Journal of Behavioral Medicine

, Volume 23, Issue 3, pp 229–243 | Cite as

Hostility Predicts Magnitude and Duration of Blood Pressure Response to Anger

  • Barbara L. Fredrickson
  • Kimberly E. Maynard
  • Michael J. Helms
  • Thomas L. Haney
  • Ilene C. Siegler
  • John C. Barefoot


The hypothesis that hostile and nonhostile individuals would differ in both magnitude and duration of cardiovascular reactivity to relived anger was tested. Participants were 66 older adults (mean age, 62; 38 women and 28 men; 70% Caucasian American, 30% African American). Each took part in a structured interview scored using the Interpersonal Hostility Assessment Technique. Later each relived a self-chosen anger memory while heart rate and systolic and diastolic blood pressures were measured continuously using an Ohmeda Finapres monitor. Hostile participants had larger and longer-lasting blood pressure responses to anger. African Americans also showed longer-lasting blood pressure reactivity to anger. Health and measurement implications are discussed.

anger cardiovascular reactivity cardiovascular recovery hostility Ohmeda Finapres monitor older adults 


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  1. Ax, A. A. (1953). The physiological differentiation between fear and anger in humans. Psychosom. Med. 15: 433-442.Google Scholar
  2. Barefoot, J. C. (1992). Developments in the measurement of hostility. In Freidman, H. S. (ed.), Hostility, Coping & Health, American Psychological Association, Washington, DC, pp. 13-31.Google Scholar
  3. Barefoot, J. C., Beckman, J. C., Haney, T. L., Siegler, I. C., and Lipkus, I. M. (1993). Age differences in hostility among middle-aged and older adults. Psychol. Aging 8: 3-9.Google Scholar
  4. Barefoot, J. C., Patterson, J. C., Haney, T. L., Cayton, T. G., Hickman, J. R., and Williams, R. B. (1994). Hostility in asymptomatic men with angiographically confirmed coronary artery disease. Am. J. Cardiol. 74: 439-442.Google Scholar
  5. Brummett, B. H., Maynard, K. E., Babyak, M. A., Haney, T. L., Siegler, I. C., Helms, M. J., and Barefoot, J. C. (1998). Measures of hostility as predictors of facial affect during social interaction. Ann. Behav. Med. 20: 168-173.Google Scholar
  6. Dembroski, T. M., MacDougall, J. M., Costa, P. T., and Grandits, G. A. (1989). Components of hostility as predictors of sudden death myocardial infarction in the Multiple Risk Factor Intervention Trial.Psychosom. Med. 51: 514-522.Google Scholar
  7. Durel, L. A., Carver, C. S., Spitzer, S. B., Llabre, M. M., Weintraub, J. K., Saab, P. G., and Schneiderman, N. (1989). Associations of blood pressure with self-report measures of anger and hostility among black and white men and women. Health Psychol. 8: 557-575.Google Scholar
  8. Ekman, P. (1984). Expression and the nature of emotion. In Scherer, K. R., and Ekman, P. (eds.), Approaches to Emotion, Lawrence Erlbaum, Hillsdale, NJ, pp. 319-343.Google Scholar
  9. Ekman, P., Friesen, W. V., and Ancoli, S. (1980). Facial signs of emotional experience. J. Person. Soc. Psychol. 39: 1124-1134.Google Scholar
  10. Fredrickson, B. L., and Levenson, R. W. (1998). Positive emotions speed recovery from the cardiovascular sequelae of negative emotions. Cognit. Emot. 12: 191-220.Google Scholar
  11. Fredrickson, B. L., Mancuso, R. A., Branigan, C., and Tugade, M.M. (2000). The undoing effect of positive emotions (submitted for publication).Google Scholar
  12. Gerin, W., Pieper, C., and Pickering, T. G. (1993). Measurement reliability of cardiovascular change scores: A comparison of intermittent and continuous methods of assessment. J. Psychosom. Res. 37: 493-501.Google Scholar
  13. Godaert, G. (1995). Application in psychophysiology of a noninvasive, continuous blood pressure measurement method. Homeostasis Health Dis. 36: 130-138.Google Scholar
  14. Haney, T. L., Maynard, K. E., Houseworth, S. J., Scherwitz, L.W., Williams, R. B., and Barefoot, J. C. (1996). Interpersonal hostility assessment technique: Description and validation against the criterion of coronary artery disease. J. Person. Assess. 66: 386-401.Google Scholar
  15. Jennings, J. R., Kamarck, T., Stewart, C., Eddy, M., and Johnson, P. (1992). Alternative cardiovascular baseline assessment techniques: Vanilla or resting baseline. Psychophysiology 29: 742-750.Google Scholar
  16. Kaplan, J. R., Manuck, S. B., Williams, J. K., and Strawn, W. (1993). Psychosocial influences on atherosclerosis: Evidence for effects and mechanisms in nonhuman primates. In Blascovich, J., and Katkin, E. S. (eds.), Cardiovascular Reactivity to Psychological Stress and Disease, American Psychological Association, Washington, DC, pp. 3-26.Google Scholar
