Cited by 269Cardiac Health and Mental HealthPersonality Traits and PsychologyCardiovascular Health and Risk Factors

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Personality traits as risk factors for stroke and coronary heart disease mortality: pooled analysis of three cohort studies

Jokela, Markus, Pulkki-Råback, Laura, Elovainio, Marko, Kivimäki, Mika·2014·Journal of Behavioral Medicine

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Abstract

We examined whether personality traits are differently associated with coronary heart disease and stroke mortality. Participants were pooled from three prospective cohort studies (Health and Retirement Study, Wisconsin Longitudinal Study graduate and sibling samples; n = 24,543 men and women, mean age 61.4 years, mortality follow-up between 3 and 15 years). There were 423 coronary heart disease deaths and 88 stroke deaths during 212,542 person-years at risk. Higher extraversion was associated with an increased risk of stroke (hazard ratio per each standard deviation increase in personality trait HR = 1.41, 95 % CI 1.10-1.80) but not with coronary heart disease mortality (HR = 0.93, 0.83-1.05). High neuroticism, in turn, was more strongly related to the risk of coronary heart disease (HR = 1.16, 1.04-1.29) than stroke deaths (HR = 0.95, 0.78-1.17). High conscientiousness was associated with lower mortality risk from both coronary heart disease (HR = 0.74, 0.67-0.81) and stroke (HR = 0.78, 0.63-0.97). Cardiovascular risk associated with personality traits appears to vary between main cardiac and cerebral disease endpoints.

