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Public health significance of neuroticism
Open accessAbstract
The personality trait of neuroticism refers to relatively stable tendencies to respond with negative emotions to threat, frustration, or loss. Individuals in the population vary markedly on this trait, ranging from frequent and intense emotional reactions to minor challenges to little emotional reaction even in the face of significant difficulties. Although not widely appreciated, there is growing evidence that neuroticism is a psychological trait of profound public health significance. Neuroticism is a robust correlate and predictor of many different mental and physical disorders, comorbidity among them, and the frequency of mental and general health service use. Indeed, neuroticism apparently is a predictor of the quality and longevity of our lives. Achieving a full understanding of the nature and origins of neuroticism, and the mechanisms through which neuroticism is linked to mental and physical disorders, should be a top priority for research. Knowing why neuroticism predicts such a wide variety of seemingly diverse outcomes should lead to improved understanding of commonalities among those outcomes and improved strategies for preventing them.
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“NNE is prospectively linked with such a broad range of negative physical and mental health outcomes, including harmful alcohol use, sleep problems, suicide risk, and others that it has been characterized as among the most important risk factors in public health (49–52).”
From Pilot outcomes and exploration of treatment mechanisms using a culturally adapted version of the unified protocol for transdiagnostic treatment of emotional disorders to improve mental health symptoms, alcohol misuse, functional outcomes, and sleep quality in emergency responders (2025) · cites this paper as [49]
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“It is of interest that some authors consider neuroticism as a psychological endophenotype of affective disorders (58) as well as a personality characteristic independently leading to PD with adjunctive vulnerability to stressful life events, sleep disorders, and hormonal changes (13–15).”
From Perinatal depression screening and prevention: Descriptive findings from a multicentric program in the South of Italy (2022) · cites this paper as [58]
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InfluentialClark, L. A., Cuthbert, B., Lewis-Fernández, R., Narrow, W. E., & Reed, G. M. (2017) · Psychological Science in the Public Interest · doi:10.1177/1529100617727266 · Cited by 688
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Neuroticism is a fundamental domain of personality with enormous public health implications
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Baumert, A., Schmitt, M., Perugini, M., Johnson, W., Blum, G. S., Borkenau, P., Costantini, G., Denissen, J. J. A., Fleeson, W., Grafton, B., et al. (2017) · European Journal of Personality · doi:10.1002/per.2115 · Cited by 549
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BackgroundRisk factors for depression: an autobiographical review
Hammen, C. (2018) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-050817-084811 · Cited by 483
“Considerable research has supported predictive associations both between temperament neuroticism and negative emotionality (NE) and depression and between low positive emotionality (PE) and depression (for reviews, see, e.g., Klein et al. 2011, Lahey 2009, Ormel et al. 2013).”
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Lahey, B. B., Krueger, R. F., Rathouz, P. J., Waldman, I. D., & Zald, D. H. (2017) · Psychological Bulletin · doi:10.1037/bul0000069 · Cited by 443
“In contrast, constraint has been found to be inversely correlated with externalizing psychopathology across the life span, but positively, albeit weakly, associated with the internalizing domain (Hink et al., 2013; Krueger, 1999a; Krueger & Markon, 2006b; Krueger, McGue, & Iacono, 2001; Lahey, 2009; Lahey et al., 2010…”
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“They also tend to be vigilant and overreactive to potential stressors (Lahey, 2009) and, of particular relevance to the MRP given the open-ended nature of many microaggressions, prone to interpreting ambiguous stimuli in a negative light (Brief, Burke, George, Robinson, & Webster, 1988).”
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Wright, A. G. C., Thomas, K. M., Hopwood, C. J., Markon, K. E., Pincus, A. L., & Krueger, R. F. (2012) · Journal of Abnormal Psychology · doi:10.1037/a0027669 · Cited by 437
“This is because underlying personality dimensions confer risk for psychopathology in coherent ways (e.g., neuroticism confers risk for diverse forms of behavioral dysfunction; Lahey, 2009).”
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ResultThe influence of subjective aging on health and longevity: a meta-analysis of longitudinal data
Westerhof, G. J., Miche, M., Brothers, A. F., Barrett, A. E., Diehl, M., Montepare, J. M., Wahl, H.-W., & Wurm, S. (2014) · Psychology and Aging · doi:10.1037/a0038016 · Cited by 403
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de Moor, M. H. M., Costa, P. T., Terracciano, A., Krueger, R. F., de Geus, E. J. C., Toshiko, T., Penninx, B. W. J. H., Esko, T., Madden, P. A. F., Derringer, J. L., et al. (2010) · Molecular Psychiatry · doi:10.1038/mp.2010.128 · Cited by 389
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“A síndrome de FOMO tem sido associada ao traço de personalidade do neuroticismo [29, 86], um dos fatores de risco mais conhecidos para o desenvolvimento de transtorno de humor [91].”
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“…IH -PA Author M anuscript N IH -PA Author M anuscript In the present study, we focus on NE because it is robustly correlated with a wide range of mental and physical health problems (Lahey, 2009; Meijer, de Vries, & van Bruggen, 2011; Tellegen et al., 2006; Watson, Clark, & Harkness, 1994).”
