Effect of trait hostility on cardiovascular responses to harassment in young men

  • Susan A. Everson
  • Barbara S. McKey
  • William R. Lovallo


Hostile individuals may experience more extreme and frequent episodes of anger than nonhostile persons and thus may have exaggerated physiological responses to their environments. Such responses may be associated with increased risk of cardiovascular disease. This study examined cardiovascular responses of 24 low-versus 21 high-hostile young men to a mental arithmetic task administered with and without provocation in a 2 x 2 (Groups x Tasks) repeated measure design. Hostility classifications were based on weighted interview ratings of Potential for Hostility. As predicted, high-hostile men showed differentially greater heart rate, blood pressure, and rate-pressure product changes only in response to the task administered with harassment (ps > .05). Similarly, high-hostile men reported more distress, tenseness, irritation, and greater concentration during the harassing task, compared to low-hostile men (ps > .051) Also, the harassing task elicited greater increases in vascular resistance and greater decreases in stroke volume for all subjects, relative to the neutral task (ps> .003). Results suggest that hostile persons faced with anger-evoking situations may produce a constellation of exaggerated cognitive-emotional and cardiovascular responses consistent with increased risk of cardiovascular disease.

Key words

Potential for Hostility (PH) harassment cardiovascular reactivity impedance cardiography Type A Cook-Medley Ho Scale mood 


