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Hostility, Anger, Aggressiveness, and Coronary Heart Disease: An Interpersonal Perspective on Personality, Emotion, and Health
Abstract
The related traits of hostility, anger, and aggressiveness have long been suggested as risk factors for coronary heart disease (CHD). Our prior review of this literature (Smith, 1992) found both considerable evidence in support of this hypothesis and important limitations that precluded firm conclusions. In the present review, we discuss recent research on the assessment of these traits, their association with CHD and longevity, and mechanisms possibly underlying the association. In doing so, we illustrate the value of the interpersonal tradition in personality psychology (Sullivan, 1953; Leary, 1957; Carson, 1969; Kiesler, 1996) for not only research on the health consequences of hostility, anger, and aggressiveness, but also for the general study of the effects of emotion, personality and other psychosocial characteristics on physical health.
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“Indeed, many studies examining the relationship between negative affectivity and adverse outcomes focus on traits that might be considered facets of neuroticism, such as trait hostility and anger.18”
From Prevalence, predictors and types of unpleasant and adverse effects of meditation in regular meditators: international cross-sectional study (2022) · cites this paper as [18]
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“As a result, many have concluded that despite earlier mixed findings, hostility defined by cynicism, interpersonal antagonism, and angry affect confers risk for foreshortened lifespan, particularly via CVD death [47].”
From Personality and Longevity: Knowns, Unknowns, and Implications for Public Health and Personalized Medicine (2011) · cites this paper as [47]
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“…10am Noon 2pm 4pm 6pm Blood Pressure Blood Pressure Stress Magnitude Stress Magnitude Figure6 Transactional approach to personality, stress exposure, and reactivity (from Smith, Gallo, & Ruiz, 2003). hostility and subsequent CHD was accounted for by these health behaviors (Everson et al., 1997).”
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Metadata
- Authors
- Smith, T. W., Glazer, K., Ruiz, J. M., & Gallo, L. C.
- Affiliations
- University of Utah (US)
- University of Pittsburgh (US)
- San Diego State University (US)
- Venue
- Journal of Personality
- Publisher
- Wiley
- Published
- 2004-10-28
- Volume
- 72
- Issue
- 6
- Pages
- 1217-1270
- ISSN
- 0022-3506 (ISSN-L)
- 1467-6494
- OpenAlex
- W2129245258
- Semantic Scholar
- e5e339e6ffd25f4ccebf47e26f9ff9df3b14c93b
- Cited by
- 543
- References
- 238
- Citations by year
- 2026: 3 · 2025: 13 · 2024: 11 · 2023: 18 · 2022: 17 · 2021: 16 · 2020: 60 · 2019: 14 · 2018: 26 · 2017: 23 · 2016: 36 · 2015: 34 · 2014: 21 · 2013: 34 · 2012: 39
- FWCI
- 2.95
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Personality (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Social Sciences › Psychology › Social Psychology › Emotions and Moral Behavior
- Keywords
- hostility, anger, aggression, coronary artery disease, cardiovascular risk factors, longevity, psychosocial health, personality traits
- MeSH terms
- Aggression, Anger, Coronary Disease, Emotions, Hostility, Humans, Interpersonal Relations, Risk Factors, Social Environment, Stress, Psychological
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