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Hostility and health: Mediating effects of belief systems and coping styles

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Abstract

The present study investigates the relationship between hostility, health, belief systems, and ways of coping with anger, anxiety, and sadness in a college student sample. Hostility is of interest in the health psychology literature because it has been associated with coronary heart disease, other illnesses, and general mortality. The results reveal that relative to their low-hostility counterparts, individuals scoring high on the Cook and Medley Hostility Scale report poorer physical health and a belief system characterized by vindictiveness, pessimism, unrealistic expectations of the self and others, and a desire to avoid difficulties. They were also more likely to employ confrontive and escape-avoidance coping styles when dealing with anger and escapeavoidance strategies in coping with anxiety and sadness. Irrational beliefs and escapeavoidance coping with anger were found to play a mediating role in the relationship between hostility and health. Clinical implications of the findings are discussed.

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References

  • Alford, B.A., & Beck, A.T. (1997). The integrative power of cognitive therapy. New York: Guilford Press.

    Google Scholar 

  • Andrews, G., Schonell, M, & Tennant, C. (1977). The relationship between physical, psychological, and social morbidity in a suburban community. American Journal of Epidemiology, 105, 27–35.

    Google Scholar 

  • Barefoot, J.C., Dodge, K.A., Peterson, B.L., Dahlstrom, W.G., & Williams, R.B. (1989). The Cook-Medley Hostility Scale: Item content and ability to predict survival. Psychosomatic Medicine, 51, 46–57.

    PubMed  Google Scholar 

  • Baron, R.M., & Kenny D.A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.

    Article  PubMed  Google Scholar 

  • Beck, A.T. (1976). Cognitive therapy and the emotional disorders. New York: International Universities Press.

    Google Scholar 

  • Belloc, N.B., & Breslow, L. (1972). Relationship of physical health status and health practice. Preventive Medicine, 1, 409–421.

    Article  PubMed  Google Scholar 

  • Bellow, N.B., Breslow, L., & Hochstim, J.R. (1971). Measurement of physical health in a general population survey. American Journal of Epidemiology, 93, 328–336.

    Google Scholar 

  • Benotsch, E.G., Christiansen, A.J., & McKelvey, L. (1997). Hostility, social support, and ambulatory cardiovascular activity. Journal of Behavioral Medicine, 20, 163–182.

    Article  PubMed  Google Scholar 

  • Berkman, L.F., & Syme, S.L. (1979). Social networks, host resistance, and mortality: A nine-year followup study of Alameda County residents. American Journal of Epidemiology, 109, 186–204.

    PubMed  Google Scholar 

  • Burke, R.J. (1985). Beliefs and fears underlying Type A behavior: Correlates of time urgency and hostility. Journal of General Psychology, 112, 133–145.

    Article  PubMed  Google Scholar 

  • Chen, E., & Matthews, K.A. (2001). Cognitive appraisal biases: An approach to understanding the relationship between socioeconomic status and cardiovascular reactivity in children. Annals of Behavioral Medicine, 23, 101–111.

    Article  PubMed  Google Scholar 

  • Chesney, M.A. & Rosenman, R.H. (Eds.). (1985). Anger and hostility in cardiovascular and behavioral disorders. New York: Hemisphere.

    Google Scholar 

  • Cook, W.W., & Medley, D.M. (1954). Proposed hostility and pharisaic-virtue scales for the MMPI. Journal of Applied Psychology, 38, 414–418.

    Article  Google Scholar 

  • Deffenbacher, J.L. (1994). Anger reduction: Issues, assessment, and intervention strategies. In A.W. Siegman, & T.W. Smith (Eds.), Anger, hostility, and the heart (pp. 239–269). Hillsdale, NJ: Lawrence Erlbaum.

    Google Scholar 

  • Ellis, A. (1962). Reason and emotion in psychotherapy. New York: Lyle & Stuart.

    Google Scholar 

  • Ellis, A., & Dryden, W. (1987). The practice of rational emotive therapy. New York: Springer.

