Higher Hostility Scores Research Articles

Hostility during late adolescence predicts coronary risk factors at mid-life.

Hostility, as measured by the Cook-Medley Hostility Scale of the Minnesota Multiphasic Personality Inventory, has been found to predict higher rates of both coronary heart disease and all-cause mortality. To evaluate one mechanism whereby hostility might contribute to health problems, the authors used regression models to determine whether hostility measured in college (1964-1966) predicted coronary risk factors assessed 21-23 years later (1987-1990) in 4,710 men and women. Of this group, 828 had lipids measured (1988-1991). Persons with higher hostility scores in college were significantly more likely at follow-up to consume more caffeine (r = 0.043), to have a larger body mass index (r = 0.055), to have higher lipid ratios (r = 0.092), and to be current smokers (r = 0.069) than those with lower hostility scores during college. Cross-sectional analyses found significant associations of contemporaneous hostility scores with the same four risk factors, as well as with alcohol consumption and hypertension (rs ranging from 0.043 to 0.117). These associations are large enough to have possible public health significance. We conclude that hostility may contribute to health problems through its influences on several coronary risk factors across the adult life span.

Relation of hostility to medication adherence, symptom complaints, and blood pressure reduction in a clinical field trial of antihypertensive medication

The impact of hostility was examined in relation to the conduct and results of a clinical field trial. Data were derived from a multi-center randomized double-blind study of the comparative effects of antihypertensive therapy (captopril, methyldopa and propranolol) on the quality of life of 620 hypertensive men. Hostility levels were higher in subjects reporting skipping medication dosages compared to those reporting they always complied with the medication schedule. Reporting of symptoms often associated with antihypertensive drug regimens was positively related to hostility scores throughout the study, even during the blinded placebo period. Persons with high hostility scores showed the greatest decline in blood pressure independent of type of antihypertensive medication. However, there was some limited evidence that hostility levels were significantly reduced by one antihypertensive medication. Overall, the present findings suggest that double-blind pharmacologic clinical trials may benefit from using reliable measures of hostility as covariates in the evaluation of symptom reports and amount of blood pressure reduction.

Hostility in Employed Women

Ninety-one women employed full-time outside the home were administered the Cook-Medley Hostility Scale. Information concerning various work -and nonwork-related variables was obtained by questionnaire and interview. Women with higher hostility scores reported having more stressful job experiences and feeling more daily stress and tension. Hostility scores were not found to be significantly related to stressful marital experiences or quality of general social support, although there were trends for hostility scores to be negatively related to social support from specific sources-namely, the women's supervisors and husbands. Finally, higher hostility scores were found to be related to greater outward expression of anger. The possibility is mentioned that having more stressful work and other daily experiences may contribute to mediating the relation between the Cook-Medley Hostility Scale and coronary artery disease in women.

Hostility, coronary heart disease, and total mortality: a 33-year follow-up study of university students.

Hostility as measured by the Cook-Medley Hostility (HO) Scale on the Minnesota Multiphasic Personality Inventory has been suggested as a risk factor for coronary heart disease (CHD) and total mortality. This study tested the HO-CHD hypothesis in a sample of 1399 men who entered the University of Minnesota in 1953 and, as part of freshman orientation, completed the MMPI. Current health status was ascertained for 94% of the sample through telephone interviews 33 years later. Higher HO scores did not predict CHD mortality, CHD morbidity, or total mortality either before or after adjustment for baseline risk factors. Among the plausible explanations for these results are that (1) hostility is not a risk factor in all populations, (2) the HO scale at age 19 does not assess a stable psychological characteristic, or (3) the HO scale is not an adequate measure of hostility.

A link between hostility and disease: poor health habits?

The Cook and Medley Hostility (Ho) Scale has been found to predict the occurrence of coronary heart disease, as well as total mortality, and to be related to the severity of coronary artery disease. It has been proposed that the relationship between Ho scores and health status is mediated by an unhealthy psychosocial risk profile. The present study investigated the health habits of 202 young adults; it used a shortened version of TestWell, a self-report inventory of health behaviors. Subjects were classified as high or low scorers on the Ho scale and their overall TestWell scores and those of four subscales were compared. High scorers reported poorer health habits overall (p = .003) and on three of the four subscales (Physical Fitness, p = .04; Self-Care, p = .04; Drugs and Driving, p = .0001). These results suggest that the poor health habits of individuals with high hostility scores may be an additional explanation of the link between hostility and subsequent disease to the psychosocial risk profile explanation recently proposed.

Foetal heart rate and maternal emotional state.

