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Cundiff JM, Bennett A, Williams A, Cushman M, Howard VJ. Association between psychosocial factors and C-reactive protein across income, race, and sex. Health Psychol 2024; 43:7-18. [PMID: 37428772 PMCID: PMC10776820 DOI: 10.1037/hea0001310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/12/2023]
Abstract
OBJECTIVE A health disparity is a health difference that adversely affects disadvantaged populations, and thus could plausibly be due to social factors. Biopsychosocial processes that contribute to health disparities are not well-understood. Establishing whether candidate biomarkers are similarly associated with biologically relevant psychosocial constructs across health disparity groups is a current gap in our understanding. METHOD This study examined associations between perceived stress, depressive symptoms, and social support with C-reactive protein (CRP) and whether associations varied by race, sex, or income in 24,395 Black and White adults aged 45 years or older from the REGARDS population-based national cohort. RESULTS The association between depressive symptoms and CRP was slightly larger at higher (vs. lower) income levels and larger for men (vs. women) but did not vary by race. Associations between stress and CRP and social support and CRP were not moderated by income, race, or sex. An interaction between race and income, evidenced that higher income was more strongly associated with lower CRP in White participants compared to Black participants, consistent with the idea of "diminishing returns" of income for the health of Black Americans. CONCLUSIONS Basic associations between these psychosocial factors and CRP are small and generally similar across income, race, and sex. Black and lower-income Americans likely evidence higher CRP due to greater exposure to psychosocial risk factors rather than increased biological vulnerability to these exposures. Additionally, given small associations, CRP should not be used as a proxy for the construct of psychosocial stress. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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Zakershahrak M, Brennan D. Effect of personality traits on socioeconomic inequalities in health, a population-based study. Community Dent Oral Epidemiol 2023; 51:1009-1016. [PMID: 36416269 PMCID: PMC10946537 DOI: 10.1111/cdoe.12804] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2022] [Revised: 10/02/2022] [Accepted: 10/11/2022] [Indexed: 11/24/2022]
Abstract
OBJECTIVES This study aimed to estimate the effects of positive personality traits (PTs) in income and self-rated dental and general health (SRDH and SRGH) associations in a large South Australian sample. METHODS Cross-sectional analyses were conducted using self-reported data collected from 3578 adults (2015-2016). Multivariable regression models assessed the main effects and interactions of the Ten-Item Personality Inventory (TIPI) and income with SRDH and SRGH. Prevalence ratios (PR) of poor health ratings were estimated using Poisson regression. RESULTS Among all respondents, high-income individuals with stronger Conscientiousness scores had the lowest prevalence of poor SRGH (0.8%), while those with stronger Extraversion (2.9%) and Agreeableness scores (3.4%) had the lowest prevalence of poor SRDH. Poor SRGH was related to weak Conscientiousness (PR = 6.9, 95% CI [2.3-20.8]) and Emotional Stability scores (PR = 6.0, 95% CI [2.0-18.3]), while poor SRDH was associated with weak Extraversion (PR = 2.3, 95% CI [1.2-4.5]), Agreeableness (PR = 1.8, 95% CI [1.0-3.2]) and Conscientiousness scores (PR = 2.1, 95% CI [1.1-4.0]). Among low-income people, poor health ratings were less prevalent in those with stronger positive PTs scores versus weaker scores. Among low-income respondents, poor SRGH was lower in individuals with stronger versus weaker Conscientiousness scores (10.9% vs 16.2%), and poor SRDH showed lower prevalence in participants with stronger versus weaker Agreeableness scores (18.1% vs 22.6%). CONCLUSION Findings showed the association between PTs and the prevalence of poor SRDH and SRGH. Stronger positive PTs modified the self-rated health inequalities associated with low income in a representative sample of the South Australian population.
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Affiliation(s)
- Mehrsa Zakershahrak
- Australian Research Centre for Population Oral Health, Adelaide Dental SchoolThe University of AdelaideAdelaideSouth AustraliaAustralia
| | - David Brennan
- Australian Research Centre for Population Oral Health, Adelaide Dental SchoolThe University of AdelaideAdelaideSouth AustraliaAustralia
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Matz SC, Beck ED, Atherton OE, White M, Rauthmann JF, Mroczek DK, Kim M, Bogg T. Personality Science in the Digital Age: The Promises and Challenges of Psychological Targeting for Personalized Behavior-Change Interventions at Scale. PERSPECTIVES ON PSYCHOLOGICAL SCIENCE 2023:17456916231191774. [PMID: 37642145 DOI: 10.1177/17456916231191774] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/31/2023]
Abstract
With the rapidly growing availability of scalable psychological assessments, personality science holds great promise for the scientific study and applied use of customized behavior-change interventions. To facilitate this development, we propose a classification system that divides psychological targeting into two approaches that differ in the process by which interventions are designed: audience-to-content matching or content-to-audience matching. This system is both integrative and generative: It allows us to (a) integrate existing research on personalized interventions from different psychological subdisciplines (e.g., political, educational, organizational, consumer, and clinical and health psychology) and to (b) articulate open questions that generate promising new avenues for future research. Our objective is to infuse personality science into intervention research and encourage cross-disciplinary collaborations within and outside of psychology. To ensure the development of personality-customized interventions aligns with the broader interests of individuals (and society at large), we also address important ethical considerations for the use of psychological targeting (e.g., privacy, self-determination, and equity) and offer concrete guidelines for researchers and practitioners.
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Affiliation(s)
| | - Emorie D Beck
- Department of Psychology, University of California, Davis
| | | | | | | | | | | | - Tim Bogg
- Department of Psychology, Wayne State University
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Hobbs KA, Mann FD, Latzman RD, Zimmermann J, Jaeger U, Markon K, Krueger RF. Pathological personality in relation to multiple domains of quality of life and impairment: Evidence for the specific relevance of the maladaptive poles of major trait domains. JOURNAL OF PSYCHOPATHOLOGY AND CLINICAL SCIENCE 2023; 132:135-144. [PMID: 36808957 PMCID: PMC9978938 DOI: 10.1037/abn0000810] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/23/2023]
Abstract
The current study examined whether personality domains have nonmonotonic relationships with functional outcomes, specifically in relation to quality of life and impairment. Four samples were utilized, which were drawn from the United States and Germany. Personality trait domains were measured via the IPIP-NEO and PID-5; quality of life (QoL) was measured with the WHOQOL-BREF, and impairment was measured using the WHODAS-2.0. The PID-5 was analyzed in all four samples. Two-line testing, which fits two spline regression lines separated at a break point, was conducted to evaluate potential nonmonotonicity of the relationship between personality traits and quality of life. Overall, results demonstrated little support for nonmonotonic relationships in the PID-5 and IPIP-NEO dimensions. Rather, our results indicate that there is one clear pathological pole of major domains of personality that is associated with lower quality of life and increased impairment. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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Thuluvath AJ, Siddiqui O, Lai JC, Peipert J, Levitsky J, Daud A, Mazumder NR, Flores AM, Borja-Cacho D, Caicedo JC, Loftus C, Wong R, Mroczek D, Ladner DP. Personality Traits in Patients With Cirrhosis Are Different From Those of the General Population and Impact Likelihood of Liver Transplantation. Transplantation 2023; 107:420-428. [PMID: 36173424 PMCID: PMC10294608 DOI: 10.1097/tp.0000000000004304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
BACKGROUND Personality traits influence clinical outcomes in chronic diseases, but their impact in cirrhosis is unknown. We studied the personality of patients with cirrhosis undergoing liver transplant (LT) evaluation and determined their correlation to clinical outcomes. METHODS A multicenter' prospective study of adult patients undergoing LT evaluation was performed from January 2018 to October 2019. The "Big Five" personality traits of conscientiousness, extraversion, openness, neuroticism, and agreeableness plus agency were assessed with the Midlife Development Inventory Personality Scale and compared with the general population. Frailty was assessed with the Liver Frailty Index. RESULTS Two hundred sixty-three LT candidates were enrolled. Twenty-four percent had hepatitis C virus, 25% nonalcoholic steatohepatitis, and 25% ethyl alcohol (mean model for end-stage liver disease = 15.7). Compared with the general population, LT candidates had higher openness (3.1 versus 2.9; P < 0.001), extraversion (3.2 versus 3.1; P < 0.001), agreeableness (3.5 versus 3.4; P = 0.04), agency (2.9 versus 2.6; P < 0.001), neuroticism (2.2 versus 2.1; P = 0.001), and lower conscientiousness (3.3 versus 3.4; P = 0.007). Patients with higher conscientiousness were more likely to receive an LT (HR = 2.76; P = 0.003). CONCLUSIONS Personality traits in LT candidates differ significantly from the general population, with higher conscientiousness associated with a higher likelihood of receiving a transplant.
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Affiliation(s)
- Avesh J. Thuluvath
- Northwestern University Transplant Research Collaborative (NUTORC), Comprehensive Transplant Center (CTC), Feinberg School of Medicine, Northwestern University, Chicago, IL
- Division of Hepatology, Department of Medicine, Northwestern Medicine, Chicago, IL
| | - Osama Siddiqui
- Northwestern University Transplant Research Collaborative (NUTORC), Comprehensive Transplant Center (CTC), Feinberg School of Medicine, Northwestern University, Chicago, IL
| | - Jennifer C. Lai
- Division of Gastroenterology and Hepatology, Department of Medicine, University of California-San Francisco, San Francisco, CA
| | - John Peipert
- Northwestern University Transplant Research Collaborative (NUTORC), Comprehensive Transplant Center (CTC), Feinberg School of Medicine, Northwestern University, Chicago, IL
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL
| | - Josh Levitsky
- Division of Hepatology, Department of Medicine, Northwestern Medicine, Chicago, IL
| | - Amna Daud
- Northwestern University Transplant Research Collaborative (NUTORC), Comprehensive Transplant Center (CTC), Feinberg School of Medicine, Northwestern University, Chicago, IL
| | - Nikhilesh R. Mazumder
- Northwestern University Transplant Research Collaborative (NUTORC), Comprehensive Transplant Center (CTC), Feinberg School of Medicine, Northwestern University, Chicago, IL
- Division of Hepatology, Department of Medicine, Northwestern Medicine, Chicago, IL
| | - Anne-Marie Flores
- Northwestern University Transplant Research Collaborative (NUTORC), Comprehensive Transplant Center (CTC), Feinberg School of Medicine, Northwestern University, Chicago, IL
| | - Daniel Borja-Cacho
- Northwestern University Transplant Research Collaborative (NUTORC), Comprehensive Transplant Center (CTC), Feinberg School of Medicine, Northwestern University, Chicago, IL
- Division of Transplant, Department of Surgery, Northwestern Medicine, Chicago, IL
| | - Juan C. Caicedo
- Northwestern University Transplant Research Collaborative (NUTORC), Comprehensive Transplant Center (CTC), Feinberg School of Medicine, Northwestern University, Chicago, IL
- Division of Transplant, Department of Surgery, Northwestern Medicine, Chicago, IL
| | - Corinne Loftus
- Northwestern University Transplant Research Collaborative (NUTORC), Comprehensive Transplant Center (CTC), Feinberg School of Medicine, Northwestern University, Chicago, IL
| | - Randi Wong
- Division of Gastroenterology and Hepatology, Department of Medicine, University of California-San Francisco, San Francisco, CA
| | - Dan Mroczek
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL
- Department of Psychology, Weinberg College of Arts & Sciences, Northwestern University, Evanston, IL
| | - Daniela P. Ladner
- Northwestern University Transplant Research Collaborative (NUTORC), Comprehensive Transplant Center (CTC), Feinberg School of Medicine, Northwestern University, Chicago, IL
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL
- Division of Transplant, Department of Surgery, Northwestern Medicine, Chicago, IL
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Dobewall H, Keltikangas-Järvinen L, Marttila S, Mishra PP, Saarinen A, Cloninger CR, Zwir I, Kähönen M, Hurme M, Raitakari O, Lehtimäki T, Hintsanen M. The relationship of trait-like compassion with epigenetic aging: The population-based prospective Young Finns Study. Front Psychiatry 2023; 14:1018797. [PMID: 37143783 PMCID: PMC10151573 DOI: 10.3389/fpsyt.2023.1018797] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/13/2022] [Accepted: 03/17/2023] [Indexed: 05/06/2023] Open
Abstract
Introduction Helping others within and beyond the family has been related to living a healthy and long life. Compassion is a prosocial personality trait characterized by concern for another person who is suffering and the motivation to help. The current study examines whether epigenetic aging is a potential biological mechanism that explains the link between prosociality and longevity. Methods We used data from the Young Finns Study that follows six birth-cohorts from age 3-18 to 19-49. Trait-like compassion for others was measured with the Temperament and Character Inventory in the years 1997 and 2001. Epigenetic age acceleration and telomere length were measured with five DNA methylation (DNAm) indicators (DNAmAgeHorvath, IEAA_Hannum, EEAA_Hannum, DNAmPhenoAge, and DNAmTL) based on blood drawn in 2011. We controlled for sex, socioeconomic status in childhood and adulthood, and body-mass index. Results and discussion An association between higher compassion in 1997 and a less accelerated DNAmPhenoAge, which builds on previous work on phenotypic aging, approached statistical significance in a sex-adjusted model (n = 1,030; b = -0.34; p = 0.050). Compassion in 1997 predicted less accelerated epigenetic aging over and above the control variables (n = 843; b = -0.47; p = 0.016). There was no relationship between compassion in 2001 (n = 1108/910) and any of the other four studied epigenetic aging indicators. High compassion for others might indeed influence whether an individual's biological age is lower than their chronological age. The conducted robustness checks partially support this conclusion, yet cannot rule out that there might be a broader prosocial trait behind the findings. The observed associations are interesting but should be interpreted as weak requiring replication.
