Effects of an angry temperament on coronary heart disease risk : The Atherosclerosis Risk in Communities Study.
Effects of an angry temperament on coronary heart disease risk : The Atherosclerosis Risk in Communities Study.
复制标题
愤怒气质对冠心病风险的影响：社区动脉粥样硬化风险研究。
DOI：
10.1093/aje/154.3.230
复制
发表时间：
2001
影响因子：
5
通讯作者：
Tyroler,HA
中科院分区：
文献类型：
--
作者：
Williams,JE;Nieto,FJ;Sanford,CP;Tyroler,HA
The objective of the study was to determine which component of an anger-prone personality more strongly predicts coronary heart disease (CHD) risk. Proneness to anger, as assessed by the Spielberger Trait Anger Scale, is composed of two distinct subcomponents—anger-temperament and anger-reaction. Participants were 12,990 middle-aged Black men and women and White men and women from the Atherosclerosis Risk in Communities Study who were followed for the occurrence of acute myocardial infarction (MI)/fatal CHD, silent MI, or cardiac revascularization procedures (average = 53 months; maximum = 72 months) through December 31, 1995. Among normotensive persons, a strong, angry temperament (tendency toward quick, minimally provoked, or unprovoked anger) was associated with combined CHD (acute MI/fatal CHD, silent MI, or cardiac revascularization procedures) (multivariate-adjusted hazard ratio = 2.10, 95% confidence interval: 1.34, 3.29) and with ‘hard” events (acute MI/fatal CHD) (multivariate adjusted hazard ratio = 2.28, 95% confidence interval: 1.29, 4.02). CHD event-free survival among normotensives who had a strong, angry temperament was not significantly different from that of hypertensives at either level of anger. These data suggest that a strong, angry temperament rather than anger in reaction to criticism, frustration, or unfair treatment places normotensive, middle-aged persons at increased risk for cardiac events and may confer a CHD risk similar to that of hypertension.
