Hostility, coronary heart disease, and total mortality: A 33-year follow-up study of university students
Abstract
Hostility as measured by the Cook-Medley Hostility (HO) Scale on the Minnesota Multiphasic Personality Inventory has been suggested as a risk factor for coronary heart disease (CHD) and total mortality. This study tested the HO-CHD hypothesis in a sample of 1399 men who entered the University of Minnesota in 1953 and, as part of freshman orientation, completed the MMPI. Current health status was ascertained for 94% of the sample through telephone interviews 33 years later. Higher HO scores did not predict CHD mortality, CHD morbidity, or total mortality either before or after adjustment for baseline risk factors. Among the plausible explanations for these results are that (1) hostility is not a risk factor in all populations, (2) the HO scale at age 19 does not assess a stable psychological characteristic, or (3) the HO scale is not an adequate measure of hostility.
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Hostility was not associated with 33-year risk for mortality from any cause among a sample of 19-year olds.
“with 33-year risk for mortality from any cause among a sample of 19-year olds [169]”
From Personality and Longevity: Knowns, Unknowns, and Implications for Public Health and Personalized Medicine (2011) · cites this paper as [169]
Hostility was not associated with CVD risk or 25-year all-cause mortality in male physicians.
“Others found that hostility was not associated with CVD risk or 25-year all-cause mortality in male physicians [168]”
From Personality and Longevity: Knowns, Unknowns, and Implications for Public Health and Personalized Medicine (2011) · cites this paper as [168]
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- Authors
- Hearn, M. D., Murray, D. M., & Luepker, R. V.
- Affiliations
- University of Minnesota (US)
- Venue
- Journal of Behavioral Medicine
- Published
- 1989-04
- Volume
- 12
- Issue
- 2
- Pages
- 105-121
- ISSN
- 0160-7715 (ISSN-L)
- 1573-3521
- OpenAlex
- W2010803175
- Cited by
- 196
- References
- 30
- Citations by year
- 2022: 1 · 2020: 40 · 2019: 1 · 2018: 1 · 2016: 1 · 2014: 2 · 2013: 3 · 2012: 6
- FWCI
- 10.43
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5t32hl007328-25, 2s07rr005448-30)
- National Heart, Lung, and Blood Institute (2T32 HL07328)
- National Center for Research Resources (2-S07-RR 05448)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Keywords
- hostility, coronary artery disease, all-cause mortality, MMPI, personality risk factors, university students, long-term follow-up, personality stability
- MeSH terms
- Adult, Angina Pectoris, Coronary Artery Bypass, Cerebrovascular Disorders, Coronary Disease, Follow-Up Studies, Hostility, Humans, Male, Middle Aged, Minnesota, MMPI, Myocardial Infarction, Psychometrics, Retrospective Studies, Risk Factors
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