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Affiliation(s)
- Henrik Dobewall
- Faculty of Education, VISE Research Unit, Faculty of Education and Psychology, University of Oulu, Oulu, Finland
- Finnish Institute for Health and Welfare, Helsinki, Finland
- *Correspondence: Henrik Dobewall,
| | | | - Saara Marttila
- Molecular Epidemiology, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland
- Gerontology Research Center, Tampere University, Tampere, Finland
| | - Pashupati P. Mishra
- Molecular Epidemiology, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland
- Fimlab Laboratories and Finnish Cardiovascular Research Center - Tampere, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland
| | - Aino Saarinen
- Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland
| | - C. Robert Cloninger
- Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, United States
| | - Igor Zwir
- Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, United States
- Department of Computer Science, University of Granada, Granada, Spain
| | - Mika Kähönen
- Department of Clinical Physiology, Tampere University Hospital and Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland
| | - Mikko Hurme
- Department of Microbiology and Immunology, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland
| | - Olli Raitakari
- Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku, Finland
- Department of Clinical Physiology and Nuclear Medicine, Turku University Hospital, Turku, Finland
- Centre for Population Health Research, University of Turku and Turku University Hospital, Turku, Finland
| | - Terho Lehtimäki
- Molecular Epidemiology, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland
- Fimlab Laboratories and Finnish Cardiovascular Research Center - Tampere, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland
| | - Mirka Hintsanen
- Faculty of Education, VISE Research Unit, Faculty of Education and Psychology, University of Oulu, Oulu, Finland
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Lai DWL, Li J. Personality and health-related quality of life (HRQoL) of Hong Kong Chinese older people: resilience as a mediator and financial status as a moderator. Aging Ment Health 2022; 26:2424-2431. [PMID: 34904489 DOI: 10.1080/13607863.2021.2000936] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
Objectives: Personality can influence older adults' health and quality of life. However, the pathways are relatively less examined. This study aimed to understand the mediating effect of resilience in the relationship between two personality traits-neuroticism and extraversion-and Hong Kong Chinese older adults' health-related quality of life (HRQoL). Whether such effect varied across older adults in different financial conditions were also examined. Method: A purposive non-probability sample of 253 Hong Kong Chinese older adults aged 60 and above was recruited for a face-to-face questionnaire survey. Neuroticism and extraversion were measured using the subscales form the Big Five Inventory (BFI). Resilience was measured by the 10-item Connor-Davidson Resilience Scale (CD-RISC). HRQoL was measured by the short-form 8 (SF- 8). Path analysis was conducted to examine the relationship between key variables. Multi-group path analysis was also performed to investigate whether the pathways differed by financial status. Indirect effects were computed in the path analyses to detect the mediatory role of resilience between personalities and HRQoL.Results: The findings included that after controlling for confounders, neuroticism, but not extraversion was significantly associated with HRQoL. The relationships were mediated by resilience. Moreover, the mediating role of resilience is more pronounced among the participants who live in a financially poor or fair condition, comparing to their wealthier peers.Conclusion: This study confirmed the important role of personality in shaping older adults' resilience and quality of life. Personality should be kept in mind in the identification of potential vulnerable groups for interventions, especially those in financial hardships who may face double disadvantages.
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Affiliation(s)
- Daniel W L Lai
- Faculty of Social Sciences, Hong Kong Baptist University, Kowloon Tong, Hong Kong
| | - Jia Li
- School of Public Health and Primary Care, The Chinese University of Hong Kong, Shatin, Hong Kong
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Karlsen HR, Langvik E. Sex-specific psychological risk profiles of CVD in the HUNT study: the role of neuroticism and extraversion. Psychol Health 2022:1-19. [PMID: 36404707 DOI: 10.1080/08870446.2022.2146113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2022] [Revised: 09/27/2022] [Accepted: 11/04/2022] [Indexed: 11/22/2022]
Abstract
OBJECTIVE The aim was to investigate psychological risk profiles of cardiovascular disease (CVD). Depression and anxiety have been linked to CVD, but research has not incorporated personality and sex-specific analyses are warranted. In this study, we examine the role of sex, neuroticism, extraversion, anxiety and depression on the risk of CVD. METHOD Using data from the HUNT-study and the mortality register, 32,383 (57.10% men) participants were followed for an average of 10.48 years. During this time, 142 died of myocardial infarction (MI) and 111 of stroke. RESULTS Cox regression showed that depression (HR = 1.07, 95% CI = [1.00, 1.14]) and neuroticism (1.23 [1.08, 1.40]) were significantly related to an increased risk of MI. One standard unit increase in depression and neuroticism was associated with 1.22 [CI 1.01, 1.47] increase and 1.43 [CI 1.14, 0.78] increase in the risk of MI respectively. For stroke, there was no significant effect of anxiety, depression or personality. However, we found a significant interaction effect between sex and extraversion where higher extraversion was associated with greater risk of stroke for women only. CONCLUSIONS Both neuroticism and depression were related to MI. We observed an interaction between extraversion and sex with stroke, but the effect size was small. The role of extroversion as a risk factor for CVD remains inconclusive.
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Affiliation(s)
- Håvard R Karlsen
- Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway
| | - Eva Langvik
- Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway
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Qi Y, Lepe A, Almansa J, Ots P, de Kroon ML, Vrooman JC, Reijneveld SA, Brouwer S, Deelen P, Lanting P, Vonk JM, Nolte I, Ori AP, Claringbould A, Boulogne F, Dijkema MX, Wiersma HH, Warmerdam R, Jankipersadsing SA, Vrooman JC, Reijneveld SA, Brouwer S. Increases in symptoms of depression and anxiety in adults during the initial phases of the COVID-19 pandemic are limited to those with less resources: Results from the Lifelines Cohort Study. J Psychiatr Res 2022; 154:151-158. [PMID: 35940000 PMCID: PMC9286758 DOI: 10.1016/j.jpsychires.2022.07.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/23/2021] [Revised: 05/30/2022] [Accepted: 07/01/2022] [Indexed: 12/25/2022]
Abstract
BACKGROUND The COVID-19 pandemic may have a differential impact on mental health based on an individual's capital, i.e. resources available to maintain and enhance health. We assessed trajectories of depression and anxiety symptoms, and their association with different elements of capital. METHODS Data on 65,854 individuals (mean baseline age = 50·4 (SD = 12·0) years) from the Lifelines COVID-19 cohort were used. Baseline mental health symptoms were on average measured 4.7 (SD = 1·1) years before the first COVID-19 measurement wave, and subsequent waves were (bi)weekly (March 30─August 05, 2020). Mental health symptom trajectories were estimated using a two-part Latent Class Growth Analysis. Class membership was predicted by economic (education, income, and occupation) and person capital (neuroticism, poor health condition, and obesity) FINDINGS: Most individuals were unlikely to report symptoms of depression (80·6%) or anxiety (75·9%), but stable-high classes were identified for both conditions (1·6% and 6·7%, respectively). The stable-high depression class saw the greatest increase in symptoms after COVID, and the stable-high anxiety class reported an increase in the probability of reporting symptoms after COVID. At the first COVID-measurement, the mean number of symptoms increased compared to baseline (depression:4·7 vs 4·1; anxiety:4·3 vs 4·2); the probability of reporting symptoms also increased (depression:0·96 vs 0·65; anxiety:0·92 vs 0·70). Membership in these classes was generally predicted by less capital, especially person capital; odds ratios for person capital ranged from 1·10-2·22 for depression and 1·08-1·51 for anxiety. INTERPRETATION A minority of individuals, possessing less capital, reported an increase in symptoms of depression or anxiety after COVID. FUNDING This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
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Affiliation(s)
- Yuwei Qi
- University Medical Center Groningen, University of Groningen, Department of Health Sciences, Groningen, the Netherlands.
| | - Alexander Lepe
- University Medical Center Groningen, University of Groningen, Department of Health Sciences, Groningen, the Netherlands
| | - Josué Almansa
- University Medical Center Groningen, University of Groningen, Department of Health Sciences, Groningen, the Netherlands
| | - Patricia Ots
- University Medical Center Groningen, University of Groningen, Department of Health Sciences, Groningen, the Netherlands
| | - Marlou L.A. de Kroon
- University Medical Center Groningen, University of Groningen, Department of Health Sciences, Groningen, the Netherlands
| | - Lifelines Corona Research InitiativeBoezenH.M.cMierauJ.O.deFrankeH.L.fDekensJ.fgDeelenP.fLantingPaulinefVonkJudith M.fNolteIljacOriAnil P.S.fhClaringbouldAnniquefBoulogneFlorannefDijkemaMarjolein X.L.fWiersmaHenry H.fWarmerdamRobertfJankipersadsingSoesma A.fDepartment of Epidemiology, University of Groningen, University Medical Center Groningen, Groningen, the NetherlandsFaculty of Economics and Business, University of Groningen, Groningen, the NetherlandsAletta Jacobs School of Public Health, Groningen, the NetherlandsDepartment of Genetics, University of Groningen, University Medical Center Groningen, Groningen, the NetherlandsCenter of Development and Innovation, University of Groningen, University Medical Center Groningen, Groningen, the NetherlandsDepartment of Psychiatry, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands
| | - J. Cok Vrooman
- Department of Sociology/ICS, Utrecht University, Netherlands Institute for Social Research, the Netherlands
| | - Sijmen A. Reijneveld
- University Medical Center Groningen, University of Groningen, Department of Health Sciences, Groningen, the Netherlands
| | - Sandra Brouwer
- University Medical Center Groningen, University of Groningen, Department of Health Sciences, Groningen, the Netherlands
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Gomes Jardim GB, Gomes I, Mehdi G, Ranjbar S, Engroff P, Santos MA, Neto AC, von Gunten A. Do Adult Attachment Style or Personality Mediate the Relationship Between Childhood Maltreatment and Late-Life Depression in Poor Communities? J Geriatr Psychiatry Neurol 2022; 36:246-253. [PMID: 35943420 PMCID: PMC10114258 DOI: 10.1177/08919887221119979] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVE Childhood maltreatment is associated with late-life depression. Preliminary evidence indicates that personality characteristics, in particular neuroticism and extroversion, and an anxious attachment style mediate this association. The objective is to evaluate 3 models, in which personality and attachment are considered mediators between childhood maltreatment and late-life depression in a socioeconomically disadvantaged Brazilian population. METHODS This study included participants (n = 260) from socioeconomically disadvantaged neighborhoods of Porto Alegre, Brazil, who completed measures of childhood maltreatment (Childhood Trauma Questionnaire - CTQ), personality characteristics (NEO-Five Factor Inventory), attachment styles (Relationship Scales Questionnaire), and geriatric depression (Mini-International Neuropsychiatric Interview-Plus). General multiple and sequential mediation analyses were used to test for possible associations. RESULTS Attachment anxiety but not attachment avoidance is a mediator between childhood maltreatment and geriatric depression. Neuroticism is a full mediator. At that, attachment anxiety was found to be a predictor of neuroticism. Finally, sequential mediation analysis shows a path from childhood maltreatment to geriatric depression through attachment anxiety and neuroticism. CONCLUSIONS The results suggest a pathway from childhood maltreatment to anxious attachment, which in turn predicts higher neuroticism that itself may favor late-life depression. This hypothesis could have implications for older adults living in low socioeconomic settings in that treating the high-risk group of maltreated children may help prevent late-life depression.