Forty-five pregnant women rated themselves for hostility, depression and anxiety. Maternal and foetal heart rates were recorded while they listened to a tape through headphones. The foetuses of anxious mothers showed pronounced responses to certain taped stimuli but this effect was not found for mothers with high hostility or depression scores.

Sex steroids and affect in the surgical menopause: a double-blind, cross-over study

The effect of estrogen and/or androgen on mood in surgically menopausal women was investigated with a prospective, double-blind, cross-over design. Oophorectomized women who received either estrogen (E), androgen (A), or a combined estrogen - androgen preparation (E - A) parenterally attained lower depression scores during both treatment phases compared to a placebo group (PL), coincident with their higher plasma estrogen and testosterone levels. When steroids were withdrawn, depression scores of all oophorectomized women were significantly higher than those of a hysterectomized control group with intact ovaries (CON). The A group also had higher hostility scores than the E, PL, and CON groups. These data provide evidence of a covariation between circulating levels of estrogen and testosterone and certain affects in healthy women.

Feasibility and benefits of exercise training in patients on maintenance dialysis

Fourteen of 174 patients receiving maintenance dialysis volunteered to participate in a 12-week exercise conditioning program. Seven patients attended more than 50% (range, 55 to 75%) of the sessions held three times each week. These seven patients achieved a 42% (P less than 0.05) improvement in work capacity as assessed by maximal oxygen consumption during treadmill testing. No changes occurred in psychologic functioning, blood pressure control, hematocrit, or left ventricular ejection fraction. Seven patients attended fewer than half of the sessions (range, 1 to 38%) and did not demonstrate improved exercise capacity. Psychologic testing at entry revealed that those who did not attend regularly had higher scores for hostility, anxiety, and depression as compared to those patients who completed the program. No other clinical variables distinguished those who had good attendance records from those who did not. We conclude that exercise conditioning can improve physical work capacity in patients with chronic renal failure who are receiving maintenance dialysis treatment. Despite this potential benefit, the impact of exercise conditioning programs such as this may be limited because only a small portion of patients on maintenance dialysis are able or willing to participate to an extent sufficient to induce physiological changes.

Parents of abused children in Greece: Psychiatric and psychological characteristics: Results of a pilot study

The psychological and psychiatric characteristics of the parents of 15 abused children were studied by means of clinical psychiatric evaluation and psychological tests (MMPI, Hostility and Direction of Hostility Questionnaire, Navran's Dependency Scale, Rosenweig's Picture Frustration Test, WAIS). It was found that almost all the parents were suffering from some type of personality disorder ranging from mild to severe with some features of anxiety and reactive depression. Three of the parents (two mothers and one father) were psychotic. The psychological assessment further demonstrated that most of the parents had low IQ scores, were immature, impulsive with strong dependency needs, low tolerance to frustration and high hostility scores. Most of the parents were coming from the lower socioeconomic groups, had poor education, were deprived in their childhood and their own families were broken and chaotic. The findings and the significance of the study are presented in the light of the absence of previous research in this field in Greece.

Rorschach hostility content and its relation to anxiety, neuroticism and p-e-n measures

Assessed the relationships between Rorschach hostility scores and anxiety, neuroticism, overt/covert hostility, intelligence, and Eysenck's Personality Questionnaire. The sample consisted of 200 (100 male, 100 female) Indian undergraduates aged 15 to 20 years. There were some indications that high hostility scores on the Rorschach tended to be worldly wise, covertly hostile, independent, stubborn, and poor fakers. A factor analysis of the intercorrelations showed six interpretable factors: Anxiety, Neuroticism, Body measures. Hostility, Psychoticism and Tender-minded, respectively. Further, it was concluded that Eysenck's Psychoticism is factorially a complex measure and that projective and direct verbal measures of hostility seem to be measuring dissimilar constructs. A few hypotheses for independent verification were proposed.

An Empirical Classification of Female Offenders

The purpose of the present investigation was threefold: ( 1 ) to develop an empirical taxonomy of female offenders; (2) to relate these findings to empirical taxonomies of male offenders; and (3) to establish the occurrence of a personality type among female offenders approximating that called the psychopath. The women were awaiting trial in a correctional institution and approximately 94% had convictions previous to their current arrest. Personality profiles of these women were subjected to a cluster analysis, and four distinct profile types emerged, classifying three-quarters of the sample. The four types were tentatively identified as being characteristic of primary psychopaths, secondary or neurotic psychopaths, Megargee's overcontrolled personality type, and normal criminals. Similarities with previous research on both female and male offenders were emphasized, and one difference in the nondiscriminating power of the extraversion dimension was noted. The importance of further research with female offenders, and in particular, female psychopaths was stressed. High hostility scores for the entire sample were noted and an interpretation was suggested.