    Google Scholar 

  • Flory, J.D., Matthews, K.A., & Owens, J.F. (1998). A social information processing approach to dispositional hostility: Relationships with negative mood and blood pressure elevations at work. Journal of Social and Clinical Psychology, 17, 491–504.

    Google Scholar 

  • Folkman, S., & Lazarus, R.S. (1988). Manual for the Ways of Coping Questionnaire. Palo Alto, CA: Consulting Psychologists Press.

    Google Scholar 

  • Fredrikson, B.L., Maynard, K.E., Helms, M.J., Haney, T.L., Siegler, I.C., & Barefoot, J.C. (2000). Hostility predicts magnitude and duration of blood pressure responses to anger. Journal of Behavioral Medicine, 23, 229–243.

    Article  Google Scholar 

  • Friedman, H.S. (Ed.). (1992). Hostility, coping, and health. Washington, D.C.: American Psychological Association.

    Google Scholar 

  • Friedman, M., Thorsen, C.E., Gill, J.J., Ulmer, D., Powell, L.H, Price, V., Brown, B., Thompson, L., Rabiin, D.D., Breall, W. S., Gourg, E., Levy, R.A., & Dixon, T. (1986). Alternation of Type A behavior and its effect on cardiac recurrences in post myocardial infarction patients: Summary results of the Recurrent Coronary Prevention Project. American Heart Journal, 112, 653–665.

    Article  PubMed  Google Scholar 

  • Friedman, M., & Ulmer, D. (1984). Treating Type A behavior and your heart. New York: Ballantine.

    Google Scholar 

  • Gabbay, F.H., Krantz, D.S., Kop, W.J., Hedges, S.M., Klein, J., Gottdierner, J.S., & Rozanski, A. (1996). Triggers of myocardial ischemia during daily life in patients with coronary artery disease: Physical and mental activities, anger, and smoking. Journal of the American College of Cardiology, 27, 585–592.

    Article  PubMed  Google Scholar 

  • Gallo, L.C., & Matthews, K.A. (2003). Understanding the association between socioeconomic status and physical health. Do negative emotions play a role? Psychological Bulletin, 129, 10–51.

    Article  PubMed  Google Scholar 

  • Gallo, L.C., & Smith, T.W. (1999). Patterns of hostility and social support: Conceptualizing psychosocial risk factors as characteristics of the person and the environment. Journal of Research in Personality, 33, 281–310.

    Article  Google Scholar 

  • Gremigni, P., Bettinardi, O., & Bitti, P.E. (2000). Dimensioni personali e stili di coping in pazienti cardiooperati. Psicoterapia Cognitiva e Comportamentale, 6, 219–231.

    Google Scholar 

  • Guyll, M., & Contrada, R.J. (1998). Trait hostility and ambulatory cardiovascular activity: Responses to social interaction. Health Psychology, 17, 30–39.

    Article  PubMed  Google Scholar 

  • Helmers, K.F., & Krantz, D.S. (1996). Defensive hostility, gender and cardiovascular levels and responses to stress. Annals of Behavioral Medicine, 18, 6–254.

    Article  Google Scholar 

  • Helmers, K.F., Krantz, D.S., Howell, R., Klein, J., Kop, W., Gottdiener, J., & Rozanski, A. (1995). Defensive hostility: Relationship to multiple markers of cardiac ischemia in patients with coronary disease. Health Psychology, 14, 202–209.

    Article  PubMed  Google Scholar 

  • Holahan, C.J., & Moos, R.H. (1986). Personality, coping, and family resources in stress resistance: A longitudinal analysis. Journal of Personality and Social Psychology, 51, 389–395.

    Article  PubMed  Google Scholar 

  • House, J.S., Landis, K.R., & Umberson, D. (1988). Social relationships and health. Science, 241, 540–545.

    Article  PubMed  Google Scholar 

  • Houston, B.K., & Kelly, K.E. (1989). Hostility in employed women: Relation to work and marital experience, social support, stress, and anger expression. Personality and Social Bulletin, 15, 178–193.

    Google Scholar 

  • Houston, B.K., & Vavak, C.R. (1991). Cynical hostility: Developmental factors, psychosocial correlates, and health behaviors. Health Psychology, 10, 9–17.

