Definition and research guide
This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.
Content available: 4 complete abstracts (896 words), 10 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.
Definition
Tendency to feel anger toward and to seek to inflict harm upon a person or group.
Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.
Also known as: Hostilities.
Where it fits in the MeSH classification
- Broader topics
- Emotions
Research landscape
PubMed indexes 5,819 records tagged with the MeSH heading “Hostility” (counts retrieved 2026-10-31). 621 of them (10.7%) were published from 2020 onward, and the busiest period so far is through 1999 with 2,880 records.
Reviews account for 301 records (5.2%) and meta-analyses for 45. Randomized controlled trials number 229 (3.9%) as a share of all records on the topic.
Show the data
| Period | Records |
|---|---|
| through 1999 | 2,880 |
| 2000-2009 | 1,166 |
| 2010-2019 | 1,152 |
| 2020 onward | 621 |
Publication-type chart data
| Type | Records | Share |
|---|---|---|
| Reviews | 301 | 5.2% |
| Meta-analyses | 45 | 0.8% |
| Randomized controlled trials | 229 | 3.9% |
Method: PubMed query "Hostility"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-31.
Reading the evidence in psychiatry and psychology
Research on mental health and behaviour relies on questionnaires, interviews and rating scales rather than physical measurements, so how a condition was defined and measured shapes every result. Many studies are observational or small, placebo responses can be large, and findings in one group or culture may not carry over to another. Nothing on this page is advice about diagnosis or treatment; anyone worried about their mental health should talk to a qualified clinician. Check how outcomes were measured, who took part and how long they were followed.
Evidence from open-access studies
These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.
| Study / authors | Year | Source label / design | Europe PMC citations | Licence / source |
|---|---|---|---|---|
| Hostility and cellular aging in men from the Whitehall II cohort | 2012 | Research article Design not recorded in structured metadata | 43 | cc by PMID 21974787 · DOI · PMC3657139 |
| Threat, hostility and violence in childhood and later psychotic disorder: population-based case-control study | 2020 | Research article Design not recorded in structured metadata | 40 | cc by PMID 32778182 · DOI · PMC7525109 |
| Polymorphism in the serotonin receptor 2a (HTR2A) gene as possible predisposal factor for aggressive traits | 2015 | Research article Design not recorded in structured metadata | 29 | cc by PMID 25658328 · DOI · PMC4319849 |
| Beyond hostility: exploring facial emotion recognition biases in youths with conduct disorder | 2026 | Research article Design not recorded in structured metadata | 0 | cc by PMID 40864282 · DOI · PMC12917026 |
Hostility and cellular aging in men from the Whitehall II cohort [1]
Abstract reading summary — source excerpts
- Opening excerpt
- BackgroundHostility is associated with a significantly increased risk of age-related disease and mortality, yet the pathophysiological mechanisms involved remain unclear.
- Closing excerpt
- Our findings suggest that telomere attrition might represent a novel mechanism mediating the detrimental effects of hostility on men's health.
- Interpretation limits
- Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (171 words)
BackgroundHostility is associated with a significantly increased risk of age-related disease and mortality, yet the pathophysiological mechanisms involved remain unclear. Here we investigated the hypothesis that hostility might impact health by promoting cellular aging.MethodsWe tested the relationship between cynical hostility and two known markers of cellular aging, leukocyte telomere length (TL) and leukocyte telomerase activity (TA), in 434 men and women from the Whitehall II cohort.ResultsHigh-hostile men had significantly shorter leukocyte TL than their low-hostile counterparts. They also had elevated leukocyte TA, with a significantly increased likelihood of having both short TL and high TA, compared with low-hostile individuals.ConclusionsBecause telomerase is known to counteract telomere shortening by synthesizing telomeric DNA repeats, particularly in the context of shortened telomeres, heightened TA might represent a compensatory response in high-hostile individuals. The relationship between hostility and disease is stronger in men than in women, and men generally have a shorter life expectancy than women. Our findings suggest that telomere attrition might represent a novel mechanism mediating the detrimental effects of hostility on men's health.
Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 21974787 · DOI · PMC3657139
Threat, hostility and violence in childhood and later psychotic disorder: population-based case-control study [2]
Abstract reading summary — source excerpts
- Opening excerpt
- BackgroundA growing body of research suggests that childhood adversities are associated with later psychosis, broadly defined.
- Closing excerpt
- ConclusionsOur findings extend previous research on childhood adversity and suggest a degree of specificity for severe adversities involving threat, hostility and violence.
