Evidence map›Paper›PMID 26867075›Full record

Trial reportPsychosomatic medicine2016

The Effect of Hostility Reduction on Autonomic Control of the Heart and Vasculature: A Randomized Controlled Trial.

Parisa Hajjari, Sara Mattsson, Kathleen M McIntyre, Paula S McKinley, Peter A Shapiro, Ethan E Gorenstein, Felice A Tager, Chien-Wen J Choi, Seonjoo Lee, Richard P Sloan

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychosomatic medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Parisa HajjariFrom the Sahlgrenska Academy (Hajjari, Mattsson), University of Gothenburg, Göteborg, Sweden; Division of Behavioral Medicine, Department of Psychiatry (McIntyre, McKinley, Gorenstein, Tager, Sloan), Columbia University Medical Center, New York, New York; Departments of Behavioral Medicine (McKinley, Sloan) and Biostatistics (Choi, Lee) New York State Psychiatric Institute, New York, New York; and Division of Consultation Liaison Psychiatry, Department of Psychiatry (Shapiro), Columbia University Medical Center, New York, New York.
Sara Mattsson
Kathleen M McIntyre
Paula S McKinley
Peter A Shapiro
Ethan E Gorenstein
Felice A Tager
Chien-Wen J Choi
Seonjoo Lee
Richard P Sloan
New York Psychoanalytic Society and Institute · US

Funding

HOSTILITY REDUCTION AND AUTONOMIC CONTROL OF THE HEARTR01HL063872 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SLOAN, RICHARD P · 2000 to 2004
$2.2M
CARDIOVASCULAR AUTONOMIC CONTROL IN STRESS AND ANXIETYK02MH001491 · NIMH · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SLOAN, RICHARD P · 1998 to 2002
$324k
NHLBI NIH HHS R01 HL063872NIMH NIH HHS K02 MH001491
6 · The paper itself

Abstract

objectiveHostility is associated with coronary artery disease. One candidate mechanism may be autonomic nervous system (ANS) dysregulation. In this study, we report the effect of cognitive behavioral treatment on ANS regulation.

methodsParticipants were 158 healthy young adults, high in hostility measured by the Cook-Medley Hostility and Spielberger Trait Anger scales. Participants were also interviewed using the Interpersonal Hostility Assessment Technique. They were randomized to a 12-week cognitive behavioral treatment program for reducing hostility or a wait-list control group. The outcome measures were preejection period, low-frequency blood pressure variability, and high-frequency heart rate variability measured at rest and in response to and recovery from cognitive and orthostatic challenge. Linear-mixed models were used to examine group by session and group by session by period interactions while controlling for sex and age. Contrasts of differential group and session effects were used to examine reactivity and recovery from challenge.

resultsAfter Bonferroni correction, two-way and three-way interactions failed to achieve significance for preejection period, low-frequency blood pressure variability, or high-frequency heart rate variability (p > .002), indicating that hostility reduction treatment failed to influence ANS indices.

conclusionsReduction in anger and hostility failed to alter ANS activity at rest or in response to or recovery from challenge. These findings raise questions about whether autonomic dysregulation represents a pathophysiological link between hostility and heart disease.

Indexed as

HostilityAdultAngerAutonomic Nervous SystemAutonomic Nervous System DiseasesBlood PressureCognitive Behavioral TherapyFemaleHeart DiseasesHeart RateHumansMaleTreatment OutcomeYoung Adult

Identifiers

PMID26867075
PMCPMC5020896
OpenAlexW2337691093

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.