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Cynical hostility, depression, and obesity: the moderating role of education and gender.

OBJECTIVE: We examined how education and gender moderate the association of obesity with cynical hostility and depression. METHOD: Body mass index (BMI), waist-to-hip ratio (WHR), years of education, cynical hostility (CynDis), depression (Beck Depression Inventory) were examined in a cross-sectional study of 1,547 men and 1,814 women, aged 25-64. RESULTS: Education moderates the positive association between cynical distrust and obesity among women in a such way that cynical distrust was not related to BMI or WHR among highly educated women. Depression had a positive association with WHR after age and education among both genders and among women with BMI. Bivariate associations between psychological factors and obesity measures were similar among men and women. DISCUSSION: The results suggest the importance of examining socioeconomic status (SES) together with psychological factors related to obesity.

Adult↗

Factor structure of the overcontrolled-hostility scale of the MMPI.

Conducted a factor analysis of the 31-item Overcontrolled-Hostility (O-H) scale in a sample of 200 incarcerated male prisoners. Five major factors were derived: Absence of Manifest Symptomatology, Denial, Chronic Hostility, Persistent Dreaming, and Social Compliance. Subscales comprised of high-loading items (greater than or equal to .30) were constructed for each factor, and the personality correlates of each were determined.

Adult↗

Induction and reversal of depression, anxiety, and hostility.

Anxiety, hostility, and depression were induced and reversed by use of the Velton (1968) Mood Induction Procedure. Forty subjects were assigned randomly to one of four induction groups: Anxiety, Depression, Hostility, or Neutral. Mood states, measured by the Multiple Affect Adjective Check List (MAACL) were obtained before induction, after induction, and after reversal of moods. All mood induction treatments increased levels of all moods, but did not differentially increase a specific mood. Induced moods were reversed by using statements opposite to the induction ones. Mood induction was not correlated with previously administered Internal-External Locus of Control and Profile of Mood States questionnaires, but a high baseline MAACL score was correlated with low mood induction. Questions amenable to future research were raised.

Adolescent↗

Beyond Type A: hostility and coronary heart disease--implications for research and practice.

Research into the psychological and behavioral correlates of coronary heart disease (CHD) has gone beyond the traditional description of the Type A behavior pattern and is focusing instead on components that may be more sensitive predictors of CHD endpoints. One component being investigated frequently is hostility. Many questions related to hostility and CHD remain unanswered and warrant further research. Implications for practice include a need for reexamination of standard risk reduction programs in light of current knowledge.

Coronary Disease↗

Exposure to violence, depression, and hostility in a sample of inner city high school youth.

This study examines the prevalence of violence in a non-randomly selected population of 337 inner city school students, the relationship between exposure to violence and symptoms of depression and hostility, and demographic differences in exposure to and effects of traumatic violence. Students responded to an anonymous survey asking them to enumerate how many times they had experienced each of six types of traumatic violence. Sixty-two per cent of students were exposed to an average of 3.0541 of the six types of violence listed. Exposure to most types of violence were highly intercorrelated. Males experienced more exposure to violence than females. Exposure to violence was predictive of hostility for both gender groups, and predictive of depression for females. Implications of exposure to traumatic violence on adolescent development are discussed.

Adolescent↗

Harassment, hostility, and type A as determinants of cardiovascular reactivity during competition.

Anger/hostility and Type A behavior have been implicated in elevated cardiovascular reactivity and disease. In the present experiment systolic blood pressure (SBP), diastolic blood pressure (DBP), and heart rate (HR) were monitored during conditions of competition alone or in conjunction with goal blocking or harassment. Cardiovascular reactivity was examined as a function of conditions, Type A or B pattern, and various measures of anger/hostility. Harassment elicited significantly elevated SBP and HR changes relative to goal-blocking and control conditions. Type As reliably exceeded Type Bs in magnitude of SBP change during the harassment condition only. However, exploratory analyses correlating anger/hostility measures and cardiovascular reactivity indicated that only subjects scoring high on the Buss-Durkee Hostility Inventory showed significantly elevated SBP reactivity as a function of Type A behavior pattern, rated hostility during the A-B interview, or outward expression of anger assessed by the Framingham Anger-In vs Anger-Out Scale.

Arousal↗

State mental hospitals and their host communities: the origins of hostile public reactions.