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Affiliation(s)
| | - Irenio Gomes
- Instituto de Geriatria e Gerontologia-IGG, 28102Pontifícia Universidade Católica do Rio Grande do Sul-PUCRS, Brazil
| | - Gholam Mehdi
- Departement de Psychiatrie, 30635Lausanne University Hospital, Lausanne, Switzerland
| | - Setareh Ranjbar
- Departement de Psychiatrie, 30635Lausanne University Hospital, Lausanne, Switzerland
| | - Paula Engroff
- Instituto de Geriatria e Gerontologia-IGG, 28102Pontifícia Universidade Católica do Rio Grande do Sul-PUCRS, Brazil
| | - Milena Antunes Santos
- Departement de Psychiatrie, 30635Lausanne University Hospital, Lausanne, Switzerland
| | - Alfredo Cataldo Neto
- Instituto de Geriatria e Gerontologia-IGG, 28102Pontifícia Universidade Católica do Rio Grande do Sul-PUCRS, Brazil
| | - Armin von Gunten
- Departement de Psychiatrie, 30635Lausanne University Hospital, Lausanne, Switzerland
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Breil SM, Mielke I, Ahrens H, Geldmacher T, Sensmeier J, Marschall B, Back MD. Predicting Actual Social Skill Expression from Personality and Skill Self-Concepts. J Intell 2022; 10:jintelligence10030048. [PMID: 35997404 PMCID: PMC9397015 DOI: 10.3390/jintelligence10030048] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2022] [Revised: 07/18/2022] [Accepted: 07/20/2022] [Indexed: 02/04/2023] Open
Abstract
Social skills are of key importance in everyday and work life. However, the way in which they are typically assessed via self-report questionnaires has one potential downside; self-reports assess individuals’ global self-concepts, which do not necessarily reflect individuals’ actual social behaviors. In this research, we aimed to investigate how self-concepts assessed via questionnaires relate to skill expression assessed via behavioral observations after short interpersonal simulations. For this, we used an alternative behavior-based skill assessment approach designed to capture expressions of predefined social skills. Self- and observer ratings were collected to assess three different social skills: agency (i.e., getting ahead in social situations), communion (i.e., getting along in social situations), and interpersonal resilience (i.e., staying calm in social situations). We explored how these skills were related to self-concepts by differentiating between a classic personality measure (i.e., Big Five Inventory 2; BFI-2) and a novel skill questionnaire (i.e., Behavioral, Emotional, and Social Skills Inventory; BESSI). The results (N = 137) showed that both personality and skill self-concepts predicted self-rated skill expression, with the BESSI showing incremental validity. For both personality and skills self-concepts, the relationships with observer-rated skill expression were significant for agency but not for communion or interpersonal resilience. We discuss these results and highlight the theoretical and practical importance of differentiating between skill self-concepts and actual skill expression.
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Affiliation(s)
- Simon M. Breil
- Department of Psychology, University of Münster, 48149 Münster, Germany;
- Correspondence:
| | - Ina Mielke
- Department of Biochemistry and Molecular Cell Biology, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany;
| | - Helmut Ahrens
- Department of Medicine, University of Münster, 48149 Münster, Germany; (H.A.); (T.G.); (J.S.); (B.M.)
| | - Thomas Geldmacher
- Department of Medicine, University of Münster, 48149 Münster, Germany; (H.A.); (T.G.); (J.S.); (B.M.)
| | - Janina Sensmeier
- Department of Medicine, University of Münster, 48149 Münster, Germany; (H.A.); (T.G.); (J.S.); (B.M.)
| | - Bernhard Marschall
- Department of Medicine, University of Münster, 48149 Münster, Germany; (H.A.); (T.G.); (J.S.); (B.M.)
| | - Mitja D. Back
- Department of Psychology, University of Münster, 48149 Münster, Germany;
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12
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Damian RI, Serrano S, Matchanova A, Morgan EE, Woods SP. Personality and Everyday Functioning in Older Adults With and Without HIV. J Clin Psychol Med Settings 2022; 29:120-136. [PMID: 34036476 PMCID: PMC8613313 DOI: 10.1007/s10880-021-09783-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/23/2021] [Indexed: 12/15/2022]
Abstract
In a cross-sectional multi-method study of older adults living with and without HIV (n = 202; 69.8% HIV seropositive), we tested associations between personality traits and everyday functioning, and whether these associations differed depending on HIV serostatus. We found that higher levels of conscientiousness and lower levels of neuroticism were associated with higher odds of being clinically independent (vs. dependent) in everyday functioning. These findings replicated across self- and clinician-reports and persisted above and beyond relevant covariates. We found no evidence of interactions between personality and HIV serostatus, suggesting that personality was equally important for everyday functioning regardless of HIV serostatus. Given the present findings and the knowledge that personality is dynamic and amenable to intervention, we discuss two different possible pathways for intervention meant to improve everyday functioning and quality of life among older adults with and without HIV: personality change and personalized medicine.
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Affiliation(s)
| | | | | | - Erin E. Morgan
- Department of Psychiatry; University of California, San Diego; San Diego, CA
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13
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Association between behavioral phenotypes and sustained use of smartphones and wearable devices to remotely monitor physical activity. Sci Rep 2021; 11:21501. [PMID: 34728746 PMCID: PMC8563736 DOI: 10.1038/s41598-021-01021-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2021] [Accepted: 10/20/2021] [Indexed: 12/02/2022] Open
Abstract
Smartphones and wearable devices can be used to remotely monitor health behaviors, but little is known about how individual characteristics influence sustained use of these devices. Leveraging data on baseline activity levels and demographic, behavioral, and psychosocial traits, we used latent class analysis to identify behavioral phenotypes among participants randomized to track physical activity using a smartphone or wearable device for 6 months following hospital discharge. Four phenotypes were identified: (1) more agreeable and conscientious; (2) more active, social, and motivated; (3) more risk-taking and less supported; and (4) less active, social, and risk-taking. We found that duration and consistency of device use differed by phenotype for wearables, but not smartphones. Additionally, "at-risk" phenotypes 3 and 4 were more likely to discontinue use of a wearable device than a smartphone, while activity monitoring in phenotypes 1 and 2 did not differ by device type. These findings could help to better target remote-monitoring interventions for hospitalized patients.
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14
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Weston SJ, Condon DM, Fisher PA. Psychosocial factors associated with preventive pediatric care during the COVID-19 pandemic. Soc Sci Med 2021; 287:114356. [PMID: 34474308 PMCID: PMC8516410 DOI: 10.1016/j.socscimed.2021.114356] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2021] [Revised: 08/20/2021] [Accepted: 08/26/2021] [Indexed: 11/29/2022]
Abstract
Background Identifying the factors that predict non-adherence to recommended preventive pediatric care is necessary for the development of successful interventions to improve compliance. Purpose Given the substantial decline in well-child visits and influenza vaccinations, we sought to examine sociodemographic (i.e., parent age, education, employment status, child age, insurance coverage, household size, race and ethnicity, income, COVID-19 incidence in state) and psychosocial (i.e., child temperament, parent mental health, parent personality traits) factors associated with preventative pediatric care (well-child visits, influenza vaccines) during the COVID-19 pandemic. Methods As part of a larger, ongoing study, 1875 parents (96% mothers, 65% age 35 or younger, 58% with a college degree) reported whether they had missed any recommended or scheduled well-child visits since the pandemic and whether they had vaccinated their child against the flu. Using data collected during fall 2020, we examine differences in these health outcomes across social/demographic factors and psychological profiles. In addition, we use lasso logistic regression models to (1) estimate the accuracy with which we can predict adherence from these characteristics and (2) identify factors most strongly, independently associated with adherence. Results Parent psychological factors were associated with outcomes above and beyond known demographic and social factors. For example, parent industriousness and orderliness were associated with greater likelihoods of attending well-child visits and vaccinating children, while parent conservatism and creativity were associated with lower rates. We also replicate prior work documenting that health insurance, income, and household size are major factors in receiving adequate pediatric care. Conclusions Adherence to preventive pediatric care varies as a function of psychological factors, suggesting that the current system of pediatric care favors some psychological profiles over others. However, the specific traits associated with non-adherence point to potentially fruitful interventions, specifically around increasing functional proximity.
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15
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Ene C, Rîndașu C, Ionescu D. Patients’ personality in disease self-management. A self-determination perspective. CURRENT PSYCHOLOGY 2021. [DOI: 10.1007/s12144-021-02240-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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16
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Zullo L, Clark C, Gholam M, Castelao E, von Gunten A, Preisig M, Popp J. Factors associated with subjective cognitive decline in dementia-free older adults-A population-based study. Int J Geriatr Psychiatry 2021; 36:1188-1196. [PMID: 33555636 DOI: 10.1002/gps.5509] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/06/2021] [Accepted: 01/31/2021] [Indexed: 11/05/2022]
Abstract
BACKGROUND Subjective cognitive decline (SCD) is common in older adults, affects quality of life (QoL), and may represent the earliest clinical manifestation of cognitive decline evolving to dementia. Still little is known about factors associated with SCD. OBJECTIVES (1) Assess the associations between SCD and demographic, social, clinical, and personality characteristics as well as QoL, with and without adjustment for objective cognitive performance, and (2) investigate the relations between neuroticism, QoL, and SCD. METHODS Cross-sectional analysis of a cohort of 1567 dementia-free community-dwellers from the urban area of Lausanne, Switzerland, aged 64 years and older (mean age 70.9 ± 4.7 years), from CoLaus/PsyCoLaus. SCD was assessed using a validated 10-item questionnaire. Personality traits, QoL, and perceived social support were evaluated using self-report measures. Information on depression and anxiety status and socioeconomic characteristics including professional activity were elicited using a semi-structured interview. Cognitive functioning was assessed through a comprehensive neuropsychological test battery. Statistical analysis was based on logistic regression. RESULTS SCD was present in 18.5% of the sample and it was associated with lower performance in memory and verbal fluency tasks. After controlling for possible confounders, professional activity, neuroticism, and current depression were associated with SCD. Exploratory analysis revealed associations of SCD with QoL, neuroticism, and their interaction. CONCLUSION Besides objective cognitive performance, SCD is related to several psychosocial factors in dementia-free community-dwelling older people. These findings are relevant for the development of healthcare interventions to reduce cognitive complaints, improve QoL, and prevent cognitive decline in general population.
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Affiliation(s)
- Leonardo Zullo
- Geriatric Psychiatry, Department of Psychiatry, Geneva University Hospitals, Geneva, Switzerland
| | - Christopher Clark
- Institute of Regenerative Medicine, University of Zurich, Zurich, Switzerland
| | - Mehdi Gholam
- Department of Psychiatry, Lausanne University Hospital, Lausanne, Switzerland
| | - Enrique Castelao
- Department of Psychiatry, Lausanne University Hospital, Lausanne, Switzerland
| | - Armin von Gunten
- Old Age Psychiatry, Department of Psychiatry, Lausanne University Hospital, Lausanne, Switzerland
| | - Martin Preisig
- Department of Psychiatry, Lausanne University Hospital, Lausanne, Switzerland
| | - Julius Popp
- Old Age Psychiatry, Department of Psychiatry, Lausanne University Hospital, Lausanne, Switzerland.,Department of Geriatric Psychiatry, Centre for Gerontopsychiatric Medicine, University Hospital of Psychiatry Zürich, Zürich, Switzerland
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17
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Bovero A, Cotardo F, Pierotti V, Gottardo F, Botto R, Opezzo M, Geminiani GC. Personality Traits and Sense of Dignity in End-of-Life Cancer Patients: A Cross-Sectional Study. Am J Hosp Palliat Care 2021; 38:39-46. [PMID: 33256475 DOI: 10.1177/1049909120920232] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
Abstract
CONTEXT Patients' personality traits can play an important role in the end-of-life care process. OBJECTIVES The present study aimed to investigate the relationship between personality traits and dignity in cancer patients nearing death. In addition, the associations between personality traits and physical, psychological symptoms, and coping strategies during the end-of-life stage were explored. METHODS The study is cross-sectional. The sample consisted of 210 participants with a Karnofsky Performance Status (KPS) lower than 50 and a life expectancy of a few weeks. For each patient, personal and clinical data were collected and a set of validated rating scales, assessing personality, dignity, physical, psychological symptoms and coping strategies was administered during the first psychological consultation. RESULTS The results highlighted significant associations between personality traits and dignity. In particular, Conscientiousness was negatively correlated with Social Support and Extroversion was negatively associated with Loss of Purpose and Meaning. Neuroticism was related to all the dimensions of dignity and Extroversion was significantly associated with the physical and psychological symptoms. Regarding coping styles, active coping strategies were predictors of Extroversion and Agreeableness. Conversely, anxiety symptoms predicted the Neuroticism trait. CONCLUSIONS Personality traits seem to be actively involved into the loss of dignity. These findings highlighted the importance of including personality traits and dignity into the patient's care process. Exploring individual differences and coping mechanisms at the end-of-life could improve palliative care and lead to better patient-tailored psychological interventions.