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European Guidelines on cardiovascular disease prevention in clinical practice (version 2012)
Authors/Task Force Members:, Perk, J., De Backer, G., Gohlke, H., Graham, I., Reiner, Ž., Verschuren, M., Albus, C., Benlian, P., Boysen, G., et al. (2012) · European Heart Journal · doi:10.1093/eurheartj/ehs092 · Cited by 8,490
Handbook of Personality: Theory and Research
Krueger, R. F., & Johnson, W. (2008) · Cited by 7,884
Efficacy and safety of cholesterol-lowering treatment: prospective meta-analysis of data from 90 056 participants in 14 randomised trials of statins
(2005) · The Lancet · doi:10.1016/s0140-6736(05)67394-1 · Cited by 6,848
European guidelines on cardiovascular disease prevention in clinical practice: executive summary
Graham, I., Atar, D., Borch‐Johnsen, K., Boysen, G., Burell, G. K., Cífková, R., Dallongeville, J., Backer, G. D., Ebrahim, S. B. J., Gjelsvik, B., et al. (2007) · European Heart Journal · doi:10.1093/eurheartj/ehm316 · Cited by 3,865
Guidelines for the Primary Prevention of Stroke: A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association
Meschia, J. F., Bushnell, C., Boden-Albala, B., Braun, L. T., Bravata, D. M., Chaturvedi, S., Creager, M. A., Eckel, R. H., Elkind, M. S. V., Fornage, M., et al. (2014) · Stroke · doi:10.1161/str.0000000000000046 · Cited by 2,650
Neurobiology of the structure of personality: Dopamine, facilitation of incentive motivation, and extraversion
Depue, R. A., & Collins, P. F. (1999) · Behavioral and Brain Sciences · doi:10.1017/s0140525x99002046 · Cited by 2,046
Prognostic significance of visit-to-visit variability, maximum systolic blood pressure, and episodic hypertension
Rothwell, P. M., Howard, S. C., Dolan, E., O'Brien, E., Dobson, J. E., Dahlöf, B., Sever, P. S., & Poulter, N. R. (2010) · The Lancet · doi:10.1016/s0140-6736(10)60308-x · Cited by 1,784
Conscientiousness and Health-Related Behaviors: A Meta-Analysis of the Leading Behavioral Contributors to Mortality.
Bogg, T., & Roberts, B. W. (2004) · Psychological Bulletin · doi:10.1037/0033-2909.130.6.887 · Cited by 1,632 · cited 2×
“Conscientiousness has been associated with a broad range of optimal health behaviors and outcomes (Bogg & Roberts, 2004; Jokela et al., 2013a; Martin et al., 2007).”
Background
Positive Psychological Well-Being and Mortality: A Quantitative Review of Prospective Observational Studies
Chida, Y., & Steptoe, A. (2008) · Psychosomatic Medicine · doi:10.1097/psy.0b013e31818105ba · Cited by 1,592
An Overview of the Health and Retirement Study
Juster, F., & Suzman, R. (1995) · The Journal of Human Resources · doi:10.2307/146277 · Cited by 1,476
Relations between personality and coping: A meta-analysis.
Connor-Smith, J. K., & Flachsbart, C. (2007) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.93.6.1080 · Cited by 1,453
Stress and cardiovascular disease
Steptoe, A., & Kivimäki, M. (2012) · Nature Reviews Cardiology · doi:10.1038/nrcardio.2012.45 · Cited by 1,321
Guidelines for the Primary Prevention of Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association
Goldstein, L. B., Bushnell, C. D., Adams, R. J., Appel, L. J., Braun, L. T., Chaturvedi, S., Creager, M. A., Culebras, A., Eckel, R. H., Hart, R. G., et al. (2011) · Stroke · doi:10.1161/str.0b013e3181fcb238 · Cited by 1,306
The effects of acute psychological stress on circulating inflammatory factors in humans: a review and meta-analysis
Steptoe, A., Hamer, M., & Chida, Y. (2007) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2007.03.011 · Cited by 1,278
On Traits and Temperament: General and Specific Factors of Emotional Experience and Their Relation to the Five‐Factor Model
Watson, D., & Clark, L. A. (1992) · Journal of Personality · doi:10.1111/j.1467-6494.1992.tb00980.x · Cited by 1,154
Untitled work
(2012) · doi:10.1016/s0140-6736(12)60994-5 · Cited by 1,001
Self-citation
The heart's content: The association between positive psychological well-being and cardiovascular health.
Boehm, J. K., & Kubzansky, L. D. (2012) · Psychological Bulletin · doi:10.1037/a0027448 · Cited by 909
Stress and Cardiovascular Disease: An Update on Current Knowledge
Steptoe, A., & Kivimäki, M. (2013) · Annual Review of Public Health · doi:10.1146/annurev-publhealth-031912-114452 · Cited by 879
Psychological predictors of heart disease: A quantitative review.
Booth‐Kewley, S., & Friedman, H. S. (1987) · Psychological Bulletin · doi:10.1037/0033-2909.101.3.343 · Cited by 838
The Association of Anger and Hostility With Future Coronary Heart Disease
Chida, Y., & Steptoe, A. (2009) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2008.11.044 · Cited by 774