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  1. Allen, M. T., Obrist, P. A., Sherwood, A., & Crowell, M. D. (1987), Evaluation of myocardial and peripheral vascular responses during reaction time, mental arithmetic and cold pressor tasks, Psychophysiology, 24, 648–656.PubMedCrossRefGoogle Scholar
  2. Allred, K. D., & Smith, T. W. (1991), Social cognition and cynical hostility. Cognitive Therapy and Research, 15, 399–412.CrossRefGoogle Scholar
  3. Rarefool, J. C., Dahlstrom, W. C., & Williams, R. B., Jr. (1983). Hostility, CHD incidence and total mortality: A 25-year follow-up study of 255 physicians. Psychosomatic Medicine, 45, 59–61Google Scholar
  4. Cook, W. W., & Medley, D. M. (1954). Proposed hostility and Pharisaic-virtue scales for the MMPI. Journal of Applied Psychology, 38, 414–418.CrossRefGoogle Scholar
  5. Dembroski, T. M., & Costa, P. T., Jr. (1987). Coronary prone behavior: Components of the Type A pattern and hostility. Journal of Personality, 55, 211–235.PubMedCrossRefGoogle Scholar
  6. Dembroski, T M., MacDougall, J. M., Costa, P. T., Jr., & Grandits. G. A. (1989). Components of hostility as predictors of sudden death and myocardial infarction in the Multiple Risk Factor Intervention Trial. Psychosomatic Medicine, 51, 514–522.PubMedGoogle Scholar
  7. Dembroski, T. M., MacDougall, J. M., Herd, J. A., & Shields, J. L. (1979). Effects of level of challenge on pressor and heart rale responses in Type A and B subjects. Journal of Applied Social Psychology, 9, 209–228.CrossRefGoogle Scholar
  8. Dembroski, T. M., MacDougall, J. M., Shields, J. L., Petitto, J., & Lushene, R. (1978), Components of the Type A coronary-prone behavior pattern and cardiovascular responses to psychomotor performance challenge. Journal of Behavioral Medicine, 1, 159–176.PubMedCrossRefGoogle Scholar
  9. Diamond, E. L. (1982). The role of anger and hostility in essential hypertension and coronary heart disease. Psychological Bulletin, 92, 410–433.PubMedCrossRefGoogle Scholar
  10. Diamond, E. L., Schneiderman, N., Schwartz, D., Smith. J. C., Vorp, R., & Pasin, R. D. (1984) Harassment, hostility, and Type A as determinants of cardiovascular reactivity during competition. Journal of Behavioral Medicine, 7, 171–189.PubMedCrossRefGoogle Scholar
  11. Everson, S. A., Lovallo, W. R., Pincomb, G. A., Kizakevich, P. & Wilson, M. F. (1991). Validation of an ensemble-averaged impedance cardiogram for estimation of stroke volume. Proceedings of the IEEE, Engineering in Medicine & Biology 13th Annual International Conference, 13, 801–802CrossRefGoogle Scholar
  12. Hardy, J. H., & Smith, T. W. (1988). Cynical hostility and vulnerability to disease: Social support, life stress, and physiological response to conflict. Health Psychology, 7, 447–459.PubMedCrossRefGoogle Scholar
  13. Heather, L. W. (1969). A comparison of cardiac output values by the impedance cardiograph and dye dilution techniques in cardiac patients. In W. G. Kubicek, D. A. Witsoe, R. P. Patterson, & A. H. L. From (Eds.), Development and evaluation of an impedance cardiographic system to measure cardiac output and other cardiac parameters (NASA-CR-101956, pp. 247–238). Houston, TX: National Aeronautics and Space Administration.Google Scholar
  14. Krantz, D. S. & Manuck, S. B. (1984). Acute psychophysiologic reactivity and risk of cardiovascular disease: A review and methodologic critique. Psychological Bulletin, 96, 435–464.PubMedCrossRefGoogle Scholar
  15. Kubicek, W. G., Kottke, F. J., Ramos, M. V., Patterson, R. P., Witsoe, D. A., Labree. J. W., Remole, W., Layman. T. E., Schwening, H., & Garamella, J. T. (1974). The Minnesota impedance cardiograph-theory and applications. Biomedical Engineering, 9, 410–416.PubMedGoogle Scholar
  16. Lovallo, W. R., & Wilson, M. F. (1992). The role of cardiovascular reactivity in hypertension risk. In J. R. Turner, A. Sherwood, & K. C. Light (Eds.), Individual differences in cardiovascular response to stress (pp. 165–186). New York: Plenum.Google Scholar
  17. Lovallo, W. R., Wilson, M. F., Pincomb, G. A., Edwards, G. L., Tompkins, P., & Brackett. D. J. (1985). Activation patterns to aversive stimulation in man: Passive exposure versus effort to control, Psychophysiology, 22, 283–291.PubMedCrossRefGoogle Scholar
  18. Lundberg, U. (1980). Catecholamine and Cortisol excretion under psychologically different laboratory conditions. In E. Usdin, R. Kvetnansky. & I. J. Kopin (Eds.), Catecholamines and stress; Recent advances (pp. 455–460). New York: Elsevier North Holland.Google Scholar
  19. Roseaman, R. H. (1977). The interview method of assessment of the coronary-prone behavior pattern, In T. M. Dembroski (Ed.), Proceedings of the Forum on Coronary-Prime Behavior (DHEW Publication No, NIH 78-1457. pp. 83–103). Washington, DC: U.S. Government Printing Office.Google Scholar
