Hostility as a predictor of survival in patients with coronary artery disease.
ABSTRACT This article presents a reanalysis of an earlier study that reported a nonsignificant relation between the 50-item Cook-Medley Hostility Scale (CMHS) and survival in a sample of coronary patients. Since publication of those results, there have been significant developments in the measurement of hostility that suggest that an abbreviated scale may be a better predictor of health outcomes. This study examined the ability of the total CMHS and an abbreviated form of the CMHS (ACM) to predict survival in a sample of patients with documented coronary artery disease (CAD) with increased statistical power.
Nine hundred thirty-six patients (83% were male; mean age = 51.48) with CAD who were followed for an average of 14.9 years. The ACM consisted of the combination of the cynicism, hostile attribution, hostile affect, and aggressive responding subscales that were identified in an earlier study (Barefoot et al. ) by a rational analysis of the item content. The relation between hostility and survival was examined with Cox proportional hazard models (hazard ratios [HRs] based on a two standard deviation difference).
Controlling for disease severity, the ACM was a significant predictor for both CHD mortality (HR = 1.33, p <.009) and total mortality (HR = 1.28, p <.02). The total CMHS was only a marginally significant predictor of either outcome (p values < 0.06).
The results of this study suggest that hostility is associated with poorer survival in CAD patients, and it may be possible to refine measures of hostility in order to improve prediction of health outcomes.
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ABSTRACT: People with personality disorder have reduced life expectancy, yet, within this population, little is known about the clinical predictors of natural and unnatural deaths. We set out to investigate this, using a large cohort of secondary mental health patients with personality disorder.PLoS ONE 07/2014; 9(7):e100979. · 3.53 Impact Factor
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ABSTRACT: Cardiovascular diseases represent one of the main causes of death in our days. In addition to the classic factors of risk, there is the possibility that other variables, like the psychological ones, are also implied in this disease. Concretely, the complex anger-hostility is the one that is receiving greater attention from researchers.Avances en Psicologia Latinoamericana 06/2007; 25(1):22-43.
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ABSTRACT: Treatment compliance is a considerable challenge for participants in anger management and violence reduction programs. Participants often exhibit low readiness to change, deficient problem-solving skills, and poor problem awareness. The legal and social consequences of unregulated anger and violence have been well established; however, the personal impact of these behaviors on the functioning of perpetrators has not been as well investigated. We addressed this gap in the literature by examining the relationships between angry temperament, conflict management tactics, social problem-solving, and quality of life factors in participants court-ordered to violence reduction treatment. Bootstrapped mediation models indicated that angry temperament had a significant indirect effect on subjective health through negative problem orientation. These findings have important implications for enhancing readiness to change and the quality of life among violent offenders.Journal of Forensic Psychiatry and Psychology 04/2013; 24(2):179-191. · 0.88 Impact Factor