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PubMed2003

Anxiety and hostility in the manifest dreams of schizophrenic patients.

Aside from delusions, hallucinations, and thought disorders, affective disturbances belong to the most prominent symptoms of the schizophrenic process. However, nearly no empirical work has been done on the systematic investigation of the dream affects of patients with schizophrenia. We compared 96 dreams of 19 patients with schizophrenia and an equal number of dreams of 19 healthy controls collected over an 8-week period by means of the Gottschalk-Gleser Analysis Scales. Additionally, central psychopathological syndromes were measured by means of the AMDP-scales each day a patient reported a dream. Although cluster analyses showed general similarities in the organization of dream affects in the two groups, we found differences between patient and control groups in the frequency and intensity of anxious and hostile affects. As in delusions of persecution, patients experience themselves in their dreams more frequently as victims of hostility from outside, which corresponds well with a significantly higher intensity of threat anxieties (death, mutilation). On the other hand, value anxieties (guilt and separation) are found less frequently in the dreams of patients with schizophrenia pointing, together with a less differentiated organization of the dream affects, to the typical affective flattening of residual syndromes.

Adult↗

PubMedDate not supplied

Anxiety and hostility are associated with reduced baroreflex sensitivity and increased beat-to-beat blood pressure variability.

OBJECTIVE: The purpose of this study was to determine whether psychological factors are associated with heart rate variability (HRV), blood pressure variability (BPV), and baroreflex sensitivity (BRS) among healthy middle-aged men and women. METHODS: A population-based sample of 71 men and 79 women (35-64 years of age) was studied. Five-minute supine recordings of ECG and beat-to-beat photoplethysmographic finger systolic arterial pressure and diastolic arterial pressure were obtained during paced breathing. Power spectra were computed using a fast Fourier transform for low-frequency (0.04-0.15 Hz) and high-frequency (0.15-0.40 Hz) powers. BRS was calculated by cross-spectral analysis of R-R interval and systolic arterial pressure variabilities. Psychological factors were evaluated by three self-report questionnaires: the Brief Symptom Inventory, the shortened version of the Spielberger State-Trait Anger Expression Inventory, and the Toronto Alexithymia Scale. RESULTS: Psychological factors were not related to HRV. Anxiety was associated with decreased BRS (p = 0.001) and higher low-frequency (p = 0.002) power of systolic arterial pressure variability. These associations were independent of age, gender, other psychological factors, heart rate, and systolic and diastolic blood pressures. Hostility was an independent correlate of increased low-frequency power of diastolic arterial pressure (p = 0.001) and increased high-frequency power of systolic arterial pressure (p = 0.033) variability. CONCLUSIONS: Anxiety and hostility are related to reduced BRS and increased low-frequency power of BPV. Reduced BRS reflects decreased parasympathetic outflow to the heart and may increase BPV through an increased sympathetic predominance.

Adult↗

PubMedDate not supplied

Hostile attribution of intent and aggressive behavior: a meta-analysis.

A meta-analytic review was conducted to explain divergent findings on the relation between children's aggressive behavior and hostile attribution of intent to peers. Forty-one studies with 6,017 participants were included in the analysis. Ten studies concerned representative samples from the general population, 24 studies compared nonaggressive to extremely aggressive nonreferred samples, and 7 studies compared nonreferred samples with children referred for aggressive behavior problems. A robust significant association between hostile attribution of intent and aggressive behavior was found. Effect sizes differed considerably between studies. Larger effects were associated with more severe aggressive behavior, rejection by peers as one of the selection criteria, inclusion of 8- to-12-year-old participants, and absence of control for intelligence. Video and picture presentation of stimuli were associated with smaller effect sizes than was audio presentation. Staging of actual social interactions was associated with the largest effects. The importance of understanding moderators of effect size for theory development is stressed.

Aggression↗

PubMed2002

Attentional mechanisms linking rejection to hostile reactivity: the role of "hot" versus "cool" focus.

Drawing on the hot-cool systems analysis of self-regulation, we examined whether attentionalfocus mediates the negativity of cognitive-affective reactions to interpersonal rejection. The hypothesis was that whereas a hot, arousing focus to representing rejection experiences should increase anger-hostility, accessing the cool system through distraction and distancing should attenuate such responses. Participants imagined an autobiographical rejection experience, focusing either on their physiological and emotional reactions (hot focus) or on the physical setting of the experience (cool focus). Participants in a third condition received no specific attentional instructions. Both implicit and explicit measures showed that hostile thoughts and feelings were attenuated in the cool-focus compared with the hot-focus condition. The findings support the adaptive value of activating a cooling strategy under hot, arousing conditions that otherwise elicit automatic, hot-system responses.

Adult↗

PubMed1975

Hostility as a function of the opportunity to counteraggress.

Half of the subjects, college students, were insulted by the experimenter while half were not. Within each of these conditions, half of the subjects were led to believe they would have an opportunity to administer electric shock to the experimenter, while the other half were not. A measure of hostility toward the experimenter was taken before there was any actual opportunity to shock him. As predicted from reactance theory, it was found that the mere opportunity to shock the experimenter reduced hostility that was produced by his insulting behavior. Alternative interpretations and implications were discussed.

