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PubMed1985

Personal worth, self-esteem, anomia, hostility and irrational thinking of abusing mothers: a multivariate approach.

Eighteen mothers identified as the perpetrator of physical abuse of their children were matched with respect to race, income and educational level with control mothers of children in daycare centers. Tests included: The Sense of Personal Worth Scale of the California Test of Personality, the Srole Anomia Scale, the Rosenberg Self-Esteem Scale, three scales from the Buss-Durkee Hostility Inventory and the Rational Behavior Inventory (RBI). An overall MANOVA was performed on scores of the seven personality measures. Stepdown F-tests were conducted on scores of the seven test measures. With the RBI entered first, none of the subsequent variables was significant. Three variables (RBI, Negativism and Anomia) significantly discriminated between the abuse and control groups. Examination of the discriminant function coefficients revealed that the RBI was the most important contributing variable.

Adaptation, Psychological↗

PubMed1990

Participation in alternative care: relationship to anxiety, depression, and hostility.

Women's psychological mood and its relationship to satisfaction with participatory perinatal care was examined using a two-group evaluation design of convenience samples (N = 99). Women entered the perinatal experience with similar degrees of anxiety, depression and hostility, but contrary to prediction, the type of perinatal experience, conventional or alternative, was not associated with their psychological mood. However, women in both groups reported less anxiety 2 to 3 days and 4 weeks after delivery than they reported having in general prior to delivery. Women who were more satisfied with care and their participation in care, regardless of whether they had an alternative or conventional perinatal experience, reported less anxiety and depression immediately post delivery. In 4 weeks, satisfaction and participation in care were still negatively related to anxiety.

Adult↗

PubMed1991

Type A behavior and marital interaction: hostile-dominant responses during conflict.

Previous research has indicated that the risk conferred by men's Type A versus B behavior depends, in part, on the personality characteristics of their spouses. In the present study of 60 married couples, we found that couples consisting of two Structured Interview-defined Type A's showed a larger increase in hostile/dominant behavior during discussions of marital conflicts than did couples consisting of two Type B's or a Type A husband and a Type B wife. Couples consisting of a Type B husband and a Type A wife displayed an intermediate level of hostile dominance. These results are consistent with previous speculations about interpersonal dynamics in Type A behavior and interaction patterns which might underlie spouse effects on Type A behavior and coronary risk.

Adolescent↗

PubMed1998

Anger inhibition, cardiovascular recovery, and vagal function: a model of the link between hostility and cardiovascular disease.

A model of the association between hostility and cardiovascular disease (CVD) is proposed based upon anger inhibition, slow cardiovascular recovery, and low parasympathetic activity (vagal tone). This model is opposed to the more conventional model that emphasizes anger expression, cardiovascular reactivity, and high sympathetic tone. We argue that in social reality, incidences of anger inhibition outnumber incidences of anger expression to a great extent, irrespective of preferred expression style. Moreover, slow cardiovascular recovery, rather than high reactivity, may be the mechanism underlying the CVD risk associated with anger inhibition. Both anger inhibition and slow cardiovascular recovery are associated with a persistently low vagal tone. Thus, the anger inhibition/vagal inhibition model seems more consistent with the actual nature of anger in daily life and with the known cardiovascular control mechanisms. The model may better account for the chronic pathophysiological state that is believed to lead to CVD. Importantly, an experimental inhibition/recovery paradigm might also allow to test potential behavioral and cognitive accelerators of cardiovascular recovery. As an example of an important socially-mediated health risk that may be elucidated using the anger inhibition/vagal inhibition model, we discuss Black-White differences that have been found in CVD.

Adaptation, Psychological↗

PubMed1999

Hostility and coping capacity as risk factors of elder mistreatment.

