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Trait Anger and the Metabolic Syndrome Predict Progression of Carotid Atherosclerosis in Healthy Middle-Aged Women

Bibliographic Data

ID19309232
AuthorsKatri Räikkönen (0000-0003-3124-3470, University of Helsinki), Karen A Matthews (0000-0001-8193-2202, corresponding author), Kim Sutton‐Tyrrell, Kim Sutton-Tyrrell, Lewis H Kuller (0000-0002-7148-8416)
Year2004
Volume66
Issue6
Pages903-908
Publication date2004-11-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenuePsychosomatic Medicine (JOURNAL)
Journal identifiersISSN: 0033-3174 • E-ISSN: 1534-7796
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/01.psy.0000143638.31297.11
PMID15564356
OpenAlexW2063859178
LanguageEN
Citations received10
References cited32

OBJECTIVE: Hostility may predict coronary heart disease morbidity and mortality, as well as the metabolic syndrome. We tested to see if high levels of the attitudinal and emotional aspects of hostility lead to progression of carotid atherosclerosis in women and if the metabolic syndrome is a mediator of the association. METHODS: Two hundred nine healthy women were followed during the perimenopausal and postmenopausal periods. Carotid artery ultrasound scans measured intima-media thickness (IMT) an average 7.4 (SD = 0.9, range 4.2-10.8) and 10.5 years (SD = 1.1, range = 6.9-13.0) after baseline. Hostility was measured at baseline and at the first carotid scan with Spielberger Trait Anger (being angry frequently) and Anger In (suppressing angry feelings) scales, and the Cook-Medley Hostility Inventory (hostile, cynical attitudes toward others). Metabolic syndrome was measured at the study entry and through the second carotid scan. RESULTS: Baseline Trait Anger scores predicted an increase in IMT across 3 years (p < .05) and predicted the risk for developing the metabolic syndrome (p < .05). The risk for developing the metabolic syndrome, in turn, predicted an increase in IMT across 3 years (p < .05). Anger suppression and cynical attitudes were not associated with progression of carotid atherosclerosis. CONCLUSION: Anger predicts progression of carotid atherosclerosis, and the metabolic syndrome may mediate this association. Women who experience angry feelings frequently may benefit from interventions aimed at reducing anger and reducing the metabolic syndrome components early in the natural history of atherosclerosis

Anger · Cardiology · Carotid arteries · Feeling · Hostility · Intima-media thickness · Metabolic syndrome · Obesity · Psychiatry · Psychological intervention · Atherosclerosis and Cardiovascular Diseases · Cardiac Health and Mental Health · Clinical Psychology · Internal Medicine · Medicine · Psychology · Stress Responses and Cortisol

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Unique citing works10
Citations per year0,5
Citation span2006 - 2024 (19)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 10

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