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Affiliation(s)
- Andrea Bovero
- Clinical Psychology and Psycho-Oncology Unit, Department of Neuroscience, 9314University of Turin, "Città della Salute e della Scienza" Hospital, Turin, Italy
| | - Francesca Cotardo
- Clinical Psychology and Psycho-Oncology Unit, Department of Neuroscience, 9314University of Turin, "Città della Salute e della Scienza" Hospital, Turin, Italy
| | - Vanni Pierotti
- Clinical Psychology and Psycho-Oncology Unit, Department of Neuroscience, 9314University of Turin, "Città della Salute e della Scienza" Hospital, Turin, Italy
| | - Francesco Gottardo
- Clinical Psychology and Psycho-Oncology Unit, Department of Neuroscience, 9314University of Turin, "Città della Salute e della Scienza" Hospital, Turin, Italy
| | - Rossana Botto
- Clinical Psychology and Psycho-Oncology Unit, Department of Neuroscience, 9314University of Turin, "Città della Salute e della Scienza" Hospital, Turin, Italy
| | - Marta Opezzo
- Clinical Psychology and Psycho-Oncology Unit, Department of Neuroscience, 9314University of Turin, "Città della Salute e della Scienza" Hospital, Turin, Italy
| | - Giuliano Carlo Geminiani
- Clinical Psychology and Psycho-Oncology Unit, Department of Neuroscience, 9314University of Turin, "Città della Salute e della Scienza" Hospital, Turin, Italy
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18
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He Y, Li A, Li K, Xiao J. Neuroticism vulnerability factors of anxiety symptoms in adolescents and early adults: an analysis using the bi-factor model and multi-wave longitudinal model. PeerJ 2021; 9:e11379. [PMID: 34221704 PMCID: PMC8231313 DOI: 10.7717/peerj.11379] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2020] [Accepted: 04/09/2021] [Indexed: 11/23/2022] Open
Abstract
Background Neuroticism and stress are important vulnerability factors in the development and outcome of anxiety symptoms. However, as neuroticism is a heterogeneity trait, it is still unclear how different neuroticism factors contribute to anxiety symptoms independently or in conjunction with stress. Thus, different factors of neuroticism were extracted in the present longitudinal study using the bi-factor model. The prediction effect of these different factors on anxiety symptoms and their combined effects with stress in both adolescent and adult samples were examined. Method Participants (592 adolescents and 638 young adults) in Hunan China were included. In the initial assessment in our longitudinal study, participants were asked to complete measurements that assessed neuroticism, stress, and anxiety symptoms. Next, a monthly assessment of stress and anxiety symptoms was completed for the subsequent 6 months. The bi-factor model was used to extract different factors of neuroticism. The hierarchical linear model was used to analyze longitudinal multi-wave data. Result Several model fit indices were used to evaluate the bi-factor model fit for neuroticism (adolescent: Tucker-Lewis index (TLI) = 0.957, comparative fit index (CFI) = 0.973, RMSEA = 0.040, Chi-Square = 80.471; early adults: TLI = 0.957, CFI = 0.973, RMSEA = 0.042, Chi-Square = 88.465). The results of hierarchical linear modeling analyses indicated that the general factor of neuroticism possessed a predictive effect on anxiety symptoms (adolescents: F = 36.77, p < 0.0001, early adults: F = 30.44, p < 0.0001); The negative effect factor only had the prediction effect on anxiety symptoms in early adults (adolescents: F = 0.65, p > 0.05; early adults: F = 4.84, p < 0.05); No prediction of self-reproach factor was found on anxiety symptoms (adolescents: F = 3.79, p > 0.05; early adults: F = 0.02, p > 0.05); the interactive effects of the general factor and stress on anxiety symptoms were only found in early adulthood (adolescents: F = 0.13, p > 0.05; early adults: F = 11.55, p < 0.01). Conclusion Our results suggested that the bi-factor model achieved a satisfactory fit for neuroticism measurement and supported that the anxiety symptoms were induced by the main effects of the general factor in both age samples and the negative factor only in adults. The general factor of neuroticism, but not the negative factor could make an additive effect for anxiety symptoms in face of stress, which meant that the homogeneity of neuroticism played a more significant role in further anxiety symptoms than heterogeneity when coping with stress.
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Affiliation(s)
- Yini He
- Key Laboratory for NeuroInformation of Ministry of Education, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, China
| | - Ang Li
- State Key Laboratory of Brain and Cognitive Science, Institute of Biophysics, Chinese Academy of Sciences, Beijing, China
| | - Kaixin Li
- School of Mechanical and Power Engineering, Harbin University of Science and Technology, Harbin, China
| | - Jing Xiao
- Beijing Key Laboratory of Learning and Cognition, School of Psychology, Capital Normal University, Beijing, China
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19
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Abstract
OBJECTIVE Personality traits and health are strongly correlated, but unobserved family-level characteristics may confound this relationship. This study investigates whether associations between personality traits and physical health are spurious owing to unobserved family background. DESIGN Participants were from the National Longitudinal Study of Adolescent to Adult Health. This study employed sibling fixed-effect approach to account for unobserved family characteristics. MAIN OUTCOME MEASURES Main dependent variables were Framingham Risk Scores for 30-year full cardiovascular disease (CVD) and metabolic syndrome. RESULTS Sibling fixed-effects models showed that conscientiousness is associated with reductions in CVD risk and metabolic syndrome, and that neuroticism is associated with an increase in both conditions. A higher extraversion score is positively associated with CVD risk. The adverse effect of extraversion on CVD risk is larger among females, and the protective effect of conscientiousness is larger among males. Moreover, while extraversion, neuroticism and conscientiousness are associated with health behaviours in somewhat distinct ways, the associations for agreeableness and openness are spurious owing to unobserved family background. CONCLUSION This study ruled out the concern that unobserved family background drives the personality-physical health link. Mechanisms linking personality to physical health may be gendered.
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Affiliation(s)
- Jinho Kim
- Department of Health Policy and Management, Korea University, Seoul, Republic of Korea.,Interdisciplinary Program in Precision Public Health, Korea University, Seoul, Republic of Korea
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20
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Ma YH, Yang YX, Shen XN, Chen SD, Tan L, Dong Q, Yu JT. Evaluation relationships between subjective wellbeing, personality traits, and Alzheimer's disease: A two-sample Mendelian randomization study. J Psychiatr Res 2021; 137:498-505. [PMID: 33798978 DOI: 10.1016/j.jpsychires.2021.03.033] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/20/2020] [Accepted: 03/19/2021] [Indexed: 11/30/2022]
Abstract
OBJECTIVE Observational studies have suggested that subjective wellbeing and personality traits link to risk of Alzheimer's disease (AD), but it is unclear if these associations are causal. METHODS We performed two-sample Mendelian randomization to assess potential causality. Genetic associations were obtained from the largest genome-wide association studies in Social Science Genetic Association Consortium (N = 298,420), Genetics of Personality Consortium (N = 81,036), and four independent consortia of AD (N = 455,258). We run the inverse variance weighted (IVW) approach as one primary analysis. A Bonferroni-corrected threshold of p < 8.33 × 10-3 was considered significant, and p values between 8.33 × 10-3 and 0.05 were considered to be suggestive of an association. RESULTS The suggestive association with decreased risk of AD was noted for a genetically predicted 1-SD increase in subjective wellbeing (odds ratio = 0.963, 95% confidence interval = 0.930-0.997; p = 0.032). Genetically predicted greater neuroticism was significantly associated with lower subjective wellbeing (β = -0.077; p = 0.004). No putative personality traits were significantly associated with AD risk after correction for multiple tests, including agreeableness (β = -0.0010; p = 0.477), conscientiousness (β = 0.0018; p = 0.270), openness (β = 0.0004; p = 0.738), neuroticism (β = -0.0098; p = 0.262), or extraversion (β = 0.0120; p = 0.262). CONCLUSIONS Subjective wellbeing may independently reduce the risk of AD. Residual confounding is likely to be responsible for the previous observational relationships between personality traits and AD.
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Affiliation(s)
- Ya-Hui Ma
- Department of Neurology, Qingdao Municipal Hospital, Qingdao University, China
| | - Yu-Xiang Yang
- Department of Neurology and Institute of Neurology, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China
| | - Xue-Ning Shen
- Department of Neurology and Institute of Neurology, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China
| | - Shi-Dong Chen
- Department of Neurology and Institute of Neurology, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China
| | - Lan Tan
- Department of Neurology, Qingdao Municipal Hospital, Qingdao University, China.
| | - Qiang Dong
- Department of Neurology and Institute of Neurology, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China.
| | - Jin-Tai Yu
- Department of Neurology and Institute of Neurology, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China.
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21
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Otonari J, Ikezaki H, Furusyo N, Sudo N. Do neuroticism and extraversion personality traits influence disease-specific risk factors for mortality from cancer and cardiovascular disease in a Japanese population? J Psychosom Res 2021; 144:110422. [PMID: 33756148 DOI: 10.1016/j.jpsychores.2021.110422] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/13/2020] [Revised: 02/11/2021] [Accepted: 03/13/2021] [Indexed: 11/17/2022]
Abstract
OBJECTIVE Although many reports discussing the associations between personality traits and mortality have been published internationally, those evaluating the relationships among personality, risk factors, and mortality of cancer and CVD are limited. METHODS In a prospective cohort study, we assessed the relationship of neuroticism and extraversion traits with mortality from cancer and cardiovascular disease (CVD) in 11,554 Japanese residents (male, n = 4995; female, n = 6559), and whether the risk factors that have been validated in the Japanese population mediated the relationship. The baseline survey was conducted between February 2004 and August 2007, and the participants were followed until the date of death or December 31, 2013. RESULTS Neuroticism was positively associated with risk factors for cancer and negatively associated with the risk score for CVD in both sexes. The relationship between extraversion and cancer risk factors differed depending on the factors, and a positive association between extraversion and the CVD risk score was observed only in men. Among cancer mortality, CVD mortality, and mortality due to other causes, cancer mortality showed remarkably negative association with neuroticism in women; unadjusted hazard ratio for the highest tertile versus the lowest tertile was 0.41 (95% confidence interval [CI], 0.23-0.73). While the logistic regression coefficients changed 19% after adjustment for age, it changed no more than 19% after adjustment for age and risk factors. CONCLUSION While neuroticism was negatively associated with cancer mortality in women, the mediating effect of the risk factors was small.