In the present study we investigate whether, in addition to established risk factors, some personality traits of the victims are associated with elder mistreatment. Identified victims of chronic verbal aggression (n = 37), physical aggression (n = 38) and financial mistreatment (n = 55) as well as equal-sized control groups were interviewed. The control groups were matched on age, gender, and the characteristics that have been identified as risk factors for the types of elder mistreatment listed above. All respondents were over 65 years of age. In a standardised interview, commonly used instruments were utilised to assess coping style, locus of control, perceived self-efficacy and hostility. To analyse the data multivariate logistic regression analyses were performed. The study found that, chronic verbal aggression was associated with having less control over problem situations and a higher tendency to react aggressively when feeling angry or frustrated. Physical aggression was associated with a passive and avoidant way of handling problems. Financial mistreatment was associated with having negative beliefs of self-efficacy and a tendency to turn aggression and frustration on themselves. These results indicate that in addition to the established risk factors, some personality traits of the victims have to be considered as risk factors of elder mistreatment. The way people handle problems makes them more or less vulnerable to becoming victims of elder mistreatment. Furthermore, the results indicate that elder mistreatment may be associated to some extent with long-standing interaction patterns among family members. These findings are important for prevention of an intervention in cases of elder mistreatment.

Adaptation, Psychological↗

PubMed1995

Psychometric characteristics and validity of the Dutch adaptation of the Buss-Durkee Hostility Inventory (the BDHI-D).

Data are presented on the factorial structure, internal consistency, and validity of the Dutch adaptation of the Buss-Durkee Hostility Inventory (the BDHI-D). Factor analyses of the responses of 463 subjects revealed two scales measuring Overt Aggression and Covert Aggression. The reliability of both subscales is good. Concordance with other self-report measures reveals satisfactory convergent and divergent validity.

Adolescent↗

PubMed1995

Validation of the Dutch adaptation of the Buss-Durkee Hostility Inventory.

The validity of the Dutch adaptation of the Buss-Durkee Hostility Inventory was investigated. On the basis of the ratings of the staff of a residential treatment center for adolescents with conduct disorders, two contrast groups (high versus low aggression) were formed. In all, 67 male adolescents participated in the study. The subscales of the inventory clearly discriminated between the two groups. A discriminant function analysis revealed that the inventory could correctly classify the subjects into aggressive and non-aggressive with 96% accuracy. The pattern of correlations between the inventory and an anger scale and a social desirability scale provide further support for the construct validity of the instrument.

Adolescent↗

PubMed1989

CSF phenylacetic acid and hostility in paranoid schizophrenia.

Lumbar cerebrospinal fluid concentrations of phenylacetic acid were significantly elevated in paranoid vs. nonparanoid schizophrenics. Further, phenylacetic acid concentrations were correlated with hostility. These results are consistent with the hypothesis that phenylethylamine, the proposed precursor of phenylacetic acid, plays a role in schizophrenia.

Adult↗

PubMed1987

Hostility, anger expression, cardiovascular responsivity, and social support.

Sixty male subjects completed the Cook-Medley Hostility Scale (Ho), the anger-in, anger-out, and anger-discuss measures of anger expression from the Framingham Heart Study, and a measure of social support. Subjects also performed two challenging tasks while systolic blood pressure (SBP), diastolic blood pressure (DBP), and pulse rate (PR) were monitored. Neither SBP, DBP, nor PR responses to the tasks were found to be related to the Ho or anger expression scales. Quality of social support was not found to be related to the Ho scale but was related negatively to the anger-discuss scale. The more subjects reported discussing their anger with others, the less social support they reported having. A negative correlation was found between the Ho and anger-out scales. The possibility is discussed that the relation between either of these two measures and coronary heart disease may be mediated or moderated by the other variable.

Adolescent↗

PubMed2005

Effectiveness of clozapine, olanzapine, quetiapine, risperidone, and haloperidol monotherapy in reducing hostile and aggressive behavior in outpatients treated for schizophrenia: a prospective naturalistic study (IC-SOHO).

