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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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| Published in: | International journal of behavioral medicine 2013-06, Vol.20 (2), p.277-285 |
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| container_end_page | 285 |
| container_issue | 2 |
| container_start_page | 277 |
| container_title | International journal of behavioral medicine |
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| creator | Larson, Noel C. Barger, Steven D. Sydeman, Sumner J. |
| description | 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 |
| doi_str_mv | 10.1007/s12529-012-9223-8 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1367877927</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2960224001</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-d35edfc6e71fb2c9fea1afcff9efa19a8a43cf20fd869e1d4200a1f8dffa327c3</originalsourceid><addsrcrecordid>eNp1kV1rFDEUhoMo9ssf0BsJeONNaj52JpnLZVvbQlFp63VIMyc1dWay5mQo669vlm1FBK9yIM_7HjgPIceCnwjO9ScUspEd40KyTkrFzCuyLxolmW4a87rOXHPWNFztkQPEB855ozV_S_aklEYLyffJ79vNGugp_QYZ0-SGWDY0Iv2SCl0iJh9dgZ4-xvKDrlKuRN7QC3C50NOI4BDodcSfNE7U1VCu2HKEHL2b6I0b1wPQFOg1lJhhhKkwd1_rlv08FDwib4IbEN49v4fk--ez29UFu_p6frlaXjGvtCysVw30wbegRbiTvgvghAs-hA6CE50zbqF8kDz0pu1A9AvJuRPB9CE4JbVXh-Tjrned068ZsNgxoodhcBOkGa1QrTZad1JX9MM_6EOacz3Lllrotu0WRlRK7CifE2KGYNc5jvUyVnC7FWN3YmwVY7dirKmZ98_N890I_Z_Ei4kKyB2A9Wu6h_zX6v-2PgG2X5nb</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1347669481</pqid></control><display><type>article</type><title>Type D Personality is Not Associated with Coronary Heart Disease Risk in a North American Sample of Retirement-aged Adults</title><source>Springer Nature</source><source>SPORTDiscus with Full Text</source><creator>Larson, Noel C. ; Barger, Steven D. ; Sydeman, Sumner J.</creator><creatorcontrib>Larson, Noel C. ; Barger, Steven D. ; Sydeman, Sumner J.</creatorcontrib><description>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 < 0.05), but there were no other personality associations. Patient/provider interaction inhibition was associated with SI (
P
< 0.001) but not NA or the NAxSI interaction (
P
= 0.42). The contrast between Type D and non-Type D personality revealed no differences in CHD risk (
P
= 0.93).
Conclusions
Neither Type D nor its constituent NA and SI traits were associated with absolute incident CHD risk in retirement-aged adults free of reported CHD. Optimal analytic practices and attention to patient/provider interaction behavior will improve our understanding of the association between Type D personality traits and health.</description><identifier>ISSN: 1070-5503</identifier><identifier>EISSN: 1532-7558</identifier><identifier>DOI: 10.1007/s12529-012-9223-8</identifier><identifier>PMID: 22287120</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>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</subject><ispartof>International journal of behavioral medicine, 2013-06, Vol.20 (2), p.277-285</ispartof><rights>International Society of Behavioral Medicine 2012</rights><rights>International Society of Behavioral Medicine 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-d35edfc6e71fb2c9fea1afcff9efa19a8a43cf20fd869e1d4200a1f8dffa327c3</citedby><cites>FETCH-LOGICAL-c372t-d35edfc6e71fb2c9fea1afcff9efa19a8a43cf20fd869e1d4200a1f8dffa327c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22287120$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Larson, Noel C.</creatorcontrib><creatorcontrib>Barger, Steven D.</creatorcontrib><creatorcontrib>Sydeman, Sumner J.</creatorcontrib><title>Type D Personality is Not Associated with Coronary Heart Disease Risk in a North American Sample of Retirement-aged Adults</title><title>International journal of behavioral medicine</title><addtitle>Int.J. Behav. Med</addtitle><addtitle>Int J Behav Med</addtitle><description>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 < 0.05), but there were no other personality associations. Patient/provider interaction inhibition was associated with SI (
P
< 0.001) but not NA or the NAxSI interaction (
P
= 0.42). The contrast between Type D and non-Type D personality revealed no differences in CHD risk (
P
= 0.93).
