Self- and Spouse Ratings of Anger and Hostility as Predictors of Coronary Heart Disease

Richard C. Kneip, Alan M. Delamater, Timothy Ismond, Creigh Milford, Leonard Salvia, David Schwartz

Research output: Contribution to journalArticlepeer-review

52 Scopus citations


Self- and spouse ratings of anger and hostility were examined as predictors of coronary heart disease (CHD) in 185 cardiac patients. Patients completed the Multidimensional Anger Inventory (MAI) and the Marlowe-Crowne Social Desirability (MCSD) Scale; the MAI (rewritten to 3rd person) was completed by patients' spouses or by a peer. Thallium scans were used to measure CHD status. Results showed that patient-rated MAI scores were inversely correlated with MCSD. There were no gender differences for patient-rated MAI scores, but spouse ratings showed gender effects for Anger-Arousal and Hostile Outlook: Women rated their husband higher than men rated their wife. Patients with positive thallium scans were no different from those without CHD on patient-rated MAI scores; however, spouse ratings indicated that those with CHD had higher Hostile Outlook and Anger-In scores. After accounting for the effects of traditional CHD risk factors, only spouse-rated hostility contributed significant incremental variance to the prediction of CHD status.

Original languageEnglish (US)
Pages (from-to)301-307
Number of pages7
JournalHealth Psychology
Issue number4
StatePublished - Jul 1993


  • anger-hostility
  • CHD
  • gender
  • spouse ratings
  • thallium scan

ASJC Scopus subject areas

  • Applied Psychology
  • Psychiatry and Mental health
  • Psychology(all)


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