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Hostility as a risk factor for mortality and ischemic heart disease in men.
Abstract
We report the association between hostility and the incidence of ischemic heart disease (IHD) in 3,750 Finnish men aged 40-59. Hostility was assessed from self-ratings on irritability, ease of anger-arousal, and argumentativeness, and four groups were formed from the summed hostility ratings. At baseline, the age-adjusted relative risk (RR) of the prevalence of angina pectoris between the highest and lowest hostility groups was 2.88 (95% confidence limits (CL), range 1.71-4.77). A three-year follow-up yielded 65 deaths and 109 IHD-incident cases. Hostility did not predict IHD among healthy men, but among men with previous IHD and hypertension (N = 104), the age-adjusted RR of IHD between the highest and lowest hostility groups was 12.9 (95% CL, 3.92-42.6). After standardization for smoking, obesity, heavy alcohol use, and snoring, the RR was 14.6 (95% CL, 1.94-110). When the degree of dyspnea at baseline was also standardized, the RR was 21.1 (95% CL, 1.59-282). Our data suggest that extreme hostility is not a consequence of symptom severity; rather, hostility is a strong determinant of coronary attack among hypertensive men with IHD.
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“Hostility also conferred 3-year CVD and all-cause mortality in midlife Finnish men [164]”
From Personality and Longevity: Knowns, Unknowns, and Implications for Public Health and Personalized Medicine (2011) · cites this paper as [164]
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“In addition, these very scales (Keltikangas-Järvinen and Ravaja 2002; Pulkki et al. 2003) as well as similar constructs (Koskenvuo et al. 1988) have been used previously in a Finnish population-based studies of cardiovascular risk.”
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BackgroundThe South Korean Twin Registry
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“Indeed, research shows that cynically hostile people exercise less and are less concerned with self-care in general (Leiker & Hailey, 1988) and show increased levels of smoking and alcohol abuse (Koskenvuo et al., 1988). The newest model of cynical hostility and disease is the transactional model proposed by Smith and…”
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“According to the outcome of a 3-year follow-up study with 4000 men, the self-reporting of CHD very strongly predicted a new coronary event (Koskenvuo et al., 1988).”
Self-citationIndividual Differences in Responses to Social Influence Attempts
Alvaro, E. M., & Burgoon, M. (1995) · Communication Research · doi:10.1177/009365095022003004 · Cited by 7
Alboni, P., & Alboni, M. (2006) · PubMed · Cited by 6
The Perceived Benefits of a Group CBT Intervention for Patients With Coronary Heart Disease
Edelman, S., Lemon, J., & KIDMAN, A. D. (2003) · Journal of Cognitive Psychotherapy · doi:10.1891/jcop.17.1.59.58268 · Cited by 5
“The Cronbach’s alpha coefficient calculated for the baseline Hostility Scale scores was 0.86.”
BackgroundMethodInfluentialKetterer, M. W., & Maercklein, G. H. (1991) · Stress Medicine · doi:10.1002/smi.2460070212 · Cited by 5
Feindseligkeit als koronarer Risikofaktor
Mittag, O. (1999) · Zeitschrift für Gesundheitspsychologie · doi:10.1026//0943-8149.7.2.53 · Cited by 5
Hostility and physiological risk in the National Heart, Lung, and Blood Institute Family Heart Study
Knox, S. S., Weidner, G., & Adelman, A. (2005) · ACC Current Journal Review · doi:10.1016/j.accreview.2005.02.081 · Cited by 5
Haukkala, A. (2002) · Työväentutkimus Vuosikirja · Cited by 5
Lipids and the coronary-prone personality.
van Doornen, L. J. P. (1997) · American Psychological Association eBooks · doi:10.1037/10259-004 · Cited by 4
Metadata
- Authors
- Koskenvuo, M., Kaprio, J., Rose, R. J., Kesäniemi, A., Sarna, S., Heikkilä, K., & Langinvainio, H.
- Affiliations
- University of Helsinki (FI)
- Venue
- Psychosomatic Medicine
- Published
- 1988-07
- Volume
- 50
- Issue
- 4
- Pages
- 330-340
- ISSN
- 0033-3174 (ISSN-L)
- OpenAlex
- W1966607261
- Cited by
- 232
- References
- 0
- Citations by year
- 2023: 1 · 2022: 1 · 2021: 1 · 2020: 1 · 2019: 3 · 2018: 2 · 2015: 2 · 2014: 1 · 2013: 2 · 2012: 6
- FWCI
- 7.85
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychosomatic Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Fogarty International Center (TW 01019)
- 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, ischemic heart disease, mortality, angina pectoris, hypertension, irritability, anger, argumentativeness, men, risk factors
- MeSH terms
- Adult, Coronary Disease, Diseases in Twins, Finland, Hostility, Humans, Male, Middle Aged, Personality Tests, Risk Factors, Type A Personality
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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