This article examines the hostile public reactions of a community that, through a state policy to consolidate all long-term behavioral health services, was to become the site of the state's only mental hospital. A telephone survey conducted in the host community (n = 800) and a matched community (n = 800) was used to test whether the origins of hostility toward consolidation were related to the public's negative attitudes toward mental illness and homelessness or to the beliefs about the discharge and supervisory behavior of the hospital. The host community was not found to have more negative views of mental illness, although it did have significantly more negative views about the homeless. Disapproval of consolidation was unrelated to negative views of mental illness or homelessness but was strongly related to the expected "bad" behavior of the hospital. These results suggest that the best way to improve relations between hospitals and their host communities is for hospitals to behave like "good" neighbors.

Attitude to Health↗

Influence of apologies and trait hostility on recovery from anger.

While there is growing evidence that quick recovery from stress is health-protective, relatively little is known about what factors affect recovery rates. We tested whether recovery from anger can be diffused with apologies. 184 participants performed a stress task involving verbal harassment and apologies. Participants were randomly assigned to one of four conditions: non-harassed control, good apology, pseudo-apology, or no apology. Measures of blood pressure and heart rate were taken at baseline, task and recovery periods. Participants scoring high in trait hostility displayed faster systolic blood pressure recovery when they received a genuine apology, but recovered more slowly when they received a pseudo-apology or no apology. Apologies did not influence subjective anger ratings. It was concluded that apologies may accelerate cardiovascular anger recovery among those with hostile personality predispositions.

Adaptation, Psychological↗

The effect of anxiety and hostility in silent mentation on localized cerebral glucose metabolism.

Ten normal, wakeful, young (average age, 25.3 +/- 6.6 years) male subjects received positron emission tomographic (PET) scans 45 to 120 minutes after an infusion of D-[18 F]deoxyglucose in order to assess localized cerebral glucose metabolic rates during silent visual and other sensory imagery and cognitive mentation. The typescripts of the verbal reports, limited to 5 minutes, of this type of mentation (including free-associations to all the silent mental events), were blindly content-analyzed to provide objective measures of various kinds of anxiety and hostility. Many significant positive and negative correlations were found in medial cortical, lateral cortical, and subcortical gray matter, and white matter areas between the magnitude of the anxiety and hostility aroused in the silent mental processes and localized cerebral glucose metabolic rates. Clearly, energy consumption in the brain, as judged from localized glucose metabolic rates, is highly influenced by the quality and quantity of emotionally tinged private reveries and mental events occurring spontaneously within human subjects. Brain areas involved with the processing of language, sensation, cognition, memory, and emotional reactions appear to be involved especially in these significant correlations. The implications of such findings in the neurosciences and behavioral sciences are discussed.

Adult↗

A hostility measure for use in family contexts.

A modification of the Gottschalk-Gleser standardized instructions for eliciting speech samples was developed and tested in ongoing family studies. This modification, the Wynne-Gift technique, allows the interviewer to focus on the speaker's relationships with various family members. The usefulness and validity of the approach was assessed in a study of differences in attitudes toward the husband of 10 separated or divorced women as compared to the attitudes of 11 married women. Significant differences were found in the expected direction between mean hostility outward scores as well as hostility toward the spouse or ex-spouse of these two groups of women. The range of applications of this modification of eliciting speech samples is discussed.

Adult↗

Emotional expressiveness, hostility and blood pressure in a longitudinal cohort of Alzheimer caregivers.

OBJECTIVE: To assess the interactive effect of chronic stress and emotional expressiveness (EE) on blood pressure (BP) in older adults. METHOD: Among spousal caregivers (n=111) of Alzheimer's disease (AD) patients, BP was assessed at home by a visiting nurse every 6 months for 7 years. Caregiving demands, EE, social desirability and hostility were also assessed. RESULTS: State hostility was more prevalent among newer caregivers and those encountering more dementia problem behaviors and ADL limitations but unrelated to BP or BP change (P>.05). In a cross-sectional analysis, higher diastolic BP was associated with more spousal problem behaviors and being less emotionally expressive (P<.05). Longitudinal (growth curve analysis) increases in diastolic BP were predicted by providing more spousal ADL assistance (P<.05) but not by EE. CONCLUSION: Both caregiving stress and low EE may contribute independently to hypertension risk in the elderly.

Activities of Daily Living↗

Type A behavior intervention in primary health care reduces hostility and time pressure: a study in Sweden.

This study evaluates the effects of an intervention on hostility and time pressure in primary health care patients. A total of 47 men and women were studied, of whom 22 participated in an intervention program and 25 were controls. The intervention group changed global Type A behavior, hostility and time pressure significantly more than the control group and this change was stable up to 2 years following the study. Men altered their behavior significantly more than women.

Adult↗

Translational science in action: hostile attributional style and the development of aggressive behavior problems.

