Journal of Behavioral Medicine

, Volume 20, Issue 2, pp 163–176 | Cite as

Hostility, Social Support, and Ambulatory Cardiovascular Activity

  • Eric G. Benotsch
  • Alan J. Christensen
  • Laura McKelvey
Article

Abstract

The present study compared ambulatory blood pressure in male and female subjects preselected for high and low hostility levels and investigated interpersonal daily stress as a possible mediational mechanism. Ambulatory blood pressure and heart rate were measured in 48 male and female students previously classified as high or low on the Cook-Medley Hostility (Ho) Scale. Subjects wore an ambulatory monitor for a working day and also completed measures of perceived social support, daily interpersonal stress, and health behavior information. Results indicated that subjects scoring high on the Ho scale had higher mean levels of ambulatory systolic blood pressure than low Ho subjects, even when controlling for traditional risk factors, such as cigarette smoking. High Ho subjects also reported greater daily interpersonal stress and less social support than low Ho subjects. Perceived interpersonal stress partially accounted for the relationship between hostility and blood pressure. Subjects high in hostility showed greater mean ambulatory systolic blood pressure levels. Consistent with the transactional model of hostility and health, the relationship between hostility and blood pressure appears to be partially accounted for by the daily experience of interpersonal stress.

hostility blood pressure stress social support 

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REFERENCES

  1. Barefoot, J. C., Dahlstrom, W. G., and Williams, R. B. (1983). Hostility, CDH incidence, and total mortality: A 25-year follow-up study of 255 physicians. Psychosom. Med. 45: 59–63.Google Scholar
  2. Barefoot, J. C., Dodge, K. A., Peterson, B. L., and Williams, R. B. (1989). The Cook-Medley hostility scale: Item content and ability to predict survival. Psychosom. Med. 51: 46–57.Google Scholar
  3. Brantley, P. J., Waggoner, C. D., Jones, G. N., and Rappaport, N. B. (1987). A daily stress inventory: Development, reliability, and validity. J. Behav. Med. 10: 61–74.Google Scholar
  4. Christensen, A. J., and Smith, T. W. (1993). Cynical hostility, self-disclosure and cardiovascular reactivity. Psychosom. Med. 55: 193–202.Google Scholar
  5. Cohen, S., and Hoberman, H. M. (1983). Positive events and social supports as buffers of life stress change. J. Appl. Soc. Psychol. 13: 99–125.Google Scholar
  6. Conway, J., and Coats, A. (1989). Value of ambulatory blood pressure monitoring in clinical pharmacology. J. Hypertens. 7(Suppl. 3): S29–S32.Google Scholar
  7. Cook, W. W., and Medley, D. M. (1954). Proposed hostility and pharisaic-virtue scales for the MMPI. J. Appl. Soc. Psychol. 13: 99–125.Google Scholar
  8. Devereux, R. B., Pickering, T. G., Harshfield, G. A., Kleinert, H. D., Denby, L., Clark, L., Pregibon, D., Jason, M., Kleiner, B., Borer, J. S., and Laragh, J. H. (1983). Left ventricular hypertrophy in patients with hypertension: Importance of blood pressure response to regularly recurring stress. Circulation 68: 470–476.Google Scholar
  9. Hardy, J. D., and Smith, T. W. (1988). Cynical hostility and vulnerability to disease: Social support, life stress, and physiological response to conflict. Health Psychol. 7: 447–459.Google Scholar
  10. Houston, B. K., and Kelley, K. E. (1989). Hostility in employed women: Relation to work, and marital experiences, social support, stress and anger expression. Pers. Soc. Psychol. Bull. 15: 175–182.Google Scholar
  11. Jamner, L. D., Shapiro, D., Goldstein, I. B., and Hug, R. (1991). Ambulatory blood pressure and heart rate in paramedics: Effects of cynical hostility and defensiveness. Psychosom. Med. 53: 393–406.Google Scholar
  12. Kuskenvuo, M., Kapiro, J., Rose, R. J., Kesnaiemi, A., Sarnaa, S., Heikkila, K., and Langinvanio, H. (1988). Hostility as a risk factor for mortality and ischemic heart disease in men. Psychosom. Med. 50: 330–340.Google Scholar
  13. Lepore, S. J. (1995). Cynicism, social support, and cardiovascular reactivity. Health Psychol. 14: 210–216.Google Scholar
  14. Linden, W., Chambers, L., Maurice, J., and Lenz, J. W. (1993). Sex differences in social support, self-deception, hostility, and ambulatory cardiovascular activity. Health Psychol. 12: 376–380.Google Scholar