  17. Larsen, R. J., and Fredrickson, B. L. (1999). Measurement issues in emotion research. In Kahneman, D., Diener, E., and Schwarz, N. (eds.), Well-Being: The Foundations of Hedonic Psychology, Russell Sage, New York, pp. 40-60.Google Scholar
  18. Lawler, K. A., Harralson, T. L., Armstead, C. A., and Schmied, L. A. (1993). Gender and cardiovascular responses:What is the role of hostility? J. Psychosom. Res. 37: 603-613.Google Scholar
  19. Lazarus, R. S. (1991). Emotion and Adaptation, Cambridge University Press, Cambridge.Google Scholar
  20. Levenson, R.W., Carstensen, L. L., Friesen, W. V., and Ekman, P. (1991). Emotion, physiology, and expression in old age. Psychol. Aging 6: 28-35.Google Scholar
  21. Linden, W., Earle, T. L., Gerin, W., and Christenfeld, N. (1997). Physiological stress reactivity and recovery: Conceptual siblings separated at birth? J. Psychosom. Res. 42: 117-135.Google Scholar
  22. Matthews, K. A., Glass, D. C., Rosenman, R. H., and Bortner, R.W. (1977). Competitive drive, pattern A, and coronary heard disease: A further analysis of some data from the Western Collaborative Group Study. J. Chron. Dis. 30: 489-498.Google Scholar
  23. Ortony, A., Clore, G. L., and Collins, A. (1988). The Cognitive Structure of Emotions, Cambridge University Press, Cambridge.Google Scholar
  24. Rosenberg, E. L., Ekman, P. E., and Blumenthal, J. A. (1998). Facial expression and the affective component of cynical hostility in male coronary heart disease patients. Health Psychol. 17: 376-380.Google Scholar
  25. Rosenman, R. H. (1978). The interview method of assessment of the coronary-prone behavior pattern. In Dembroski, T. M., Weiss, S. M., Shields, J. L., and Feinleib, M. (eds.), Coronary Prone Behavior, Springer-Verlag, New York, pp. 55-69.Google Scholar
  26. Rusting, C. A., and Nolen-Hoeksema, S. (1998). Regulating responses to anger: Effects of rumination and distraction on angry mood. J. Person. Soc. Psychol. 74: 790-803.Google Scholar
  27. Schuler, J. L. H., and O'Brien, W. H. (1997). Cardiovascular recovery from stress and hypertension risk factors: A meta-analytic review. Psychophysiology 34: 649-659.Google Scholar
  28. Schwartz, G. E., Weinberger, D. A., and Singer, J. A. (1981). Cardiovascular differentiation of happiness, sadness, anger and fear following imagery and exercise. Psychosom. Med. 43: 343-364.Google Scholar
  29. Siegman, A.W. (1993). Cardiovascular consequences of expressing, experiencing, and repressing anger. J. Behav. Med. 16: 539-569.Google Scholar
  30. Sinha, R., Lovallo, W. R., and Parsons, O.A. (1992). Cardiovascular differentiation of emotions. Psychosom. Med. 54: 422-435.Google Scholar
  31. Smith, T.W. (1992). Hostility and health: Current status of a psychosomatic hypothesis. Health Psychol. 11: 139-150.Google Scholar
  32. Spence, J. D., Barnett, P. A., Manuck, S. B., and Jennings, J. R. (1996). Psychological stress and the progression of carotid atherosclerosis. Stroke 27: 155.Google Scholar
  33. Suarez, E. C., and Williams, R. B. (1989). Situational determinants of cardiovascular and emotional reactivity in high and low hostile men. Psychosom. Med. 51: 401-418.Google Scholar
  34. Suarez, E. C., and Williams, R. B. (1990). The relationship between dimensions of hostility and cardiovascular reactivity as a function of task characteristics. Psychosom. Med. 52: 558-570.Google Scholar
  35. Suls, J., and Wan, C. K. (1993). The relationship between trait hostility and cardiovascular reactivity: A quantitative review and analysis. Psychophysiology 30: 615-626.Google Scholar
  36. Tugade, M. M., and Fredrickson, B. L. (1997). Individual differences in vagal tone predict cardiovascular recovery from sadness. Psychophysiology 34: S90 (abstract).Google Scholar
  37. Vitaliano, P. P., Russo, J., Paulsen, V. M., and Bailey, S. L. (1995). Cardiovascular recovery from laboratory stress: Biopsychosocial concomitants in older adults. J. Psychosom. Res. 39: 361-377.Google Scholar
  38. Williams, R. B., Barefoot, J. C., and Shekelle, R. B. (1985). The health consequences of hostility. In Chesney, M. A., and Rosenman, R. H. (eds.), Anger and Hostility in Cardiovascular and Behavioral Disorders, Hemisphere, Washington, DC, pp. 173-185.Google Scholar

Copyright information

© Plenum Publishing Corporation 2000

Authors and Affiliations

  • Barbara L. Fredrickson
    • 1
  • Kimberly E. Maynard
    • 2
  • Michael J. Helms
    • 2
  • Thomas L. Haney
    • 2
  • Ilene C. Siegler
    • 2
  • John C. Barefoot
    • 2
  1. 1.Department of PsychologyUniversity of MichiganAnn Arbor
  2. 2.Duke University Medical CenterUSA

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