Skip to main content
Log in

Hostility and perceived social support: interactive effects on cardiovascular reactivity to laboratory stressors

  • Published:
Annals of Behavioral Medicine

Abstract

Background: Previous research has identified trait hostility and social isolation as possible psychosocial risk factors for coronary heart disease (CHD). However, few studies have examined hostility and social support simultaneously to determine their independent and possible interactive relations with CHD and disease-promoting mechanisms.Purpose: Hypotheses derived from a general interpersonal model were tested in a study examining trait hostility and perceived social support as predictors of cardiovascular reactivity to laboratory stressors.Methods: Healthy college students (53 men, 55 women) performed speech and mental arithmetic tasks while blood pressure and heart rate were monitored.Results: There was an interactive effect of hostility and perceived social support on systolic and diastolic blood pressure (SBP and DBP) reactivity. Higher hostility scores were associated with greater SBP reactivity for participants who were high in perceived social support; whereas for those with low social support scores, greater hostility was associated with somewhat less SBP reactivity. The same pattern was obtained for DBP, but only during the speech task.Conclusions: These findings encourage further research conceptualizing trait hostility within a general interpersonal framework that calls attention to both positive and negative person-environment transactions.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Smith TW, Ruiz JM: Psychosocial influences on the development and course of coronary heart disease: Current status and implications for research and practice.Journal of Consulting and Clinical Psychology. 2002,70:548–568.

    Article  PubMed  Google Scholar 

  2. Miller TQ, Smith TW, Turner CW, Guijarro ML, Hallet AJ: A meta-analytic review of research on hostility and physical health.Psychological Bulletin. 1996,220:322–348.

    Article  Google Scholar 

  3. Berkman LF: The role of social relations in health promotion.Psychosomatic Medicine. 1995,57:245–254.

    PubMed  CAS  Google Scholar 

  4. Angerer P, Siebert U, Kothny W, et al.: Impact of social support, cynical hostility and anger expression on progression of coronary atherosclerosis.Journal of the American College of Cardiology. 2000,36:1781–1788.

    Article  PubMed  CAS  Google Scholar 

  5. Knox SS, Siegmund KD, Weidner G, et al.: Hostility, social support, and coronary heart disease in the National Heart, Lung, and Blood Institute Family Heart Study.American Journal of Cardiology. 1998,82:1192–1196.

    Article  PubMed  CAS  Google Scholar 

  6. Knox SS, Adelman A, Ellison RC, et al.: Hostility, social support, and carotid artery atherosclerosis in the National Heart, Lung, and Blood Institute Family Heart Study.American Journal of Cardiology. 2000,86:1086–1089.

    Article  PubMed  CAS  Google Scholar 

  7. Manuck SB: Cardiovascular reactivity in cardiovascular disease: “Once more unto the breach.”International Journal of Behavioral Medicine. 1994,1:4–31.

    Article  PubMed  CAS  Google Scholar 

  8. Suls J, Wan CK: The relationship between trait hostility and cardiovascular reactivity: A quantitative review and analysis.Psychophysiology. 1993,30:615–626.

    Article  PubMed  CAS  Google Scholar 

  9. Uchino BN, Cacioppo JT, Keicolt-Glaser JK: The relationship between social support and physiological processes: A review with emphasis on underlying mechanisms and implications for health.Psychological Bulletin. 1996,119:488–531.

    Article  PubMed  CAS  Google Scholar 

  10. Gallo LC, Smith TW: Patterns of hostility and social support: Conceptualizing psychosocial risk factors as characteristics of the person and the environment.Journal of Research in Personality. 1999,33:281–310.

    Article  Google Scholar 

  11. Smith TW: Concepts and methods in the study of anger, hostility, and health. In Siegman AWS, Timothy W (eds),Anger, Hostility, and the Heart. Hillsdale, NJ: Lawrence Erlbaum Associates, Inc., 1994, 23–42.

    Google Scholar 

  12. Kiesler DJ: The 1982 Interpersonal Circle: A taxonomy for complementarity in human transactions.Psychological Review. 1983,90:185–214.

    Article  Google Scholar 

  13. Wiggins JS: A psychological taxonomy of trait-descriptive terms: The interpersonal domain.Journal of Personality and Social Psychology. 1979,37:395–412.

    Article  Google Scholar 

  14. Holt-Lunstad J, Uchino BN, Smith TW, Olson-Cerny C, Nealey-Moore JB: Social relationships and ambulatory blood pressure: Structural and qualitative predictors of cardiovascular function during everyday social interactions.Health Psychology. 2003,22:388–397.

    Article  PubMed  Google Scholar 

  15. Smith TW, Gallo LC, Goble L, Ngu LQ, Stark KA: Agency, communion, and cardiovascular reactivity during marital interaction.Health Psychology. 1998,17:537–545.

    Article  PubMed  CAS  Google Scholar 

  16. Belsky J, Cassidy J: Attachment: Theory and evidence. In Rutter M, Hay DF (eds),A Handbook for Clinicians. Oxford, England: Blackwell, 1994, 373–402.

    Google Scholar 

  17. Benjamin LS: Structural analysis of social behavior.Psychological Review. 1974,81:392–425.

    Article  Google Scholar 

  18. Caspi A, Bem DJ, Elder GH: Continuities and consequences of interactional styles across the life course.Journal of Personality. 1989,57:375–406.

