Early manifestations of personality and adult health: A life course perspective.

Objective: The aim of this study is to investigate whether individual personality or temperamental qualities that emerge early and persist over the life course, predict adult midlife health. Specific childhood personality attributes considered include distress proneness, behavioral inhibition, and ability to stay focused on a task. Design: Prospective data are from 569 individuals followed from birth into adulthood. Main Outcome Measures: Outcomes include two different measures of adult health: self-rated general health, and number of illnesses in adulthood. Results: Childhood personality attributes related to attention and distress were significantly associated with adult health, with stronger effects evident among women. Children with high attention reported better self-rated health (b = 0.12, p     

Affective and cardiovascular effects of experimentally-induced social status.

Objective: Observational research suggests subordinate social status is associated with negative mental and physical health outcomes. However, observational studies have limitations, including confounding of social status with other factors, limited ability to infer causality, and difficulty of obtaining detailed affective and physiologic data. This study used experimental methods to test the hypothesis that subordinate social status per se causes psychological distress and cardiovascular arousal. Design: Forty-four women were randomly assigned to an induced subordinate or dominant status condition. Social status was manipulated using a procedure derived from status construction theory. Main Outcome Measures: Affective responses were assessed via self-report. Cardiovascular responses were assessed by measures of systolic and diastolic blood pressures obtained with an automated blood pressure machine. Results: Participants in the subordinate condition perceived themselves as lower in status; the reverse was true for dominant condition participants. Compared with induced dominant status, induced subordinate status produced increased negative affect and systolic blood pressure over the course of the study. Conclusion: Findings suggest social status can be experimentally manipulated and short-term induction of subordinate status can have adverse effects on affect and stress-related physiological systems. Results have implications for understanding how socioeconomic status "gets under the skin" to influence health. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A prospective study of posttraumatic stress disorder symptoms and coronary heart disease in women.

Objective: Posttraumatic stress disorder (PTSD) reflects a prolonged stress reaction and dysregulation of the stress response system and is hypothesized to increase risk of developing coronary heart disease (CHD). No study has tested this hypothesis in women even though PTSD is more prevalent among women than men. This study aims to examine whether higher levels of PTSD symptoms are associated with increased risk of incident CHD among women. Design: A prospective study using data from women participating in the Baltimore cohort of the Epidemiologic Catchment Area study (n = 1059). Past year trauma and associated PTSD symptoms were assessed using the NIMH Diagnostic Interview Schedule. Main Outcome Measures: Incident CHD occurring during the 14-year follow-up through 1996. Results: Women with five or more symptoms were at over three times the risk of incident CHD compared with those with no symptoms (age-adjusted OR = 3.21, 95% CI: 1.29-7.98). Findings were maintained after controlling for standard coronary risk factors as well as depression or trait anxiety. Conclusion: PTSD symptoms may have damaging effects on physical health for civilian community-dwelling women, with high levels of PTSD symptoms associated with increased risk of CHD-related morbidity and mortality. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Depression among Latinos in the United States: A meta-analytic review.

The authors conducted a meta-analytic review to assess the prevalence of major depressive disorder and depressive symptoms among Latinos compared with non-Latino Whites in the United States using community-based data. Random-effects estimates were calculated for 8 studies meeting inclusion criteria that reported lifetime prevalence of major depressive disorder (combined N = 76,270) and for 23 studies meeting inclusion criteria that reported current prevalence of depressive symptoms (combined N = 38,997). Findings did not indicate a group difference in lifetime prevalence of major depressive disorder (odds ratio = 0.89, 95% confidence interval = 0.72, 1.10). Latinos reported more depressive symptoms than non-Latino Whites (standardized mean difference = 0.19, 95% confidence interval = 0.12, 0.25); however, this effect was small and does not appear to suggest a clinically meaningful preponderance of depressive symptoms among Latinos. Findings are examined in the context of theories on vulnerability and resilience, and recommendations for future research are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Positive Emotion and Health: Going Beyond the Negative.

This study examined the relationships between positive emotions and health. Two positive emotions were considered, hope and curiosity, in conjunction with 3 physician-diagnosed disease outcomes: hypertension, diabetes mellitus, and respiratory tract infections. Medical data were abstracted over a 2-year period from 1,041 patient records from a multispecialty medical practice, and emotions were assessed through a mailed questionnaire. Across 3 disease outcomes, higher levels of hope were associated with a decreased likelihood of having or developing a disease. Higher levels of curiosity were also associated with decreased likelihood of hypertension and diabetes mellitus. Results suggest that positive emotion may play a protective role in the development of disease. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Early Manifestations of Personality and Adult Emotional Functioning.

