Psychometric properties of the Cook Medley hostility scale and its association with inflammatory markers in African

Denee T Mwendwa1, Mana K Ali, Regina C Sims

  • 1Department of Psychology, Howard University, Washington, DC, USA. dmwendwa@howard.edu

Insights

Hostility

Area of Science:

  • Psychology
  • Cardiovascular Health
  • Immunology

Background:

  • Dispositional hostility, measured by the Cook Medley Hostility (Ho) Scale, is linked to inflammation and cardiovascular disease (CVD) risk.
  • Specific hostility factors may predict cardiovascular health outcomes better than a general hostility construct.
  • African Americans face a disproportionate burden of CVD but are underrepresented in hostility and health research.

Purpose of the Study:

  • To explore latent hostility factors and their relationship with inflammatory markers (interleukin-6 [IL-6] and C-reactive protein [CRP]) in African Americans.
  • To address the research gap concerning hostility, inflammation, and CVD risk in this population.

Main Methods:

  • Administered the Cook Medley Hostility (Ho) Scale to a community sample of African Americans.
  • Collected blood samples for plasma IL-6 and CRP measurement via enzymatic-linked immunosorbent assay.
  • Utilized confirmatory factor analysis to identify latent hostility factors and subfactors.

Main Results:

  • Confirmatory factor analysis identified three main hostility factors and seven subfactors.
  • Hostile affect was significantly associated with elevated CRP levels.
  • Predatory self-interest was significantly associated with elevated IL-6 levels.

Conclusions:

  • African Americans exhibit a distinct pattern of hostility.
  • Two specific hostility subfactors (hostile affect and predatory self-interest) are linked to CVD markers.
  • Further research is needed to understand how hostility influences health outcomes in African Americans.

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