J Unterrainer1, M Michal2, B Rahm3, J Hadzibegovic3, P S Wild4, A Schulz5, T Münzel6, M Blettner7, K Lackner8, N Pfeiffer9, S Blankenberg10, J Denollet11, M E Beutel2. 1. Medical Psychology and Medical Sociology, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany. Electronic address: unterrai@uni-mainz.de. 2. Department of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany. 3. Medical Psychology and Medical Sociology, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany. 4. Preventive Cardiology and Preventive Medicine, Department of Medicine II, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany; Center for Thrombosis and Hemostasis, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany; German Center for Cardiovascular Research (DZHK), partner site Hamburg/Kiel/Lübeck, Hamburg, Germany; German Center for Cardiovascular Research (DZHK), partner site RhineMain, Mainz, Germany. 5. Preventive Cardiology and Preventive Medicine, Department of Medicine II, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany. 6. German Center for Cardiovascular Research (DZHK), partner site RhineMain, Mainz, Germany; Department of Medicine II, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany. 7. Institute of Medical Biostatistics, Epidemiology and Informatics, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany. 8. Institute of Clinical Chemistry and Laboratory Medicine, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany. 9. Department of Ophthalmology, University Medical Center Mainz, Mainz, Germany. 10. German Center for Cardiovascular Research (DZHK), partner site Hamburg/Kiel/Lübeck, Hamburg, Germany; Department of General and Interventional Cardiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. 11. CoRPS, Department of Medical and Clinical Psychology, Tilburg University, Tilburg, The Netherlands.
Abstract
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.
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.
Authors: Mareike Ernst; Ana N Tibubos; Josef Unterrainer; Juliane Burghardt; Elmar Brähler; Philipp S Wild; Claus Jünger; Jörg Faber; Astrid Schneider; Manfred E Beutel Journal: Sci Rep Date: 2019-05-13 Impact factor: 4.379
Authors: Jan S Novotný; Juan P Gonzalez-Rivas; Jose R Medina-Inojosa; Francisco Lopez-Jimenez; Yonas E Geda; Gorazd B Stokin Journal: Alzheimers Dement (N Y) Date: 2021-12-31
Authors: Griet Mertens; Ellen Andries; Annes J Claes; Vedat Topsakal; Paul Van de Heyning; Vincent Van Rompaey; Miryam Calvino; Isabel Sanchez Cuadrado; Elena Muñoz; Javier Gavilán; Katarzyna Bieńkowska; Weronika Świerniak; Piotr Henryk Skarżyński; Henryk Skarżyński; Lynne Tapper; Catherine Killan; Jillian Ridgwell; Janet McGowan; Christopher Raine; Dayse Tavora-Vieira; Roberta Marino; Aanand Acharya; Luis Lassaletta Journal: Ear Hear Date: 2021 May/Jun Impact factor: 3.562