The DOI matches its Crossref record.
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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Menéndez, A. G., Álvarez, M. P., Vega, E. G., et al. (2001) · Revista internacional de psicología y terapia psicológica/Revista internacional de psicología y terapia psicológica
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Hur, Y., Shin, J. S., Jeong, H., et al. (2006) · Twin Research and Human Genetics · doi:10.1375/183242706779462606
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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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