  20. Sallis, J. F., Johnson, C. C., Treverrow, T. R., Kaplan, R. M., & Hovell, M. F. (1987). The relationship between cynical hostility and blood pressure reactivity. Journal of Psychosomatic Research, 31, 11l-l16.CrossRefGoogle Scholar
  21. Schachter, J. (1957). Pain, fear, and anger in hypertensives and normotensives: A psychophysiologic study. Psychosomatic Medicine, 19, 17–29.PubMedGoogle Scholar
  22. Scherwitz, L., Perkins, L., Chesney, M., & Hughes, G. (1991). Cook-Medley Hostility Scale and subsets: Relationship to demographic and psychosocial characteristics in young adults in the CARDIA study. Psychosomatic Medicine, 53, 36–49.PubMedGoogle Scholar
  23. Schwartz, G. E., Weinberger, D. A., & Singer, J. A. (1981). Cardiovascular differentiation of happiness, sadness, anger, and fear following imagery and exercise. Psychosomatic Medicine, 43, 343–364.PubMedGoogle Scholar
  24. Shekelle, R. B., Gale, M., Ostfeld, A. M., & Paul, O. (1983). Hostility, risk of coronary heart disease, and mortality. Psychosomatic Medicine, 45, 109–114.PubMedGoogle Scholar
  25. Sherwood, A., Allen, M. T., Fahrenberg, J., Kelsey, R. M., Lovallo, W. R., & van Doornen, L. J. P. (1990). Methodological guidelines for impedance cardiography. Psychophysiology, 27, 1–23.PubMedCrossRefGoogle Scholar
  26. Sinha, R., Lovallo, W. R., & Parsons, O. A. (1992). Cardiovascular differentiation of emotions. Psychosomatic Medicine, 54, 422–435PubMedGoogle Scholar
  27. Smith, M. A., & Houston, B. K. (1987). Hostility, anger expression, cardiovascular responsivity, and social support. Biological Psychology, 24, 39–48.PubMedCrossRefGoogle Scholar
  28. Smith, T. W. (1989) Interactions, transactions, and the Type A pattern: Additional avenues in the search for coronary-prone behavior. In A. W. Siegman & T. M. Dembroski (Eds), In Search of Coronary-Prone Behavior: Beyond Type A (pp. 91–116). Hillsdale, NJ: Lawrence Erlbaum Associates. Inc.Google Scholar
  29. Smith, T. W. (1992). Hostility and health: Current status of a psychosomatic hypothesis. Health Psychology, 11, 139–150.PubMedCrossRefGoogle Scholar
  30. Smith, T. W., & Allred, K. D. (1989). Blood pressure reactivity during social interaction in high and low cynical hostile men. Journal of Behavioral Medicine, 11, 135–143.CrossRefGoogle Scholar
  31. Suarez, E. C., & Williams, R. B., Jr. (1989). Situational determinants of cardiovascular and emotional reactivity in high and low hostile men. Psychosomatic Medicine, 51, 404–418.PubMedGoogle Scholar
  32. Suls, J., & Sanders, G. S. (1989). Why do some behavioral styles place people at coronary risk? In A. W. Siegman & T. M. Dembroski (Eds.), In search of coronary-prone behavior: Beyond Type A (pp. 1–20). Hillsdale, NJ: Lawrence Erlbaum Associates, Inc.Google Scholar
  33. Suls, J., & Wan, C. K. (1993). The relationship between trait hostility and cardiovascular reactivity: A quantitative review and analysis. Psychophysiology, 30, 615–626.PubMedCrossRefGoogle Scholar
  34. Weidner, G., Friend, R., Ficarrotto, T. J., & Mendell, N. R. (1989). Hostility and cardiovascular reactivity to stress in women and men. Psychosomatic Medicine, 51, 36–45.PubMedGoogle Scholar
  35. Williams, R. B., Jr., Barefoot, J. C., & Shekelle, R. B. (1985). The health consequences of hostility. In M. A. Chesney & R. H. Rosenman (Eds.), Anger and hostility in cardiovascular and behavioral disorders (pp. 173–185). Washington, DC: Hemisphere.Google Scholar
  36. Williams, R. B., Jr., Haney, T. L., Lee, K. L., Kong. Y., Blumenthal, J. A., & Whalen, R. E. (1980). Type A behavior, hostility, and coronary atherosclerosis. Psychosomatic Medicine, 42, 539–549.PubMedGoogle Scholar
  37. Wilson, M. F., Sung, B. H., Pincomb, G. A., & Lovallo, W. R. (1989). Simultaneous measurement of stroke volume by impedance cardiography and nuclear ventriculography: Comparisons at rest and exercise, Annals of Biomedical Engineering, 17, 475–482.PubMedCrossRefGoogle Scholar
  38. Winer, B. J. (1971). Statistical principles in experimental design (2nd ed.). New York: McGraw-Hill.Google Scholar

Copyright information

© International Society of Behavioral Medicine 1995

Authors and Affiliations

  • Susan A. Everson
    • 1
    • 4
  • Barbara S. McKey
    • 2
  • William R. Lovallo
    • 3
  1. 1.Veterans Affairs Medical Center and Department of Psychiatry and Behavioral SciencesUniversity of Oklahoma Health Sciences CenterOklahoma CityUSA
  2. 2.Veterans Affairs Medical CenterOklahoma CityUSA
  3. 3.Veterans Affairs Medical Center and Department of Psychiatry and Behavioral SciencesUniversity of Oklahoma Health Sciences CenterOklahoma CityUSA
  4. 4.Human Population LaboratoryWestern Consortium for Public HealthBerkeley

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