Potential for hostility and dimensions of anger

Recent reviews have linked Potential for Hostility derived from the Structured Interview (SI) to coronary artery disease, independent of the global Type A pattern. The present study examined the construct validity of Potential for Hostility ratings by correlating Potential for Hostility with 21 scales from four widely used anger/hostility measures: 7 scales from the Anger Self-Report, 8 scales from the Buss-Durkee Hostility Inventory, the total score from the Novaco Anger Inventory, and 5 scales from the Multidimensional Anger Inventory. The pattern of correlations revealed that Potential for Hostility was significantly related to scales reflecting awareness and arousal of anger, particularly the verbal expression of anger. To identify underlying anger dimensions, the 21 scales were factor-analyzed. Examination of two and three rotated principal components confirmed previous solutions. The first component, representing anger-arousing and -eliciting situations and anger awareness, was labeled Experience of Anger. The second component, consisting of scales dealing with either physical assault or verbal expression of anger, was labeled Expression of Anger. When a third factor was retained, it contained scales of suspicion, mistrust-suspicion, and guilt: It was therefore labeled Suspicion-Guilt. Potential for Hostility was correlated only with the Expression of Anger factor in the two-factor solution; in the three-factor solution, Potential for Hostility was correlated equally with the Experience of Anger and Expression of Anger factors but was not correlated with the Suspicion-Guilt factor. The implications of these results for the assessment of hostility are discussed.     

The aggression questionnaire.

A new questionnaire on aggression was constructed. Replicated factor analyses yielded 4 scales: Physical Aggression, Verbal Aggression, Anger, and Hostility. Correlational analysis revealed that anger is the bridge between both physical and verbal aggression and hostility. The scales showed internal consistency and stability over time. Men scored slightly higher on Verbal Aggression and Hostility and much higher on Physical Aggression. There was no sex difference for Anger. The various scales correlated differently with various personality traits. Scale scores correlated with peer nominations of the various kinds of aggression. These findings suggest the need to assess not only overall aggression but also its individual components.     

Association between measures of aggression and bullying among juvenile and young offenders

This study addresses the relationship between aggression and behaviors indicative of bullying in a sample of incarcerated male juvenile and young offenders. The study also addresses whether or not offenders who bully others and/or are bullied themselves can be identified by the type of aggression that they report. Ninety‐five juvenile and 196 young offenders completed a self‐report behavioral checklist (DIPC: Direct and Indirect Prisoner Behavior Checklist) that addressed their experience of and involvement in behaviors indicative of bullying. They also completed the Aggression Questionnaire (AQ), a measure of physical and verbal aggression, anger and hostility. Four categories of offenders were identified from the DIPC ‐ pure bullies, pure victims, those who were both bullies and victims (bully/victims), and those not‐involved in bullying behavior. As predicted, behaviors measured on the DIPC that were indicative of ‘bullying others’ correlated positively with scores on the AQ. There was no indication, however, that physical AQ and physical bullying on the DIPC were the same constructs. There was a closer association between verbal AQ scores and verbal bullying on the DIPC. Bullies and bully/victims reported higher levels of physical and verbal aggression, and bully/victims reported higher levels of hostility and anger, than the other categories. It is concluded that although there are similarities between the AQ and the DIPC, there is no evidence that they are measuring the same type of aggression, although different groups involved in bullying can be partly distinguished by their scores on the AQ. Aggr. Behav. 30:29–42, 2004. © 2004 Wiley‐Liss, Inc.     

Comparison of two aggression inventories

Two recently developed questionnaire measures of aggression, the Aggression Questionnaire [Buss and Perry (1992; Journal of Personality and Social Psychology 63:452–459]; and the Aggression Inventory [Gladue (1991a); Psychological Reports 68:675–684], were administered to a British sample (N=320) of men and women undergraduates. Both questionnaires contain subscales measuring physical and verbal aggression; the other scales of the Aggression Questionnaire measure anger and hostility, and those of the Aggression Inventory measure impulsiveness and avoidance of aggression. The factor structure of scales were assessed using confirmatory factor analysis. The interrelations of the subscales were calculated in both cases: anger was independently related to verbal and physical aggression and to hostility on the Aggression Questionnaire; impulsivity, and verbal and physical aggression were associated on the Aggression Inventory. Sex differences were largest on the two physical subscales, of lesser magnitude but still significantly different for the two verbal subscales, but absent for anger and hostility. This supports the hypothesis that sex differences in aggression are larger for more escalated forms of aggression. The physical and verbal subscales of the two questionnaires were each highly correlated with one another and the impulsive subscale of the Aggression Inventory highly correlated with the anger subscale of the Aggresion Questionnaire. Thus, two aggression questionnaires developed in the US not only produce similar associations between subscales and sex differences among a British undergraduate sample, but also show high correlations between their respective scales. © 1995 Wiley-Liss, Inc.     

