1
|
Arroyave-Atehortua D, Cordoba-Sanchez V, Zambrano-Cruz R. Perseverative Cognition as a Mediator Between Personality Traits and Blood Pressure. Vasc Health Risk Manag 2023; 19:363-370. [PMID: 37405254 PMCID: PMC10317524 DOI: 10.2147/vhrm.s385007] [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: 02/18/2023] [Accepted: 05/27/2023] [Indexed: 07/06/2023] Open
Abstract
Purpose Several authors link hypertension with psychological dispositions such as stress, personality, and anxiety, some propose that stress is not enough to explain arterial hypertension and others propose the perseverative cognition model to explain. The aim of this study was to relate personality traits and blood pressure profile of a group of workers, examining the results of perseverative cognition as a possible mediating variable concerning blood pressure. Patients and Methods Cross-sectional design study, with a sample of 76 employees of a Colombian university. The NEO-FFI, RRS, and blood pressure measurement instruments were applied; data were reviewed through correlation and mediation analysis. Results We found evidence of association between neuroticism and perseverative cognition (rho=0.42 with brooding; rho =0.32 with reflection), but no evidence about mediation of perseverative cognition between personality and blood pressure. Conclusion It is necessary to keep researching the mechanisms related to the occurrence of hypertension.
Collapse
Affiliation(s)
| | - Veronica Cordoba-Sanchez
- School of Social, Human Sciences and Education, Institución Universitaria de Envigado, Envigado, Antioquia, Colombia
| | - Renato Zambrano-Cruz
- Psychology Faculty, Cooperative University of Colombia, Medellín, Antioquia, Colombia
| |
Collapse
|
2
|
Liu S, Lan Y, He G, Chen B, Jia Y. The associations between problematic smartphone use and blood pressure among 2,573 aged 9-17 years students in Shanghai, China. Front Public Health 2022; 10:904509. [PMID: 36159281 PMCID: PMC9490019 DOI: 10.3389/fpubh.2022.904509] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2022] [Accepted: 08/16/2022] [Indexed: 01/22/2023] Open
Abstract
Objectives This study aimed to (1) examine the cross-sectional association between problematic smartphone use (PSU) and blood pressure (BP) in children and adolescents and (2) determine whether the association between PSU and BP differs by the grade of students. Methods We recruited a total of 2,573 participants from 14 schools in Shanghai by a two-stage sampling method. We derived BP data from the participant's most recent medical examination data, including systolic blood pressure (SBP) and diastolic blood pressure (DBP). We measured PSU by a modified PSU Classification Scale. We also assessed demographic characteristics, body mass index, behavioral variables, and physiological characteristics. Results High school students had higher BP and PSU scores than primary and middle school students. PSU on the dimension of information collection was associated positively with both SBP and DBP among primary and middle school students, with the β (95% CI) values of 0.282 (0.018, 0.546) and 0.229 (0.031, 0.427). Meanwhile, the dimension of the relationship of social network was associated positively with SBP among primary and middle school students, with a β (95% CI) value of 0.390 (0.062, 0.717). PSU on the dimension of information collection was positively associated with the development of high BP, with a OR (95% CI) value of 1.072 (1.011, 1.137) among primary and middle school students. Conclusions PSU might be a potential correlate of high BP among school-age children and adolescents. The associations between PSU and BP differed by the grade of students as well as according to the four dimensions of PSU.
Collapse
Affiliation(s)
- Shaojie Liu
- Department of Nutrition and Food Hygiene, School of Public Health, Fudan University, Shanghai, China
| | - Yukun Lan
- Department of Preventive Medicine and Health Education, School of Public Health, Fudan University, Shanghai, China
| | - Gengsheng He
- Department of Nutrition and Food Hygiene, School of Public Health, Fudan University, Shanghai, China
| | - Bo Chen
- Department of Nutrition and Food Hygiene, School of Public Health, Fudan University, Shanghai, China
| | - Yingnan Jia
- Department of Preventive Medicine and Health Education, School of Public Health, Fudan University, Shanghai, China,*Correspondence: Yingnan Jia
| |
Collapse
|
3
|
Sumin AN, Prokashko IY, Shcheglova AV. Evaluation of Coping Strategies among Students with Type D Personality. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19084918. [PMID: 35457785 PMCID: PMC9029841 DOI: 10.3390/ijerph19084918] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/07/2022] [Revised: 04/15/2022] [Accepted: 04/16/2022] [Indexed: 12/04/2022]
Abstract
Objective: Personality type D may be associated with a predisposition to develop stress under external adverse influences, for example, in the COVID-19 pandemic. Likewise, type D personality is associated with higher burnout levels; thus, it may contribute to the development of diseases symptoms. The current study was designed to examine the coping strategies in young healthy persons with personality type D. Methods: The study included 98 medical students, with 30 being males. The participants completed questionnaires to identify personality type D (DS-14) and the coping strategies. Depending on the results of the DS-14 questionnaire, four subgroups were distinguished with different levels of points on the NA and SI subscales. Results: For persons with type D personality, the escape–avoidance strategy was used more often, the accepting responsibility and self-controlling strategies were less common compared with non-type-D individuals. When type D was adjusted for the NA and SI subscales, the correlation remained only with escape–avoidance strategy. We did not find a synergistic effect of the NA and SI subscales in regard to coping. Conclusions: This study demonstrated a link between personality type D and maladaptive coping strategies. The predominance of the maladaptive coping strategy in type D is a possible point of application for psychosocial training in such individuals that requires further research.