OBJECTIVE: Antipsychotic medications may reduce hostile and aggressive behavior in schizophrenia. This study compared the effectiveness of antipsychotics in the treatment of aggression. METHOD: The Intercontinental Schizophrenia Outpatient Health Outcomes (IC-SOHO) study compares the effectiveness of antipsychotic treatments in practice setting. Schizophrenia outpatients who initiated or changed to a new antipsychotic are followed in this non-interventional, prospective observational study for up to 3 years, with 6-months data now available on the entire cohort (N=7655). The presence or absence of verbal or physical hostility/aggression was assessed retrospectively for the period of 6 months before enrollment, and prospectively in the period of 6 months after enrollment (the study treatment period). At baseline, patients in five monotherapy treatment groups (combined N=3135) were prescribed one of the treatments: clozapine, olanzapine, quetiapine, risperidone, or haloperidol, and had complete data. RESULTS: Hostile/aggressive behavior was reduced during the treatment period. Olanzapine and risperidone were significantly superior to haloperidol and to clozapine in this respect. These results remained essentially unchanged when adjusting for baseline imbalances in age, gender, age of onset, and substance abuse. CONCLUSIONS: As monotherapy, both olanzapine and risperidone were superior to haloperidol and clozapine in reducing aggression. The relative lack of effectiveness of clozapine may be specific to this study population.

Adult↗

PubMed2004

Anger and hostility in adolescents: relationships with self-reported attachment style and perceived parental rearing styles.

OBJECTIVE: To examine relationships between self-reported attachment style and parental rearing behaviors, on the one hand, and anger/hostility, on the other hand, in a sample of nonclinical adolescents (N=441). METHOD: Participants completed (a) a single-item measure of attachment style; (b) a questionnaire measuring perceptions of parental rearing behaviors; and (c) two scales assessing anger and hostility. RESULTS: Self-reported attachment style was related to anger/hostility. That is, adolescents who defined themselves as avoidantly or ambivalently attached displayed higher levels of anger/hostility than adolescents who classified themselves as securely attached. Furthermore, perceived parental rearing was also related to anger/hostility. More specifically, low levels of emotional warmth and high levels of rejection, control, and inconsistency were accompanied by high levels of anger/hostility. Finally, regression analyses showed that both attachment status and parental rearing behaviors accounted for a unique and significant proportion of the variance in anger/hostility. CONCLUSION: These findings are in keeping with the notion that family environment factors such as attachment style and parental rearing are involved in the development of anger/hostility in youths.

Adolescent↗

PubMed2000

Relationship between attitudinal hostility and P300 latencies.

1. The purpose of the present study was to determine whether components of the P300 were related to aggression in a normal population. 2. Event-related potentials were recorded from midline sites during a standard pure tone auditory oddball task. 3. Findings indicated significantly prolonged P300 latencies to target stimuli in subjects with higher total aggression and attitudinal hostility scores on the BDHI. 4. The relationship between P300 latency and aggression extends findings in specifically aggressive populations. P300 amplitudes may only be reduced in samples displaying violent or assaultive behaviour.

Acoustic Stimulation↗

PubMed2001

Development and cross-cultural and clinical validation of a brief comprehensive scale for assessing hostility in medical settings.

This study presents the development and validation of a brief comprehensive hostility scale. Two items of each subscale from the Buss-Perry (1992) Aggression Questionnaire, most strongly correlated with their subscale score, were selected, yielding the eight-item New-Buss. Internal reliability was .66 to .81, and full and brief scales correlated r = .92 to .94. In Study 1 (95 Israeli students), New-Buss scores were significantly higher in self-rated deviant or speeding drivers than nondeviant or nonspeeding drivers, respectively. In Study 2 (279 American students), New-Buss scores correlated significantly with Barefoot's Ho, Anger-Out, Anger-In, and Agreeableness. In Study 3 (79 Israeli patients undergoing angiography), New-Buss scores were significantly correlated with coronary artery disease severity independent of SBP in men below age 60 alone but not in women. Our findings support the cross-cultural feasibility, reliability, and concurrent, construct, and criterion validity of the New-Buss.

Academic Medical Centers↗

PubMed1983

Is hostility linked with affiliation among males and with achievement among females? A critique of Pollak and Gilligan.

