FACIAL EXPRESSION AND THE AFFECTIVE COMPONENT OF CYNICAL HOSTILITY INMALE CORONARY HEART-DISEASE PATIENTS

This study describes the affective component of hostility as measured by the Cook-Medley Hostility Scale (Ho; W. Cook & D. Medley, 1954) by examining the relationship between facial expressions of emotion and H o scores in 116 male coronary heart disease patients. Patients underwe nt the videotaped Type A Structured Interview, from which facial expre ssions were later coded using the Facial Action Coding System. They al so completed the Cook-Medley Ho scale. Facial expression of the emotio n of contempt was significantly related to Ho scores; anger expression was not. Also, there was a significant interaction between hostility and defensiveness, wherein low-defensive, highly hostile people showed substantially more contempt expression than others. The implications of these findings for the construct validity of Ho and for identifying clinically important subtypes of hostility are discussed.