Collapse
Affiliation(s)
- Alexey N. Sumin
- Laboratory of Comorbidity in Cardiovascular Deseases, Federal State Budgetary Scientific Institution “Research Institute for Complex Issues of Cardiovascular Disease”, Sosnovy Blvd., 6, 650002 Kemerovo, Russia;
- Correspondence: ; Tel.: +7-(3842)-64-44-61 or +7-903940-8668
| | - Ingrid Yu. Prokashko
- Federal State-Funded Educational Institution of Higher Education “Kemerovo State Medical University”, Voroshilova Str., 22a, 650029 Kemerovo, Russia;
| | - Anna V. Shcheglova
- Laboratory of Comorbidity in Cardiovascular Deseases, Federal State Budgetary Scientific Institution “Research Institute for Complex Issues of Cardiovascular Disease”, Sosnovy Blvd., 6, 650002 Kemerovo, Russia;
| |
Collapse
|
4
|
Lin TK, Lin CL, Li YD, Huang Y, Koo M, Weng CY. Negative Affectivity Is Associated with a Higher Systolic and Diastolic Blood Pressure in Normotensive Middle-Aged and Older Adults: A Cross-Sectional Study. ACTA ACUST UNITED AC 2020; 56:medicina56040160. [PMID: 32252472 PMCID: PMC7230211 DOI: 10.3390/medicina56040160] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2020] [Revised: 03/30/2020] [Accepted: 04/01/2020] [Indexed: 12/26/2022]
Abstract
Background and objectives: Type D personality, characterized by two stable traits (social inhibition and negative affectivity), is associated with adverse cardiovascular events. A possible mediating factor for this association could be hypertension. Previous research has shown that individuals with Type D personality were associated with an increased risk of hypertension. However, the association of negative affectivity and social inhibition on blood pressure in normotensive individuals has not yet been reported. Therefore, the aim of this study was to investigate whether negative affectivity and social inhibition were associated with systolic and diastolic blood pressure in normotensive middle-aged and older Taiwanese adults. Materials and Methods: A cross-sectional study design was used. Individuals attending general health examination at a regional hospital in southern Taiwan who were 40 to 75 years old were recruited. Patients with self-reported hypertension or currently receiving antihypertensive medication were excluded. Negative affectivity and social inhibition were assessed with the 14-item Type D Scale-Taiwanese version. Multiple linear regression analyses were conducted to determine the association of Z-score transformed negative affectivity and social inhibition on blood pressure. Results: A total of 92 patients with a mean age of 51.5 years were included in the study, and 15 (16.3%) were defined as having a Type D personality. The Z-score transformed negative affectivity score (p = 0.035, effect size = 0.18) and Z-score transformed social inhibition score (p = 0.054, effect size = 0.17) were significantly associated with a higher systolic blood pressure. In addition, the Z-score transformed negative affectivity score (p = 0.036, effect size = 0.28) and Z-score transformed social inhibition score (p = 0.154, effect size = 0.24) were significantly associated with a higher diastolic blood pressure. Conclusions: Negative affectivity of the Type D personality was significantly associated with higher systolic and diastolic blood pressure, with a medium effect size, in apparently healthy middle-aged and older adults. Assessment of negative affectivity may be clinically useful in identifying individuals at risk of hypertension.
