Trait Anger and Arterial Stiffness: Results From the Atherosclerosis Risk in Communities (ARIC) Study

Williams, Janice E.; Din‐Dzietham, Rebecca; Szklo, Moysés

doi:10.1111/j.1520-037x.2006.1610.x

Cited by 23 publications

(17 citation statements)

References 25 publications

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“…31 Young's elastic modulus (E, one of the CD metrics), however, was not significantly associated with carotid IMT. In the ARIC Study, carotid stiffness metrics were associated with hypertension, diabetes, trait anger, physical activity, and ethnicity [32][33][34][35][36] and also with the highest quartile of carotid IMT. 6 In the BLSA, an independent association between suppressed anger and carotid stiffness was reported, 37 as well as an increase in stiffness with the clustering of components of metabolic syndrome and decreasing levels of testosterone.…”

Section: Discussionmentioning

confidence: 99%

Carotid Artery Distensibility

Cuadrado-Godia

Madhok

Pittman

et al. 2007

Journal of Ultrasound in Medicine

111

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Objective. Carotid distensibility (CD) is a measure of carotid artery elasticity that has been introduced as a risk factor for cardiovascular disease. Information regarding reproducibility of sonographic CD measures is limited. The objective of this study was to evaluate the inter-reader reliability of sonographic measurements of common carotid artery (CCA) diameters and derived metrics of CD. Methods. Two independent readers (R1 and R2) measured the systolic diameter (SD) and diastolic diameter (DD) for the right CCA from the B/M-mode sonographic registrations among 118 subjects. The derived CD metrics (strain, elastic modulus [E], stiffness [β], and CD) were calculated. The inter-reader type 3 intraclass correlation coefficients (ICC3,1) for carotid diameters were calculated. Results. The mean SDs ± standard deviation were 7.15 ± 1.43 mm for R1 and 7.24 ± 1.43 mm for R2. The mean DDs were 6.71 ± 1.36 mm for R1 and 6.68 ± 1.41 mm for R2. The mean differences of SD and DD between R1 and R2 were 0.08 ± 0.40 mm (paired t test, P = .04) and 0.03 ± 0.43 mm (paired t test, P = .46), respectively. Inter-reader type 3 intraclass correlation coefficients were 0.96 for SD and 0.95 for DD. We observed a significant association of demographics with carotid diameters but not with derived CD metrics or risk factors. Conclusions. Our results suggest good reproducibility of CCA diameters measured with B/Mmode sonography. However, very small changes in linear measurements of carotid diameters can have big effects on estimates of arterial mechanical properties such as strain and Young's modulus. The standard boundary identification methods may not be precise and reproducible enough for use in a clinical setting.

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Section: Discussionmentioning

confidence: 99%

Carotid Artery Distensibility

Cuadrado-Godia

Madhok

Pittman

et al. 2007

Journal of Ultrasound in Medicine

111

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“…People with the disorganized profile are expected to exhibit cynical distrust and paranoia, which are typical of schizotypal people [59] and also two of the most consistent psychological predictors of heart disease [7][8][9]11,12]. In psychiatric patients, the antisocial temperament configuration is associated with impulsive-aggressive, oppositional, and opportunistic behavior [37], so it is characterized by a distinct component of hostility that is usually described as anger-proneness and argumentativeness [11,[13][14][15]. Likewise, high Persistence is characterized by a person's being striving, ambitious, and perseverative or perfectionistic, which leads to an intense mixture of positive (i.e., active, enthusiastic) and negative (i.e., anxious, frustrated) emotions [60].…”

Section: Discussionmentioning

confidence: 99%

“…Several other studies have also found associations between different personality traits and cardiac risk factors [4][5][6]. In particular, extensive research has shown that personality components of hostility, including angerproneness, cynical distrust, and paranoia, increased the risk of heart disease [7][8][9][10][11][12][13][14][15]. Likewise, components of personality related to anxiety-proneness, such as perfectionism, may be significant but are weaker and less consistent when their average effects are considered using linear regression analysis [16][17][18][19].…”

Section: Introductionmentioning

confidence: 99%

Associations between dimensional personality measures and preclinical atherosclerosis: The cardiovascular risk in Young Finns study

Rosenström

Jokela

Cloninger

et al. 2012

Journal of Psychosomatic Research

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“…Factor analyses suggest that the scale consists of two components which assess anger temperament and anger reaction, with the final score representing the sum of responses for the these two subscales. In accordance with previous assessments of anger proneness with cardiovascular outcomes that has been conducted in the ARIC study 11, 12, 15, 17, 18 , anger proneness was categorized as: (1) low anger (score: 10–14); (2) moderate anger (score: 15–21); and (3) high anger (score: 22–40).…”

Section: Methodsmentioning

confidence: 98%

“…Anger proneness confers significant risk for coronary heart disease (CHD) 9–14 and stroke 15 with effects that can be observed at the subclinical level 16–18 . Relatively little is known about the association of anger with the risk of heart failure 19 and with utilization of healthcare resources among those with heart failure 20 .…”

Section: Introductionmentioning

confidence: 99%

Anger Proneness, Gender, and the Risk of Heart Failure

Kucharska‐Newton

Williams

Chang

et al. 2014

Journal of Cardiac Failure

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Background Evidence concerning the association of anger-proneness with incidence of heart failure is lacking. Methods Anger proneness was ascertained among 13,171 black and white participants of the Atherosclerosis Risk in Communities (ARIC) Study cohort using the Spielberger Trait Anger Scale. Incident heart failure events, defined as occurrence of ICD-9-CM code 428.x, were ascertained from participants’ medical records during follow-up 1990–2010. Relative hazard of heart failure across categories of trait anger was estimated from Cox proportional hazard models. Results Study participants (mean age 56.9 (SD 5.7) years) experienced 1,985 incident HF events during 18.5 (SD 4.9) years of follow-up. Incidence of HF was greater among those with high, as compared to those with low or moderate trait anger, with higher incidence observed for men as compared to women. The relative hazard of incident HF was modestly high among those with high trait anger, as compared to those with low or moderate trait anger (age-adjusted HR for men=1.44 (95% CI 1.23, 1.69). Adjustment for comorbidities and depressive symptoms attenuated the estimated age-adjusted relative hazard in men to 1.26 (95% CI 1.00, 1.60). Conclusion Assessment of anger proneness may be necessary in successful prevention and clinical management of heart failure, especially in men.

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Trait Anger and Arterial Stiffness: Results From the Atherosclerosis Risk in Communities (ARIC) Study

Cited by 23 publications

References 25 publications

Carotid Artery Distensibility

Carotid Artery Distensibility

Associations between dimensional personality measures and preclinical atherosclerosis: The cardiovascular risk in Young Finns study

Anger Proneness, Gender, and the Risk of Heart Failure

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