Guidelines for the Primary Prevention of Stroke A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association The American Academy of Neurology affirms the value of this guideline as an educational tool for neurologists.
Goldstein, L. B., Bushnell, C., Adams, R. J., Appel, L. J., Braun, L. T., Chaturvedi, S., Creager, M. A., Culebras, A., Eckel, R. H., Hart, R. G., et al. (2011) · Stroke · Cited by 745
European Guidelines on cardiovascular disease prevention in clinical practice (version 2012)
Perk, J., Backer, G. D., Gohlke, H., Graham, I. M., Reiner, Ž., Verschuren, W. M. M., Albus, C., Benlian, P., Boysen, G., Cífková, R., et al. (2012) · Atherosclerosis · doi:10.1016/j.atherosclerosis.2012.05.007 · Cited by 702
Adaptational Style and Dispositional Structure: Coping in the Context of the Five‐Factor Model
Watson, D., & Hubbard, B. (1996) · Journal of Personality · doi:10.1111/j.1467-6494.1996.tb00943.x · Cited by 646
Intelligence and Personality as Predictors of Illness and Death
Deary, I. J., Weiß, A., & Batty, G. D. (2010) · Gothic.net · doi:10.1177/1529100610387081 · Cited by 461
A meta‐analytic review of the Big Five personality factors and accident involvement in occupational and non‐occupational settings
Clarke, S., & Robertson, I. T. (2005) · Journal of Occupational and Organizational Psychology · doi:10.1348/096317905x26183 · Cited by 452
Going to the heart of the matter
Kubzansky, L. D., & Kawachi, I. (2000) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(99)00091-4 · Cited by 442
Personality and All-Cause Mortality: Individual-Participant Meta-Analysis of 3,947 Deaths in 76,150 Adults
Jokela, M. M., Batty, G. D., Nyberg, S. T., Virtanen, M., Nabi, H., Singh‐Manoux, A., & Mika Kivimaki, B. (2013) · American Journal of Epidemiology · doi:10.1093/aje/kwt170 · Cited by 316
Self-citation
Domain and Facet Personality Predictors of All-Cause Mortality Among Medicare Patients Aged 65 to 100
Weiss, A., & Costa, P. T. (2005) · Psychosomatic Medicine · doi:10.1097/01.psy.0000181272.58103.18 · Cited by 311 · cited 1×
“Some of the health associations of personality may be specific to lower-order subscales and therefore not accurately captured by scales measuring only the higher-order traits (Weiss & Costa, 2005; Jonassaint et al., 2007; Terracciano et al., 2009).”
Background
Personality and Risk of Physical Illness
Smith, T. W., & MacKenzie, J. J. (2006) · Annual Review of Clinical Psychology · doi:10.1146/annurev.clinpsy.2.022305.095257 · Cited by 296
Neuroticism, Extraversion, and Mortality in the UK Health and Lifestyle Survey: A 21-Year Prospective Cohort Study
Shipley, B. A., Weiss, A., Der, G., Taylor, M. D., & Deary, I. J. (2007) · Psychosomatic Medicine · doi:10.1097/psy.0b013e31815abf83 · Cited by 288
Autonomic imbalance, hypertension, and cardiovascular risk
Brook, R. H. (2000) · American Journal of Hypertension · doi:10.1016/s0895-7061(00)00228-4 · Cited by 260
Personality Predictors of Longevity: Activity, Emotional Stability, and Conscientiousness
Terracciano, A., Löckenhoff, C. E., Zonderman, A. B., Ferrucci, L., & Costa, P. T. (2008) · Psychosomatic Medicine · doi:10.1097/psy.0b013e31817b9371 · Cited by 242
Personality and mortality risk across the life span: The importance of conscientiousness as a biopsychosocial attribute.
Martin, L. R., Friedman, H. S., & Schwartz, J. E. (2007) · Health Psychology · doi:10.1037/0278-6133.26.4.428 · Cited by 233
Facets of Personality Linked to Underweight and Overweight
Terracciano, A., Sutin, A. R., McCrae, R. R., Deiana, B., Ferrucci, L., Schlessinger, D., Uda, M., & Costa, P. T. (2009) · Psychosomatic Medicine · doi:10.1097/psy.0b013e3181a2925b · Cited by 213
Neuroticism and cynicism and risk of death in middle-aged men: the Western Electric Study.
Almada, S. J., Zonderman, A. B., Shekelle, R. B., Dyer, A. R., Daviglus, M. L., Costa, P. T., & Stamler, J. (1991) · Psychosomatic Medicine · doi:10.1097/00006842-199103000-00006 · Cited by 208
Association of personality with the development and persistence of obesity: a meta‐analysis based on individual–participant data
Jokela, M. M., Hintsanen, M., Hakulinen, C. A., Batty, G. D., Nabi, H., Singh‐Manoux, A., & Mika Kivimaki, B. (2012) · Obesity Reviews · doi:10.1111/obr.12007 · Cited by 204
Self-citation
Mechanisms of health: Education and health-related behaviours partially mediate the relationship between conscientiousness and self-reported physical health
Lodi‐Smith, J., Jackson, J. J., Bogg, T., Walton, K. E., Wood, D., Harms, P. D., & Roberts, B. W. (2009) · Psychology and Health · doi:10.1080/08870440902736964 · Cited by 201
