Components of hostility as predictors of sudden death and myocardial infarction in the Multiple Risk Factor Intervention Trial.
Abstract
We tested the hypothesis that hostility is associated with increased relative risk (RR) for coronary death and nonfatal myocardial infarction among participants in the prospective Multiple Risk Factor Intervention Trial (MRFIT). Cases (N = 192) were compared with matched controls (N = 384) on a variety of behavioral characteristics associated with the Type A behavior pattern (TABP), including three different but interrelated components of hostility. Logistic regression analyses revealed that only two of the eight TABP attributes analyzed on the overall sample were significant. Only total Potential for Hostility, when dichotomized into "low" and "high" categories, and the antagonistic interpersonal component of hostility (Stylistic Hostility) had positive unadjusted associations with coronary heart disease (CHD) incidence (RR = 1.7, p = 0.003; and RR = 1.5, p = 0.016, respectively). The global TABP and related paralinguistic attributes were not significantly related to CHD incidence. After adjustment for the traditional risk factors of age, serum cholesterol, blood pressure, and cigarette smoking, only dichotomous Potential for Hostility showed a significant relative risk (RR = 1.5, p = 0.032). Ordinal logistic regression revealed a nonsignificant effect.(ABSTRACT TRUNCATED AT 250 WORDS)
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In the early 1980s investigators concluded that hostility was the primary 'toxic' component of the Type A personality.
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Does Socioeconomic Status Relate to Central Serotonergic Responsivity in Healthy Adults?
Matthews, K., Flory, J., Muldoon, M., & Manuck, S. (2000) · Psychosomatic Medicine · doi:10.1097/00006842-200003000-00015 · Cited by 70 · see citing works
Engebretson, T. O., & Matthews, K. A. (1992) · Psychosomatic Medicine · doi:10.1097/00006842-199205000-00007 · Cited by 63 · see citing works
“As one would anticipate from the descriptions of Potential for Hostility and Cook-Medley Ho measures, they appear to tap somewhat different aspects of hostility, even though both have been independently related to risk of CHD (2-5, 13, 26-32).”
BackgroundMethodEverhart, D. E., Demaree, H. A., & Harrison, D. W. (2007) · Clinical Neurophysiology · doi:10.1016/j.clinph.2007.09.122 · Cited by 62 · see citing works
“Given the well-known relationship between hostility and coronary artery disease (Dembroski et al., 1989; Hecker et al., 1988; Littman, 1993; Miller et al., 1996; Siegman et al., 2000), as well as the effects of hostility on physiological”
BackgroundPersonality differences and investment decision-making
Jiang, Z., Peng, C., & Yan, H. (2024) · Journal of Financial Economics · doi:10.1016/j.jfineco.2023.103776 · Cited by 63 · see citing works
- Authors
- Dembroski, T. M., MacDougall, J. M., Costa, P. T., & Grandits, G. A.
- Affiliations
- University of Maryland, Baltimore (US)
- Venue
- Psychosomatic Medicine
- Published
- 1989-09
- Volume
- 51
- Issue
- 5
- Pages
- 514-522
- ISSN
- 0033-3174 (ISSN-L)
- OpenAlex
- W2085057750
- Cited by
- 377
- References
- 0
- Citations by year
- 2024: 1 · 2023: 1 · 2022: 1 · 2021: 2 · 2020: 4 · 2019: 2 · 2018: 1 · 2017: 5 · 2016: 3 · 2015: 2 · 2014: 3 · 2013: 7 · 2012: 4
- FWCI
- 14.12
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychosomatic Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Heart, Lung, and Blood Institute (HL-36027)
- 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, Type A behavior pattern, myocardial infarction, sudden cardiac death, coronary artery disease, Multiple Risk Factor Intervention Trial, cardiovascular risk factors, serum cholesterol, blood pressure, cigarette smoking
- MeSH terms
- Adult, Coronary Disease, Death, Sudden, Hostility, Humans, Male, Middle Aged, Myocardial Infarction, Personality Tests, Risk Factors, Type A Personality, United States, Survival Rate, Case-Control Studies, Randomized Controlled Trials as Topic
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