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Affiliation(s)
- Jun Otonari
- Department of Psychosomatic Medicine, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka-shi, Fukuoka 812-8582, Japan; Department of Psychosomatic Medicine, International University of Health and Welfare Narita Hospital, 852, Hatakeda, Narita City, Chiba 286-0124, Japan.
| | - Hiroaki Ikezaki
- Department of General Internal Medicine, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, Fukuoka-shi, Fukuoka 812-8582, Japan
| | - Norihiro Furusyo
- Taihaku Avenue Clinic, 5-32, Reisen-machi, Hakata-ku, Fukuoka, 812-0039, Japan
| | - Nobuyuki Sudo
- Department of Psychosomatic Medicine, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka-shi, Fukuoka 812-8582, Japan
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Aschwanden D, Strickhouser JE, Luchetti M, Stephan Y, Sutin AR, Terracciano A. Is personality associated with dementia risk? A meta-analytic investigation. Ageing Res Rev 2021; 67:101269. [PMID: 33561581 PMCID: PMC8005464 DOI: 10.1016/j.arr.2021.101269] [Citation(s) in RCA: 62] [Impact Index Per Article: 20.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2020] [Revised: 09/08/2020] [Accepted: 02/02/2021] [Indexed: 02/06/2023]
Abstract
This study provides a quantitative synthesis of the prospective associations between personality traits (neuroticism, extraversion, openness, agreeableness, conscientiousness) and the risk of incident Alzheimer's disease and related dementias. We conducted five separate meta-analyses with 8-12 samples (N = 30,036 to 33,054) that were identified through a systematic literature search following the MOOSE guidelines. Higher neuroticism (HR = 1.24, 95% CI [1.17, 1.31]) and lower conscientiousness (HR = 0.77, 95% CI [0.73, 0.81]) were associated with increased dementia risk, even after accounting for covariates such as depressive symptoms. Lower extraversion (HR = 0.92, 95% CI [0.86, 0.97]), openness (HR = 0.91, 95% CI [0.86, 0.96]), and agreeableness (HR = 0.90, 95% CI [0.83, 0.98]) were also associated with increased risk, but these associations were less robust and not significant in fully adjusted models. No evidence of publication bias was found. The strength of associations was unrelated to publication year (i.e., no evidence of winner's curse). Meta-regressions indicated consistent effects for neuroticism, openness, and conscientiousness across methods to assess dementia, dementia type, follow-up length, sample age, minority, country, and personality measures. The association of extraversion and agreeableness varied by country. Our findings indicate robust associations of neuroticism and conscientiousness with dementia risk.
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23
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Tacheva Z, Ivanov A. Exploring the Association Between the "Big Five" Personality Traits and Fatal Opioid Overdose: County-Level Empirical Analysis. JMIR Ment Health 2021; 8:e24939. [PMID: 33683210 PMCID: PMC7985797 DOI: 10.2196/24939] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/10/2020] [Revised: 12/28/2020] [Accepted: 01/18/2021] [Indexed: 01/04/2023] Open
Abstract
BACKGROUND Opioid-related deaths constitute a problem of pandemic proportions in the United States, with no clear solution in sight. Although addressing addiction-the heart of this problem-ought to remain a priority for health practitioners, examining the community-level psychological factors with a known impact on health behaviors may provide valuable insights for attenuating this health crisis by curbing risky behaviors before they evolve into addiction. OBJECTIVE The goal of this study is twofold: to demonstrate the relationship between community-level psychological traits and fatal opioid overdose both theoretically and empirically, and to provide a blueprint for using social media data to glean these psychological factors in a real-time, reliable, and scalable manner. METHODS We collected annual panel data from Twitter for 2891 counties in the United States between 2014-2016 and used a novel data mining technique to obtain average county-level "Big Five" psychological trait scores. We then performed interval regression, using a control function to alleviate omitted variable bias, to empirically test the relationship between county-level psychological traits and the prevalence of fatal opioid overdoses in each county. RESULTS After controlling for a wide range of community-level biopsychosocial factors related to health outcomes, we found that three of the operationalizations of the five psychological traits examined at the community level in the study were significantly associated with fatal opioid overdoses: extraversion (β=.308, P<.001), neuroticism (β=.248, P<.001), and conscientiousness (β=.229, P<.001). CONCLUSIONS Analyzing the psychological characteristics of a community can be a valuable tool in the local, state, and national fight against the opioid pandemic. Health providers and community health organizations can benefit from this research by evaluating the psychological profile of the communities they serve and assessing the projected risk of fatal opioid overdose based on the relationships our study predict when making decisions for the allocation of overdose-reversal medication and other vital resources.
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Affiliation(s)
- Zhasmina Tacheva
- School of Information Studies, Syracuse University, Syracuse, NY, United States
| | - Anton Ivanov
- Department of Business Administration, Gies College of Business, University of Illinois at Urbana-Champaign, Urbana-Champaign, IL, United States
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Heid AR, Pruchno R, Wilson-Genderson M, Cartwright FP. The Prospective Association of Personality Traits and Successful Aging. Int J Aging Hum Dev 2021; 94:193-214. [PMID: 33616413 DOI: 10.1177/0091415021989460] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
We used data (N = 928) from ORANJ BOWL, a six-wave panel of adults (aged 50-74 at baseline) to address the association between personality and successful aging at two points in time, 8 years apart. Regressions examined the associations between Wave 2 neuroticism, extraversion, openness, agreeableness, and conscientiousness and Wave 3 subjective success, functional ability, pain, and chronic conditions. Models tested personality traits independently and then simultaneously, with interactions. Confirmatory analyses used Waves 5/6 data. All traits but openness were individually associated with successful aging at both time points. When testing traits simultaneously, only neuroticism and extraversion were consistently associated with subjective success, with an interaction at Waves 2/3. Neuroticism (Waves 2/3) and conscientiousness (Waves 5/6) were associated with functional ability. Neuroticism was associated with pain (Waves 2/3). Personality was not associated with chronic conditions. These analyses set up future work examining relationships between change in personality and change in successful aging.
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Affiliation(s)
| | - Rachel Pruchno
- New Jersey Institute for Successful Aging, Rowan University School of Osteopathic Medicine, Stratford, NJ, USA
| | | | - Francine P Cartwright
- New Jersey Institute for Successful Aging, Rowan University School of Osteopathic Medicine, Stratford, NJ, USA
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Hobbs KA, Mann FD, Cole SW, Krueger RF. Big Five Personality and CTRA gene expression: Lack of association in a midlife sample of US adults (MIDUS-Refresher). PERSONALITY AND INDIVIDUAL DIFFERENCES 2021; 169. [PMID: 33716369 DOI: 10.1016/j.paid.2020.109908] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
A previous study found that Extraversion and Conscientiousness were associated with increased and decreased expression of a pre-specified set of pro-inflammatory indicator genes. The present study aimed to replicate these findings in a sample of adults from the Refresher Cohort of the Study of Midlife in the United States (MIDUS). Analysis of gene expression composite scores and generalized linear models that took into account the heterogeneity and non-independence of RNA expression across different genes found no significant associations between the pro-inflammatory indicator gene set and the Big Five domains of personality. In addition, there was no significant association between a pre-specified antiviral indicator gene set and the Big Five domains. These findings suggest that relations between Big Five personality and expression of these two immune response indicator gene sets do not consistently appear across samples and may be context-dependent in ways that remain to be elucidated.
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Affiliation(s)
- Kelsey A Hobbs
- University of Minnesota, Twin Cities Department of Psychology 75 E River Rd Minneapolis, MN 55455, United states
| | - Frank D Mann
- University of Minnesota, Twin Cities Department of Psychology 75 E River Rd Minneapolis, MN 55455, United states
| | - Steven W Cole
- University of California, Los Angeles Department of Psychiatry & Biobehavioral Sciences and Medicine 11-934 Factor Building Los Angeles, CA 90095, United States
| | - Robert F Krueger
- University of Minnesota, Twin Cities Department of Psychology 75 E River Rd Minneapolis, MN 55455, United states
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Kraal AZ, Massimo L, Fletcher E, Carrión CI, Medina LD, Mungas D, Gavett BE, Farias ST. Functional reserve: The residual variance in instrumental activities of daily living not explained by brain structure, cognition, and demographics. Neuropsychology 2021; 35:19-32. [PMID: 33393797 PMCID: PMC8753970 DOI: 10.1037/neu0000705] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
OBJECTIVE Cognitive reserve is a concept that explains individual differences in resilience to brain pathology and susceptibility to poor late-life cognitive outcomes. We evaluate the analogous concept of "Functional Reserve," defined as the difference between observed functional abilities and those predicted by brain structure, cognitive performance, and demographics. This study aims to validate the construct of functional reserve by testing its utility in predicting clinical outcomes and exploring its predictors. METHOD Longitudinal data collected annually for up to 7 years from 1,084 older adults (ndementia = 163; nMCI = 333; nCN = 523) were analyzed. Functional reserve was operationalized as the residual variance in the Lawton-Brody Instrumental Activities of Daily Living (IADL) Scale after accounting for demographics (sex/gender, race, ethnicity, education), neuropathology (gray matter, hippocampal, and white matter hyperintensity volumes), and cognition (executive function, verbal episodic memory, semantic memory, and spatial function). Structural equation models estimated (a) functional reserve's associations with 7-year changes in clinical diagnosis and disease severity and (b) predictors of functional reserve. RESULTS Functional reserve was lower in dementia versus cognitively normal individuals. Higher baseline functional reserve was associated with lower concurrent dementia severity and slower clinical progression and attenuated the association of cognition with concurrent dementia severity. Physical function and apathy were the strongest predictors of functional reserve. CONCLUSIONS Results provide preliminary validation of functional reserve for explaining individual differences in susceptibility to IADL dysfunction independent of neuropathology, cognition, and demographics. Physical functioning and apathy are promising modifiable intervention targets to enhance functional reserve in the context of brain atrophy and cognitive decline. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
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Affiliation(s)
| | | | - Evan Fletcher
- Department of Neurology, University of California, Davis
| | | | | | - Dan Mungas
- Department of Neurology, University of California, Davis
| | - Brandon E Gavett
- Department of Psychological Science, University of Western Australia
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Aschwanden D, Sutin AR, Luchetti M, Stephan Y, Terracciano A. Personality and Dementia Risk in England and Australia. GEROPSYCH 2020; 33:197-208. [PMID: 34326756 PMCID: PMC8318004 DOI: 10.1024/1662-9647/a000241] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Evidence for the relation between personality and dementia risk comes mainly from American samples. We tested whether personality-dementia links extend to populations from England and Australia. Data from the English Longitudinal Study of Ageing (ELSA; N = 6,887; Follow-up mean: 5.64 years) and the Household, Income and Labour Dynamics in Australia (HILDA; N = 2,778; Follow-up mean: 10.96 years) were analyzed using Cox PH models. In both samples, higher neuroticism was associated with increased dementia risk. In ELSA, lower conscientiousness was related to increased risk. In HILDA, conscientiousness had a similar effect but did not reach statistical significance. The present work found a consistent association for neuroticism and suggests similar personality-dementia links across demographic groups and high-income countries.
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McDowell CP, Wilson KE, Monroe DC, McCrory C, Kenny RA, Herring MP. Physical activity partially mediates associations between "Big" personality traits and incident generalized anxiety disorder: Findings from the irish longitudinal study on ageing. J Affect Disord 2020; 277:46-52. [PMID: 32795714 DOI: 10.1016/j.jad.2020.07.124] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/05/2020] [Revised: 07/14/2020] [Accepted: 07/28/2020] [Indexed: 01/04/2023]
Abstract
BACKGROUND This study aimed to examine associations of personality with generalized anxiety disorder (GAD) and physical activity (PA), PA with GAD, and PA mediates associations between personality and incident GAD. METHODS Participants aged ≥50 years completed the 60-item NEO-Five Factor Inventory questionnaire to assess personality and short-form International Physical Activity Questionnaire at baseline, and the Composite International Diagnostic Interview - Short Form to clinically assess GAD at baseline and 2, 4, and 6 years later. Participants who had GAD at baseline or reported having ever been told by a doctor that they had anxiety were excluded from analyses. Binary logistic regression quantified associations of the 'Big Five' personality traits with PA and incident GAD, and associations of PA with incident GAD (i.e., GAD at any point during follow-up). The 'counterfactual approach' identified potential mediating effects of PA in the associations between personality traits and incident GAD. RESULTS Participants (n = 4582; 53.7% female) were aged 64.38±8.88 years. Incidence of GAD was 2.95% (n = 135). Extraversion (OR=1.160, 95%CI=1.087-1.237), openness (1.113, 1.043-1.188), and conscientiousness (1.083, 1.015-1.155) were positively associated with physical activity. Neuroticism was positively (2.335, 1.945-2.803), and extraversion (0.700, 0.563-0.797), conscientiousness (0.826, 0.693-0.985), and PA (0.655, 0.451-0.952) were inversely, associated with the incident GAD. Approximately 8.7% of the effect of extraversion and 8.8% of the effect of conscientiousness on GAD was due to mediation by PA only. LIMITATIONS PA was self-reported Conclusions: Personality screening may help to identify older adults at-risk of anxiety who would benefit from participation in physical activity interventions.