Adolescent↗

PubMed2004

Hostility, anger, aggressiveness, and coronary heart disease: an interpersonal perspective on personality, emotion, and health.

The related traits of hostility, anger, and aggressiveness have long been suggested as risk factors for coronary heart disease (CHD). Our prior review of this literature (Smith, 1992) found both considerable evidence in support of this hypothesis and important limitations that precluded firm conclusions. In the present review, we discuss recent research on the assessment of these traits, their association with CHD and longevity, and mechanisms possibly underlying the association. In doing so, we illustrate the value of the interpersonal tradition in personality psychology (Sullivan, 1953; Leary, 1957; Carson, 1969; Kiesler, 1996) for not only research on the health consequences of hostility, anger, and aggressiveness, but also for the general study of the effects of emotion, personality and other psychosocial characteristics on physical health.

Aggression↗

PubMed1987

Hostile attributional biases among aggressive boys are exacerbated under conditions of threats to the self.

Previous studies have found a tendency for aggressive boys to display hostile attributional biases and social cue interpretation deficits. It was hypothesized that these biases and deficits would be exaggerated under conditions of social anxiety and threat. Aggressive and nonaggressive boys aged 8 - 10 (total N = 65) were administered tests of attributional tendencies and social cue interpretation skills (via videorecorded stimuli) under relaxed and threatening conditions. It was found that, relative to normal boys, aggressive boys displayed a bias toward attributing hostile intentions to peers, a deficit in interpreting accurately others' intentions, and a deficit in linking interpretations to behavioral responses. The hypothesis that these biases and deficits would be exaggerated under conditions of threat was also supported. Findings were interpreted as consistent with theories of preemptive processing and emotional vulnerability in aggressive boys.

Aggression↗

PubMed1989

Children's responses to angry adult behavior as a function of marital distress and history of interparent hostility.

Responses of 2-5-year-old children to angry adult behavior were examined as a function of parental report of marital distress, history of interparent verbal hostility, and history of interparent physical hostility. A trained actor engaged the child's mother in an emotionally expressive verbal exchange while the child played in the same room. The exchange was standardized and consisted of a 7-episode sequence of shifting background conditions (no emotion, friendly, no emotion, angry, no emotion, reconciliation, no emotion). Preoccupation with anger, expressed concern and support-seeking, and accepting of social responsibility (e.g., providing physical or verbal comfort to the mother) were greater in response to background anger than in response to prosocial conditions. The parents' marital adjustment was positively associated with expressed concern and support-seeking by children in response to anger. Form and degree of marital conflict interacted with age and sex in predicting children's response to anger as well. In particular, children whose parents engaged in physical aggressiveness showed increased preoccupation, concern and support-seeking, and social responsibility responses with increasing age. Implications of these findings for the study of the effects of marital discord on children are discussed.

Age Factors↗

PubMed2006

Alcohol and aggression without consumption. Alcohol cues, aggressive thoughts, and hostile perception bias.

Researchers and the lay public have long known of a link between alcohol and aggression. However, whether this link results from alcohol's pharmacological effects or is merely an artifact of the belief that alcohol has been consumed (i.e., placebo effect) has been debated. The current experiments examined the propensity for alcohol-related cues to elicit aggressive thoughts and hostile perceptions in the absence of alcohol or placebo consumption. In Experiment 1, participants made faster lexical decisions concerning aggression-related words following alcohol-related primes compared with neutral primes. In Experiment 2, participants who first were exposed to alcohol advertisements subsequently rated the behavior of a target person as more hostile than participants who initially viewed control advertisements. Furthermore, this effect was largest among participants who most strongly associated alcohol and aggression. Findings are discussed in terms of semantic network theory and links in memory between alcohol and its anticipated effects.

Adolescent↗

PubMed1989

Hostility patterns and cardiovascular reactivity to stress.

Sixty male subjects performed two challenging tasks while systolic blood pressure, diastolic blood pressure, and heart rate were monitored. They also completed the Cook and Medley Hostility Scale and measures of social support and mode of anger expression. Subgroups of subjects who differed in the patterns of their responses to the hostility items were identified via cluster analytic techniques. Exaggerated reactivity in systolic blood pressure to the two experimental tasks was exhibited by subjects in a subgroup who appear to have negative feelings toward people, but disavow these feelings and inhibit aggression so as not to alienate others. However, these individuals may have difficulty concealing their view of others and controlling their anger which, in turn, may erode their social support.

Adult↗

PubMed1998

Criticism and hostility in relatives of patients with schizophrenia or related psychoses: demographic and clinical predictors.

Relatives' criticism and hostility are important risk factors for relapse in schizophrenia. In order to explain these attitudes, we examined a Norwegian sample of 47 recently hospitalized patients (with schizophrenia or related psychoses) and 72 relatives. Relatives' expressed emotion was assessed by means of the Camberwell Family Interview. Demographic and clinical data were used as predictor variables in confirmatory regression analyses. The most robust predictors of high levels of criticism were, on the part of the patient, lack of paid employment, more than 3 previous hospital admissions, more troublesome behaviours reported by relatives, especially anxiety/depression, and better cognitive functioning at admission. Robust predictors of hostility were lack of employment and more than 3 previous hospitalizations. Interventions to reduce criticism should include employing patients and working with relatives' unrealistic expectations.