    Article  PubMed  Google Scholar 

  • Jamner, L.D., Schwartz, G.E., & Leigh, H. (1988). The relationship between repressive and defensive coping styles and monocyte, eosinophile, and serum glucose levels: Support for the opiod peptide hypothesis of repression. Psychosomatic Medicine, 50, 567–575.

    PubMed  Google Scholar 

  • Johnson, E. (1990). The deadly emotions: The role of anger, hostility, and aggression in health and emotional well-being. New York: Praeger.

    Google Scholar 

  • Jones, R.G. (1968). A factor measure of Ellis ' irrational belief systems with personality and maladjustment correlated. Wichita, KS: Test Systems.

    Google Scholar 

  • Jones, R.G. (1969). The Irrational Beliefs Test. Wichita, KS: Test Systems.

    Google Scholar 

  • Kamen-Siegel, L. Rodin, J., Seligman, M.E.,&, Dwyer, J. (1991). Explanatory style and cell-mediated immunity in elderly men and women. Health Psychology, 10, 229–235.

    Article  PubMed  Google Scholar 

  • Kiecolt-Glaser, J.K., McGuire, L., Robles, T.F., & Glaser, R. (2002). Emotions, morbidity, and mortality: New perspectives from psychoneuroimmunology. Annual Review of Psychology, 53, 83–107.

    Article  PubMed  Google Scholar 

  • Krantz, D.S., Hedges, S.M., Gabbay, F.H., Klein, J, Falconer, J.J., Mertz, C.N., Gottdiener, J.S., Lutz, H., & Rozanski, A. (1994). Triggers of angina and ST-segment depression in ambulatory patients with coronary artery disease: Evidence for an uncoupling of angina and ischemia. American Heart Journal, 128, 703–712.

    Article  PubMed  Google Scholar 

  • Krantz, D.S., & McCeney, M.K. (2002). Effects of psychological and social factors on organic disease: A critical assessment of research on coronary heart disease. Annual Review of Psychology, 53, 341–369.

    Article  PubMed  Google Scholar 

  • Lazarus, R.S., & Folkman, S. (1984a). Coping and adaptation. In W.D. Gentry (Ed.), The handbook of behavioral medicine (pp. 282–325). New York: Guilford Press.

    Google Scholar 

  • Lazarus, R.S., & Folkman, S. (1984b). Stress, appraisal, and coping. New York: Springer.

    Google Scholar 

  • Lepore, S.J. (1995). Cynicism, social support, and cardiovascular reactivity. Health Psychology, 14. 210–216.

    Article  PubMed  Google Scholar 

  • Lieker, G.R., & Hailey, B.J. (1988). A link between hostility and disease: Poor health habits? Behavioral Medicine, 3, 129–133.

    Article  Google Scholar 

  • Lohr, J.M., & Bonge, D. (1982). The factorial validity of the irrational beliefs test: A psychometric investigation. Cognitive Therapy and Research, 6, 225–230.

    Article  Google Scholar 

  • Matarazzo, J.D., & Leckliter, I.N. (1988). Behavioral health: The role of good and bad habits in health and illness. In S. Maes, C.D. Spielberger, P.B. Defares, & I.G. Sarason (Eds.), Topics in health psychology (pp. 3–18). New York: John Wiley.

    Google Scholar 

  • Matthews, K.A., Weiss, S.M., Detre, T., Dembroski, T.M., Falkner, B., Manuck, S.G., & Williams, R.B., Jr. (Eds.). (1986). Handbook of stress reactivity and cardiovascular disease. New York: Wiley.

    Google Scholar 

  • McGinnis, M., Richmond, J.B., Brandt, E.N., Windom, R.E., & Mason, J. O. (1992). Health progress in the United States: Results of the 1990 objectives for the nation. Journal of the American Medical Association, 268, 2545–2552.

    Article  PubMed  Google Scholar 

  • Meltzer, J., & Hochstim, J. (1970). Reliability and validity of survey data on physical health. Public Health Reports, 85, 1075–1086.