A model of the development of hostile attributional style and its role in children's aggressive behavior is proposed, based on the translation of basic science in ethology, neuroscience, social psychology, personality psychology, and developmental psychology. Theory and findings from these domains are reviewed and synthesized in the proposed model, which posits that (a) aggressive behavior and hostile attributions are universal human characteristics, (b) socialization leads to the development of benign attributions, (c) individual differences in attributional style account for differences in aggressive behavior, and (d) interventions to change attributions have the potential to alter antisocial development. Challenges for future research are described.

Aggression↗

Hostile attributional biases in severely aggressive adolescents.

Adolescent boys (N = 128) from a maximum security prison for juvenile offenders were administered a task to assess hostile attributional biases. As hypothesized, these biases were positively correlated with undersocialized aggressive conduct disorder (as indicated by high scores on standardized scales and by psychiatric diagnoses), with reactive-aggressive behavior, and with the number of interpersonally violent crimes committed. Hostile attributional biases were found not to relate to nonviolent crimes or to socialized aggressive behavior disorder. These findings held even when race and estimates of intelligence and socioeconomic status were controlled. These findings suggest that within a population of juvenile offenders, attributional biases are implicated specifically in interpersonal reactive aggression that involves anger and not in socialized delinquency.

Adolescent↗

The hostile media phenomenon: biased perception and perceptions of media bias in coverage of the Beirut massacre.

After viewing identical samples of major network television coverage of the Beirut massacre, both pro-Israeli and pro-Arab partisans rated these programs, and those responsible for them, as being biased against their side. This hostile media phenomenon appears to involve the operation of two separate mechanisms. First, partisans evaluated the fairness of the media's sample of facts and arguments differently: in light of their own divergent views about the objective merits of each side's case and their corresponding views about the nature of unbiased coverage. Second, partisans reported different perceptions and recollections about the program content itself; that is, each group reported more negative references to their side than positive ones, and each predicted that the coverage would sway nonpartisans in a hostile direction. Within both partisan groups, furthermore, greater knowledge of the crisis was associated with stronger perceptions of media bias. Charges of media bias, we concluded, may reflect more than self-serving attempts to secure preferential treatment. They may result from the operation of basic cognitive and perceptual mechanisms, mechanisms that should prove relevant to perceptions of fairness or objectivity in a wide range of mediation and negotiation contexts.

Hostility↗

Cynical hostility: developmental factors, psychosocial correlates, and health behaviors.

Examined potential differences between individuals with high and low Cook and Medley (1954) Hostility (Ho) scale scores in regard to (a) self-esteem and particular developmental experiences; (b) utilization of social support, experience of anger, and the manner in which anger is managed; and (c) potentially health-damaging behaviors. Individuals with high Ho scale scores were found to be low in covert self-esteem and reported behavior on the part of their parents that reflected (a) less genuine acceptance, (b) more interference in the person's desires as a child, and (c) more punitiveness. In addition, the results indicated that high Ho score individuals avoid seeking or accepting social support, experience anger that is excessive and that occurs in a wide variety of situations, and suppress expression of anger. Finally, it was found that hostile individuals tended to drink more alcohol and drive a car more frequently after drinking and to have greater relative weight.

Adult↗

Sex differences in social support, self-deception, hostility, and ambulatory cardiovascular activity.

The quality of the social network, ambulatory cardiovascular indices, and other health risks were assessed in 129 students. Ss carried an ambulatory monitor for a working day and completed a social support scale, an index of daily stress, and measures of anger expression, hostility, depression, and self-deception. Alcohol intake and skinfold thickness were assessed. Results indicated that quality of social support was related in an inverse manner to ambulatory systolic pressure in women only. Stepwise multiple regression confirmed that social support was an independent predictor of daily systolic pressure for women and was not confounded with subjective stress. For men, tendencies to self-deception and high hostility were independently related to elevated blood pressure and heart rate.

Adolescent↗

Hostility, the metabolic syndrome, and incident coronary heart disease.

This invesgation examined the impact of hostility and the metabolic syndrome on coronary heart disease (CHD) using prospective data from the Normative Aging Study. Seven hundred seventy-four older, unmedicated men free of cardiovascular disease were included in the study. The total Cook-Medley Hostility (Ho) Scale score, anthropometric data, serum lipids, fasting insulin concentrations, blood pressure, cigarette smoking, alcohol consumption, and total dietary calories were used to predict incident CHD during a 3-year follow-up interval. Multivariate analysis indicated that only Ho positively predicted and high-density lipoprotein cholesterol level negatively predicted incident CHD. Ho's effects on CHD may be mediated though mechanisms other than factors that constitute the metabolic syndrome.

Adult↗