{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T18:48:33Z","timestamp":1791830913370,"version":"4.3.4"},"reference-count":0,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[1998,7,1]],"date-time":"1998-07-01T00:00:00Z","timestamp":899251200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychol. Med."],"published-print":{"date-parts":[[1998,7]]},"abstract":"<jats:p><jats:bold>Background.<\/jats:bold> According to the psychosocial vulnerability\n model, \nthe health of hostile individuals is \nat greater risk than that of non-hostile individuals, due partly to \nlesser ability of the former to cope \nwith psychosocial stress situations. We examined whether hostile \nindividuals were more vulnerable \nthan others to health problems when faced with stressful changes in their\n working lives.<\/jats:p><jats:p><jats:bold>Methods.<\/jats:bold> Hostility, sickness absence and psychosocial \nstressors in 866 local government employees \nover a 5-year period, which included severe economic decline, were investigated.\n Hostility was \nmeasured by a questionnaire. Data on medically certified sickness absence\n were obtained from the \nrecords of the local authority. Information about exposure to psychosocial\n stressors after \nassessment of hostility was also derived from these records, and from reports\n from the subjects.<\/jats:p><jats:p><jats:bold>Results.<\/jats:bold> Exposure to stressors during the period of \neconomic decline was related to increased rates \nof sickness absence. In men, hostility increased risk of sickness \nabsence after exposure to stressors \nonly in cases of absence because of trauma. In women, hostility \nincreased risk of absence through \nsickness overall and absence because of musculoskeletal disorders in \nindividuals facing stressors \nsuch as severe organizational downsizing, high or increased levels of job\n demands or negative \nchange in work. Findings were adjusted for sickness absence at the \nbeginning of the decline, socio-economic background and behavioural risk\n factors.<\/jats:p><jats:p><jats:bold>Conclusions.<\/jats:bold> The psychosocial vulnerability model was partly\n \nsupported. However, heightened \nvulnerability through hostility may differ between the sexes, since it\n \nwas more evident in the women studied than in the men.<\/jats:p>","DOI":"10.1017\/s003329179800659x","type":"journal-article","created":{"date-parts":[[2002,7,27]],"date-time":"2002-07-27T13:33:33Z","timestamp":1027776813000},"page":"903-913","source":"Crossref","is-referenced-by-count":36,"title":["Response of hostile individuals to stressful change in \ntheir working lives: test of a psychosocial vulnerability model"],"prefix":"10.1017","volume":"28","author":[{"given":"M.","family":"KIVIM\u00c4KI","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"VAHTERA","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"KOSKENVUO","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"UUTELA","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"PENTTI","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[1998,7,1]]},"container-title":["Psychological Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S003329179800659X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,3]],"date-time":"2019-04-03T19:40:24Z","timestamp":1554320424000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S003329179800659X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1998,7]]},"references-count":0,"journal-issue":{"issue":"4","published-print":{"date-parts":[[1998,7]]}},"alternative-id":["S003329179800659X"],"URL":"https:\/\/doi.org\/10.1017\/s003329179800659x","relation":{},"ISSN":["0033-2917","1469-8978"],"issn-type":[{"value":"0033-2917","type":"print"},{"value":"1469-8978","type":"electronic"}],"subject":[],"published":{"date-parts":[[1998,7]]}}}