Common Genetic Vulnerability to Depressive Symptoms and Coronary Artery Disease: A Review and Development of Candidate Genes Related to Inflammation and Serotonin
McCaffery, J. M., Frasure‐Smith, N., Dubé, M., Théroux, P., Rouleau, G. A., Duan, Q., & Lespérance, F. (2006) · Psychosomatic Medicine · doi:10.1097/01.psy.0000208630.79271.a0 · Cited by 192
Longitudinal and Concurrent Relations among Temperament, Ability Estimation, and Injury Proneness
Schwebel, D. C., & Plumert, J. M. (1999) · Child Development · doi:10.1111/1467-8624.00050 · Cited by 169
Traumatic brain injury may be an independent risk factor for stroke
Burke, J. F., Stulc, J. L., Skolarus, L. E., Sears, E. D., Zahuranec, D. B., & Morgenstern, L. B. (2013) · Neurology · doi:10.1212/wnl.0b013e318297eecf · Cited by 156
Personality and risk of diabetes in adults: Pooled analysis of 5 cohort studies.
Jokela, M. M., Elovainio, M. J., Nyberg, S. T., Tabák, Á. G., Hintsa, T., Batty, G. D., & Mika Kivimaki, B. (2013) · Health Psychology · doi:10.1037/hea0000003 · Cited by 154
Self-citation
The role of adherence in the relationship between conscientiousness and perceived health.
Hill, P. L., & Roberts, B. W. (2011) · Health Psychology · doi:10.1037/a0023860 · Cited by 145
Patients With Traumatic Brain Injury
Chen, Y., Kang, J., & Lin, H. (2011) · Stroke · doi:10.1161/strokeaha.111.620112 · Cited by 142
The Pathogenicity of Behavior and Its Neuroendocrine Mediation
Manuck, S. B., Marsland, A. L., Kaplan, J. R., & Williams, J. K. (1995) · Psychosomatic Medicine · doi:10.1097/00006842-199505000-00009 · Cited by 135
Social Dominance and 22-Year All-Cause Mortality in Men
Houston, B. K., Babyak, M. A., Chesney, M. A., Black, G., & Ragland, D. R. (1997) · Psychosomatic Medicine · doi:10.1097/00006842-199701000-00002 · Cited by 104
Cardiovascular reactivity and interpersonal influence: Active coping in a social context.
Smith, T. W., Allred, K. D., Morrison, C. A., & Carlson, S. D. (1989) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.56.2.209 · Cited by 103
Facets of Openness Predict Mortality in Patients With Cardiac Disease
Jonassaint, C. R., Boyle, S. H., Williams, R. B., Mark, D. B., Siegler, I. C., & Barefoot, J. C. (2007) · Psychosomatic Medicine · doi:10.1097/psy.0b013e318052e27d · Cited by 72
Interpersonal circumplex octant, control, and affiliation scales for the NEO-PI-R
Traupman, E. K., Smith, T. W., Uchino, B. N., Berg, C. A., Trobst, K. K., & Costa, P. T. (2009) · Personality and Individual Differences · doi:10.1016/j.paid.2009.04.018 · Cited by 58
Childhood problem behaviors and injury risk over the life course
Jokela, M. M., Power, C., & Mika Kivimaki, B. (2009) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2009.02122.x · Cited by 49
Self-citation
A prospective study of dominance and coronary heart disease in the normative aging study
Siegman, A. W., Kubzansky, L. D., Kawachi, I. I., Boyle, S., Vokonas, P., & Sparrow, D. (2000) · The American Journal of Cardiology · doi:10.1016/s0002-9149(00)00850-x · Cited by 46
Differences between coronary disease and stroke in incidence, case fatality, and risk factors, but few differences in risk factors for fatal and non-fatal events
Wilhelmsen, L., Köster, M., Harmsen, P., & Lappas, G. (2005) · European Heart Journal · doi:10.1093/eurheartj/ehi412 · Cited by 42
Temperament in young adulthood and later mortality: prospective observational study
McCarron, P., Gunnell, D., Harrison, G. L., Okasha, M., & Smith, G. D. (2003) · Journal of Epidemiology & Community Health · doi:10.1136/jech.57.11.888 · Cited by 38
Personality and Mortality from Ischemic Heart Disease and Stroke
Nakaya, N., Tsubono, Y., Hosokawa, T., Hozawa, A., Kuriyama, S., Shin, F., & Tsuji, I. (2005) · Clinical and Experimental Hypertension · doi:10.1081/ceh-48930 · Cited by 27
Personality of children with accident‐related injuries
Vollrath, M. E., Landolt, M. A., & Ribi, K. (2003) · European Journal of Personality · doi:10.1002/per.479 · Cited by 25
Sibling Analysis of Adolescent Intelligence and Chronic Diseases in Older Adulthood
Jokela, M. M., Batty, G. D., Deary, I. J., Silventoinen, K., & Mika Kivimaki, B. (2011) · Annals of Epidemiology · doi:10.1016/j.annepidem.2011.01.008 · Cited by 21
Self-citation
The influence of family structure on socioeconomic achievement: a progress report.
Hauser, R. M., Wh, S., & Br, C. (1982) · Cited by 20
Coronary and cerebrovascular atherosclerosis: two aspects of the same disease or two different pathologies?
Puddu, P., Puddu, G. M., Bastagli, L., Massarelli, G., & Muscari, A. (1995) · Archives of Gerontology and Geriatrics · doi:10.1016/0167-4943(94)00600-c · Cited by 17
Untitled work
(2008) · PubMed

