Cited by 379Cardiac Health and Mental HealthCardiovascular Health and Risk FactorsHeart Rate Variability and Autonomic Control

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Components of hostility as predictors of sudden death and myocardial infarction in the Multiple Risk Factor Intervention Trial.

Dembroski, T M, MacDougall, J M, Costa, P T, Grandits, G A·1989·Psychosomatic Medicine

DOI 10.1097/00006842-198909000-00003

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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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Authors: Dembroski, T. M., MacDougall, J. M., Costa, P. T., & Grandits, G. A.
Affiliations: University of Maryland, Baltimore (US)
ORCID: MacDougall, J M
Costa, P T
Venue: Psychosomatic Medicine
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 1989-09
Volume: 51
Issue: 5
Pages: 514-522
ISSN: 0033-3174 (ISSN-L)
DOI: 10.1097/00006842-198909000-00003
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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Components of hostility as predictors of sudden death and myocardial infarction in the Multiple Risk Factor Intervention Trial.

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