  15. Matthews, K. A. (1988). Coronary heart disease and type A behaviors: Update on and alternative to the Booth-Kewley and Friedman (1987) quantitative review. Psychol. Bull. 104: 373–380.Google Scholar
  16. McCranie, E. W., Watkins, L. O., Brandsma, J. M., and Sisson, B. D. (1986). Hostility, coronary heart disease (CHD) incidence and total mortality: Lack of association in a 25-year follow-up study of 478 physicians. J. Behav. Med. 9: 119–125.Google Scholar
  17. Perloff, D., Sokolow, M., and Cowan, R. (1983). The prognostic value of ambulatory blood pressures. JAMA 249: 2792–2798.Google Scholar
  18. Perloff, D., Sokolow, M., Cowan, R. M., and Juster, R. P. (1989). Prognostic value of ambulatory blood pressure measurements: Further analyses. J. Hypertens. 7: S3–S10.Google Scholar
  19. Pickering, T. G. (1993). Applications of ambulatory blood pressure monitoring in behavioral medicine. Ann. Behav. Med. 15: 26–32.Google Scholar
  20. Pope, M. K., Smith, T. W., and Rhodewalt, F. (1990). Cognitive, behavioral, and affective correlates of the Cook and Medley hostility scale. J. Pers. Assess. 54: 501–514.Google Scholar
  21. Sallis, J. F., Johnson, C. C., Trevorrow, T. R., Kaplan, R. M., and Melbourne, F. H. (1987). The relationship between cynical hostility and blood pressure reactivity. J. Psychosom. Res. 31: 111–116.Google Scholar
  22. Schneiderman, N., and McCabe, P. M. (1989). Psychophysiologic strategies in laboratory research. In Schneiderman, N., Weiss, S. M., and Kaufmann, P. G. (eds.), Handbook of Research Methods in Cardiovascular Behavioral Medicine, Plenum, New York, pp. 349–364.Google Scholar
  23. Shekelle, R. B., Gale, M., Ostfeld, A. M., and Paul, O. (1983). Hostility, risk of coronary heart disease and mortality. Psychosom. Med. 45: 109–114.Google Scholar
  24. Smith, T. W. (1992). Hostility and health: Current status of a psychosomatic hypothesis. Health Psychol. 11: 139–150.Google Scholar
  25. Smith, T. W., and Allred, K. D. (1989). Blood-pressure responses during social interactions in high-and low-cynically hostile males. J. Behav. Med. 12: 135–143.Google Scholar
  26. Smith, T. W., and Brown, P. C. (1991). Cynical hostility, attempts to exert social control, and cardiovascular reactivity in married couples. J. Behav. Med. 14: 135–143.Google Scholar
  27. Smith, T. W., and Christensen, A. J. (1992). Cardiovascular reactivity and interpersonal relations: Psychosomatic processes in social context. J. Soc. Clin. Psychol. 11: 279–301.Google Scholar
  28. Smith, T. W., and Frohm, K. D. (1985). What's so unhealthy about hostility? Construct validity and psychosocial correlates of the Cook and Medley Ho Scale. Health Psychol. 4: 503–520.Google Scholar
  29. Smith, T. W., and Houston, B. K. (1987). Hostility, anger, expression, cardiovascular responsivity, and social support. Bio. Psychol. 24: 39–48.Google Scholar
  30. Smith, T. W., and Pope, M. K. (1990). Cynical hostility as a health risk: Current status and future directions. J. Soc. Behav. Pers. 5: 77–88.Google Scholar
  31. Smith, T. W., Pope, M. K., Sanders, J. D., Allred, K. D., and O'Keeffe, J. L. (1988). Cynical hostility at home and work: Psychosocial vulnerability across domains. J. Res. Pers. 22: 525–548.Google Scholar
  32. Suarez, E. C., and Williams, R. B. (1989). Situational determinants of cardiovascular and emotional reactivity in high and low hostile men. Psychom. Med. 51: 404–418.Google Scholar
  33. Suls, J., and Martin, R. (1993). Daily recording and ambulatory monitoring methodologies in behavioral medicine. Ann. Behav. Med. 15: 3–7.Google Scholar
  34. Turner, J. R., Ward, M. M., Gellman, M. D., Johnston, D. W., Light, K. C., and von Doornen, L. J. P. (1994). The relationship between laboratory and ambulatory cardiovascular activity: Current evidence and future directions. Ann. Behav. Med. 16: 12–23.Google Scholar
  35. Ward, M. M., Turner, J. R., and Johnston, D. W. (1994). Temporal stability of ambulatory cardiovascular monitoring. Ann. Behav. Med. 16: 3–11.Google Scholar
  36. 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 1997

Authors and Affiliations

  • Eric G. Benotsch
    • 1
  • Alan J. Christensen
    • 1
  • Laura McKelvey
    • 1
  1. 1.Department of PsychologyThe University of IowaIowa City

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