Research works printed but not linked: 2

Lachman, M. E., & Weaver, S. L. (1997). The Midlife Development Inventory (MIDI) personality scales: Scale construction and scoring. MA: Waltham.
Wollmering, E. (Ed.). (2007). Wisconsin Longitudinal Study Handbook (12.10.07).

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Authors: Jokela, M., Pulkki-Råback, L., Elovainio, M., & Kivimäki, M.
Affiliations: University of Helsinki (FI)
Finnish Institute for Health and Welfare (FI)
Corresponding author: Jokela, Markus
ORCID: Jokela, Markus
Elovainio, Marko
Venue: Journal of Behavioral Medicine
Publisher: Springer Science and Business Media LLC
Published: 2013-11-08
Volume: 37
Issue: 5
Pages: 881-889
ISSN: 0160-7715 (ISSN-L)
1573-3521
DOI: 10.1007/s10865-013-9548-z
OpenAlex: W2023153771
Cited by: 269
References: 60
Citations by year: 2026: 4 · 2025: 9 · 2024: 9 · 2023: 62 · 2022: 22 · 2021: 18 · 2020: 53 · 2019: 19 · 2018: 19 · 2017: 15 · 2016: 18 · 2015: 11 · 2014: 8
FWCI: 8.29
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (tdm)
Locations: Journal of Behavioral Medicine (publishedVersion)
PubMed (publishedVersion)
STM:n Hallinnonalan avoin julkaisuarkisto (Julkari) (submittedVersion)
Funders: British Heart Foundation (RG/13/2/30098)
Juho Vainion Säätiö
Medical Research Council (MR/K013351/1)
Economic and Social Research Council (ES/J023299/1)
National Institute on Aging (R01AG034454)
National Heart, Lung, and Blood Institute (R01HL036310)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
Keywords: personality traits, stroke mortality, coronary heart disease mortality, extraversion, neuroticism, conscientiousness, Big Five personality traits, cardiovascular risk, older adults
MeSH terms: Neuroticism, Aged, Anxiety Disorders, Coronary Disease, Extraversion, Psychological, Female, Humans, Male, Middle Aged, Personality, Personality Assessment, Risk Factors, Cohort Studies, Stroke

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Personality traits as risk factors for stroke and coronary heart disease mortality: pooled analysis of three cohort studies

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