Association of Type D personality with cognitive functioning in individuals with and without cardiovascular disease - The Gutenberg Health Study
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Association of Type D personality with cognitive functioning in individuals with and without cardiovascular disease - The Gutenberg Health Study. / Unterrainer, J; Michal, M; Rahm, B; Hadzibegovic, J; Wild, P S; Schulz, A; Münzel, T; Blettner, M; Lackner, K; Pfeiffer, N; Blankenberg, S; Denollet, J; Beutel, M E.
In: INT J CARDIOL, Vol. 214, 01.07.2016, p. 256-261.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Association of Type D personality with cognitive functioning in individuals with and without cardiovascular disease - The Gutenberg Health Study
AU - Unterrainer, J
AU - Michal, M
AU - Rahm, B
AU - Hadzibegovic, J
AU - Wild, P S
AU - Schulz, A
AU - Münzel, T
AU - Blettner, M
AU - Lackner, K
AU - Pfeiffer, N
AU - Blankenberg, S
AU - Denollet, J
AU - Beutel, M E
N1 - Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.
PY - 2016/7/1
Y1 - 2016/7/1
N2 - OBJECTIVE: Distressed ('Type D') personality is associated with adverse health outcomes in patients with cardiovascular disease (CVD). While personality traits from the Five-Factor Model are related to cognitive functioning, neither Type D personality nor its underlying traits negative affectivity (NA) and social inhibition (SI) have been investigated regarding cognition. We therefore compared the predictive value of Type D classification and its subcomponents NA and SI on planning performance in individuals with and without CVD.METHODS: Type D personality traits (DS14) were determined in a population-based sample of 4026 participants (including 549 with CVD) aged 40-80years from the Gutenberg Health Study (GHS) and related to planning performance as assessed with the Tower of London task. Current depression and anxiety were controlled as state variables.RESULTS: Type D personality status was negatively associated with planning performance in the CVD patient group only (p<0.001) but had no impact in the non-CVD group (p=0.40). In the overall sample, NA was negatively and SI positively associated with planning performance. No differential effect on planning between groups was found for depression and anxiety.CONCLUSION: While the subcomponents NA and SI in the population-based sample confirm and extend previous research on personality traits and cognition, Type D personality classification in combination with CVD emerged as a risk factor for decreased cognitive functioning, independent of depression and anxiety. These findings implicate the need to early focus on individual differences in cognitive functioning in patients with CVD.
AB - OBJECTIVE: Distressed ('Type D') personality is associated with adverse health outcomes in patients with cardiovascular disease (CVD). While personality traits from the Five-Factor Model are related to cognitive functioning, neither Type D personality nor its underlying traits negative affectivity (NA) and social inhibition (SI) have been investigated regarding cognition. We therefore compared the predictive value of Type D classification and its subcomponents NA and SI on planning performance in individuals with and without CVD.METHODS: Type D personality traits (DS14) were determined in a population-based sample of 4026 participants (including 549 with CVD) aged 40-80years from the Gutenberg Health Study (GHS) and related to planning performance as assessed with the Tower of London task. Current depression and anxiety were controlled as state variables.RESULTS: Type D personality status was negatively associated with planning performance in the CVD patient group only (p<0.001) but had no impact in the non-CVD group (p=0.40). In the overall sample, NA was negatively and SI positively associated with planning performance. No differential effect on planning between groups was found for depression and anxiety.CONCLUSION: While the subcomponents NA and SI in the population-based sample confirm and extend previous research on personality traits and cognition, Type D personality classification in combination with CVD emerged as a risk factor for decreased cognitive functioning, independent of depression and anxiety. These findings implicate the need to early focus on individual differences in cognitive functioning in patients with CVD.
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Cardiovascular Diseases/psychology
KW - Cognition/physiology
KW - Cross-Sectional Studies
KW - Female
KW - Humans
KW - Male
KW - Middle Aged
KW - Predictive Value of Tests
KW - Psychiatric Status Rating Scales
KW - Risk Factors
KW - Type D Personality
U2 - 10.1016/j.ijcard.2016.03.221
DO - 10.1016/j.ijcard.2016.03.221
M3 - SCORING: Journal article
C2 - 27077545
VL - 214
SP - 256
EP - 261
JO - INT J CARDIOL
JF - INT J CARDIOL
SN - 0167-5273
ER -