Hostility Predicts Recurrent Events among Postmenopausal Women with Coronary Heart Disease

Chaput, L. A.

doi:10.1093/aje/kwf158

Cited by 84Cardiac Health and Mental HealthCardiovascular Health and Risk FactorsMenopause: Health Impacts and Treatments

Hostility Predicts Recurrent Events among Postmenopausal Women with Coronary Heart Disease

Chaput, L. A.·2002·American Journal of Epidemiology

DOI 10.1093/aje/kwf158

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Abstract

Psychosocial characteristics may be associated with an increased risk of coronary heart disease (CHD). Whether hostility predicts recurrent coronary events is unknown. A total of 792 women in the Heart and Estrogen/progestin Replacement Study (HERS) were evaluated prospectively to determine the role of hostility as a risk factor for secondary CHD events (nonfatal myocardial infarction and CHD death). The mean age of study participants was 67 years, and the average length of follow-up was 4.1 years. The study was conducted between 1993 and 1998, and all study sites were in the United States. High Cook-Medley hostility scores were associated with greater body mass index (p = 0.01) and higher levels of serum triglycerides (p = 0.05), and they were inversely associated with high density lipoprotein cholesterol (p = 0.04), self-rated general health (p < 0.001), age (p = 0.05), and education (p = 0.001). Compared with women in the lowest hostility score quartile, women in the highest quartile were twice as likely to have had a myocardial infarction (relative hazard = 2.03, 95% confidence interval: 1.02, 4.01). The relation between hostility and CHD events was not mediated or confounded by the biologic, behavioral, and social risk factors studied. In this study, hostility was found to be an independent risk factor for recurrent CHD events in postmenopausal women.

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In postmenopausal women followed for 4 years, hostility was associated with recurrent nonfatal myocardial infarctions.
“Another sample following postmenopausal women for 4 years found that hostility was associated with recurrent nonfatal myocardial infarctions, but not CVD mortality risk [172].”
From Personality and Longevity: Knowns, Unknowns, and Implications for Public Health and Personalized Medicine (2011) · cites this paper as [172]
In postmenopausal women followed for 4 years, hostility was not associated with CVD mortality risk.
“but not CVD mortality risk [172].”
From Personality and Longevity: Knowns, Unknowns, and Implications for Public Health and Personalized Medicine (2011) · cites this paper as [172]

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Printed in U.S.A. DOI: 10.1093/aje/kwf158 Hostility Predicts Recurrent Events among Postmenopausal Women with Coronary Heart
Chaput, L. A., Adams, S. H., Simon, J. A., Blumenthal, R. S., Vittinghoff, E., Lin, F., & Loh, E. (2002)
Self-citation
Hostility is an independent predictor of recurrent coronary heart disease events in men but not women: results from a population based study: Figure 1
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Hostility, aggression and the risk of nonfatal myocardial infarction in postmenopausal women
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(2016)
Hostility, social support, and coronary heart disease in the National Heart, Lung, and Blood Institute Family Heart Study
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Authors: Chaput, L. A.
Affiliations: University of California, San Francisco (US)
Corresponding author: Chaput, L. A.
Venue: American Journal of Epidemiology
Publisher: Oxford University Press (OUP)
Published: 2002-12-15
Volume: 156
Issue: 12
Pages: 1092-1099
ISSN: 0002-9262 (ISSN-L)
DOI: 10.1093/aje/kwf158
OpenAlex: W2147634094
Cited by: 83
References: 39
Citations by year: 2026: 1 · 2023: 1 · 2022: 3 · 2020: 1 · 2019: 2 · 2018: 1 · 2017: 3 · 2016: 3 · 2015: 2 · 2014: 2 · 2013: 4 · 2012: 4
FWCI: 4.15
Type: journal article
Language: en
Open access: closed
Locations: American Journal of Epidemiology (publishedVersion)
PubMed (publishedVersion)
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 › Endocrinology, Diabetes and Metabolism › Menopause: Health Impacts and Treatments
Keywords: hostility, coronary artery disease, postmenopausal women, recurrent cardiovascular events, myocardial infarction, coronary heart disease mortality, psychosocial risk factors, body mass index, serum triglycerides, HDL cholesterol, self-rated health, Heart and Estrogen/Progestin Replacement Study
MeSH terms: Aged, Coronary Disease, Female, Hostility, Humans, Middle Aged, Myocardial Infarction, Prospective Studies, Recurrence, Risk Factors, United States, Body Mass Index, Postmenopause

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Hostility Predicts Recurrent Events among Postmenopausal Women with Coronary Heart Disease

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