Cognitive hostility predicts all-cause mortality irrespective of behavioural risk at late middle and older age

Klabbers, Gonnie; Bosma, Hans; Akker, Marjan van den; Kempen, Gertrudis I. J. M.; Eijk, J.T.M. van

doi:10.1093/eurpub/cks060

Cited by 29 publications

(26 citation statements)

References 34 publications

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“…Irritability may be part of psychiatric syndromes; it is always unpleasant for the individual, and its overt manifestation lacks a cathartic effect [109]. Several studies found a significant impact of irritable mood on the course of medical disorders as well as on the adoption of unhealthy lifestyles [110,111,112,113,114]. Prevalence rates of DCPR irritable mood of about 10-15% were found in medical settings, including patients with myocardial infarction, heart transplantation, functional gastrointestinal disturbances, cancer, and skin diseases [8] and up to 46% in patients with endocrine disorders [115].…”

Section: Psychosomatic Assessment and Individualized Carementioning

confidence: 99%

Current Psychosomatic Practice

Fava

Cosci²,

Sonino³

2016

Psychother Psychosom

252

317

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Psychosomatic research has advanced over the past decades in dealing with complex biopsychosocial phenomena and may provide new effective modalities of patient care. Among psychosocial variables affecting individual vulnerability, course, and outcome of any medical disease, the role of chronic stress (allostatic load/overload) has emerged as a crucial factor. Assessment strategies include the Diagnostic Criteria for Psychosomatic Research. They are presented here in an updated version based on insights derived from studies carried out so far and encompass allostatic overload, type A behavior, alexithymia, the spectrum of maladaptive illness behavior, demoralization, irritable mood, and somatic symptoms secondary to a psychiatric disorder. Macroanalysis is a helpful tool for identifying the relationships between biological and psychosocial variables and the individual targets for medical intervention. The personalized and holistic approach to the patient includes integration of medical and psychological therapies in all phases of illness. In this respect, the development of a new psychotherapeutic modality, Well-Being Therapy, seems to be promising. The growth of subspecialties, such as psychooncology and psychodermatology, drives towards the multidisciplinary organization of health care to overcome artificial boundaries. There have been major transformations in health care needs in the past decades. From psychosomatic medicine, a land of innovative hypotheses and trends, many indications for changes in the current practice of medicine are now at hand. The aim of this critical review is to outline current and potential clinical applications of psychosomatic methods.

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Section: Psychosomatic Assessment and Individualized Carementioning

confidence: 99%

Current Psychosomatic Practice

Fava

Cosci²,

Sonino³

2016

Psychother Psychosom

252

317

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“…Health in this relatively young sample was modeled as a combination of blood pressure, disease reporting, and metabolic indices. The aggression/hostility to health path was based on the known relationship of the Cook‐Medley scale to poor health outcomes, though less is known about the health risk of aggressive behavior (Chida & Hamer, ; Klabbers et al, ; Siegler et al, ; Wong et al, ).…”

Section: Current Studymentioning

confidence: 99%

“…Aggression, both physical and verbal, involves hurting or harming others, and represents the behavioral component. Hostile attitudes toward others relate positively to cardiovascular risk and overall mortality (e.g., Chida & Steptoe, 2009;Iribarren et al, 2000Iribarren et al, , 2005Klabbers, Bosma, van den Akker, Kempen, & van Eijk, 2012;Siegler, Peterson, Barefoot, & Williams, 1992;Wong, Sin, & Whooley, 2014). Furthermore, a meta-analysis reports that individuals who are aggressive, Type A, or hostile exhibit greater blood pressure and HR responses to stressful interpersonal encounters than their counterparts (Chida & Hamer, 2008;Suarez, Kuhn, Schanberg, Williams, & Zimmermann, 1998;Suarez & Williams, 1989.…”

mentioning

confidence: 99%

Heart rate, health, and hurtful behavior

2016

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Hostility is a risk factor for cardiovascular events. When challenged individuals high on hostility exhibit a hyper-reactive psychophysiological response to stressors, thereby increasing risk for developing cardiovascular disease. However, low resting heart rate (HR) is associated with physical aggression and hostility in children, adolescents, and adults. Based on a community sample of 296 men (mean age=32.0, standard deviation = .9), we address: 1) whether aggression/hostility relates to physical health through relationships with cardiovascular levels at rest and in response to stressors and 2) determine how relations between aggression and health are altered by including psychophysiological indices in statistical models. The Cook-Medley cynical/hostile attitudes and the Buss-Perry physical aggression and hostility measures assessed aggression. Health was assessed as systolic blood pressure (SBP), report of medical conditions, and a metabolic composite. Reactivity to stressors was assessed with HR, SBP, and diastolic blood pressure. The relationship between aggression and health was significantly strengthened when HR level and reactivity were included in models. Aggression was negatively related to both resting HR and reactivity. High resting HR and reactivity were, however, positively related to poor health. The relationship between aggression and HR and reactivity suppressed an overall relationship between high aggression/hostility and poor health. Socioeconomic status (SES), race, health behaviors, and medications were examined as covariates. At early midlife, low HR among aggressive and hostile individuals is related to less health risk. Aggression and hostility have a deleterious influence on health, but primarily among individuals with higher HR and possibly greater cardiovascular reactivity.

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“…Een nieuwe vragenlijst naar opstandigheid die we ontwikkeld hadden, bleek bij ouderen bijvoorbeeld helemaal niet zo relevant in relatie tot hun sociaaleconomische achtergrond en hun risico's op ongezondheid. 32 Het is mogelijk dat kwalitatief onderzoek, waarbij meer met de mensen zelf gepraat wordt, bij kan dragen aan het oplossen van de puzzel. Ook hier zien wij een uitdaging voor de toekomst.…”

Section: Meer Onderzoek!unclassified

Sociale Epidemiologie: schipperen tussen upstream en downstream

Bosma

2014

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Cognitive hostility predicts all-cause mortality irrespective of behavioural risk at late middle and older age

Abstract: In diminishing excess mortality risks, hostile cognitions might be acknowledged separately and additionally to the risk posed by unhealthy lifestyles.

Cited by 29 publications

References 34 publications

Current Psychosomatic Practice

Current Psychosomatic Practice

Heart rate, health, and hurtful behavior

Sociale Epidemiologie: schipperen tussen upstream en downstream

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