- Interpretation limits
- Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (241 words)
BackgroundA growing body of research suggests that childhood adversities are associated with later psychosis, broadly defined. However, there remain several gaps and unanswered questions. Most studies are of low-level psychotic experiences and findings cannot necessarily be extrapolated to psychotic disorders. Further, few studies have examined the effects of more fine-grained dimensions of adversity such as type, timing and severity.AimsUsing detailed data from the Childhood Adversity and Psychosis (CAPsy) study, we sought to address these gaps and examine in detail associations between a range of childhood adversities and psychotic disorder.MethodCAPsy is population-based first-episode psychosis case-control study in the UK. In a sample of 374 cases and 301 controls, we collected extensive data on childhood adversities, in particular household discord, various forms of abuse and bullying, and putative confounders, including family history of psychotic disorder, using validated, semi-structured instruments.ResultsWe found strong evidence that all forms of childhood adversity were associated with around a two- to fourfold increased odds of psychotic disorder and that exposure to multiple adversities was associated with a linear increase in odds. We further found that severe forms of adversity, i.e. involving threat, hostility and violence, were most strongly associated with increased odds of disorder. More tentatively, we found that some adversities (e.g. bullying, sexual abuse) were more strongly associated with psychotic disorder if first occurrence was in adolescence.ConclusionsOur findings extend previous research on childhood adversity and suggest a degree of specificity for severe adversities involving threat, hostility and violence.
Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 32778182 · DOI · PMC7525109
Polymorphism in the serotonin receptor 2a (HTR2A) gene as possible predisposal factor for aggressive traits [3]
Abstract reading summary — source excerpts
- Opening excerpt
- Aggressive manifestations and their consequences are a major issue of mankind, highlighting the need for understanding the contributory factors.
- Closing excerpt
- In conclusion, this is the first study to our knowledge analyzing SNPs in a wide variety of genes in terms of aggression in a large sample-size non-clinical adult population, also describing a novel candidate polymorphism as predisposal to aggressive traits.
- Interpretation limits
- Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (242 words)
Aggressive manifestations and their consequences are a major issue of mankind, highlighting the need for understanding the contributory factors. Still, aggression-related genetic analyses have so far mainly been conducted on small population subsets such as individuals suffering from a certain psychiatric disorder or a narrow-range age cohort, but no data on the general population is yet available. In the present study, our aim was to identify polymorphisms in genes affecting neurobiological processes that might explain some of the inter-individual variation between aggression levels in the non-clinical Caucasian adult population. 55 single nucleotide polymorphisms (SNP) were simultaneously determined in 887 subjects who also filled out the self-report Buss-Perry Aggression Questionnaire (BPAQ). Single marker association analyses between genotypes and aggression scores indicated a significant role of rs7322347 located in the HTR2A gene encoding serotonin receptor 2a following Bonferroni correction for multiple testing (p = 0.0007) both for males and females. Taking the four BPAQ subscales individually, scores for Hostility, Anger and Physical Aggression showed significant association with rs7322347 T allele in themselves, while no association was found with Verbal Aggression. Of the subscales, relationship with rs7322347 was strongest in the case of Hostility, where statistical significance virtually equaled that observed with the whole BPAQ. In conclusion, this is the first study to our knowledge analyzing SNPs in a wide variety of genes in terms of aggression in a large sample-size non-clinical adult population, also describing a novel candidate polymorphism as predisposal to aggressive traits.
Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 25658328 · DOI · PMC4319849
Beyond hostility: exploring facial emotion recognition biases in youths with conduct disorder [4]
Abstract reading summary — source excerpts
- Opening excerpt
- Facial emotion recognition (FER) biases refer to systematic tendencies to recognize specific emotions when processing facial expressions.
- Closing excerpt
- Our findings indicate that youths with CD not only show a hostile attribution bias but rather misclassify emotions as predominant when they are present at low intensity, regardless of type of emotion.