    PubMed  Google Scholar 

  • McGonigle, M.M., Smith, T.W., Benjamin, L.S., & Turner (1993). Hostility and nonshared family environment: A study of tnonozygotic twins. Journal of Research in Personality, 27, 23–34.

    Article  Google Scholar 

  • McKenna, M.C., Zevon, M.A., Corn, B., & Rounds, J. (1999). Psychological factors and the development of breast cancer: A meta-analysis. Health Psychology, 18, 520–531.

    Article  PubMed  Google Scholar 

  • Miller, T.Q., Smith, T.W., Turner, C.W., Guijarro, M.L., & Hallet, A.J. (1996). A meta-analytic review of research on hostility and physical health. Psychological Bulletin, 119, 322–348.

    Article  PubMed  Google Scholar 

  • Mittleman, M.A., Maclure, M., Sherwood, J.B., Mulry, R.P., Toffer, G.H., Jacobs, S.C., Friedman, R., Benson, H., & Muller, J.E. (1995). Triggering of acute myocardial infarction onset by episodes of anger. Circulation, 92, 1720–1725.

    PubMed  Google Scholar 

  • Mittleman, M.A., Maclure, M., Nachnami, M., Sherwood, J.B., & Muller, J.E. (1997). Educational attainment, anger, and the risk of triggering myocardial infarction onset. Archives of Internal Medicine, 157, 769–775.

    Article  PubMed  Google Scholar 

  • Nunes, E.V., Frank, K.A., & Kornfeld, D.S. (1987). Psychologic treatment for the Type A behavior pattern and for Coronary Heart Disease: A meta-analysis of the literature. Psychosomatic Medicine, 48, 159–173.

    Google Scholar 

  • Nyklicek, I., Vingerhoets, A.J., Van Heck, G.L.,&, Van Limpt, M.C. (1998). Defensive coping in relation to casual blood pressure and self-reported daily hassles and life events. Journal of Behavioral Medicine, 21, 145–161.

    Article  PubMed  Google Scholar 

  • Pakenham, K.I. (1999). Adjustment to multiple sclerosis: Application of a stress and coping model. Health Psychology, 18, 383–392.

    Article  PubMed  Google Scholar 

  • Powell, L.H. (1992). The cognitive underpinnings of coronary-prone behaviors. Cognitive Therapy and Research, 16,123–142.

    Article  Google Scholar 

  • Powell, L.H., & Thoresen, C.E. (1988). Effect of Type A behavioral counseling and severity of prior acute myocardial infarction on survival. American Journal of Cardiology, 62, 1159–1163.

    Article  PubMed  Google Scholar 

  • Rozanski, A., Blumenthal, J.A., & Kaplan, J. (1999). Impact of psychological factors on the pathogenesis of cardiovascular disease and implications for therapy. Circulation, 99, 2192–2217.

    PubMed  Google Scholar 

  • Sasaki, M. & Yamasaki, K. (2002). Causal relationship between hostility and health status and the mediating role of stress coping. Japanese Journal of Health Psychology, 15, 1–11.

    Google Scholar 

  • Scherwitz, K.W., Perkins, L., Chesney, M., & Hughes, G. (1991). Cook-Medley Hostility Scale scores and subsets: Relationship to demographic and psychosocial characteristics in young adults in the CARDIA Study. Psychosomatic Medicine, 53, 36–49.

    PubMed  Google Scholar 

  • Scherwitz, K.W., Perkins, L.L., Chesney, M.A., Hughes, G.H., Sidney, S., & Manolio, T.A. (1992). Hostility and health behaviors in young adults: The CARDIA study. Coronary Artery Risk Development in Young Adults Study. American Journal of Epidemiology, 136, 136–145.

    PubMed  Google Scholar 

  • Siegler, I.C., Peterson, B.L., Barefoot, J.C., & Williams, R.B. (1992). Hostility during late adolescence predicts coronary risk factors at midlife. American Journal of Epidemiology, 136, 146–154.

    PubMed  Google Scholar 

  • Smith, T.W. (1994). Concepts and methods in the study of anger, hostility, and health. In A. W. Siegman & T. W. Smith (Eds.), Anger, hostility, and the heart (pp. 23–42). Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Smith, T.W., & Fromm, K.D. (1985). What's so unhealthy about hostility? Construct validity and psychosocial correlates of the Cook and Medley Ho Scale. Health Psychology, 4, 503–520.