Developmental antecedents to adult emotional functioning were investigated in an epidemiologic study using theories of personality and emotion. The authors tested whether different types of adult emotional distress can be linked to childhood personality attributes. Using data from 3,138 children at age 7, measures of 4 childhood personality attributes were developed and validated: Behavioral Inhibition, Distress Proneness, Attention, and Inappropriate Interpersonal Self-Regulation. Sound psychometric properties of these scales are demonstrated by considering the measures across multiple samples and in comparison with established child behavior measures. Emotional distress measures were obtained for 694 of these individuals at age 35. Of the personality attributes, 3 of 4 (except behavioral inhibition) predicted general levels of distress as well as specific aspects of ioral adult emotional functioning. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Linking perceived unfairness to physical health: The perceived unfairness model.

Can perceiving unfairness influence physical health? To address this question the authors propose the Perceived Unfairness Model, synthesized from psychological and epidemiological research. The model starts from the premise that perceiving unfairness, directed at beings to which the perceiver is emotionally attached, activates a cascade of psychological and physical processes. This cascade may be experienced by low or high status group members, and by the target or observer of the perceived unfairness. With repeated episodes, the effects of perceiving unfairness may accumulate and compromise physical health. Whether perceiving unfairness is potentially toxic or benign is a function of two key components of social location: identity relevance and helplessness to redress the unfairness. The authors conclude by discussing directions for developing the model. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Why do people with an anxiety disorder utilize more nonmental health care than those without?

Objective: It is unclear why nonmental healthcare utilization is greater among those with psychological problems. The authors examined healthcare utilization in HMO patients to determine whether greater utilization in anxiety disorder (AD) patients was explained by anxiety symptoms (increasing sensitivity to physical symptoms) or comorbid illness (causing greater need for services). Design: Patients were randomly selected from the database of a multi-specialty practice and 1,041 completed a survey assessing psychological symptoms, health behaviors, and demographics. Anxiety symptoms were assessed by questionnaire and the presence of an AD was determined from the medical chart. Healthcare encounters and medication use were abstracted from medical charts and HMO claims data. Main Outcome Measures: Healthcare utilization. Results: Both AD and anxiety symptoms predicted utilization, but symptoms were not associated with utilization in a model that also included AD. Comorbid illness was significantly associated with utilization independent of AD and somewhat reduced the strength of the AD-utilization association. The results were replicated in comparison of those with any psychiatric disorder to those without. Conclusion: Among those with AD, greater utilization is not explained by anxiety symptoms but is partly explained by greater comorbid illness. Further study is needed to understand excess healthcare utilization among AD patients. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Does harboring hostility hurt? Associations between hostility and pulmonary function in the Coronary Artery Risk Development in (Young) Adults (CARDIA) study.

Objective: To examine the cross-sectional association between hostility and pulmonary function (PF) and its consistency across race/ethnicity-gender groups. Design: Data were from the Coronary Artery Risk Development in (Young) Adults (CARDIA) cohort study (N = 4,629). Participants were recruited from 4 metropolitan areas in the United States, ages 18-30 years at baseline in 1985-1986, approximately balanced across race/ethnicity (Black, White) and gender. Main Outcome Measures: Main outcome measures were percent predicted values for forced expiratory volume in 1 second (FEV1) and forced vital capacity (FVC). Results: In full-sample multiple linear regression analyses, each 1 standard deviation (SD) increase in hostility was associated with a 0.66% decrease in FEV? (p = .0002) and a 0.60% decrease in FVC (p = .0006). This inverse association of hostility with PF remained after controlling for age, height, current socioeconomic status (SES), participant smoking status, and asthma and is more consistent than that of smoking and PF. In stratified analyses, each 1 SD increase in hostility predicted statistically significant reductions in PF for Black women, White women, and Black men. For White men, hostility showed no statistically significant relation with PF, although the pattern relating hostility to PF was similar to the pattern in the other three groups. Further, both of the post hoc three-way interaction terms for hostility, race/ethnicity, and gender predicting FEV? and FVC were nonsignificant. Conclusion: PF was inversely associated with hostility across race/ethnicity and gender, independent of age, height, current SES, smoking, and asthma. On the basis of these cross-sectional findings, the authors hypothesize that higher hostility will predict a more rapid decline in PF. (PsycINFO Database Record (c) 2010 APA, all rights reserved)