Key result
Defensive hostility in women is linked to ~12 mmHg higher systolic BP during acute stress.
Why the study?
The impact of defensive hostility on cardiovascular response during real stressful situations was not well characterized.
Does defensive hostility increase cardiovascular response in women during a real stressful situation?
Observational (n=110)
No
Does defensive hostility increase cardiovascular response in women during a real stressful situation?
Mean Difference: 12.24
p-value: p=<0.044
Defensive hostility in women is associated with heightened and prolonged cardiovascular responses (heart rate and blood pressure) during real-life stressful situations.
Defensive hostility was associated with heightened CV reactivity to real stress in women; hypothesis-generating for prospective validation before clinical consideration.
The main objective of this study was to analyze the impact of defensive hostility on cardiovascular response in a stressful situation. By measuring three of the most commonly used cardiovascular indexes (heart rate, systolic blood pressure and diastolic blood pressure) over three experimental phases (adaptation, task and recovery), the evolution of cardiovascular response was analyzed minute by minute throughout the entire experimental session, to check if the defensive hostility influences the cardiovascular function. Two scales were used: the Cook-Medley Composite Hostility Scale and the Marlowe-Crowne Social Desirability Scale. Based on the scores on these scales, there were formed four groups (high hostility and high defensiveness, high hostility and low defensiveness, low hostility and high defensiveness, and low hostility and low defensiveness). The stressful situation which was used in the task phase was a real academic examination (exam of the Psychology degree). The hypothesis was that cardiovascular response, activation and recovery, minute by minute, will be greater in hostile defensive women, with an intra-phase evolution profile characterized by maintenance or sensitization and slow recovery. Results show that defensive hostile individuals present the highest values in the physiological variables recorded, and less adaptive profiles.
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Palmero et al. (2015) conducted an observational in Healthy volunteers (n=110). Defensive hostility (high hostility and high defensiveness) vs. Low hostility and low defensiveness was evaluated on Systolic blood pressure during the task phase (MD 12.24, p=<0.044). Defensive hostile women exhibited significantly higher systolic blood pressure during a stressful academic exam compared to women with low hostility and low defensiveness (mean difference 12.24 mmHg).
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