- Interpretation limits
- Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (242 words)
Facial emotion recognition (FER) biases refer to systematic tendencies to recognize specific emotions when processing facial expressions. In youths with conduct disorder (CD), who are characterized by highly impairing antisocial behavior, research on FER biases has focused on hostile attribution biases. This work has shown that youths with CD perceive ambiguous social cues as angry. However, youths with CD may not only show biases towards anger, which is why we investigated FER biases in youths with CD towards the six basic emotions. Within the European FemNAT-CD study, we analyzed data from 610 youths with CD (60% female) and 818 typically developing controls (TDCs; 68% female), aged 9 to 18 years (M = 14.1, SD = 2.41 years). FER biases were assessed using the Emotion Hexagon Task by showing morphed emotional expressions and asking participants to choose the predominant emotion. Biases were calculated as tendency towards an emotion shown at 0%, 10%, 30%, or 50% intensity. Our findings from hierarchical linear modelling indicate that youths with CD exhibited stronger FER biases than TDCs across all emotions, meaning that they misclassified each emotion more often. However, this difference varied by intensity, with youths with CD displaying weaker biases at higher intensity levels and a smaller increase in bias with increasing intensity level. Our findings indicate that youths with CD not only show a hostile attribution bias but rather misclassify emotions as predominant when they are present at low intensity, regardless of type of emotion.
Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 40864282 · DOI · PMC12917026
Key reviews and meta-analyses
The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.
- Research article A meta-analytic review of research on hostility and physical health [5]
- Research article The association of anger and hostility with future coronary heart disease: a meta-analytic review of prospective evidence [6]
- Research article Translational science in action: hostile attributional style and the development of aggressive behavior problems [7]
- Research article Anger, hostility, and posttraumatic stress disorder in trauma-exposed adults: a meta-analysis [8]
- Research article Hostility, anger, aggressiveness, and coronary heart disease: an interpersonal perspective on personality, emotion, and health [9]
- Research article Posttraumatic stress disorder, cardiovascular, and metabolic disease: a review of the evidence [10]
References
- Brydon L, Lin J, Butcher L, Hamer M, Erusalimsky JD, Blackburn EH, et al.. Hostility and cellular aging in men from the Whitehall II cohort. . 2012. PMID 21974787 · DOI · PMC3657139
- Morgan C, Gayer-Anderson C, Beards S, Hubbard K, Mondelli V, Di Forti M, et al.. Threat, hostility and violence in childhood and later psychotic disorder: population-based case-control study. . 2020. PMID 32778182 · DOI · PMC7525109
- Banlaki Z, Elek Z, Nanasi T, Szekely A, Nemoda Z, Sasvari-Szekely M, et al.. Polymorphism in the serotonin receptor 2a (HTR2A) gene as possible predisposal factor for aggressive traits. . 2015. PMID 25658328 · DOI · PMC4319849
- Bacher J, von Planta B, Bernhard A, Fairchild G, Jansen L, De Brito SA, et al.. Beyond hostility: exploring facial emotion recognition biases in youths with conduct disorder. . 2026. PMID 40864282 · DOI · PMC12917026
- Miller TQ, Smith TW, Turner CW, Guijarro ML, Hallet AJ. A meta-analytic review of research on hostility and physical health. Psychol Bull. 1996. PMID 8851276 · DOI
- Chida Y, Steptoe A. The association of anger and hostility with future coronary heart disease: a meta-analytic review of prospective evidence. J Am Coll Cardiol. 2009. PMID 19281923 · DOI
- Dodge KA. Translational science in action: hostile attributional style and the development of aggressive behavior problems. Dev Psychopathol. 2006. PMID 17152401 · DOI · PMC2745254
- Orth U, Wieland E. Anger, hostility, and posttraumatic stress disorder in trauma-exposed adults: a meta-analysis. J Consult Clin Psychol. 2006. PMID 16881777 · DOI
- Smith TW, Glazer K, Ruiz JM, Gallo LC. Hostility, anger, aggressiveness, and coronary heart disease: an interpersonal perspective on personality, emotion, and health. J Pers. 2004. PMID 15509282 · DOI
- Dedert EA, Calhoun PS, Watkins LL, Sherwood A, Beckham JC. Posttraumatic stress disorder, cardiovascular, and metabolic disease: a review of the evidence. Ann Behav Med. 2010. PMID 20174903 · DOI · PMC3219414
About this article
- Sources
- NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
- Verification
- Every reference was resolved against PubMed on 2026-11-04; title, year and DOI matched.
- Review state
- automated source verified; no human expert review has been recorded yet.
- Version
- 1, last updated 2026-11-04.
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Evidence strength
EvidenceHelix's computed view of the study designs behind this topic: how common meta-analyses, randomized trials and reviews are, how recent the literature is, and a plain-language reading. It describes the design mix of the literature. It is not a quality appraisal of any study, and it is not medical advice.