Collapse
Affiliation(s)
- Tin-Kwang Lin
- Division of Cardiology, Department of Internal Medicine, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Dalin, Chiayi 62247, Taiwan
- School of Medicine, Tzu Chi University, Hualien City, Hualien 97004, Taiwan
| | - Chin-Lon Lin
- Division of Cardiology, Department of Internal Medicine, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Dalin, Chiayi 62247, Taiwan
- School of Medicine, Tzu Chi University, Hualien City, Hualien 97004, Taiwan
| | - Yi-Da Li
- Division of Cardiology, Department of Internal Medicine, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Dalin, Chiayi 62247, Taiwan
- School of Medicine, Tzu Chi University, Hualien City, Hualien 97004, Taiwan
| | - Ying Huang
- Department of Psychology, National Cheng Chung University, Minxiong, Chiayi 62102, Taiwan
| | - Malcolm Koo
- Graduate Institute of Long-term Care, Tzu Chi University of Science and Technology, Hualien City, Hualien 97005, Taiwan
- Dalla Lana School of Public Health, University of Toronto, Toronto, M5T 3M7 ON, Canada
- Correspondence: (M.K.); (C.-Y.W.)
| | - Chia-Ying Weng
- Department of Psychology, National Cheng Chung University, Minxiong, Chiayi 62102, Taiwan
- Correspondence: (M.K.); (C.-Y.W.)
| |
Collapse
|
5
|
Chen HH, Li YD, Cheng PW, Fang YC, Lai CC, Tseng CJ, Pan JY, Yeh TC. Gabapentin Reduces Blood Pressure and Heart Rate through the Nucleus Tractus Solitarii. ACTA CARDIOLOGICA SINICA 2019; 35:627-633. [PMID: 31879515 DOI: 10.6515/acs.201911_35(6).20190429b] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Background Oral and intravenous gabapentin can markedly attenuate blood pressure (BP) in hypertensive rats. The nucleus tractus solitarii (NTS) is the primary integrative center for cardiovascular control and other autonomic functions in the central nervous system. However, the signaling mechanisms involved in gabapentin-mediated cardiovascular effects in the NTS remain unclear. We investigated whether the nitric oxide synthase (NOS) signaling pathway was involved in gabapentin-mediated BP regulation in the NTS of spontaneously hypertensive (SHR) rats. Methods SHR rats were anesthetized with urethane at age 10-12 weeks. Arterial pressure and heart rate (HR) were monitored through a femoral artery catheter. For stereotaxic intra-NTS microinjection, the dorsal surface of the medulla was exposed by limited craniotomy. We observed that unilateral microinjection of gabapentin into the NTS whether to change dose-related BP and HR. Then, unilateral microinjection of gabapentin into the NTS before and after N(ω)-nitro-L-arginine methyl ester (L-NAME) treatment whether to change blood pressure and heart rate. Results Unilateral microinjection of gabapentin into the NTS produced prominent dose-related depressor and bradycardic effects in SHR rats. The cardiovascular effects of gabapentin were attenuated by the prior administration of the NOS inhibitor, L-NAME. Conclusions Gabapentin modulated central BP and HR control in the NTS of SHR rats in this study through NOS signaling.
Collapse
Affiliation(s)
- Hsin-Hung Chen
- Department of Medical Education and Research.,Yuh-Ing Junior College of Health Care & Management
| | - Yih-Do Li
- Department of Laboratory Medicine, Zuoying Branch of Kaohsiung Armed Forces General Hospital
| | - Pei-Wen Cheng
- Department of Medical Education and Research.,Yuh-Ing Junior College of Health Care & Management
| | - Yi-Chien Fang
- Department of Laboratory Medicine, Zuoying Branch of Kaohsiung Armed Forces General Hospital
| | | | | | - Jun-Yen Pan
- Division of Cardiovascular Surgery, Department of Surgery.,Department of Nursing, Shu-Zen Junior College of Medicine and Management, Kaohsiung
| | - Tung-Chen Yeh
- Department of Internal Medicine, Division of Cardiology, Kaohsiung Veterans General Hospital.,Department of Nursing, Chung Hwa University of Medical Technology, Tainan, Taiwan
| |
Collapse
|
6
|
Wang TD. From Real-World Evidence to Consensus of Renal Denervation in Taiwan: A Call for the Incorporation of Ambulatory Blood Pressure Monitoring after Witnessed Intake of Medications. ACTA CARDIOLOGICA SINICA 2019; 35:553-556. [PMID: 31879505 PMCID: PMC6859099 DOI: 10.6515/acs.201911_35(6).20191103a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Subscribe] [Scholar Register] [Received: 11/03/2019] [Accepted: 11/03/2019] [Indexed: 11/23/2022]
Affiliation(s)
- Tzung-Dau Wang
- Cardiovascular Center and Division of Cardiology, Department of Internal Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
| |
Collapse
|