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Affiliation(s)
- Cillian P McDowell
- The Irish Longitudinal Study on Ageing, Trinity College Dublin, D02 R590 Ireland.
| | - Kathryn E Wilson
- Department of Kinesiology and Health, Georgia State University, Atlanta, GA, United States
| | - Derek C Monroe
- Department of Neurology, University of California, Irvine, CA, United States
| | - Cathal McCrory
- The Irish Longitudinal Study on Ageing, Trinity College Dublin, D02 R590 Ireland
| | - Rose Anne Kenny
- The Irish Longitudinal Study on Ageing, Trinity College Dublin, D02 R590 Ireland; Mercer's Institute for Successful Ageing, St James's Hospital, Dublin, Ireland
| | - Matthew P Herring
- Department of Physical Education and Sport Sciences, University of Limerick, Ireland; Physical Activity for Health Research Cluster, Health Research Institute, University of Limerick, Ireland
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Milad E, Bogg T. Personality Traits, Coping, Health-related Behaviors, and Cumulative Physiological Health in a National Sample: 10 Year Prospective Effects of Conscientiousness via Perceptions of Activity on Allostatic Load. Ann Behav Med 2020; 54:880-892. [PMID: 32359064 DOI: 10.1093/abm/kaaa024] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Personality traits, coping styles, and health-related behaviors show associations with various aspects of health. However, integrative life-course investigations of pathways by which these factors might affect later cumulative physiological health risk remain sparse. PURPOSE To investigate prospective associations of personality traits via coping styles and health-related behaviors on allostatic load in a national sample. METHODS Using data from the Midlife in the United States study (MIDUS; N = 1,054), path analyses were used to test direct and indirect associations (via coping styles, smoking, frequency of alcohol consumption, leisure-time physical activity, and perceptions of activity) of personality traits on a latent measurement model of allostatic load informed by 10 biomarkers associated with cardiovascular, inflammation, glucose, and lipid subsystems. RESULTS Direct 10 year associations of greater conscientiousness on healthier allostatic load and greater extraversion on less healthy allostatic load were observed. Consistent with hypothesized behavioral pathways, relationships between conscientiousness and extraversion on allostatic load were prospectively mediated by greater perceptions of activity. Physical activity and more frequent alcohol use were associated with healthier allostatic load but did not act as prospective mediators. CONCLUSIONS The results provide further evidence of conscientiousness' standing as a marker of health via cumulative physiological health. Moreover, a greater perception of activity was identified as a pathway through which conscientious individuals experienced healthier physiological profiles over time. Examining a more detailed picture of the psychosocial mechanisms leading to development of health risk, as was found with perceptions of activity, remains an important area for future research.
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Affiliation(s)
- Elizabeth Milad
- Department of Psychology, Wayne State University, Detroit, MI, USA
| | - Tim Bogg
- Department of Psychology, Wayne State University, Detroit, MI, USA
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Chen XS, Changolkar S, Navathe AS, Linn KA, Reh G, Szwartz G, Steier D, Godby S, Balachandran M, Harrison JD, Rareshide CAL, Patel MS. Association between behavioral phenotypes and response to a physical activity intervention using gamification and social incentives: Secondary analysis of the STEP UP randomized clinical trial. PLoS One 2020; 15:e0239288. [PMID: 33052906 PMCID: PMC7556484 DOI: 10.1371/journal.pone.0239288] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2020] [Accepted: 09/01/2020] [Indexed: 01/18/2023] Open
Abstract
Participants often vary in their response to behavioral interventions, but methods to identify groups of participants that are more likely to respond are lacking. In this secondary analysis of a randomized clinical trial, we used baseline characteristics to group participants into distinct behavioral phenotypes and evaluated differential responses to a physical activity intervention. Latent class analysis was used to segment participants based on baseline participant data including demographics, validated measures of psychosocial variables, and physical activity behavior. The trial included 602 adults from 40 U.S. states with body mass index ≥25 who were randomized to control or one of three gamification interventions (supportive, collaborative, or competitive) to increase physical activity. Daily step counts were monitored using a wearable device for a 24-week intervention with 12 weeks of follow-up. The model segmented participants into three classes named for key defining traits: Class 1, extroverted and motivated; Class 2, less active and less social; Class 3, less motivated and at-risk. Adjusted regression models were used to test for differences in intervention response relative to control within each behavioral phenotype. In Class 1, only participants in the competitive arm increased their mean daily steps during the intervention (adjusted difference, 945; 95% CI, 352-1537; P = .002), but it was not sustained during follow-up. In Class 2, participants in all three gamification arms significantly increased their mean daily steps compared to control during the intervention (supportive arm adjusted difference 1172; 95% CI, 363-1980; P = .005; collaborative arm adjusted difference 1119; 95% CI, 319-1919; P = .006; competitive arm adjusted difference 1179; 95% CI, 400-1957; P = .003) and all three had sustained impact during follow-up. In Class 3, none of the interventions had a significant effect on physical activity. Three behavioral phenotypes were identified, each with a different response to the interventions. This approach could be used to better target behavioral interventions to participants that are more likely to respond to them.
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Affiliation(s)
- Xisui Shirley Chen
- Department of Medicine, University of Pennyslvania Perelman School of Medicine, Philadelphia, Pennsylvania, United States of America
- * E-mail:
| | - Sujatha Changolkar
- Penn Medicine Nudge Unit, University of Pennyslvania, Philadelphia, Pennsylvania, United States of America
| | - Amol S. Navathe
- Department of Medicine, University of Pennyslvania Perelman School of Medicine, Philadelphia, Pennsylvania, United States of America
- Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania, United States of America
| | - Kristin A. Linn
- Department of Biostatistics, Epidemiology and Informatics, University of Pennyslvania Perelman School of Medicine, Philadelphia, Pennsylvania, United States of America
| | - Gregory Reh
- Deloitte Consulting, Philadelphia, Pennsylvania, United States of America
| | - Gregory Szwartz
- Deloitte Consulting, Philadelphia, Pennsylvania, United States of America
| | - David Steier
- Deloitte Consulting, Philadelphia, Pennsylvania, United States of America
| | - Sarah Godby
- Deloitte Consulting, Philadelphia, Pennsylvania, United States of America
| | - Mohan Balachandran
- Penn Medicine Nudge Unit, University of Pennyslvania, Philadelphia, Pennsylvania, United States of America
| | - Joseph D. Harrison
- Penn Medicine Nudge Unit, University of Pennyslvania, Philadelphia, Pennsylvania, United States of America
| | - Charles A. L. Rareshide
- Penn Medicine Nudge Unit, University of Pennyslvania, Philadelphia, Pennsylvania, United States of America
| | - Mitesh S. Patel
- Department of Medicine, University of Pennyslvania Perelman School of Medicine, Philadelphia, Pennsylvania, United States of America
- Penn Medicine Nudge Unit, University of Pennyslvania, Philadelphia, Pennsylvania, United States of America
- Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania, United States of America
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Pocnet C, Popp J, Jopp D. The power of personality in successful ageing: a comprehensive review of larger quantitative studies. Eur J Ageing 2020; 18:269-285. [PMID: 34220406 DOI: 10.1007/s10433-020-00575-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
In this paper, we highlighted links between personality traits and successful ageing through a systematic review of recent empirical studies. Particularly, we addressed the question of whether personality traits are related to successful ageing and, if so, why and how? Answers to this question provided, for example, arguments that supported personality's role in planning an individual's future based on self-knowledge, thereby contributing to a sense of identity throughout their life. Then, considering longitudinal studies, we examined whether personality is stable over one's life course, or does it change and, if so, why and under what conditions? Answers to this question gave substance to the idea that a stable personality allows for continuous and consistent development. In addition, certain personality changes are likely to allow an individual to develop the resilience to better adapt to life's challenges. Therefore, the arguments brought by these two questions can help clarify the modulating role of personality for successful ageing via health and well-being outcomes. These insights may contribute to the development of new prevention approaches, more focused on inter- and intraindividual differences, to promote successful ageing.
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Affiliation(s)
- Cornelia Pocnet
- Department of Psychiatry, University Hospital Service of Old Age Psychiatry, CHUV, Lausanne, Switzerland
- Geriatric Psychiatry, Department of Psychiatry, Geneva University Hospitals, Geneva, Switzerland
| | - Julius Popp
- Department of Psychiatry, University Hospital Service of Old Age Psychiatry, CHUV, Lausanne, Switzerland
- Department of Geriatric Psychiatry, Centre for Gerontopsychiatric Medicine, University Hospital of Psychiatry Zurich, Zurich, Switzerland
| | - Daniela Jopp
- Institute of Psychology, University of Lausanne, Lausanne, Switzerland
- Swiss National Centre of Competence in Research LIVES (NCCRs), University of Lausanne, Lausanne, Switzerland
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The Relationship of Personality and Behavior Change in a Physical Activity Intervention: The Role of Conscientiousness and Healthy Neuroticism. PERSONALITY AND INDIVIDUAL DIFFERENCES 2020; 166. [PMID: 32831447 DOI: 10.1016/j.paid.2020.110224] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
This study examined the role of personality traits in a 5-week physical activity intervention study for working adults. We tested whether personality traits predicted individual differences in change in daily steps over time. Fifty-two participants ages 35 to 69 (M age = 49.71, SD = 8.64) wore a Fitbit Zip step counter for 35 days and completed a personality questionnaire. Participants were randomly assigned to either an implementation intention group or a control group. Both groups wore a Fitbit and had the goal to increase their daily steps. For the present study, the sample was collapsed across groups. Higher conscientiousness was associated with greater increases in daily steps. Also, individuals with healthy neuroticism, the combination of higher neuroticism and higher conscientiousness, showed greater increases in daily steps. The findings highlight that the efficacy of physical activity interventions may depend on personality traits. Intervention outcomes may be improved if personality is taken into account when designing the programs.
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The Relation Between Personality and Biomarkers in Sensitivity and Conversion to Alzheimer-Type Dementia. J Int Neuropsychol Soc 2020; 26:596-606. [PMID: 31822309 PMCID: PMC7286789 DOI: 10.1017/s1355617719001358] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
OBJECTIVES The present study explored relationships among personality, Alzheimer's disease (AD) biomarkers, and dementia by addressing the following questions: (1) Does personality discriminate healthy aging and earliest detectable stage of AD? (2) Does personality predict conversion from healthy aging to early-stage AD? (3) Do AD biomarkers mediate any observed relationships between personality and dementia status/conversion? METHODS Both self- and informant ratings of personality were obtained in a large well-characterized longitudinal sample of cognitively normal older adults (N = 436) and individuals with early-stage dementia (N = 74). Biomarkers included amyloid imaging, hippocampal volume, cerebral spinal fluid (CSF) Aβ42, and CSF tau. RESULTS Higher neuroticism, lower conscientiousness, along with all four biomarkers strongly discriminated cognitively normal controls from early-stage AD individuals. The direct effects of neuroticism and conscientiousness were only mediated by hippocampal volume. Conscientiousness along with all biomarkers predicted conversion from healthy aging to early-stage AD; however, none of the biomarkers mediated the relationship between conscientiousness and conversion. Conscientiousness predicted conversion as strongly as the biomarkers, with the exception of hippocampal volume. CONCLUSIONS Conscientiousness and to a lesser extent neuroticism serve as important independent behavioral markers for AD risk.
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Lodder P. Modeling synergy: How to assess a Type D personality effect. J Psychosom Res 2020; 132:109990. [PMID: 32151819 DOI: 10.1016/j.jpsychores.2020.109990] [Citation(s) in RCA: 26] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/15/2020] [Revised: 02/28/2020] [Accepted: 03/02/2020] [Indexed: 11/27/2022]
Abstract
OBJECTIVE In research on Type D personality, its subcomponents negative affectivity (NA) and social inhibition (SI) are hypothesized to have a synergistic effect on various medical and psychosocial outcomes. As some methods to analyze Type D personality have been criticized, this study investigated whether these methods adequately detect a Type D effect. METHOD We used a simulation and two empirical illustrations to investigate each method's performance (bias, power and false positives) in detecting the Type D effect. RESULTS Our simulation showed that the two most commonly used methods to assess the Type D effect (subgroup methods) were primarily picking up the presence of NA or SI main effects, indicating that these methods might falsely suggest synergistic Type D effects. Moreover, these methods failed to detect the combined presence of the NA and SI main effects, resulting in significant Type D effects when only one of the NA/SI main effects was present. The method that best detected Type D effects modeled the continuous NA/SI main effects and their statistical interaction in a regression analysis. Reanalysis of two empirical Type D personality datasets confirmed the patterns found in our simulation. CONCLUSION This study showed that Type D effects should be modeled with a continuous interaction approach. Other approaches showed either more bias, more false positive findings or lower power. We recommend against using subgroup approaches to operationalize Type D personality, as these methods are biased, regardless of whether the Type D effect is synergistic or additive in nature.