    Article  PubMed  Google Scholar 

  • Smith, T.W., & Gallo, L.C. (1999). Hostility and cardiovascular reactivity during marital interaction. Psychosomatic Medicine, 61, 436–445.

    PubMed  Google Scholar 

  • Smith, T.W., & Gallo, L.C. (2001). Personally traits as risk factors for physical illness. In A. Baum, T.A. Revenson, J.E. Singer (Eds.), Handbook of health psychology (pp. 139–173). Mahwah, NJ: Lawrence Erlbaum.

    Google Scholar 

  • Smith, T.W., Pope, M.K., Sanders, J.D., Allred, K.D., & O'Keeffe, J.L. (1988). Clinical hostility at home and work: Psychosocial vulnerability across domains. Journal of Research in Personality, 22, 525–548.

    Article  Google Scholar 

  • Suis, J., & Fletcher, B. (1985). The relative efficacy of avoidant and nonavoidant coping strategies: A meta-analysis. Health Psychology, 4, 249–288.

    Article  Google Scholar 

  • Suis, J., Martin, R., & David, J.P. (1998). Person-environment fit and its limits: Agreeableness, neuroticism, and emotional reactivity to interpersonal conflict. Personality and Social Psychology Bulletin, 24, 88–98.

    Article  Google Scholar 

  • Suis, J., & Wan, C.K. (1993). The relationship between trait hostility and cardiovascular reactivity: A qualitative review and analysis. Psychophysiology, 30, 1–12.

    Article  Google Scholar 

  • VanderVoort, D.J. (1999). Quality of social support in mental and physical health. Current Psychology-Developmental, Learning, Personality, Social, 18, 205–222.

    Google Scholar 

  • VanderVoort, D.J. (1995). Depression, anxiety, hostility and physical health. Current Psychology: Developmental, Learning, Personality, Social, 13, 69–82.

    Google Scholar 

  • VanderVoort, D.J. (1992). Belief systems and coping styles as mediating variables in the relationship between hostility and illness. Current Psychology: Research & Reviews, 11, 226–235.

    Article  Google Scholar 

  • van Eck, M. Berkhof, H., Nicolson, W., & Sulton, J. (1996). The effects of perceived stress, traits, mood states, and stressful daily events on salivary cortisol. Psychosomatic Medicine, 58, 447–458.

    PubMed  Google Scholar 

  • Vitaliano, P.P., Russo, J., Bailey, S.L., Young, H.M., & McCann, B.S. (1993).Psychosocial factors associated with cardiovascular reactivity in older adults. Psychosomatic Medicine, 55, 164–177.

    PubMed  Google Scholar 

  • Williams, R.B., & Williams, V.P. (2001). Managing hostile thoughts, feelings, and actions: The life skills approach. In C.R. Synder (Ed.), Coping with stress: Effective people and processes, (pp. 137–153). New York: Oxford University Press.

    Google Scholar 

  • Wing, R.R., & Polley, B.A. (2001). Obesity. In A. Baum, T.A. Revenson, & J.E. Singer (Eds.), Handbook of health psychology, (263–279). Mahwah, NJ: Lawrence Erlbaum.

    Google Scholar 

  • Wong, M., & Kaloupek, D. G. (1986). Coping with dental treatment: The potential impact of situational demands. Journal of Behavioral Medicine, 9, 579–598.

    Article  PubMed  Google Scholar 

  • Wood, M.D., Vinson, D.C., & Sher, K.J. (2001). Alcohol use and misuse. In A. Baum, T.A. Revenson, & J. E. Singer (Eds.), Handbook of health psychology, (280–318). Mahwah, NJ: Lawrence Erlbaum.

    Google Scholar 

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    Debra J. Vandervoort

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Vandervoort, D.J. Hostility and health: Mediating effects of belief systems and coping styles. Curr Psychol 25, 50–66 (2006). https://doi.org/10.1007/s12144-006-1016-2

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