The Psychosocial Vulnerability Model of Hostility as a Predictor of Coronary Heart Disease in Low-income African Americans

The current study examined social support and stress as mediators of the hostility—coronary heart disease (CHD) relationship as suggested by the psychosocial vulnerability model in a sample of low-income African Americans. Among 95 CHD patients and 30 healthy controls, hostility was negatively correlated with social support, but was not related to minor stress. CHD patients endorsed higher levels of hostility; however, the relationship between hostility and CHD status was diminished once stress and social support were included in the model. This study lends partial support for the psychosocial vulnerability model of hostility in African Americans, but suggests that the relationship between hostility and stress may be impacted by socioeconomic status.     

Relationship between bullying and scores on the Buss‐Perry Aggression Questionnaire among imprisoned male offenders

This study investigated the relationship between bullying and aggression among imprisoned male adult offenders. The participants were 70 imprisoned male offenders, who were classified using the Direct and Indirect Prisoner Behaviour Checklist (DIPC) as one of four ‘bully’ groups: pure bully, pure victim, bully/victim, or not involved. Participants also completed the Buss‐Perry Aggression Questionnaire (AQ), a measure of aggression and hostility. The majority of the prisoners reported behaviors indicative of bullying, with 42.9 percent classified in the bully/victim group and 12.9 percent as pure bullies. 15.7 percent of participants were classified as pure victims, while 28.6 percent did not report any involvement in bullying. Bully/victims scored higher than participants who were not involved in bullying on the Hostility scale and Total score of the AQ. A number of correlations were found between the AQ scores and number of bully behaviors perpetrated. These suggested there is an overlap between the constructs measured by the AQ and type of bullying behaviors perpetrated. The number of bullying behaviors experienced was only correlated with the Hostility scale. The results are discussed in terms of previous research and their implications for theory and practice. Aggress. Behav. 31:1–11, 2005. © 2005 Wiley‐Liss, Inc.     

Long-term effects of lifestyle changes on well-being and cardiac variables among coronary heart disease patients

OBJECTIVE: To focus on psychological well-being in the Lifestyle Heart Trial (LHT), an intensive lifestyle intervention including diet, exercise, stress management, and group support that previously demonstrated maintenance of comprehensive lifestyle changes and reversal of coronary artery stenosis at 1 and 5 years. DESIGN AND MAIN OUTCOME MEASURES: The LHT was a randomized controlled trial using an invitational design. The authors compared psychological distress, anger, hostility, and perceived social support by group (intervention group, n = 28; control group, n = 20) and time (baseline, 1 year, 5 years) and examined the relationships of lifestyle changes to cardiac variables. RESULTS: Reductions in psychological distress and hostility in the experimental group (compared with controls) were observed after 1 year (p < .05). By 5 years, improvements in hostility tended to be maintained relative to the control group, but reductions in psychological distress were reported only by experimental patients with very high 5-year program adherence. Improvements in diet were related to weight reduction and decreases in percent diameter stenosis, and improvements in stress management were related to decreases in percent diameter stenosis at both follow-ups (all p < .05). CONCLUSION: These findings illustrate the importance of targeting multiple health behaviors in secondary prevention of coronary heart disease.     

The relation between scores on the Buss–Perry Aggression Questionnaire and aggressive acts,impulsiveness, competitiveness,dominance, and sexual jealousy

This paper examines the relation of the four subscales (physical, verbal, anger and hostility) of the Buss–Perry Aggression Questionnaire (BPAQ) to act‐based aggression questionnaires (involving same‐sex or partners as opponents, and direct or indirect aggression) and evolutionarily based predictors of aggression, using an online student sample. All aggression measures were moderately correlated with one another. The BPAQ physical and verbal scales were most closely related to act‐based measures of direct aggression to a same‐sex other and the hostility scale to indirect aggression to a same‐sex other. The evolutionary variables were less closely related to the BPAQ than were the act‐based measures. Dominance and sexual jealousy were predictors of BPAQ physical, verbal and anger, and impulsiveness was a significant predictor of anger. Aggr. Behav. 32:1–10, 2006. © 2006 Wiley‐Liss, Inc.     

