Cynical hostility, anger expression style, and acute myocardial infarction in middle-aged Japanese men

Shuhei Izawa, Yumi Eto, Kosuke C. Yamada, Masako Nakano, Haruyo Yamada, Masatoshi Nagayama, Takenori Kikuchi, Shinobu Nomura

    Research output: Contribution to journalArticle

    9 Citations (Scopus)

    Abstract

    Studies using American and European populations have demonstrated that high levels of anger/ hostility are predictive of coronary heart disease (CHD) mortality. However, Japanese studies did not show consistent relationship between anger/hostility and CHD. This study examines the association of cynical hostility and anger expression style with acute myocardial infarction (AMI) in middle-aged Japanese men through a case-control study. The patients with acute myocardial infarction (N = 96, mean age = 50.8 years) and the healthy participants in a health check-up program (N = 77, mean age = 50.3 years) were studied. Both groups completed the Cynicism Questionnaire (CQ) and the State-Trait Anger Expression Inventory (STAXI). The patients exhibited higher scores on CQ than the healthy controls. Logistic regression analyses controlling for biological risk factors revealed that the CQ score was associated with increased risk of AMI (OR = 1.11 [95% CI 1.00-1.22]). In addition, the score of Anger-control, a subscale of STAXI, was associated with decreased risk of AMI (OR = 0.75 [95% CI 0.62-0.92]). These results indicated that higher levels of cynical hostility increased the risk of AMI and that anger-control strategies could have some benefit in reducing the risk of AMI in middle-aged Japanese men.

    Original languageEnglish
    Pages (from-to)81-86
    Number of pages6
    JournalBehavioral Medicine
    Volume37
    Issue number3
    DOIs
    Publication statusPublished - 2011 Jul

    Fingerprint

    Hostility
    Anger
    Myocardial Infarction
    Coronary Disease
    Equipment and Supplies
    Biological Factors
    Case-Control Studies
    Healthy Volunteers
    Logistic Models
    Regression Analysis
    Mortality
    Health
    Population
    Surveys and Questionnaires

    Keywords

    • acute myocardial infarction
    • anger expression
    • coronary heart disease
    • hostility

    ASJC Scopus subject areas

    • Psychiatry and Mental health
    • Applied Psychology

    Cite this

    Izawa, S., Eto, Y., Yamada, K. C., Nakano, M., Yamada, H., Nagayama, M., ... Nomura, S. (2011). Cynical hostility, anger expression style, and acute myocardial infarction in middle-aged Japanese men. Behavioral Medicine, 37(3), 81-86. https://doi.org/10.1080/08964289.2011.585547

    Cynical hostility, anger expression style, and acute myocardial infarction in middle-aged Japanese men. / Izawa, Shuhei; Eto, Yumi; Yamada, Kosuke C.; Nakano, Masako; Yamada, Haruyo; Nagayama, Masatoshi; Kikuchi, Takenori; Nomura, Shinobu.

    In: Behavioral Medicine, Vol. 37, No. 3, 07.2011, p. 81-86.

    Research output: Contribution to journalArticle

    Izawa, S, Eto, Y, Yamada, KC, Nakano, M, Yamada, H, Nagayama, M, Kikuchi, T & Nomura, S 2011, 'Cynical hostility, anger expression style, and acute myocardial infarction in middle-aged Japanese men', Behavioral Medicine, vol. 37, no. 3, pp. 81-86. https://doi.org/10.1080/08964289.2011.585547
    Izawa, Shuhei ; Eto, Yumi ; Yamada, Kosuke C. ; Nakano, Masako ; Yamada, Haruyo ; Nagayama, Masatoshi ; Kikuchi, Takenori ; Nomura, Shinobu. / Cynical hostility, anger expression style, and acute myocardial infarction in middle-aged Japanese men. In: Behavioral Medicine. 2011 ; Vol. 37, No. 3. pp. 81-86.
    @article{c17259d6ebae46d98a12d24dc7089346,
    title = "Cynical hostility, anger expression style, and acute myocardial infarction in middle-aged Japanese men",
    abstract = "Studies using American and European populations have demonstrated that high levels of anger/ hostility are predictive of coronary heart disease (CHD) mortality. However, Japanese studies did not show consistent relationship between anger/hostility and CHD. This study examines the association of cynical hostility and anger expression style with acute myocardial infarction (AMI) in middle-aged Japanese men through a case-control study. The patients with acute myocardial infarction (N = 96, mean age = 50.8 years) and the healthy participants in a health check-up program (N = 77, mean age = 50.3 years) were studied. Both groups completed the Cynicism Questionnaire (CQ) and the State-Trait Anger Expression Inventory (STAXI). The patients exhibited higher scores on CQ than the healthy controls. Logistic regression analyses controlling for biological risk factors revealed that the CQ score was associated with increased risk of AMI (OR = 1.11 [95{\%} CI 1.00-1.22]). In addition, the score of Anger-control, a subscale of STAXI, was associated with decreased risk of AMI (OR = 0.75 [95{\%} CI 0.62-0.92]). These results indicated that higher levels of cynical hostility increased the risk of AMI and that anger-control strategies could have some benefit in reducing the risk of AMI in middle-aged Japanese men.",
    keywords = "acute myocardial infarction, anger expression, coronary heart disease, hostility",
    author = "Shuhei Izawa and Yumi Eto and Yamada, {Kosuke C.} and Masako Nakano and Haruyo Yamada and Masatoshi Nagayama and Takenori Kikuchi and Shinobu Nomura",
    year = "2011",
    month = "7",
    doi = "10.1080/08964289.2011.585547",
    language = "English",
    volume = "37",
    pages = "81--86",
    journal = "Behavioral Medicine",
    issn = "0896-4289",
    publisher = "Routledge",
    number = "3",