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Affiliation(s)
- Paul Lodder
- Department of Methodology and Statistics, Tilburg University, the Netherlands; Center of Research on Psychology in Somatic diseases (CoRPS), Department of Medical and Clinical Psychology, Tilburg University, the Netherlands.
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Simon SS, Varangis E, Stern Y. Associations between personality and whole-brain functional connectivity at rest: Evidence across the adult lifespan. Brain Behav 2020; 10:e01515. [PMID: 31903706 PMCID: PMC7249003 DOI: 10.1002/brb3.1515] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/26/2019] [Accepted: 12/01/2019] [Indexed: 12/23/2022] Open
Abstract
INTRODUCTION Personality is associated with cognitive, emotional, and social functioning, and can play a role in age-related cognitive decline and dementia risk; however, little is known about the brain dynamics underlying personality characteristics, and whether they are moderated by age. METHODS We investigated the associations between personality and resting-state functional MRI data from 365 individuals across the adult lifespan (20-80 years). Participants completed the 50-item International Personality Item Pool and a resting-state imaging protocol on a 3T MRI scanner. Within-network connectivity values were computed based on predefined networks. Regression analyzes were conducted in order to investigate personality-connectivity associations, as well as moderation by age. All models controlled for potential confounders (such as age, sex, education, IQ, and the other personality traits). RESULTS We found that openness was positively associated with connectivity in the default-mode network, neuroticism was negatively associated with both the ventral and dorsal attention networks, and agreeableness was negatively associated with the dorsal attention network. In addition, age moderated the association between conscientiousness and the frontoparietal network, indicating that this association become stronger in older age. CONCLUSIONS Our findings demonstrate that personality is associated with brain connectivity, which may contribute to identifying personality profiles that play a role in protection against or risk for age-related brain changes and dementia.
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Affiliation(s)
- Sharon S Simon
- Cognitive Neuroscience Division, Department of Neurology, College of Physicians and Surgeons, Columbia University, New York, NY, USA
| | - Eleanna Varangis
- Cognitive Neuroscience Division, Department of Neurology, College of Physicians and Surgeons, Columbia University, New York, NY, USA
| | - Yaakov Stern
- Cognitive Neuroscience Division, Department of Neurology, College of Physicians and Surgeons, Columbia University, New York, NY, USA
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Association of menopausal symptoms with sociodemographic factors and personality traits. MENOPAUSE REVIEW 2020; 18:191-197. [PMID: 32132882 PMCID: PMC7045358 DOI: 10.5114/pm.2019.93117] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/17/2019] [Accepted: 11/21/2019] [Indexed: 11/17/2022]
Abstract
Aim of the study To investigate the association of personality traits with the severity of vasomotor symptoms (VMS) in a predominantly Greek population. Material and methods A questionnaire-based study of women from the Menopause Clinic of a University Hospital in Athens, Greece. Sociodemographic parameters were documented through a structured interview. All women completed the Menopause Rating Scale (MRS) for the assessment of severity of menopausal symptoms, the Hot Flush Beliefs Scale (HFBS) for the assessment of how women were coping with their symptoms and the Big Five Inventory questionnaires for the assessment of personality traits. Associations between baseline parameters and menopausal symptoms were assessed with univariate and multivariate regression analyses. Results One hundred women were included. Employed women had lower MRS sub-scores (psychological p< 0.001, somatic p< 0.047, urogenital p< 0.008). Married women scored higher in the psychological and somatic domains. Women of university educational level coped significantly better with hot flushes (β coefficient [SE]: 0.72 [0.25], p< 0.01) and night sweats (0.57 [0.19], p< 0.01) than women of primary education, although the significance of these findings was not replicated when taking into account confounders. Regarding personality traits, women with low openness (-0.33 [0.11], p< 0.01) and empathy (-0.83 [0.37], p = 0.03) and high agreeableness (1.13 [0.21], p< 0.001) had more severe menopausal symptoms. In contrast, women with high agreeableness could better cope with their menopausal symptoms (-0.75 [0.36], p = 0.04). These associations were independent of sociodemographic factors. Conclusions Personality traits, especially agreeableness, openness and empathy are associated with menopausal symptoms and functionality in postmenopausal women. These associations might serve as indicators of women at risk of experiencing more severe VMS.
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Marr C, Vaportzis E, Dewar M, Gow AJ. Investigating associations between personality and the efficacy of interventions for cognitive ageing: A systematic review. Arch Gerontol Geriatr 2019; 87:103992. [PMID: 31835190 DOI: 10.1016/j.archger.2019.103992] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2019] [Revised: 11/18/2019] [Accepted: 12/01/2019] [Indexed: 10/25/2022]
Abstract
The personal and societal impact of age-related cognitive decline supports the development of effective interventions. While some strategies, such as cognitive training, exercise or socio-intellectual engagement, appear beneficial, few studies have examined the association between personality and intervention efficacy. A systematic review was therefore conducted to summarise and synthesise the literature regarding the influence of personality traits on the effectiveness of non-pharmacological interventions for cognitive ageing. A systematic search of PubMed, PsycINFO and Web of Science was carried out. Of the 2100 papers identified by the search strategy, 10 studies were retained that met the relevant criteria (e.g., intervention studies with one or more cognitive outcomes and a measure of personality). Of these, two studies reported that higher levels of Openness to Experience were associated with greater improvement in memory performance after cognitive training interventions. Another found a positive association between Openness and improvement in divergent thinking following a novel group-based problem solving programme. One social intervention study reported positive moderating effects of Conscientiousness and Agreeableness, and mixed effects of Extraversion. Mixed evidence was also found regarding Need for Cognition, with one study reporting a positive association with memory improvement and another reporting less improvement in divergent thinking. Others found no evidence of personality influencing intervention outcomes. Due to the relatively small and heterogeneous sample of studies identified, any conclusions should currently be considered preliminary. These findings highlight the need for further research exploring the role of personality in intervention efficacy, so that interventions might be better tailored to individuals.
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Affiliation(s)
- Calum Marr
- Department of Psychology, Heriot-Watt University, Edinburgh, UK
| | - Eleftheria Vaportzis
- Department of Psychology, Heriot-Watt University, Edinburgh, UK; Division of Psychology, University of Bradford, Bradford, UK
| | - Michaela Dewar
- Department of Psychology, Heriot-Watt University, Edinburgh, UK; Centre for Cognitive Ageing and Cognitive Epidemiology, University of Edinburgh, Edinburgh, UK
| | - Alan J Gow
- Department of Psychology, Heriot-Watt University, Edinburgh, UK; Centre for Cognitive Ageing and Cognitive Epidemiology, University of Edinburgh, Edinburgh, UK.
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Massey-Abernathy AR, Robinson DN. Personality Promotion: The Impact of Coaching and Behavioral Activation on Facet Level Personality Change and Health Outcomes. CURRENT PSYCHOLOGY 2019. [DOI: 10.1007/s12144-019-00530-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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The Eysenck Personality Profile in Selected Groups of Ophthalmological Patients. Pril (Makedon Akad Nauk Umet Odd Med Nauki) 2019; 40:41-49. [PMID: 31605595 DOI: 10.2478/prilozi-2019-0013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Personality correlates in patients with eye diseases have bidirectional influence. It is possible that personality variables lead to behaviours that may influence the cause of eye problems, but the opposite is also possible, that eye problems could have a direct effect on personality. The aim of this study was to evaluate personality traits in patients with glaucoma, diabetic retinopathy and cataract using the Eysenck Personality Questionnaire. Obtained results showed similar personality profiles in patients with glaucoma, diabetic retinopathy and cataract. However, extraversion and neuroticism were higher in patients with diabetes, while the psychopathic traits are the highest in the group of cataract. Age and gender of patients do not influence the scores obtained on the questionnaire confirmed with one way ANOVA. Not significant difference in parameters (tested with Student t-test) was obtained between groups. It is proposed psychological evaluation to be included in the assessment of more serious eye diseases for helping patients to adjust and adapt to the condition and treatment.
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Aschwanden D, Gerend MA, Luchetti M, Stephan Y, Sutin AR, Terracciano A. Personality traits and preventive cancer screenings in the Health Retirement Study. Prev Med 2019; 126:105763. [PMID: 31260725 PMCID: PMC6810562 DOI: 10.1016/j.ypmed.2019.105763] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/04/2019] [Revised: 05/27/2019] [Accepted: 06/28/2019] [Indexed: 12/30/2022]
Abstract
The Five-Factor model of personality has been associated with a wide range of health behaviors and health outcomes. However, few studies have examined whether personality traits are related to cancer screening in older adults. The present study investigated the cross-sectional associations between personality traits and the probability of obtaining a recent preventive screening for breast, cervical, prostate, and colorectal cancer. Participants from the Health and Retirement Study (N = 14,394, Mage = 68.14 years, range = 50-102 years, 58.6% female) completed a personality inventory and reported on cancer screenings in the 2010-2012 assessment. Logistic regression models were used to analyze the data, including age, race, ethnicity, gender, education, income, and wealth as covariates. Higher conscientiousness was associated with a higher likelihood of obtaining breast, cervical, and prostate screening. Higher extraversion was related to higher odds of breast, cervical, and colorectal screening. Higher neuroticism was linked to higher odds of colorectal screening, and conscientiousness moderated the link between neuroticism and cervical screening. These associations were significant in models that accounted for demographic and socioeconomic factors. The effect sizes were in the range of a 10-20% higher likelihood of cancer screening for 1 SD difference in personality. The present findings suggest that conscientiousness and extraversion were related to preventive cancer screenings, whereas neuroticism, openness and agreeableness were largely unrelated to the likelihood of such screenings. If these results are further replicated, health policy makers may consider personality traits when planning and implementing screening recommendations to improve preventive medicine.
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Dubois C, Eisfeld H, Bauer F, Schmidt T, Kastrati K, Hochhaus A, Hübner J. Not all cancer patients with an interest in CAM are the same. Differences between patients with a CAM interest prior to the cancer diagnosis and those with first-time interest since diagnosis. Complement Ther Med 2019; 45:167-171. [DOI: 10.1016/j.ctim.2019.06.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2019] [Accepted: 06/13/2019] [Indexed: 01/02/2023] Open
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McClendon J, Jackson JJ, Bogdan R, Oltmanns TF. Trajectories of racial and gender health disparities during later midlife: Connections to personality. CULTURAL DIVERSITY & ETHNIC MINORITY PSYCHOLOGY 2019; 25:359-370. [PMID: 30525775 PMCID: PMC6557706 DOI: 10.1037/cdp0000238] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
OBJECTIVE We examined race/gender effects on initial levels and trajectories of self-reported physical and mental health, as well as the moderating role of personality. We hypothesized that health disparities would remain stable or decrease over time, and that at-risk personality traits (e.g., neuroticism) would have a more robust negative impact on health for Black participants. METHOD Analyses utilized 6 waves of data from a community sample of 1,577 Black and White adults (mean age 60 years), assessed every 6 months for 2.5 years. Using multigroup latent growth curve modeling, we examined initial levels and changes in health among White men, White women, Black men, and Black women. RESULTS Black participants reported lower initial physical health than Whites. Women's physical health was stable over time, whereas men's declined. There were no disparities in mental health. Higher agreeableness was associated with higher initial levels of physical health only among Black men and White women. All other personality traits were associated with physical and mental health similarly across race and gender. CONCLUSIONS Race and gender influence health trajectories. Most personality- health associations replicated across race and gender, except for agreeableness with physical health. An intersectional framework considering more than one aspect of social identity is crucial for understanding health disparities. Future studies may benefit from including large, diverse samples of participants and further examining the moderating effects of race and gender on personality associations with a variety of health outcomes. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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Affiliation(s)
- Juliette McClendon
- Department of Psychological and Brain Sciences, Washington University in St. Louis
| | - Joshua J Jackson
- Department of Psychological and Brain Sciences, Washington University in St. Louis
| | - Ryan Bogdan
- Department of Psychological and Brain Sciences, Washington University in St. Louis
| | - Thomas F Oltmanns
- Department of Psychological and Brain Sciences, Washington University in St. Louis
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Progovac AM, Pettinger M, Donohue JM, Chang CCH(J, Matthews KA, Habermann EB, Kuller LH, Rosal M, Li W, Garcia L, Tindle HA. Optimism may moderate screening mammogram frequency in Medicare: A longitudinal study. Medicine (Baltimore) 2019; 98:e15869. [PMID: 31192918 PMCID: PMC6587654 DOI: 10.1097/md.0000000000015869] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
Abstract
Higher trait optimism and/or lower cynical hostility are associated with healthier behaviors and lower risk of morbidity and mortality, yet their association with health care utilization has been understudied. Whether these psychological attitudes are associated with breast cancer screening behavior is unknown. To assess the association of optimism and cynical hostility with screening mammography in older women and whether sociodemographic factors acted as mediators of these relationships, we used Women's Health Initiative (WHI) observational cohort survey data linked to Medicare claims. The sample includes WHI participants without history of breast cancer who were enrolled in Medicare Parts A and B for ≥2 years from 2005-2010, and who completed WHI baseline attitudinal questionnaires (n = 48,291). We used survival modeling to examine whether screening frequency varied by psychological attitudes (measured at study baseline) after adjusting for sociodemographic characteristics, health conditions, and healthcare-related variables. Psychological attitudes included trait optimism (Life Orientation Test-Revised) and cynical hostility (Cook Medley subscale), which were self-reported at study baseline. Sociodemographic, health conditions, and healthcare variables were self-reported at baseline and updated through 2005 as available. Contrary to our hypotheses, repeated events survival models showed that women with the lowest optimism scores (i.e., more pessimistic tendencies) received 5% more frequent screenings after complete covariate adjustment (p < .01) compared to the most optimistic group, and showed no association between cynical hostility and frequency of screening mammograms. Sociodemographic factors did not appear to mediate the relationship between optimism and screenings. However, higher levels of education and higher levels of income were associated with more frequent screenings (both p < .01). We also found that results for optimism were primarily driven by women who were aged 75 or older after January 2009, when changes to clinical guidelines lead to uncertainty about risks and benefits of screening in this age group. The study demonstrated that lower optimism, higher education, and higher income were all associated with more frequent screening mammograms in this sample after repeated events survival modeling and covariate adjustment.