The short-term effects of a hostility-reduction intervention on male coronary heart disease patients.

This preliminary study examined the effects of a hostility-reduction intervention on patients with coronary heart disease (CHD). Twenty-two high-hostile CHD men were matched on age and hostility and then randomly assigned to a hostility intervention (N = 10) or an information-control group (N = 12). Patients were reassessed immediately and 2 months posttreatment on hostility (with self-report and structured interview) and resting blood pressure. The intervention's overall effect size was moderately strong (d' = .62). Intervention patients reported at both reassessments and were observed at follow-up to be less hostile than controls. At follow-up, intervention patients had significantly lower diastolic blood pressure (DBP) than controls. Finally, reductions in hostility were significantly and positively correlated with reductions in DBP. Replication with a larger sample and CHD outcomes is recommended.     

Assessment of hostility in patients with coronary heart disease

One of the problems in efforts to more clearly conceptualize hostility is the amount of method variance, which ranges from self-report techniques to interview-based methods and mirrors the multidimensional nature of hostility and related constructs. In addition, rather few studies concerned with the assessment of hostility have specifically used samples of coronary heart disease (CHD) patients. The purpose of this study was, therefore, to examine the multidimensionality of the construct of hostility in a sample of male coronary patients with some frequently used instruments. Factor analysis was used to detect the relevant underlying constructs, which were assessed using a variety of hostility measures in a sample of cardiac patients undergoing baseline assessment in an ongoing health-education intervention study. Measurement included both questionnaires and interviews. Participants (N = 235) were divided into 3 diagnostic groups: patients who had recently undergone (a) a myocardial infarction, (b) coronary artery bypass grafting, or (c) percutaneous transluminal coronary angioplasty. A 4-factor solution appeared to provide the best fit, and the following factors were isolated: Anger-Out, Negative Affect, Coping, and Anger-In. All intercorrelations were less than .50. Medical diagnosis did not differ with regard to the 4 factors found. The total hostility construct as measured by the structured interview (SI) did not fit into the 4-factor model. This study was the first to show that dimensions of anger and hostility constitute valid and relevant aspects of the general construct of hostility for a representative group of CHD patients. The 4 aspects of hostility isolated using some well-known hostility questionnaires and the SI explained most of the observed variance. Although the SI appeared to tap more general state anger, the 4 aspects of hostility may be differentially related to health in those who are coronary prone. Future studies on the role of hostile or negative emotions in CHD patients should, therefore, pay greater attention to the multidimensional nature of hostility and may clearly benefit from the use of the 4-factor model described in this article.     

Dreams of traditional and nontraditional women: Are dream aggression and hostility related to higher levels of waking well-being?

In order to determine whether varying degrees of traditionality would be manifested in specific behaviors that would be present in women's waking and dreaming life, 100 women between the ages of 22 and 79, 12% of whom were African American, were administered a number of self-report measures of psychological well-being and were asked to complete ongoing dream diaries for a 2-week period. These instruments were then scored along with a variety of measures used to determine to what extent traditionality differentiated among the women. Randomly selected dreams from the dream diaries were scored for aggression, anxiety, emotion, hostility, self-efficacious problem-solving, and success/failure. While traditionality was not a significant factor among the self report scales, a number of significant relationships between traditionality and dream content scales were found. As predicted, nontraditionality was positively correlated with a high ratio of achievement-oriented success to failure interactions, self-efficacious problem-solving, and aggressive dream interactions. However, nontraditionality was also significantly correlated with higher overall dream hostility. The results are discussed within the context of recent dream function theory as well as within a broader sociocultural context on shifting gender roles.This research was completed in partial fulfillment of the first author's requirements for the doctoral degree in clinical psychology at Yeshiva University. The authors wish to thank Stan Fevens, Ph.D., for his enthusiastic support and encouragment as well as his invaluable assistance. An amended version of this paper was presented at the June, 1993 meeting of the Association of the Study of Dreams, Santa Fe, NM     

