Cited by 873Cardiac Health and Mental HealthHeart Rate Variability and Autonomic ControlCardiovascular Health and Risk Factors

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Hostility, CHD Incidence, and Total Mortality: A 25-Year Follow-Up Study of 255 Physicians

Barefoot, John C., Dahlstrom, Grant W., Williams, Redford B.·1983·Psychosomatic Medicine

DOI 10.1097/00006842-198303000-00008

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Abstract

High levels of hostility as assessed by a MMPI scale (Ho) have been found associated with increased levels of arteriographically documented coronary atherosclerosis. In this study we examined the relationship between hostility and subsequent health status in a 25-year follow-up of 255 medical students who completed the MMPI while in medical school. High Ho scores were found to be predictive of both clinical coronary disease incidence and total mortality.

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Weston, S. J., Hill, P., Edmonds, G. W., Mroczek, D., & Hampson, S. (2018) · Annals of Behavioral Medicine · doi:10.1093/abm/kay055 · Cited by 17
“Contrarily, one would not expect depression or hostility to promote health and health behavior, and indeed, both depression [26] and hostility [27] have been linked instead to greater mortality risk.”
High hostility among smokers predicts slower recognition of positive facial emotion
Kahler, C. W., McHugh, R. K., Leventhal, A. M., Colby, S. M., Gwaltney, C. J., & Monti, P. M. (2011) · Personality and Individual Differences · doi:10.1016/j.paid.2011.11.009 · Cited by 19

Authors: Barefoot, J. C., Dahlstrom, G. W., & Williams, R. B.
Affiliations: University of North Carolina at Chapel Hill (US)
ORCID: Williams, Redford B.
Venue: Psychosomatic Medicine
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 1983-03
Volume: 45
Issue: 1
Pages: 59-63
ISSN: 0033-3174 (ISSN-L)
DOI: 10.1097/00006842-198303000-00008
OpenAlex: W2072085129
Cited by: 866
References: 0
Citations by year: 2026: 1 · 2025: 10 · 2024: 3 · 2023: 4 · 2022: 3 · 2020: 48 · 2019: 2 · 2018: 8 · 2017: 4 · 2016: 11 · 2015: 6 · 2014: 19 · 2013: 14 · 2012: 20
FWCI: 20.07
Type: journal article
Language: en
Open access: closed
Locations: Psychosomatic Medicine (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
Keywords: hostility, coronary heart disease incidence, all-cause mortality, coronary artery disease, medical students, long-term follow-up, risk prediction
MeSH terms: Adult, Angina Pectoris, Coronary Disease, Follow-Up Studies, Hostility, Humans, Male, Middle Aged, MMPI, Myocardial Infarction, Personality, Physicians

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Hostility, CHD Incidence, and Total Mortality: A 25-Year Follow-Up Study of 255 Physicians

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