Psychosomatic Medicine Faster Service from Outside North America
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Jamner, L. D.
Right arrow Articles by Hug, R.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Jamner, L. D.
Right arrow Articles by Hug, R.

Psychosomatic Medicine, Vol 53, Issue 4 393-406, Copyright © 1991 by American Psychosomatic Society

ORIGINAL ARTICLES

Ambulatory blood pressure and heart rate in paramedics: effects of cynical hostility and defensiveness

LD Jamner, D Shapiro, IB Goldstein and R Hug
Department of Psychiatry and Biobehavioral Sciences, UCLA School of Medicine.

Ambulatory blood pressure and heart rate responses were obtained in 33 male paramedics during a 24-hour work shift to examine the effects of episodes of occupational stress on cardiovascular reactivity and subjective reports of stress. The aim of this study was to determine how individual differences in cynical hostility and defensiveness interacted with situational demands to affect cardiovascular responses in a natural setting. Defensiveness was found to interact significantly with cynical hostility in predicting subjects' heart rate responses in different work contexts. Specifically, in a hospital setting involving interpersonal conflict, subjects who were high in both defensiveness and hostility showed heart rate responses approximately 10 bpm higher than subjects who were high in hostility but low in defensiveness. The same pattern of relationships was obtained for diastolic blood pressure. High and low hostile subjects were also found to differ from each other in their daily mean levels of ambulatory blood pressure during awake and sleep periods. These findings obtained in a natural setting lend further support to the significance of cynical hostility for cardiovascular reactivity. The results for defensiveness suggest the need for further research on the role of conflicting attitudes in the pathophysiology of cardiovascular diseases.


This article has been cited by other articles:


Home page
 Psychosom. Med.Home page
E. Brondolo, D. J. Libby, E.-g. Denton, S. Thompson, D. L. Beatty, J. Schwartz, M. Sweeney, J. N. Tobin, A. Cassells, T. G. Pickering, et al.
Racism and Ambulatory Blood Pressure in a Community Sample
Psychosom Med, January 1, 2008; 70(1): 49 - 56.
[Abstract] [Full Text] [PDF]

Home page
 Psychosom. Med.Home page
S. Pieper, J. F. Brosschot, R. van der Leeden, and J. F. Thayer
Cardiac Effects of Momentary Assessed Worry Episodes and Stressful Events
Psychosom Med, November 1, 2007; 69(9): 901 - 909.
[Abstract] [Full Text] [PDF]

Home page
 Psychosom. Med.Home page
J. W. Burns, S. Bruehl, and P. J. Quartana
Anger management style and hostility among patients with chronic pain: effects on symptom-specific physiological reactivity during anger- and sadness- recall interviews.
Psychosom Med, September 1, 2006; 68(5): 786 - 793.
[Abstract] [Full Text] [PDF]

Home page
 Psychosom. Med.Home page
E. Brondolo, R. Rieppi, S. A. Erickson, E. Bagiella, P. A. Shapiro, P. McKinley, and R. P. Sloan
Hostility, Interpersonal Interactions, and Ambulatory Blood Pressure
Psychosom Med, November 1, 2003; 65(6): 1003 - 1011.
[Abstract] [Full Text] [PDF]

Home page
 Psychosom. Med.Home page
W. A. Karlin, E. Brondolo, and J. Schwartz
Workplace Social Support and Ambulatory Cardiovascular Activity in New York City Traffic Agents
Psychosom Med, March 1, 2003; 65(2): 167 - 176.
[Abstract] [Full Text] [PDF]

Home page
 Psychosom. Med.Home page
P. M. Eng, G. Fitzmaurice, L. D. Kubzansky, E. B. Rimm, and I. Kawachi
Anger Expression and Risk of Stroke and Coronary Heart Disease Among Male Health Professionals
Psychosom Med, January 1, 2003; 65(1): 100 - 110.
[Abstract] [Full Text] [PDF]

Home page
 Pers Soc Psychol BullHome page
I. Brissette and S. Cohen
The Contribution of Individual Differences in Hostility to the Associations between Daily Interpersonal Conflict, Affect, and Sleep
Pers Soc Psychol Bull, September 1, 2002; 28(9): 1265 - 1274.
[Abstract] [PDF]

Home page
 Psychosom. Med.Home page
R. S. Jorgensen, J. J. Frankowski, L. J. Lantinga, K. Phadke, R. P. Sprafkin, and K. W. Abdul-Karim
Defensive Hostility and Coronary Heart Disease: A Preliminary Investigation of Male Veterans
Psychosom Med, May 1, 2001; 63(3): 463 - 469.
[Abstract] [Full Text] [PDF]

Home page
 Psychosom. Med.Home page
L. S. Porter, A. A. Stone, and J. E. Schwartz
Anger Expression and Ambulatory Blood Pressure: A Comparison of State and Trait Measures
Psychosom Med, July 1, 1999; 61(4): 454 - 463.
[Abstract] [Full Text] [PDF]

Home page
 Pers Soc Psychol BullHome page
J. Suls, R. Martin, and J. P. David
Person-Environment Fit and its Limits: Agreeableness, Neuroticism, and Emotional Reactivity to Interpersonal Conflict
Pers Soc Psychol Bull, January 1, 1998; 24(1): 88 - 98.
[Abstract]

Home page
 Pers Soc Psychol BullHome page
T. L. Newton, J. K. Kiecolt-Glaser, R. Glaser, and W. B. Malarkey
Conflict and Withdrawal During Marital Interaction: The Roles of Hostility and Defensiveness
Pers Soc Psychol Bull, May 1, 1995; 21(5): 512 - 524.
[Abstract]

Home page
 Int J Soc PsychiatryHome page
I. Fukunishi, T. Nakagawa, H. Nakamura, J. Ogawa, and T. Nakagawa
A Comparison of Type a Behaviour Pattern, Hostility and Typus Melancholicus in Japanese and American Students: Effects of Defensiveness
International Journal of Social Psychiatry, March 1, 1993; 39(1): 58 - 63.
[Abstract] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1991 by the American Psychosomatic Society