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Journal of Behavioral Medicine

, Volume 28, Issue 5, pp 443–454 | Cite as

Suppressed Hostility Predicted Hypertension Incidence Among Middle-Aged Men: The Normative Aging Study

  • Jianping ZhangEmail author
  • Raymond Niaura
  • John F. Todaro
  • Jeanne M. McCaffery
  • Biing-Jiun Shen
  • Avron SpiroIII
  • Kenneth D. Ward
Article

This study tested whether suppressed hostility predicted incident hypertension (HTN) in initially nonhypertensive men, using prospective data from the Normative Aging Study. Six hundred twenty-seven men who completed the MMPI and participated in a subsequent laboratory assessment were included in the study. The Cook–Medley Hostility scale (Ho), a suppression factor, and other risk factors were used to predict incident HTN over a 3-year period. Logistic regression showed a significant three-way interaction among Ho, suppression, and age in predicting incident HTN. Among middle-aged men (≤60 years) with higher suppression, a 1-point decrease in the Ho score was associated with an 18% increase in HTN risk. This relationship remained significant after controlling for relevant risk factors. Among older participants, the Ho × Suppression interaction was not predictive of HTN incidence. These results provide support for the Suppressed Hostility hypothesis in middle-aged men.

KEY WORDS:

hostility suppression aging incident hypertension 

Notes

ACKNOWLEDGMENTS

The VA Normative Aging Study (NAS) is supported by the Cooperative Studies Program/ERIC, US Department of Veterans Affairs, and is a research component of the Massachusetts Veterans Epidemiology Research and Information Center (MAVERIC). Some of the data analyzed in this project were obtained with support provided by Grants HL37871 and AG02287

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Copyright information

© Springer Science+Business Media, Inc. 2005

Authors and Affiliations

  • Jianping Zhang
    • 1
    • 5
    Email author
  • Raymond Niaura
    • 2
  • John F. Todaro
    • 2
  • Jeanne M. McCaffery
    • 2
  • Biing-Jiun Shen
    • 2
  • Avron SpiroIII
    • 3
  • Kenneth D. Ward
    • 4
  1. 1.Department of PsychologyIndiana University – Purdue UniversityIndianapolisU.S.
  2. 2.Brown Medical School and the Miriam HospitalProvidenceRhode Island
  3. 3.Boston University School of Public Health and Boston VA Healthcare SystemBostonUSA
  4. 4.University of MemphisMemphisTennessee
  5. 5.Department of PsychologyIndiana University – Purdue University IndianapolisIndianapolisUSA

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