Anger is associated with subclinical atherosclerosis in low SES but not in higher SES men and women. The Cardiovascular Risk in Young Finns Study

Merjonen, Päivi; Pulkki-Råbäck, Laura; Puttonen, Sampsa; Keskivaara, Pertti; Juonala, Markus; Telama, R.; Viikari, Jorma; Raitakari, Olli T.; Keltikangas‐Järvinen, Liisa

doi:10.1007/s10865-007-9131-6

Cited by 34 publications

(33 citation statements)

References 54 publications

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“…A number of studies have demonstrated that anger and cynical hostility predict the progression of subclinical atherosclerosis (77,78), although in others the effect is moderated by socioeconomic status (79,80). This suggests that the associations demonstrated in these meta-analyses might be due to the impact of anger and hostility on the development of coronary atherosclerosis, although acute trigger effects might also contribute (18,19,81).…”

Section: Discussionmentioning

confidence: 89%

The Association of Anger and Hostility With Future Coronary Heart Disease

Chida

Steptoe

2009

Journal of the American College of Cardiology

651

410

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Section: Discussionmentioning

confidence: 89%

The Association of Anger and Hostility With Future Coronary Heart Disease

Chida

Steptoe

2009

Journal of the American College of Cardiology

651

410

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“…Lacruz et al (2011) Life satisfaction predicted longevity over 12 years for men but not for women. Merjonen et al (2008) Anger was associated with subclinical levels of atherosclerosis in low but not high SES women and men. In 142 nations SWB and reports of health were associated, although the association was stronger in low-income countries.…”

Section: Examples Of Findings Showing That Healthy Behaviors Are Assomentioning

confidence: 88%

If, Why, and When Subjective Well-Being Influences Health, and Future Needed Research

Diener¹

2017

Preprint

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We review evidence on whether subjective well-being (SWB) can influence health, why it might do so, and what we know about the conditions where this is more or less likely to occur. This review also explores how various methodological approaches inform the study of the connections between subjective well-being and health and longevity outcomes. Our review of this growing literature indicates areas where data are substantial and where much more research is needed. We conclude that SWB can sometimes influence health, and review a number of reasons why it does so. A key open question is when it does and does not do so -in terms of populations likely to be affected, types of SWB that are most influential (including which might be harmful), and types of health and illnesses that are most likely to be affected. We also describe additional types of research that are now much needed in this burgeoning area of interest, for example, cross-cultural studies, animal research, and experimental interventions designed to raise long-term SWB and assess the effects on physical health. This research area is characterized both by potentially extremely important findings, and also by pivotal research issues and questions.

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“…11,27 Findings concerning the personality trait of anger show that baseline anger scores predicted an increase in progression of carotid atherosclerosis assessed by calcium score in a small sample of patients without CRFs, 27 and via intima-media thickness in healthy middle-aged women, 28 in untreated hypertensive men, 28 in a young community sample, 11 and in older adults. 29 Furthermore, these data were confirmed in a recent multiethnic population study.…”

Section: Discussionmentioning

confidence: 99%

“…Anger was found to be associated with CAD incidence, progression of carotid atherosclerosis, and myocardial infarction in large prospective studies. 8,10,11 Type D personality is a relatively stable trait, characterized by high negative affectivity, the tendency to experience negative emotions, and social inhibition, and the tendency to inhibit the expression of emotions/behaviors in social interactions. 12 Studies have shown that type D personality is associated with an increased risk of adverse clinical outcomes in coronary heart disease, including mortality and morbidity.…”

Section: Introductionmentioning

confidence: 99%

Personality traits, cardiac risk factors, and their association with presence and severity of coronary artery plaque in people with no history of cardiovascular disease

Compare¹,

Mommersteeg²,

Faletra³

et al. 2014

Journal of Cardiovascular Medicine

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BACKGROUND Coronary artery disease (CAD) is a multifactorial complex disease. The aim of the present study is to verify whether the personality traits in CAD are associated with coronary artery plaque (CAP) presence and severity in people with no history of cardiovascular disease. DESIGN A cross-sectional monocenter study. METHODS Seventy five individuals with no history of CAD underwent 64-slice computed tomography coronary angiography (CTCA) and were screened for traditional cardiac risk factors and for hostility, anger, and type D personality traits. RESULTS In total, 48 patients (64%) had evidence of CAP, with mild (31%), moderate (33%), and severe (35%) coronary stenosis. Male sex, hypertension, being overweight, and number of cardiovascular risk factors increased the likelihood of CAP presence. Findings showed a significant difference between CAP presence vs. CAP absence for anger (26 vs. 30%, 2 = 6.82) and type D personality (23 vs. 35%; 2 = 8.23, P = 0.03), but not hostility (P > 0.05). Anger personality, and the type D subscale social inhibition, but not negative affectivity, were associated with an increased prevalence and severity of CAP. Univariate analysis confirms anger (odds ratio, OR = 1.38, 95% confidence interval, CI = 1.12-2.31), social inhibition (OR = 2.01, 95% CI = 1.81-2.93), 'negative affectivity by social inhibition' (OR = 1.24, 95% CI = 1.12-2.14), and type D personality (OR = 1.9, 95% CI = 1.11-2.03) as predictors of CAP presence. Moreover, multivariate analysis suggests social inhibition as also a unique CAP predictor (OR = 2.14, 95% CI = 1.89-2.96) after adjustment for having cardiac risk factors as a covariate. CONCLUSION The present data confirm the core role of traditional risk factors and suggest the primacy of social inhibition and anger personality traits in association with CAP presence and severity.

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Anger is associated with subclinical atherosclerosis in low SES but not in higher SES men and women. The Cardiovascular Risk in Young Finns Study

Cited by 34 publications

References 54 publications

The Association of Anger and Hostility With Future Coronary Heart Disease

The Association of Anger and Hostility With Future Coronary Heart Disease

If, Why, and When Subjective Well-Being Influences Health, and Future Needed Research

Personality traits, cardiac risk factors, and their association with presence and severity of coronary artery plaque in people with no history of cardiovascular disease

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