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Hostility, anger and sense of coherence as predictors of health-related quality of life: Results of an ASCOT substudy
Mid Sweden University, Faculty of Human Sciences, Department of Social Sciences.
2006 (English)In: Journal of Psychosomatic Research, ISSN 0022-3999, E-ISSN 1879-1360, Vol. 61, no 1, 33-39 p.Article in journal (Refereed) Published
Abstract [en]

Objective: The aim of this study was to investigate the relationship of hostility and anger expression to sense of coherence (SOC)and their role as predictors of health-related quality of life (HQL). It was hypothesised tht SOC would mediate the impact of hostility and anger on HQL. Methods: This is a substudy of the Anglo-Scandinavian Cardiac Outcomes Trial, which evaluates different treatment strategies to prevent cardiovascular disease in hypertensive patients. At baseline, SOC was assessed with a short form measure, and hostility-anger with the Cynical Distrust scale and with the Anger Expression scales. HQL was assessed at 6 months with the RAND-36. The sample comprised of 774 subjects (77.5% men). Results: Results showed that strong SOC associates with ability to control expression of anger and with low levels of suppressed or openly expressed anger. Anger control and SOC were related to good HQL; cynicism, anger-out,and anger-in correlated negatively with HQL. Path models revealed that SOC was the strongest predictor of HQL while hostility and anger lost their direct impact on HQL. Conclusions: Given the significant associations of hostility and anger with SOC, it is concluded that the salutogenic theory of Antonovsky should be extended to include hostility-related constructs. The impact of hostility and anger on HQL is, to a great extent, mediated through SOC, which implies that in future studies, the role of hostility as a risk factor should be reconsidered from the SOC theory perspective.

Place, publisher, year, edition, pages
2006. Vol. 61, no 1, 33-39 p.
Keyword [en]
Anger expression, Cardiovascular diseases, Health-related quality of life, Hostility, Sense of Coherence
National Category
Nursing Psychology
Identifiers
URN: urn:nbn:se:miun:diva-3126DOI: 10.1016/j.jpsychores.2005.12.005Local ID: 4679OAI: oai:DiVA.org:miun-3126DiVA: diva2:28158
Available from: 2008-09-30 Created: 2008-09-30 Last updated: 2010-11-30Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
  • ieee
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  • Other style
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