The DOI matches its Crossref record.
Hostility, CHD Incidence, and Total Mortality: A 25-Year Follow-Up Study of 255 Physicians
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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In the citing paper
“However, in the early 1980s investigators began to study hostility in particular [159, 160], concluding that it was the primary “toxic” component of the Type A personality [161, 162].”
From Personality and Longevity: Knowns, Unknowns, and Implications for Public Health and Personalized Medicine (2011) · cites this paper as [159]
In the citing paper
“Within US samples, hostility appeared to elevate risk for 25-year all-cause mortality among male medical students [159]”
From Personality and Longevity: Knowns, Unknowns, and Implications for Public Health and Personalized Medicine (2011) · cites this paper as [159]
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Hostility, smiling and elicited emotional experiences: Considerations for health outcomes.
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“There is a wealth of literature linking hostility with coronary heart disease (Barefoot et al., 1983; Hecker et al., 1988; Irvine et al., 1991; Matthews et al., 1977; Shekelle et al., 1983).”
BackgroundMortensen, E. L. (2022) · Psyke & Logos · doi:10.7146/pl.v20i1.133575
Exploratory study of nocebo effect in senior medical students
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“For example, hostility, as measured by the Cook-Medley Hostility Scale, has been associated with higher rates of coronary artery disease and death (5), and many researchers have assumed that chronic hostility over a period of many years contributes to the disease.”
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Metadata
- 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
- Published
- 1983-03
- Volume
- 45
- Issue
- 1
- Pages
- 59-63
- ISSN
- 0033-3174 (ISSN-L)
- 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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