Hostility vs Health

 

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In 2003 researchers at Northwestern University in Chicago tested a group of 3308 young adults to determine whether impatience, competitiveness, hostility, depression and anxiety had any effects on a person's chances of developing hypertension (constant high blood pressure, often leading to health problems). (For instance, the scientists found that hostility was the only trait that dramatically influenced hypertension. Depression had a slight effect, while impatience had none at all.) In fact, those who respond to life’s challenges with anger are SEVEN times more likely to die prematurely from heart disease than those with the same lifestyle (including similar exercise and dietary habits) but different temperament!

In studies conducted on the effect of arguing and hostility, psychologist Janice Kiecolt-Glaser showed that, the more hostile people are during marital arguments, the more suppressed are their immune systems. High levels of stress – and more important – an impaired ability to cope with stress – caused the immune system to weaken and make the body more vulnerable to infections.

Redford Williams, the Duke University physician perhaps most responsible for focusing attention on the hostility component of Type A personalities, writes extensively about the particular dangers of “unrealistic anger.” He warns against trying to assert control over something that does not need correcting or that cannot be corrected — an approach at which Type A’s tend to excel.

Similar ideas are emphasized by David Spiegel, the Stanford psychiatrist who surprised both the medical community and himself with his observations that a supportive therapy setting caused a significant extension of survival time in breast cancer patients. “We encourage our patients to hope for the best, but prepare for the worst,” he writes, citing research to show that increasing a patient’s sense of control over the future course of the disease is associated with an increase in spirit, whereas increasing a patient’s belief in her control over what caused the disease produces the opposite. Once again, if the outcome of something is awful, it does not do great things for morale to be led to believe that you had the power to have prevented it.

Hostility creates unhappiness in nearest and dearest: Weissman’s careful comparison of 40 depressed people (men and women) with 40 nondepressed ones showed that depressed people are anything but unaggressive in intimate relationships. They displayed ‘significantly more overt interpersonal hostility in most relationships, and the intensity of these feelings ranged from resentment, general irritability, through arguments of increasing intensity, to physical encounters’.  

The brunt of this hostility was borne by their children, with whom they had twice as much friction as their spouses. However, they were also significantly more hostile to their spouses than to their extended family members, friends and professional colleagues: ‘Marital relationships become an arena for the depression and are characterized by friction, poor communication, dependency and diminished sexual satisfaction. The depressed person feels a lack of affection towards the spouse together with guilt and resentment. Communication is poor and hostility overt.

The negative effects of hostility are not limited to depressives. Partners of any hostiles are themselves more likely to be depressed, to get ill, to abuse alcohol and to commit both suicide and homicide. The relationship suffers. Compared with couples where neither party is hostile, in couples with one hostile person who is more likely to be domineering and overbearingly insistent in solving disputes, the couple is likely to use destructive methods for doing so, to feel miserable about the relationship, be secretive and incommunicative and provide little support to each other.

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