This investigation attempted to replicate and to clarify methodologically an investigation by Pollak and Gilligan (1982). Those investigators reported sex differences in violence imagery to Thematic Apperception Test (TAT) pictures depicting affiliation and achievement situations. Pollak and Gilligan concluded that men perceive danger in situations of affiliation whereas women perceive danger in situations of achievement. It was demonstrated in the present study that Pollak and Gilligan incorrectly classified TAT cards into motivational categories, which may have resulted in incorrect inferences. In addition, their findings could not be replicated when using four different systems for classifying TAT cards into motivational categories. Other potential sources of error in their research, including a restrictive scoring scheme for hostility, unusual instructions, and failure to control for sex role in the TAT pictures, did not influence the pattern of results.

Achievement↗

PubMed1996

Assessing the MMPI-based Cook-Medley Hostility Scale: the implications of dimensionality.

The Minnesota Multiphasic Personality Inventory- (MMPI-) based Cook-Medley Hostility scale (Cook & Medley, 1954) historically has been used to investigate links between personality factors and health outcomes. We assessed the dimensionality of 27 Cook-Medley items previously found to predict mortality using full-information maximum likelihood factor analysis. The factor analyses revealed that these items serve as indicators for several constructs, with some factors apparently reflecting word usage rather than a meaningful psychological dimension. Our analyses indicate that the psychological meaning of these (sub)scales is ambiguous and differs according to the respondent's gender. The findings are discussed in the context of evidence to support the construct validity of the scale and the implications of dimensionality for making inferences concerning the link among scale scores, personality factors, and health outcomes.

Adult↗

PubMed1999

Modeling relationships among socioeconomic status, hostility, cardiovascular reactivity, and left ventricular mass in African American and White children.

In African American and White children and adolescents (N = 147), socioeconomic status (SES) was measured in 2 ways: (a) using neighborhood-level measures of population density, median income, educational attainment, and the number of children born to single mothers and (b) using family-level measures of parents' occupation and education. Structural equation modeling revealed that both lower family SES and lower neighborhood SES were independently associated with greater hostility and consequently greater cardiovascular reactivity to laboratory stressors in African Americans. Independent of neighborhood SES, only lower family SES was associated with greater cardiovascular reactivity in Whites. Heightened cardiovascular reactivity was associated with greater left ventricular mass (LVM) in Whites and marginally greater LVM in African Americans. Results suggest the importance of using multiple indicators of SES and confirm the relationship between SES and LVM in African Americans and Whites, albeit through different pathways.

Adolescent↗

PubMed2000

Serum lipids and their relationships with hostility and angry affect and behaviors in men.

Research into the relationship between the Type A behavior pattern and coronary heart disease suggests that the anger-hostility-aggression (AHA!) syndrome is directly related to total serum cholesterol and low-density lipoproteins. The present study involved an investigation of the specific components of the AHA! syndrome related to blood lipid levels in 98 healthy men. The disposition to experience and express anger when frustrated, criticized, or treated unfairly (angry reaction, a component of trait anger) was related to total serum cholesterol and to low-density lipoprotein levels. Age and diet also predicted levels of these lipids, but each was unrelated to angry reaction. These results suggest that in healthy men, the experience of strong angry affect in reaction to perceived rejection, criticism, or unfair treatment may be health-toxic because of its relationship to elevated unfavorable serum lipids.

Adult↗

PubMed1985

Beliefs and fears underlying type A behavior: correlates of time urgency and hostility.

Price (1980, 1983) has proposed that Type A behavior allows individuals to cope with fears and anxieties engendered by beliefs about their environment they develop through socialization. The present investigation tested her cognitive social learning model of Type A behavior by developing measures of beliefs and fears and validating them against Type A measures. Data was provided by 137 male and female university students of administration who completed questionnaires. Three beliefs and four fears were assessed along with four aspects of Type A behavior. Measures of beliefs and fears were moderately correlated with measures of time urgency and hostility, particularly among women. Younger men and women reported stronger beliefs and fears.

Adult↗