, anger-out scores were associated with the presence of angiographic CAD. Anger/hostility traits were associated with increased symptoms, particularly with nonanginal chest pain in women without angiographic CAD. Relationships among psychosocial factors, cardiac symptoms, and angiographic CAD are potentially important in the management of women with suspected CAD.

Aged↗

PubMed2003

Contribution of socioeconomic status to the association between hostility and cardiovascular risk behaviors: a prospective cohort study.

The authors examined the contribution of childhood and early adulthood socioeconomic status (SES) to the association between adulthood cynical hostility and cardiovascular risk behaviors. Participants from the population-based, prospective Cardiovascular Risk in Young Finns Study were 531 males and 688 females, aged 12-21 years at the baseline in 1983 and 21-30 years at the follow-up in 1992. Cardiovascular risk behaviors comprised the number of cigarettes smoked per day, physical inactivity, the type of fat used in the diet, and the frequency of alcohol consumption. The general linear models showed socioeconomic variation in cynical hostility, butter use in the diet, and smoking. In regression analyses, hostility was positively associated with smoking in men and women (beta coefficients = 0.16 and 0.09; p values = 0.000 and 0.019, respectively) and with frequency of alcohol use (beta coefficients = 0.10 and 0.03; p values = 0.024 and 0.03, respectively). Adding parents' and participants' SES to the model marginally attenuated these associations. The authors conclude that the association of cynical hostility with smoking and alcohol use seems to be independent of intergenerational social mobility and childhood and adulthood SES.

Adolescent↗

PubMed1997

Hostility and increased risk of mortality and acute myocardial infarction: the mediating role of behavioral risk factors.

Cynical hostility has been associated with increased cardiovascular morbidity and mortality; yet few studies have investigated this relation in population-based samples, and little is known about underlying mechanisms. This study examined the association between hostility, measured by the eight-item Cynical Distrust Scale, and risk for all-cause and cardiovascular mortality and incident myocardial infarction. Subjects were 2,125 men, ages 42-60 years, from the Kuopio Ischemic Heart Disease Risk Factor Study, a longitudinal study of unestablished and traditional risk factors for ischemic heart disease, mortality, and other outcomes. There were 177 deaths (73 cardiovascular) in 9 years of follow-up. Men with hostility scores in the top quartile were at more than twice the risk of all-cause mortality (relative hazards (RH) 2.30, 95% confidence interval (CI) 1.47-3.59) and cardiovascular mortality (RH 2.70, 95% CI 1.27-5.76), relative to men with scores in the lowest quartile. Among 1,599 men without previous myocardial infarction or angina, high scorers also had an increased risk of myocardial infarction (RH 2.18, 95% CI 1.01-4.70). Biologic and socioeconomic risk factors, social support, and prevalent diseases had minimal impact on these associations, whereas adjustments for the behavioral risk factors of smoking, alcohol consumption, physical activity, and body mass index substantially weakened the relations. Simultaneous risk factor adjustment eliminated the observed associations. Results show that high levels of hostility are associated with increased risk of all-cause and cause-specific mortality and incident myocardial infarction and that these effects are mediated primarily through behavioral risk factors.

Adult↗

PubMed1982

Losses, Hostility, and depression.

Forty outpatients with a primary unipolar major depression of recent onset and a matched control group of employees were administered the hostility scale of the Kellner Symptom Questionnaire, depression was rated with the Hamilton Rating Scale for Depression, and life events were recorded in a structured interview. In a subgroup of depressives who had not reported losses, there was an association of hostility and depression, whereas no such association was found in depressives who had reported losses. The findings are consistent with those of previous studies showing that hostility is largely limited to a subgroup of depressives. In a substantial proportion of the depressives, depression and hostility are independent affects.

Depressive Disorder↗

PubMed1989

Anger and hostility in depression.

The present study examined the relationship between depression and various dimensions of anger using multiple measures of anger and hostility and comparing depressed subjects with both a normal sample and a clinical sample with predominant anger difficulties. Three groups of subjects were obtained: a normal sample of 120 parents of elementary school children, 36 psychiatric inpatients meeting Research Diagnostic Criteria for major depressive episode, and 54 hospitalized veterans meeting Diagnostic Interview Schedule criteria for posttraumatic stress disorder (PTSD). The three groups differed significantly on all measures of anger experience, hostility, anger suppression, and anger expression. The depressed group reported greater levels of hostility and anger experience than the normal group but less than the PTSD group. On measures of anger suppression and expression, the depressed group exhibited more suppression than either the normal or the PTSD group and generally reported levels of anger expression comparable with the normal group's. The PTSD group reported the highest levels of anger expression. Within the depressed group, severity of depression was positively associated with levels of hostility and anger experience but was not related to measures of anger expression and was only partially related to anger suppression. These results are discussed as they relate to the "anger turned in" hypothesis of psychodynamic theories of depression, and directions for future research are noted.

Adult↗