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Cardiovascular functioning, personality, and the social world: the domain of hierarchical power
1Department of Psychological and Brain Sciences, University of Louisville, 317 Life Sciences, Louisville, KY 40292, USA. tlnewton@louisville.edu
Insights
Social dominance is linked to worse cardiovascular disease and stress responses, while submissiveness may offer protection. These effects vary by gender and social context, impacting cardiovascular health.
Area of Science:
- Psychology
- Cardiovascular Health
- Social Hierarchy
Background:
- Social dominance and submissiveness are key aspects of hierarchical power.
- Cardiovascular functioning encompasses disease status and acute stress responses.
Purpose of the Study:
- To review empirical research on the links between social dominance/submissiveness and cardiovascular health.
- To examine associations with cardiovascular disease and reactivity to acute stressors.
Main Methods:
- Review of cross-sectional and longitudinal studies.
- Analysis of research on cardiovascular morbidity, mortality, and reactivity.
- Examination of gender-specific patterns in social dominance and cardiovascular functioning.
Main Results:
- Dominance is positively associated with cardiovascular disease severity, incidence, and progression.
- Trait submissiveness may be protective against adverse cardiovascular outcomes.
- Dominance correlates with cardiovascular reactivity and recovery from stressors, especially social challenges.
Conclusions:
- Cardiovascular health is influenced by social hierarchical position (dominance/submissiveness).
- Gender and social context significantly moderate the relationship between social hierarchy and cardiovascular functioning.
- Further research is needed on social dominance, gender, and cardiovascular health.
Abstract:
The present paper considers connections between cardiovascular functioning (i.e., disease status and acute stress responses) and social dominance, and its counterpart, social submissiveness, both of which are part of the broader domain of "hierarchical power" [Bugental, D.B., 2000. Acquisition of the algorithms of social life: a domain-based approach. Psychological Bulletin 126, 187-219]. Empirical research on connections between dominance/submissiveness and cardiovascular morbidity and mortality in humans is reviewed, as is research on dominance/submissiveness and cardiovascular reactivity to, and recovery from, acute stressors. Three general conclusions are established. First, in both cross-sectional and longitudinal investigations, trait and behavioral indicators of dominance have been positively associated with cardiovascular disease severity, incidence, and progression, whereas preliminary evidence from two studies suggests that trait submissiveness may protect against poorer disease outcomes. Second, among men and women, trait dominance is associated with reactivity to and recovery from acute stressors, particularly social challenges. Third, linkages between dominance/submissiveness and cardiovascular functioning, especially cardiovascular reactivity, are characterized by gender-specific patterning, and this patterning emerges as a function of social context. Implications for the next generation of research concerning social dominance, gender, and cardiovascular functioning are discussed.
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