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Coronary heart disease risk scales and reactivity in a prevention program assessment: failure to show positive

R L Spoth1, D M Dush, T D Leonard

  • 1Prevention Programming and Research, Iowa State University, Ames.

Behavioral Medicine (Washington, D.C.)
|January 1, 1992
PubMed

Insights

This study found no significant link between self-reported hostility (Jenkins Activity Survey, Cook-Medley Hostility Scale) and cardiovascular reactivity in business persons. Further analysis also did not reveal significant nonlinear relationships, suggesting limited predictive value.

Area of Science:

  • Psychophysiology
  • Cardiovascular Health
  • Behavioral Medicine

Background:

  • Hostility and anger are linked to cardiovascular disease.
  • Assessing the relationship between self-reported hostility and physiological responses is crucial for understanding cardiovascular risk.
  • Previous research has shown mixed results regarding the association between hostility measures and cardiovascular reactivity.

Purpose of the Study:

  • To investigate the relationship between the Jenkins Activity Survey (JAS) and the Cook-Medley Hostility Scale (CMHS) scores and cardiovascular reactivity.
  • To explore both linear and nonlinear associations between self-reported hostility and physiological responses during a stressful interview.
  • To determine if these relationships differ in individuals with high resting blood pressure.

Main Methods:

  • Participants: 201 business persons in a cardiovascular risk assessment program.
  • Measures: Jenkins Activity Survey, Cook-Medley Hostility Scale, cardiovascular reactivity (blood pressure, heart rate) during a semistructured interview.
  • Analysis: Correlation analysis, graphic analysis, nonlinear and weighted least squares regression analyses.

Main Results:

  • Correlation analysis revealed minimal significant positive relationships between self-report hostility scores and cardiovascular reactivity in the total sample and in subjects with high resting blood pressure.
  • Graphic analysis suggested potential nonlinear relationships, but subsequent regression analyses did not confirm significant nonlinear associations.
  • The study found limited evidence supporting a direct link between self-reported hostility and immediate cardiovascular responses in this population.

Conclusions:

  • Self-reported hostility, as measured by the JAS and CMHS, showed a weak association with cardiovascular reactivity in this cohort of business persons.
  • The findings suggest that simple linear or nonlinear relationships may not adequately capture the complex interplay between psychological traits and cardiovascular responses.
  • Further research is needed to explore other potential moderators and mediators in the relationship between hostility and cardiovascular risk.

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