Distinguishing narcissism and hostility: similarities and differences in interpersonal circumplex and five-factor correlates

Narcissism and hostility are both characterized by dysfunctional social interactions, including tendencies to perceive slights, experience anger, and behave aggressively. The aim of this study was to examine the similarities and differences of narcissism and hostility, using 2 conceptual tools-the interpersonal circumplex and the Five-factor model. In a sample of 292 undergraduate men and women, composite measures of hostility (i.e., Buss-Perry Aggression Questionnaire [Buss & Perry, 1992] and Cook-Medley Hostility [Cook & Medley, 1954] total scores) were inversely correlated with affiliation and unrelated to dominance. In contrast, composite narcissism scores (i.e., Narcissistic Personality Inventory) were positively correlated with dominance and inversely correlated with affiliation. Examination of components of these traits revealed additional similarities and differences, as did associations with other dimensions of the Five-factor model. These findings suggest that the traits of narcissism and hostility are distinguishable by their interpersonal referents, as are their components.     

SOCIAL VALIDATION OF COMPONENT BEHAVIORS OF FOLLOWING INSTRUCTIONS,ACCEPTING CRITICISM,AND NEGOTIATING

This study evaluated whether behaviors often taught as part of social skills training are judged favorably by others. Community judges evaluated the performances of people in various situations requiring one of three social skills: following instructions, accepting criticism, and negotiating to resolve conflicts. These skills were displayed in videotaped scenes by actors with and without mental retardation who acted out roles that had different types of authority relationships, and when different components or clusters of behavior (nonverbal, specific verbal, or general verbal behaviors) were performed well or poorly. The highest ratings by judges were of videotaped scenes that depicted correct use of all behaviors, regardless of which skill was being examined, whether or not the actor had mental retardation, or what the relationship was between the two actors. The lowest ratings were of videotaped scenes that depicted poor performance of all behaviors, and intermediate ratings were obtained when only some of the behaviors were performed poorly. These results, as well as the verbal responses of judges to questions, indicated that the different behaviors commonly used in teaching the skills of following instructions, accepting criticism, and negotiating are relevant to judgment of social performance, and are likely to be reinforced and maintained by social contingencies.     

The Incremental Validity of Self-Report and Performance-Based Methods for Assessing Hostility to Predict Cardiovascular Disease in Physicians

We evaluated the utility of an integrative, multimethod approach for assessing hostility-related constructs to predict premature cardiovascular disease (CVD) and premature coronary heart disease (CHD) using participants from the Johns Hopkins Precursors Study, which was designed to identify risk factors for heart disease. Participants were assessed at baseline while in medical school from 1946 to 1962 (M age = 24.6) and have been followed annually since then. Baseline assessment included individually administered Rorschach protocols (N = 416) scored for aggressive imagery (i.e., Aggressive Content, Aggressive Past) and self-reports of 3 possible anger responses to stress. Cox regression analyses predicting morbidity or mortality by age 55 revealed a significant interaction effect; high levels of Aggressive Content with high self-reported hostility predicted an increased rate of premature CVD and CHD, and incrementally predicted the rate of these events after controlling for the significant covariates of smoking (CVD and CHD) and cholesterol (CHD) that were also assessed at baseline. The hostility and anger measures, as well as other baseline covariates, were not predictors of CVD risk factors assessed at midlife during follow-up. Overall, this integrative model of hostility illustrates the potential value of multimethod assessment to areas of health psychology and preventive medicine.     

Hostility disturbs learning

Many studies have shown that there is a strong correlation between hostility and coronary artery disease; however, the pathogenic mechanisms by which hostility causes coronary artery disease have not been identified. Several studies have shown that hostility is associated with increased cardiovascular reactivity to mental stress. Sloan and colleagues used mental arithmetic and the Stroop Color-Word Task as psychological stressors and suggested that hostility is associated with diminished cardiac vagal control. It is supposed that the diminished cardiac vagal control results in uncontrollability of increased heart rate under stressful conditions so performance on mental stress tasks is poor. However, performance was not analyzed on the Stroop Color-Word Task. If hostility influences the autonomic nervous system, the performance of this mental stress task may also differ according to extent of hostility. In the present study, whether hostility disturbed performance of a mental stress task and the practice on it was examined. Subjects completed the Cook-Medley Hostility Scale and were divided into three groups (High, Middle, and Low) by their total scores and three subscales (Cynicism, Hostile Affect, and Aggressive Responding). They also completed the Stroop Color-Word Task. Analysis showed practice by High and Middle scoring groups on Aggressive Responding had a significantly smaller effect than that by Low scoring groups. The pathogenic mechanisms by which hostility may underlie coronary artery disease were discussed.     

