Type D Personality is Not Associated with Coronary Heart Disease Risk in a North American Sample of Retirement-aged Adults

Background Type D personality is associated with recurrent coronary heart disease (CHD) risk but there is limited and inconsistent evidence regarding incident risk among persons free of clinical CHD. Purpose We examined the association between Type D personality and coronary heart disease (CHD) risk...

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Bibliographic Details
Published in:International journal of behavioral medicine 2013-06, Vol.20 (2), p.277-285
Main Authors: Larson, Noel C., Barger, Steven D., Sydeman, Sumner J.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Body Mass Index
Canada - epidemiology
Cardiovascular disease
Coronary Disease - epidemiology
Coronary Disease - psychology
Coronary vessels
Cross-Sectional Studies
Family Medicine
Female
General Practice
Health Psychology
Humans
Incidence
Inhibition (Psychology)
Male
Medicine
Medicine & Public Health
Middle Aged
Personality Assessment
Personality traits
Retirees
Retirement - psychology
Risk
Type D Personality
United States - epidemiology
Waist Circumference
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Summary:Background Type D personality is associated with recurrent coronary heart disease (CHD) risk but there is limited and inconsistent evidence regarding incident risk among persons free of clinical CHD. Purpose We examined the association between Type D personality and coronary heart disease (CHD) risk in apparently healthy adults. We also explored the association of these traits with waist circumference, body mass index (BMI), and inhibited physician consultation behavior. Methods Cross-sectional study of North American retirement-aged residents ( N  = 303). The primary outcome variable was a modified 10-year absolute CHD risk score from the Framingham Heart Study. Secondary outcomes included adiposity and a 5-item measure of patient/provider interaction inhibition. We regressed CHD risk on negative affect (NA), social inhibition (SI), and the NAxSI interaction (i.e., the Type D personality) and repeated these analyses for adiposity and for patient/provider interaction inhibition. We also contrasted CHD risk across Type D and non-Type D categories. Results None of the personality variables were associated with CHD risk for the whole sample (regression coefficients from −0.11 to .10, P s > 0.29) or in gender-specific analyses. For adiposity, NA was positively associated and SI was negatively associated with BMI in women ( P s 
ISSN:1070-5503
1532-7558
DOI:10.1007/s12529-012-9223-8