What question did this study set out to answer?

To evaluate whether an angry temperament or reactive anger more strongly predicts the incidence of coronary heart disease.

August 1, 2001American Journal of EpidemiologyOpen Access

Effects of an Angry Temperament on Coronary Heart Disease Risk : The Atherosclerosis Risk in Communities Study

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Why the study?

Does a strong, angry temperament increase the risk of coronary heart disease in middle-aged adults?

Population

12,990 middle-aged Black men and women and White men and women from the Atherosclerosis Risk in Communities…

Comparison

Strong, angry temperament assessed by the… vs Lower levels of anger temperament or anger in…

Design

Cohort

Follow-up

average 53 months (maximum 72 months)

Authors

JWJanice E. WilliamsTemple College

Discussion

Member takes

Implication

May signal higher CHD risk in normotensives; hypothesis-generating and should not yet change practice.

Key Points

To evaluate whether an angry temperament or reactive anger more strongly predicts the incidence of coronary heart disease.
Prospective cohort analysis of 12,990 middle-aged Black and White men and women from the Atherosclerosis Risk in Communities Study.
Assessed anger proneness using the Spielberger Trait Anger Scale (anger-temperament versus anger-reaction subcomponents) with a maximum follow-up of 72 months (average 53 months).
Tracked primary outcomes including acute myocardial infarction, fatal coronary heart disease, silent myocardial infarction, and cardiac revascularization procedures.
Among normotensive adults, an angry temperament was significantly associated with combined coronary heart disease events (multivariate-adjusted HR = 2.10, 95% CI: 1.34–3.29).
An angry temperament in normotensives independently predicted hard cardiac events, specifically acute myocardial infarction or fatal coronary heart disease (multivariate-adjusted HR = 2.28, 95% CI: 1.29–4.02).
Coronary event-free survival in normotensive individuals with high anger temperament did not significantly differ from that of hypertensive individuals, whereas anger-reaction showed no independent association with cardiac risk.

Structured PICO

Does a strong, angry temperament increase the risk of coronary heart disease in middle-aged adults?

Population

12,990 middle-aged Black men and women and White men and women from the Atherosclerosis Risk in Communities Study

Intervention

Strong, angry temperament (tendency toward quick, minimally provoked, or unprovoked anger) assessed by the Spielberger Trait Anger Scale

Comparator

Lower levels of anger temperament or anger in reaction to criticism, frustration, or unfair treatment

Outcome

Combined CHD (acute MI/fatal CHD, silent MI, or cardiac revascularization procedures)composite

A strong, angry temperament is associated with a significantly increased risk of coronary heart disease events in normotensive middle-aged adults, conferring a risk similar to that of hypertension.

Cite This Study

Janice E. Williams (2001) studied this question.

synapsesocial.com/papers/6a761eaf4b4bbb4785fbddf0 https://doi.org/10.1093/aje/154.3.230

Topics

Hypertension management

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Effects of an Angry Temperament on Coronary Heart Disease Risk : The Atherosclerosis Risk in Communities Study

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

Effects of an Angry Temperament on Coronary Heart Disease Risk : The Atherosclerosis Risk in Communities Study

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

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Topics

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