Coronary Heart Disease and Five Factor Model of Personality: A Statistical Assessment of the Link (original) (raw)
Role of personality in cardiovascular diseases: An issue that needs to be focused too!
Indian Heart Journal, 2018
This review provides a broad overview of the relationship of personality with cardiovascular diseases (CVDs). There has been a sustained interest over the last half a century on the issue of relationship between personality traits and CVDs. Type A behavior was the initial focus of inquiry as it was observed that individuals who were competitive, hostile, and excessively driven were overrepresented among patients seeking treatment for CVDs and also were prone to develop coronary artery disease/syndrome. However, the research gradually expanded to assess the relationship of cardiac morbidity with various other personality facets. Furthermore, studies found out that negative effects (including anger and hostility) were also associated with adverse cardiovascular outcomes. Subsequently, a new personality entity named as the type D 'distressed' personality, which combined negative affectivity and social inhibition. type D personality then became the area of research and was demonstrated to be related with poorer cardiac outcomes. Interestingly, the results of various research studies are not equivocal, and hence, there are several critiques related to the current understanding of the link between personality construct and the risk of development as well as the outcome of CVDs. Furthermore, few personality traits such as optimism, conscientiousness, openness to experience, and curiosity have been found to be protective factors against development of CVDs and therefore are called 'cardioprotective' personality traits. A detailed discussion on the various aspects of personality in relation to CVDs along with a critical appraisal has been presented in this review.
Healthcare
Objective: The objective of the present study is to examine the association between Big Five personality traits and self-rated health (SRH) among individuals with coronary heart disease (CHD), and to compare this relationship with that of healthy control participants, which is of importance as SRH can be a determinant of outcomes. Methods: The current study used data from 566 participants with CHD with a mean age of 63.00 (S.D. = 15.23) years old (61.13% males) and 8608 age- and sex-matched healthy controls with a mean age of 63.87 (S.D.= 9.60) years old (61.93% males) from the UKHLS. The current study used predictive normative modelling approaches, one-sample t tests, a hierarchical regression, and two multiple regressions. Results: The current study found that CHD patients have significantly lower Conscientiousness (t(565) = −3.84, p < 0.001, 95% C.I. [−0.28, −0.09], Cohen’s d = −0.16) and SRH (t(565) = −13.83, p < 0.001, 95% C.I. [−0.68, −0.51], and Cohen’s d = −0.58) score...
Type of Dominant Personality in Coronary Artery Heart Disease Patients
Health Notions, 2019
Coronary heart disease is one of the leading causes of death in Indonesia. Personality is one of the risk factors of coronary heart disease. The aim of the study was to investigate the dominant personality according to Big Five Personality in patients with coronary heart disease. We used an analytical descriptive study with cross-sectional design. The samples taken were patients with coronary heart disease in Dr. Soetomo General Hospital Surabaya in May 2019. Data of personality were collected using the Big Five Personality questionnaire. The result showed that the dominant personality according to Big Five Personality in patients with coronary heart disease was conscientiousness. Keywords: big five personality; coronary heart disease; personality type
Modifiable Cardiac Risk Factors in Young Adults of Different Personality Traits
International Journal of Health Sciences and Research, 2015
Background: A questionnaire based cross sectional study was conducted at Kathmandu University School of Medical Sciences, Nepal. Among 153 students who participated voluntarily were 67 males and 86 females. Aim: The study was to predict cardiac risk among young adults through modifiable cardiac risk factors of different personality traits. Methods and Materials: Each student was asked to fill a set of standard questionnaires related to personality, physical activity and nutritional status. In addition, their blood pressure, height and weight were measured. Body mass index and basal metabolic rate were calculated. The analysis was done using ANOVA and Independent T-test, to predict the modifiable cardiac risk in young adults of different personality traits. Results: The majority of the students exhibited two key personalities viz: agreeableness (42%) and openness (49%). The mean systolic and diastolic blood pressure of all five personalities ranges between 112-120 mmHg and 70-74 mmHg...