Psychometric characteristics of the MMPI-2 Cook-Medley Hostility scale

The Minnesota Multiphasic Personality Inventory (MMPI; Hathaway & McKinley, 1943) Cook-Medley Hostility scale (Ho) has been studied a great deal because of its relation to coronary disease and mortality. However, little research has been conducted with the Ho scale on the revised MMPI (MMPI-2; Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989). This study examined the psychometric characteristics of the MMPI-2 Ho scale. Only nine of the original 50 Ho items were slightly changed in the revision. Ho scores were highly correlated with MMPI-2 scales CYN, K, TPA, and ASP, supporting the interpretation of Ho as a measure of cynicism. High correlations with other MMPI-2 scales also suggested that Ho is related to general psychopathology and negative affectivity. Male Ho scorers were rated by their spouses as hotheaded, bossy, demanding, and argumentative. For women, Ho scale scores were less strongly associated with ratings of overt hostility. Principal components analysis of Ho revealed four underlying dimensions: Cynicism, Hypersensitivity, Aggressive Responding, and Social Avoidance.     

Clusters of Behavioral Coronary Risk Factors in Employed Women and Men1

Clusters of psychosocial variables related to coronary heart disease (CHD) were examined in a sample of 412 university employees. Psychosocial coronary risk was found to vary along three independent dimensions: Anger Suppression, Type A/Anger Expression, and Coffee/Cigarette Use. Women scored lower on Anger Suppression, but higher on Coffee/Cigarette Use than men. When grouped by occupational category, maintenance workers tended to score higher on the dimensions of Anger Suppression and Coffee/Cigarette Use than other categories of workers. These findings show that behaviors related to coronary risk form independent clusters and may need to be considered by interventions designed to reduce CHD morbidity and mortality.     

Hostility of asocial youth as measured by the TAT and Rorschach.

23 boys and 13 girls, aged 13 to 17 yr., from two homes for delinquents were given the Thematic Apperception Test. Girls were also given the Rorschach. The 1960 Hafner and Kaplan TAT and Rorschach hostility indices were related to the 1977 Luukkonen indices (aggression-inward, aggression-outward, fantasy-aggression, oral, anal and phallic content), to the Pruitt and Spilka empathy index, and to the Neiger reality index. The TAT hostility index for boys was significantly higher than that for girls; boys expressed more physical and girls more verbal hostility in TAT stories. On the Rorschach, aggression outward and inward correlated significantly with Rorschach hostility, phallic and oral themes.     

Testosterone,aggressiveness, and antisocial personality

Testosterone levels were examined in prisoners convicted of violent crimes (n = 13), in men previously convicted of violent crimes but currently not in prison (n = 15), in nonviolent alcoholics (n = 15), and in randomly selected control males (n = 16). Morning, afternoon, and evening testosterone levels were assessed after a minimum alcohol abstinence period of 24 hr. Violent and nonviolent men did not differ in plasma total testosterone level on any sampling occasion. In violent men, however, testosterone levels were significantly correlated with hostility, as measured by the Derogatis Symptom Check List. Most violent men were diagnosed with Antisocial Personality Disorder (ASP) [DSM‐III‐R; 301.70], and the unweighted ASP symptom count also correlated significantly with testosterone levels in these subjects. We suggest that individuals whose life histories involve numerous antisocial behaviors tend to have high testosterone levels even when interpersonal violence is excluded. This, however, does not eliminate the possibility that males who are characterized by high hostility may also have elevated testosterone levels. Violent predisposition and antisocial conduct beginning in early adolescence predict adult aggressive behaviors, which are augmented by power‐related alcohol expectancies and alcohol abuse. Aggr. Behav. 25:113–123, 1999. © 1999 Wiley‐Liss, Inc.