Cited by 285Cardiac Health and Mental HealthCardiovascular Health and Risk FactorsAcute Myocardial Infarction Research

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Hostility, Incidence of Acute Myocardial Infarction, and Mortality in a Sample of Older Danish Men and Women

Barefoot, John C., Larsen, Svend, von der Lieth, Lars, Schroll, Marianne·1995·American Journal of Epidemiology

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Abstract

An abbreviated version of the Cook-Medley Hostility Scale (ACM) was a predictor of documented acute myocardial infarction and total mortality. The sample consisted of 409 men and 321 women, residents of Glostrup, Denmark, who were 50 years old at the initiation of the study in 1964. Follow-up continued through 1991. Although not significant (relative risk (RR) = 1.22) in a model that contained only age and sex as covariates, the hostility scale scores were associated with increased risk of myocardial infarction in models controlling for traditional risk factors. A two standard deviation difference was associated with a RR of 1.53 (95% confidence interval (CI) 1.04-2.25), an effect that remained after eliminating the data of those with signs of ischemia at baseline. Hostility was also predictive of total mortality with controls for age and sex (RR = 1.35, CI 1.07-1.71), with controls for traditional risk factors (RR = 1.44, CI 1.13-1.83), and with additional controls for baseline ischemia and pulmonary function (RR = 1.36, CI 1.06-1.75). There were no sex differences in effect sizes. In cross-sectional analyses, high hostility was associated with higher body mass index, more physical activity at work, and poorer pulmonary function. These results constitute a rigorous test of the relation between hostility and health and increase the known generality of the phenomenon across sexes, age groups, and cultures.

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“Hostile individuals were found to have increased risk of health problems in studies of hypertension (9-11), CHD (4, 12, 13), subclinical atherosclerosis (14), myocardial infarction (15, 16), and all-cause mortality (12, 15).”
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Dimensions of Anger and CHD in Men and Women: Self-Ratings Versus Spouse Ratings
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The relationship between tourists' agreeableness and openness to experience with coronary heart disease mortality
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“However, longitudinal studies of initially healthy (6, 7) and of high-risk (45) subjects have shown that hostility predicts the development of cardiovascular disease.”
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Authors: Barefoot, J. C., Larsen, S., von der Lieth, L., & Schroll, M.
Affiliations: Duke University (US)
Glostrup Hospital (DK)
Corresponding author: Barefoot, John C.
Venue: American Journal of Epidemiology
Publisher: Oxford University Press (OUP)
Published: 1995-09-01
Volume: 142
Issue: 5
Pages: 477-484
ISSN: 0002-9262 (ISSN-L)
1476-6256
DOI: 10.1093/oxfordjournals.aje.a117663
OpenAlex: W1875975445
Cited by: 285
References: 0
Citations by year: 2023: 1 · 2022: 3 · 2021: 3 · 2020: 43 · 2019: 1 · 2018: 2 · 2017: 1 · 2016: 2 · 2015: 4 · 2014: 6 · 2013: 3 · 2012: 14
FWCI: 6.12
Type: journal article
Language: en
Open access: closed
Locations: American Journal of Epidemiology (publishedVersion)
PubMed (publishedVersion)
Funders: National Institutes of Health (5f06tw001952-03, 5r01ag009276-05)
National Institute on Aging (AG09276)
National Heart, Lung, and Blood Institute (HL 36587, P01HL036587)
Fogarty International Center (F06 TW01952-01)
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 › Acute Myocardial Infarction Research
Keywords: hostility, acute myocardial infarction, all-cause mortality, older adults, sex differences, traditional cardiovascular risk factors, lung function, body mass index, physical activity, ischemia, cross-cultural generalizability
MeSH terms: Cause of Death, Cross-Sectional Studies, Denmark, Female, Hostility, Humans, Male, Middle Aged, MMPI, Myocardial Infarction, Risk Factors, Incidence, Proportional Hazards Models, Age Distribution, Sex Distribution, Survivors

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Hostility, Incidence of Acute Myocardial Infarction, and Mortality in a Sample of Older Danish Men and Women

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