Adolescent↗

PubMed1990

Eating disorders, perceived control, assertiveness and hostility.

There are anecdotal claims that eating disorder patients perceive themselves as highly controlled by the family and by society, but that they do not show assertive behaviour towards controllers. Anorexic and bulimic females were compared with female psychiatric patients, dieters and non-dieting controls on measures of eating disorder symptomatology, locus of control, assertiveness, inwardly directed hostility, family control and family encouragement of independence. Eating disorder patients reported significantly more external control, more inwardly directed hostility, less self-assertion and less family encouragement of independence than dieters and non-dieting controls, but they did not differ from psychiatric controls. Most of the characteristics seen in eating disorder subjects were also reported by psychiatric controls.

Adolescent↗

PubMed1975

Hostility to kith and kin.

Ten male patients who shared a similar behaviour disorder have been seen. Their behaviour was characterized by extreme hostility towards close members of the family without aggressiveness towards others. The first manifestations of an increase in hostility may be acts aimed to injure of denigrate the spouse or close members of the family. The dynamics of Capgras's syndrome may be similar. This behaviour disorder must be recognized as one of many causes of conjugal conflict.

Adult↗

PubMed1979

Alexithymia: anxiety and hostility in psychosomatic and psychoneurotic patients.

Verbal samples obtained from 40 psychoneurotic and 40 psychosomatic patients, matched with respect to age, sex, intelligence and some social indicators, were examined using different methods of content analysis. According to the concept of 'alexithymia' it was postulated that the restricted fantasy life and difficulty in expressing feelings attributed to psychosomatic patients would be reflected at the speech level (psycho-analytic interviews). The measurement of anxiety and hostility using the Gottschalk-Gleser scales gave the following results: with total anxiety in particular, and its subscales guilt, shame, separation and diffuse anxiety, and with hostility, the psychosomatic patients showed lower values than the neurotic patients, which were in part highly significant. The results confirm the existence of the 'psychosomatic phenomenon' but they do not permit statements concerning its etiology.

Anxiety↗

PubMed1980

On the subject of handling hostility in therapy.

This paper focuses on the subject matter of handling repressed or expressed hostility within the context of the psychotherapeutic situation. The emphasis is on the importance of permitting the patient to express hostility, and/or help him become aware of the fact that he is repressing it. To achieve this insight on the patient's part, the therapist has to be aware of his own countertransference reactions and has to maintain an objective attitude at all times. Some difficulties in attaining this attitude are explored. Brief vignettes from the author's and others' experience are given.

Adult↗

PubMed1981

Depression hostility and anxiety in hyperprolactinemic amenorrhea.

In order to evaluate the relationship of psychological distress to hyperprolactinemia, 20 patients with secondary amenorrhea were evaluated by a semi-structured research interview and administered the Kellner Symptom Questionnaire. Group A (10 patients with amenorrhea and hyperprolactinemia) reported significantly more symptoms of depression, hostility and anxiety than group B (10 patients with amenorrhea and normal basal levels of plasma prolactin). Both groups were significantly more anxious, depressed and reported more somatic symptoms than a normal control group (n = 10). 6 of the 10 patients in group A reported decrease in libido, while this was found only in 1 of the 10 patients of group B. The findings suggest that the syndrome of depression, hostility and anxiety in a woman complaining of amenorrhea, especially if associated with decreased libido and galactorrhea, can be a manifestation of hyperprolactinemia.

Adolescent↗

PubMed1989

Hostile personality characteristics and prostaglandins in essential hypertension.

The hostile personality characteristic of dominance was shown to be significantly lower in a group of 34 male patients with essential hypertension than in a general illness control group (n = 17) in the USA. This replicates a previous finding from research in Greece into this and other conditions of presumably psychogenic origin. Nonspecific neurotic syndromes (as identified by the Present State Examination, a semistructured interview) were more prevalent in hypertensives than in controls, but no clear neurotic cases were found. Levels of the prostaglandins 6-keto prostaglandin F1A and thromboxane B2 did not differ significantly between groups, but the former was positively correlated with dominance in the control group. An interpretation of these results in terms of the repressed hostility theory is offered.

6-Ketoprostaglandin F1 alpha↗

PubMed1991

Essential hypertension: hostility, psychiatric symptoms and marital stress in patients and spouses.

Scores on self-report questionnaire measures of hostility, psychiatric symptoms, marital dissatisfaction, and assertion discomfort/behaviour were compared for male (n = 26) and female (n = 25) patients with essential hypertension and their spouses, and matched normotensive controls. Correlations and factor analysis revealed clinically meaningful associations between elevated psychiatric symptoms, hostility, and assertive behaviour. These differed for male and female patients, especially regarding assertive behaviour. The findings suggest that communication training might be helpful for a sizeable proportion of married patients with essential hypertension.

Adult↗