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Affiliation(s)
- Ana M. Progovac
- Health Equity Research Lab, Department of Psychiatry, Cambridge Health Alliance, Cambridge
- Department of Psychiatry, Harvard Medical School, Boston, MA
| | - Mary Pettinger
- Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA
| | - Julie M. Donohue
- Department of Health Policy and Management, University of Pittsburgh School of Public Health
| | | | - Karen A. Matthews
- Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA
| | | | - Lewis H. Kuller
- Department of Epidemiology, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA
| | - Milagros Rosal
- Department of Quantitative Health Sciences, University of Massachusetts Medical School
| | - Wenjun Li
- Department of Medicine, University of Massachusetts Medical School, Worcester, MA
| | - Lorena Garcia
- Department of Public Health Sciences, University of California Davis School of Medicine, Davis, CA
| | - Hilary A. Tindle
- Department of Medicine, Vanderbilt University Medical Center, Nashville, TN
- Geriatric Research Education and Clinical Centers (GRECC), Veterans Affairs Tennessee Valley Healthcare System, Nashville, TN
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Christensen DS, Flensborg-Madsen T, Garde E, Hansen ÅM, Mortensen EL. Big Five personality traits and allostatic load in midlife. Psychol Health 2019; 34:1011-1028. [PMID: 30907137 DOI: 10.1080/08870446.2019.1585851] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Objective: To examine the cross-sectional associations of Big Five personality traits with midlife allostatic load, including the role of sex, socio-demographic factors and health-related behaviours. Design: Cross-sectional analyses of 5512 members of the Copenhagen Aging and Midlife Biobank, aged 49-63 years, 69% men. Main outcome measure: Allostatic load (AL) based on 14 biomarkers representing the inflammatory, cardiovascular and metabolic system. Results: Due to significant sex × trait interactions, analyses were stratified by sex. Openness and Conscientiousness were inversely associated with AL in both sexes, and Extraversion was positively associated with AL in men. Adjusting for socio-demographic factors significantly attenuated the association of Openness in both sexes and of Extraversion in men, for whom the inverse association of Agreeableness with AL was strengthened. Further adjusting for health-related behaviours, the Conscientiousness-AL association was attenuated but remained significant, and Agreeableness remained significantly associated with AL in men. Conclusion: Results imply that higher levels of Agreeableness (in men) and Conscientiousness are associated with lower levels of AL above and beyond socio-demographic factors and health-related behaviours. The study further contributes by demonstrating the relevance of sex × trait and trait × trait interactions in the personality-health literature.
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Affiliation(s)
- Dinne Skjaerlund Christensen
- a Section of Environmental Health , Department of Public Health, University of Copenhagen , Copenhagen , Denmark.,b Center for Healthy Aging, University of Copenhagen , Copenhagen , Denmark
| | - Trine Flensborg-Madsen
- a Section of Environmental Health , Department of Public Health, University of Copenhagen , Copenhagen , Denmark.,b Center for Healthy Aging, University of Copenhagen , Copenhagen , Denmark
| | - Ellen Garde
- a Section of Environmental Health , Department of Public Health, University of Copenhagen , Copenhagen , Denmark.,b Center for Healthy Aging, University of Copenhagen , Copenhagen , Denmark.,c Danish Research Centre for Magnetic Resonance, Centre for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital Hvidovre , Copenhagen , Denmark
| | - Åse Marie Hansen
- d Section of Social Medicine , Department of Public Health, University of Copenhagen , Copenhagen , Denmark.,e National Research Centre for the Working Environment , Copenhagen , Denmark
| | - Erik Lykke Mortensen
- a Section of Environmental Health , Department of Public Health, University of Copenhagen , Copenhagen , Denmark.,b Center for Healthy Aging, University of Copenhagen , Copenhagen , Denmark
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Wall HJ, Campbell CC, Kaye LK, Levy A, Bhullar N. Personality profiles and persuasion: An exploratory study investigating the role of the Big-5, Type D personality and the Dark Triad on susceptibility to persuasion. PERSONALITY AND INDIVIDUAL DIFFERENCES 2019. [DOI: 10.1016/j.paid.2018.11.003] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
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Abstract
The objective of this article is to review and integrate interrelated areas of research on personality and Alzheimer's disease (AD). Prospective studies indicate that individuals who score higher on conscientiousness (more responsible and self-disciplined) and lower on neuroticism (less anxious and vulnerable to stress) have a reduced risk of developing dementia, even in the presence of AD neuropathology. Personality is also related to measures of cognitive performance and cognitive decline, with effect sizes similar to those of other clinical, lifestyle, and behavioral risk factors. These associations are unlikely to be due to reverse causality: Long-term prospective data indicate that there are no changes in personality that are an early sign of the disease during the preclinical phase of AD. With the onset and progression of dementia, however, there are large changes in personality that are reported consistently by caregivers in retrospective studies and are consistent with the clinical criteria for the diagnosis of dementia. The review also discusses potential mechanisms of the observed associations and emphasizes the need for prospective studies to elucidate the interplay of personality traits with AD neuropathology (amyloid and tau biomarkers) in modulating the risk and timing of onset of clinical dementia. The article concludes with the implications of personality research for identifying those at greater risk of AD and the potential of personality-tailored interventions aimed at the prevention and treatment of AD. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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Affiliation(s)
| | - Angelina R Sutin
- Department of Behavioral Science and Social Medicine, Florida State University College of Medicine
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Elran-Barak R, Weinstein G, Beeri MS, Ravona-Springer R. The associations between objective and subjective health among older adults with type 2 diabetes: The moderating role of personality. J Psychosom Res 2019; 117:41-47. [PMID: 30665595 DOI: 10.1016/j.jpsychores.2018.12.011] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/31/2018] [Revised: 12/25/2018] [Accepted: 12/25/2018] [Indexed: 11/18/2022]
Abstract
BACKGROUND Objective and subjective health are two powerful constructs which predict morbidity and mortality across a range of conditions including Type 2 Diabetes (T2D). Studies, however, suggest that these two constructs do not necessarily correlate, as some people with poor objective health perceive their health as good, while other people with good objective health perceive their health as poor. We seek to examine the role of personality as a moderator of the associations between objective and subjective health among older adults with T2D, who are likely to experience poor objective and subjective health due to their chronic medical condition. METHODS Cross-sectional study of 368 individuals with T2D (72 ± 4 years, 42% women), participating in the Israel Diabetes and Cognitive Decline Study. Personality was conceptualized using the five-factor model (agreeableness, conscientiousness, extraversion, neuroticism, openness). Objective health was operationalized by T2D-related clinical status, cognitive function, and motor ability. Subjective health was assessed using a single self-report question. Hayes' process macro was used for the moderation analyses. RESULTS The objective-subjective health associations were stronger among individuals with increased neuroticism (proportion of days covered: p = 0.02; cognitive function: p = 0.003; hand grip: p = 0.02; 3-m walk: p = 0.04) as well as decreased openness (cognitive status: p = 0.04) and agreeableness (3-m walk: p = 0.02). DISCUSSION Personality traits, and specifically neuroticism, can modify the associations between objective and subjective health in older adults with T2D. Findings contribute to the understanding of health as a multidimensional construct that encompasses medical and psychological aspects, especially among older adults with a chronic illness.
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Affiliation(s)
| | | | - Michal Schnaider Beeri
- Department of Psychiatry, The Icahn School of Medicine at Mount Sinai, New York, NY, USA; The Joseph Sagol Neuroscience Center, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel
| | - Ramit Ravona-Springer
- The Joseph Sagol Neuroscience Center, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel; Memory Clinic, Division of Psychiatry, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
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Abstract
Openness to experience has been found to be a correlate of successful aging outcomes yet also has been found to decline from middle age onward. We hypothesized that decline in openness would be associated with death. Using longitudinal data from the Swedish Adoption/Twin Study of Aging (SATSA), the analytic sample encompassed 1954 individuals, approximately two-thirds of whom were deceased. We tested whether openness declines across late adulthood and, central to our hypothesis, whether the decline correlated with age at death. Multivariate modeling adjusted for age at study entry, sex, education, as well as the time-varying effects of physical illness, depressive symptoms, and cognitive ability. Correlations between change in neuroticism and extraversion and death were modeled for comparison. A follow-up cotwin control analysis adjusted for genetic and environmental familial confounders. Significant mean-level change was identified in all personality traits, but only for openness was change correlated with age at death, in support of our hypothesis. The findings were not explained by health factors or cognition. Cotwin control analyses indicated that the twin who died earlier showed a greater drop in openness prior to death, compared with their cotwin measured at the same time points. There was no cotwin finding for neuroticism or extraversion. We suggest that declines in openness may reflect a change in goal orientation due to the experience of a shortened time horizon, leading to an optimized selection of experiences as people approach the end of life. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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Affiliation(s)
| | | | | | - Margaret Gatz
- Center for Economic and Social Research, University of Southern California
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Cheng H, Montgomery S, Green A, Furnham A. Childhood heart problems, adulthood emotional stability, and sex associated with self-report heart conditions in adulthood. J Health Psychol 2019; 26:489-499. [PMID: 30599789 DOI: 10.1177/1359105318820107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
The present study investigated biomedical, social, and psychological factors associated with self-reported heart conditions in adulthood in a British cohort. In total, 5697 (50.7% males) participants with data on parental socioeconomic status, childhood cognitive ability, childhood heart problems, educational qualifications, current occupational levels, adulthood personality traits, and the prevalence of self-reported heart conditions in adulthood were included in the study. The prevalence of self-reported heart conditions measured at age 54 years was the outcome variable. Hierarchical logistic regression analysis showed that childhood heart problems identified by physicians (OR = 3.47:1.74-6.92, p < 0.001) and trait emotional stability (OR = 0.83:0.75-0.93, p < 0.001) were the significant and independent predictors of self-reported heart conditions in adulthood. There were also significant sex effects on the prevalence of the outcome variable (OR = 0.53:0.42-0.63, p < 0.001). Both a biomedical and a psychological factor were significantly associated with self-reported heart conditions in adulthood.
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Affiliation(s)
| | | | | | - Adrian Furnham
- University College London, UK
- BI Norwegian Business School, Norway
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