HOSTILITY AS A RISK FACTOR FOR MORTALITY AND ISCHEMIC HEART-DISEASE IN MEN

被引:194
作者
KOSKENVUO, M
KAPRIO, J
ROSE, RJ
KESANIEMI, A
SARNA, S
HEIKKILA, K
LANGINVAINIO, H
机构
[1] INDIANA UNIV, DEPT PSYCHOL, BLOOMINGTON, IN 47401 USA
[2] INDIANA UNIV, DEPT MED GENET, BLOOMINGTON, IN 47401 USA
[3] UNIV OULU, DEPT MED, SF-90100 OULU 10, FINLAND
来源
PSYCHOSOMATIC MEDICINE | 1988年 / 50卷 / 04期
关键词
D O I
10.1097/00006842-198807000-00002
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
We report the association between hostility and the incidence of ischemic heart disease (IHD) in 3,750 Finnish men aged 40-59. Hostility was assessed from self-ratings on irritability, ease of anger-arousal, and argumentativeness, and four groups were formed from the summed hostility ratings. At baseline, the age-adjusted relative risk (RR) of the prevalence of angina pectoris between the highest and lowest hostility groups was 2.88 (95% confidence limits (CL), range 1.71-4.77). A three-year follow-up yielded 65 deaths and 109 IHD-incident cases. Hostility did not predict IHD among healthy men, but among men with previous IHD and hypertension (N = 104), the age-adjusted RR of IHD between the highest and lowest hostility groups was 12.9 (95% CL, 3.92-42.6). After standardization for smoking, obesity, heavy alcohol use, and snoring, the RR was 14.6 (95% CL, 1.94-110). When the degree of dyspnea at baseline was also standardized, the RR was 21.1 (95% CL, 1.59-282). Our data suggest that extreme hostility is not a consequence of symptom severity; rather, hostility is a strong determinant of coronary attack among hypertensive men with IHD.
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页码:330 / 340
页数:11
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