Turk Kardiyoloji Dernegi Arsivi-Archives of the Turkish Society of Cardiology, 2017
The role of psychosocial risk factors is becoming increasingly important in the etiology of acute coronary syndrome (ACS). The purpose of this study was to assess an association between the personality types of young patients with ACS and the prevalence and severity of coronary artery disease (CAD). Methods: Patients younger than 45 years of age who presented with ACS and who underwent coronary angiography in the period from 2012 to 2016 were included in the study. The coronary angiography records of the patients were examined and their Gensini score (GS) was calculated; GS ≥20 was considered to be severe CAD. The Eysenck Personality Questionnaire-Revised Short Form scales were used to measure psychoticism, extraversion, lying, and neuroticism. Results: A total of 139 patients were included in the study. The median psychoticism score of patients with GS <20 was found to be significantly higher than that of patients with GS ≥20 [1.0 (25 th and 75 th percentile: 0.0-2.0) vs. 1.0 (25 th and 75 th percentile: 0.0-1.0); p=0.015]. The median psychoticism score was 1.0 (25 th and 75 th percentile: 1.0-2.0) in the unstable angina pectoris group, 0.5 (25 th and 75 th percentile: 0.0-1.0) in the ST segment elevation myocardial infarction group, and 1.0 (25 th and 75 th percentile: 0.0-1.0) in the non-ST segment elevation myocardial infarction group (p=0.004). The presence of psychoticism characteristics in patients who present with ACS is associated with less severe CAD. Amaç: Akut koroner sendrom (AKS) etiyolojisinde psikososyal risk faktörlerinin yeri giderek daha fazla önem kazanmaktadır. Bu çalışmada amaç AKS'li genç hastalarda kişilik özellikleri ile koroner arter hastalığı (KAH) yaygınlığı arasındaki ilişkiyi araştırmaktır. Yöntemler: Çalışmaya 2012-2016 yılları arasında AKS tablosuyla başvurup koroner anjiyografi yapılan 45 yaş altı hastalar alındı. Hastaların koroner anjiyografi kayıtları incelenerek Gensini skorları (GS) hesaplandı, GS ≥20 olması yaygın KAH olarak değerlendirildi. "Eysenck Personality Questionnaire-Revised Short Form" (EPQ-RSF) uygulanarak psikotizm, dışadönüklük, yalan ve nörositizm puanları hesaplandı. : Çalışmaya toplam 139 hasta alındı. Gensini skoru <20 olan hastalarda psikotizm puanı GS ≥20 olanlardan anlamlı olarak yüksek bulundu (1.0 [25-75 persentil: 0.0-2.0] ve 1.0 [25-75 persentil: 0.0-1.0], p=0.015). Ortanca psikotizm puanı kararsız anjina pektorisli grupta 1.0 [25-75 persentil: 1.0-2.0], ST segment yükselmeli miyokart enfarktüsü olanlarda 0.5 [25-75 persentil: 0.0-1.0], ST yükselmesiz miyokart enfarktüsü olanlarda 1.0 [25-75 persentil: 0.0-1.0] bulundu (p=0.004). Sonuç: AKS tablosu ile başvuran hastalarda psikotizm özelliklerinin varlığı daha az yaygın KAH ile ilişkilidir.
Background Little is known about the ways that personality is related to patient health, although there is some evidence that illness self-regulation as well as partner personality play a significant role. Purpose The aim of the two present studies was to examine the intra-personal (i.e., through illness representations) and the inter-personal (i.e., partner) effects of personality on cardiac patients' subjective health. Methods One hundred fifteen patients participated in study 1; 75 patients and their spouses participated in study 2. Results The representations of illness consequences, personal control, and the attribution of illness to emotional causes mediated the relation of personality to health (first study). The relations of patients' extraversion, agreeableness, and conscientiousness to their health were statistically significant at the higher levels (+1 SD) of spouse corresponding traits (second study). Conclusion Personality affects patients' health through illness representations (intrapersonal level), as well as by interacting with partner personality (interpersonal level).
2016
Background: Type D (distressed) personality is characterized by a combination of negative affectivity and social inhibition. There are divergent results on the association between Type D personality and cardiovascular events. We aimed to assess the association between Type D personality and in-hospital major adverse cardiovascular event (MACE) in Turkish patients presenting with acute coronary syndrome. Methods: One hundred consecutive patients admitted to a coronary care unit with the diagnosis of acute coronary syndrome were included in the study. Type D personality was evaluated with the Turkish version of the 14-item Type D Scale. Results: Seventy eight patients were male, the mean age of subjects were 61.7±11.9 years old. The prevalence of type D personality was 45%. Presence of MACE was independently associated with type D personality (OR: 10.817, 95% CI: 1.765-66.301, P = 0.01), presence of STEMI (OR: 7.860, 95% CI: 1.588-38.900, P = 0.012) and low LVEF (OR: 7.842, 95% CI: 1....
CORONARY HEART DISEASE (CHD) AND TYPE A/B PERSONALITY PATTERN.
शोध प्रभा ISSN: 0974-8946 Shodha Prabha (UGC CARE Journal) , 2022
The present study has been attempted to examine the relationship between Coronary Heart Disease type A/B personality pattern. For this purpose, a sample of 200 people from Darbhanga district has been selected through purposive-cum-incidental sampling technique. In which, 100 were patients of coronary heart disease and 100 were normal people with no any symptoms of CHD. Type A/B personality pattern scale developed by Upinder Dhar and Manisha Jain has been used for measuring the personality pattern of the participants. This scale has 31 items. The obtained data has been analysed by using appropriate statistical tool and technique. In the result, it has been found that type of personality pattern (A & B) and coronary heart disease (CHD) are significantly related with each other.
Personality, cancer and coronary heart disease: Further evidence on a controversial issue
British Journal of Health Psychology, 1996
Controversy surrounds the contention that certain psychological factors correlate highly with cancer and coronary heart disease (CHD). This study provides further empirical evidence on this issue. Special consideration is given t o Grossarth-Maticek's theory of personality types, according to which Type 1 personalities are more susceptible to cancer and Type 2 personalities to CHD. h total of 1858 participants of both sexes between the ages of 39 and 68 responded to a battery o f personality scales including our own R(evised)-Scales. Designed to measure the Grossarth-Maticek's personality types, these R-Scales proved t o be internally highly consistent, but R-Scales 1 and 2 were intercorrelated at the level of their reliability.