Conclusions
Neither Type D nor its constituent NA and SI traits were associated with absolute incident CHD risk in retirement-aged adults free of reported CHD. Optimal analytic practices and attention to patient/provider interaction behavior will improve our understanding of the association between Type D personality traits and health.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Body Mass Index</subject><subject>Canada - epidemiology</subject><subject>Cardiovascular disease</subject><subject>Coronary Disease - epidemiology</subject><subject>Coronary Disease - psychology</subject><subject>Coronary vessels</subject><subject>Cross-Sectional Studies</subject><subject>Family Medicine</subject><subject>Female</subject><subject>General Practice</subject><subject>Health Psychology</subject><subject>Humans</subject><subject>Incidence</subject><subject>Inhibition (Psychology)</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Personality Assessment</subject><subject>Personality traits</subject><subject>Retirees</subject><subject>Retirement - psychology</subject><subject>Risk</subject><subject>Type D Personality</subject><subject>United States - epidemiology</subject><subject>Waist Circumference</subject><issn>1070-5503</issn><issn>1532-7558</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><recordid>eNp1kV1rFDEUhoMo9ssf0BsJeONNaj52JpnLZVvbQlFp63VIMyc1dWay5mQo669vlm1FBK9yIM_7HjgPIceCnwjO9ScUspEd40KyTkrFzCuyLxolmW4a87rOXHPWNFztkQPEB855ozV_S_aklEYLyffJ79vNGugp_QYZ0-SGWDY0Iv2SCl0iJh9dgZ4-xvKDrlKuRN7QC3C50NOI4BDodcSfNE7U1VCu2HKEHL2b6I0b1wPQFOg1lJhhhKkwd1_rlv08FDwib4IbEN49v4fk--ez29UFu_p6frlaXjGvtCysVw30wbegRbiTvgvghAs-hA6CE50zbqF8kDz0pu1A9AvJuRPB9CE4JbVXh-Tjrned068ZsNgxoodhcBOkGa1QrTZad1JX9MM_6EOacz3Lllrotu0WRlRK7CifE2KGYNc5jvUyVnC7FWN3YmwVY7dirKmZ98_N890I_Z_Ei4kKyB2A9Wu6h_zX6v-2PgG2X5nb</recordid><startdate>20130601</startdate><enddate>20130601</enddate><creator>Larson, Noel C.</creator><creator>Barger, Steven D.</creator><creator>Sydeman, Sumner J.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20130601</creationdate><title>Type D Personality is Not Associated with Coronary Heart Disease Risk in a North American Sample of Retirement-aged Adults</title><author>Larson, Noel C. ; Barger, Steven D. ; Sydeman, Sumner J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-d35edfc6e71fb2c9fea1afcff9efa19a8a43cf20fd869e1d4200a1f8dffa327c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Body Mass Index</topic><topic>Canada - epidemiology</topic><topic>Cardiovascular disease</topic><topic>Coronary Disease - epidemiology</topic><topic>Coronary Disease - psychology</topic><topic>Coronary vessels</topic><topic>Cross-Sectional Studies</topic><topic>Family Medicine</topic><topic>Female</topic><topic>General Practice</topic><topic>Health Psychology</topic><topic>Humans</topic><topic>Incidence</topic><topic>Inhibition (Psychology)</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Personality Assessment</topic><topic>Personality traits</topic><topic>Retirees</topic><topic>Retirement - psychology</topic><topic>Risk</topic><topic>Type D Personality</topic><topic>United States - epidemiology</topic><topic>Waist Circumference</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Larson, Noel C.</creatorcontrib><creatorcontrib>Barger, Steven D.</creatorcontrib><creatorcontrib>Sydeman, Sumner J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Psychology Database (ProQuest)</collection><collection>ProQuest Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of behavioral medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Larson, Noel C.</au><au>Barger, Steven D.</au><au>Sydeman, Sumner J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Type D Personality is Not Associated with Coronary Heart Disease Risk in a North American Sample of Retirement-aged Adults</atitle><jtitle>International journal of behavioral medicine</jtitle><stitle>Int.J. Behav. Med</stitle><addtitle>Int J Behav Med</addtitle><date>2013-06-01</date><risdate>2013</risdate><volume>20</volume><issue>2</issue><spage>277</spage><epage>285</epage><pages>277-285</pages><issn>1070-5503</issn><eissn>1532-7558</eissn><abstract>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 < 0.05), but there were no other personality associations. Patient/provider interaction inhibition was associated with SI (
P
< 0.001) but not NA or the NAxSI interaction (
P
= 0.42). The contrast between Type D and non-Type D personality revealed no differences in CHD risk (
P
= 0.93).
Conclusions
Neither Type D nor its constituent NA and SI traits were associated with absolute incident CHD risk in retirement-aged adults free of reported CHD. Optimal analytic practices and attention to patient/provider interaction behavior will improve our understanding of the association between Type D personality traits and health.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>22287120</pmid><doi>10.1007/s12529-012-9223-8</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1070-5503 |
| ispartof | International journal of behavioral medicine, 2013-06, Vol.20 (2), p.277-285 |
| issn | 1070-5503 1532-7558 |
| language | eng |
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| source | Springer Nature; SPORTDiscus with Full Text |
| 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 |
| title | Type D Personality is Not Associated with Coronary Heart Disease Risk in a North American Sample of Retirement-aged Adults |
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