    }

    TY - JOUR

    T1 - Cynical hostility, anger expression style, and acute myocardial infarction in middle-aged Japanese men

    AU - Izawa, Shuhei

    AU - Eto, Yumi

    AU - Yamada, Kosuke C.

    AU - Nakano, Masako

    AU - Yamada, Haruyo

    AU - Nagayama, Masatoshi

    AU - Kikuchi, Takenori

    AU - Nomura, Shinobu

    PY - 2011/7

    Y1 - 2011/7

    N2 - Studies using American and European populations have demonstrated that high levels of anger/ hostility are predictive of coronary heart disease (CHD) mortality. However, Japanese studies did not show consistent relationship between anger/hostility and CHD. This study examines the association of cynical hostility and anger expression style with acute myocardial infarction (AMI) in middle-aged Japanese men through a case-control study. The patients with acute myocardial infarction (N = 96, mean age = 50.8 years) and the healthy participants in a health check-up program (N = 77, mean age = 50.3 years) were studied. Both groups completed the Cynicism Questionnaire (CQ) and the State-Trait Anger Expression Inventory (STAXI). The patients exhibited higher scores on CQ than the healthy controls. Logistic regression analyses controlling for biological risk factors revealed that the CQ score was associated with increased risk of AMI (OR = 1.11 [95% CI 1.00-1.22]). In addition, the score of Anger-control, a subscale of STAXI, was associated with decreased risk of AMI (OR = 0.75 [95% CI 0.62-0.92]). These results indicated that higher levels of cynical hostility increased the risk of AMI and that anger-control strategies could have some benefit in reducing the risk of AMI in middle-aged Japanese men.

    AB - Studies using American and European populations have demonstrated that high levels of anger/ hostility are predictive of coronary heart disease (CHD) mortality. However, Japanese studies did not show consistent relationship between anger/hostility and CHD. This study examines the association of cynical hostility and anger expression style with acute myocardial infarction (AMI) in middle-aged Japanese men through a case-control study. The patients with acute myocardial infarction (N = 96, mean age = 50.8 years) and the healthy participants in a health check-up program (N = 77, mean age = 50.3 years) were studied. Both groups completed the Cynicism Questionnaire (CQ) and the State-Trait Anger Expression Inventory (STAXI). The patients exhibited higher scores on CQ than the healthy controls. Logistic regression analyses controlling for biological risk factors revealed that the CQ score was associated with increased risk of AMI (OR = 1.11 [95% CI 1.00-1.22]). In addition, the score of Anger-control, a subscale of STAXI, was associated with decreased risk of AMI (OR = 0.75 [95% CI 0.62-0.92]). These results indicated that higher levels of cynical hostility increased the risk of AMI and that anger-control strategies could have some benefit in reducing the risk of AMI in middle-aged Japanese men.

    KW - acute myocardial infarction

    KW - anger expression

    KW - coronary heart disease

    KW - hostility

    UR - http://www.scopus.com/inward/record.url?scp=80052600166&partnerID=8YFLogxK

    UR - http://www.scopus.com/inward/citedby.url?scp=80052600166&partnerID=8YFLogxK

    U2 - 10.1080/08964289.2011.585547

    DO - 10.1080/08964289.2011.585547

    M3 - Article

    VL - 37

    SP - 81

    EP - 86

    JO - Behavioral Medicine

    JF - Behavioral Medicine

    SN - 0896-4289

    IS - 3

    ER -