    Article  PubMed  CAS  Google Scholar 

  19. Gallo LC, Smith TW, Kircher JC: Cardiovascular and electrodermal responses to support and provocation: Interpersonal methods in the study of psychophysiological reactivity.Psychophysiology. 2000,37:289–301.

    Article  PubMed  CAS  Google Scholar 

  20. Hardy JD, Smith TW: Cynical hostility and vulnerability to disease: Social support, life stress, and physiological response to conflict.Health Psychology. 1988,7:447–459.

    Article  PubMed  CAS  Google Scholar 

  21. Kamarck TW, Annunziato B, Amateau LM: Affiliations moderates the effects of social threat on stress-related cardiovascular responses: Boundary conditions for a laboratory model of social support.Psychosomatic Medicine. 1995,57:183–194.

    PubMed  CAS  Google Scholar 

  22. Piferi RL, Lawler KA: Hostility and the cardiovascular reactivity of women during interpersonal confrontation.Women and Health. 2000,30:111–129.

    Article  CAS  Google Scholar 

  23. Smith MA, Houston B: Hostility, anger expression, cardiovascular responsivity, and social support.Biological Psychology. 1987,24(1):39–48.

    Article  PubMed  CAS  Google Scholar 

  24. Lepore SJ: Cynicism, social support, and cardiovascular reactivity.Health Psychology. 1995,14:210–216.

    Article  PubMed  CAS  Google Scholar 

  25. Brownley KA, Light KC, Anderson NB: Social support and hostility interact to influence clinic, work, and home blood pressure in Black and White men and women.Psychophysiology. 1996,33:434–445.

    Article  PubMed  CAS  Google Scholar 

  26. Cohen S, Hoberman HM: Positive events and social supports as buffers of life change stress.Journal of Applied Social Psychology. 1983,13:99–125.

    Article  Google Scholar 

  27. Turner-Cobb JM, Sephton SE, Koopman C, Blake-Mortimer J, Spiegel D: Social support and salivary cortisol in women with metastatic breast cancer.Psychosomatic Medicine. 2000,62:337–345.

    PubMed  CAS  Google Scholar 

  28. Cook WW, Medley DM: Proposed hostility and Pharisaic-virtue scales for the MMPI.Journal of Applied Psychology. 1954,38:414–418.

    Article  Google Scholar 

  29. Guyll M, Contrada RJ: Trait hostility and ambulatory cardiovascular activity: Responses to social interaction.Health Psychology. 1998,17:30–39.

    Article  PubMed  CAS  Google Scholar 

  30. Weidner G, Friend R, Ficarrotto TJ, Mendell NR: Hostility and cardiovascular reactivity to stress in women and men.Psychosomatic Medicine. 1989,51:36–45.

    PubMed  CAS  Google Scholar 

  31. Baron RM, Kenny DA: The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations.Journal of Personality and Social Psychology. 1986,51:1173–1182.

    Article  PubMed  CAS  Google Scholar 

  32. MacKinnon DP, Lockwood CM, Hoffman JM, West SG, Sheets V: A comparison of methods to test mediation and other intervening variable effects.Psychological Methods. 2002,7(1):83–104.

    Article  PubMed  Google Scholar 

  33. Uchino BN, Holt-Lunstad J, Uno D, Flinders JB: Heterogeneity in the social networks of young and older adults: Prediction of mental health and cardiovascular reactivity during acute stress.Journal of Behavioral Medicine. 2001,24:361–382.

    Article  PubMed  CAS  Google Scholar 

  34. Uno D, Uchino BN, Smith TW: Relationship quality moderates the effect of social support given by close friends on cardiovascular reactivity in women.International Journal of Behavioral Medicine. 2002,9:243–262.

    Article  PubMed  Google Scholar 

  35. Gambone GC, Contrada RC: Patterns of self-and other-representation in trait hostility.Journal of Social and Clinical Psychology. 2002,21:546–565.

    Article  Google Scholar 

  36. Smith TW, Pope MK, Sanders JD, Allred KD, O'Keeffe JL: Cynical hostility at home and work: Psychosocial vulnerability across domains.Journal of Research in Personality. 1988,22:525–548.

    Article  Google Scholar 

  37. Fritz HL,Nagurney AJ,Helgeson VS: Social interactions and cardiovascular reactivity during problem disclosure among friends.Personality and Social Psychology Bulletin. 2003,29:713–725.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Richard J. Contrada Ph.D..

Additional information

Yung Chen is now at Duke University Medical Center. Suzanne Gilligan is now at the Consortium for Advanced Psychological Training, Michigan State University. Elliot Coups is now at Memorial Sloan-Kettering Cancer Center, Department of Psychiatry and Behavioral Sciences.

About this article

Cite this article

Chen, Y.Y., Gilligan, S., Coups, E.J. et al. Hostility and perceived social support: interactive effects on cardiovascular reactivity to laboratory stressors. ann. behav. med. 29, 37–43 (2005). https://doi.org/10.1207/s15324796abm2901_6

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1207/s15324796abm2901_6

Keywords

Navigation