InfluentialSelf-citationJeronimus, B. F., Kotov, R., Riese, H., & Ormel, J. (2016) · Psychological Medicine · doi:10.1017/s0033291716001653 · Cited by 360
“and general health service use (Hills & Argyle, 2001; Ozer & Benet-Martínez, 2006; Roberts et al. 2007; Steel et al. 2008; Lahey, 2009), among others.”
BackgroundInfluentialWhat Are the Causes of Late-Life Depression?
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“…is a longstanding acceptance that psychological distress (PD) in the form of anxiety, sadness, irritability, self-consciousness and emotional vulnerability is strongly correlated with physical morbidity, reduced quality and duration of life, and increased use of health services (e.g. Lahey 2009).”
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“…and across multiple research domains including education (e.g., Poropat, 2009), work (e.g., Judge, Heller, & Mount, 2002), and romance (e.g., Bouchard, Lussier, & Sabourin, 1999), as well as physical (e.g., Marshall, Wortman, Vickers, Kusulas, & Hervig, 1994) and mental health (e.g., Lahey, 2009).”
The Multipurpose Application WeChat: A Review on Recent Research
Montag, C., Becker, B., & Gan, C. (2018) · Frontiers in Psychology · doi:10.3389/fpsyg.2018.02247 · Cited by 274
“(2018) also demonstrated associations between higher WCA and the personality trait of neuroticism, a general risk factor for psychopathology, particularly internalizing disorders including depression and anxiety (Lahey, 2009).”
BackgroundPersonality traits and obesity: a systematic review
Gerlach, G., Herpertz, S., & Loeber, S. (2014) · Obesity Reviews · doi:10.1111/obr.12235 · Cited by 285
“acceptance, relationship conflict or marital status (29,30).”
A systems approach to stress, stressors and resilience in humans
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“High neuroticism contributes to many health disorders [112] and relates to increased age-related cognitive change and clinical Alzheimer’s disease in longitudinal studies [113–115].”
Insight, Rumination, and Self-Reflection as Predictors of Well-Being
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BackgroundPersonality and smoking: individual‐participant meta‐analysis of nine cohort studies
Hakulinen, C. A., Hintsanen, M., Munafo, M. R., Virtanen, M., Mika Kivimaki, B., Batty, G. D., & Jokela, M. M. (2015) · Addiction · doi:10.1111/add.13079 · Cited by 285
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“its mechanisms(20) - provide a strong rationale for large-scale GWAS to identify its genetic”
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Ormel, J., Bastiaansen, J. A., Riese, H., Bos, E. H., Servaas, M. N., Ellenbogen, M. A., Rosmalen, J. G. M., & Aleman, A. (2012) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2012.09.004 · Cited by 288
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“In fact, Neuroticism has been argued to be of general public health significance because it is associated with so many negative outcomes [111, 112].”
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“For example, since neuroticism predicts various mental and physical health disorders there would be clear benefits to both individuals and societies from reducing the prevalence of neuroticism (Lahey, 2009).”
BackgroundInfluentialPsychological and behavioural responses to Coronavirus disease 2019: The role of personality
Aschwanden, D., Strickhouser, J. E., Sesker, A. A., Lee, J. H., Luchetti, M., Stéphan, Y., Sutin, A. R., & Terracciano, A. (2020) · European Journal of Personality · doi:10.1002/per.2281 · Cited by 260
“It might be possible to inexpensively screen large numbers of individuals in the community for high neuroticism scores, for instance, via web-based questionnaires (Chapman, Hampson, & Clarkin, 2014; Lahey, 2009).”
BackgroundDear, B. F., Staples, L. G., Terides, M. D., Karin, E., Zou, J., Johnston, L., Gandy, M., Fogliati, V. J., Wootton, B. M., McEvoy, P. M., et al. (2015) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2015.09.003 · Cited by 230
“because they are a strong predictor of impairment, health service use and psychiatric morbidity and are associated with considerable economic costs (Lahey 2009; Cuijpers, Smit et al. 2010).”
BackgroundClabaugh, A., Duque, J. F., & Fields, L. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.628787 · Cited by 300
Krueger, R. F., & Eaton, N. R. (2010) · Personality Disorders: Theory, Research, and Treatment · doi:10.1037/a0018990 · Cited by 244
“For example, there is extensive structural evidence for the existence of a pervasive neuroticism or negative emotionality dimension in psychopathology data underlying essentially all forms of psychological maladjustment (Lahey, 2009).”
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“To date, research on dimensions of temperament that increase vulnerability for both depression and anxiety has focused mainly on negative emotionality (Barlow, Ellard, Sauer-Zavala, Bullis, & Carl, 2014; Lahey, 2009).”
BackgroundVulnerable Narcissism Is (Mostly) a Disorder of Neuroticism
Miller, J. D., Lynam, D. R., Vize, C., Crowe, M., Sleep, C., Maples‐Keller, J. L., Few, L. R., & Campbell, W. K. (2018) · Journal of Personality · doi:10.1111/jopy.12303 · Cited by 240
The genetics of human personality
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“This s important given that neuroticism is a strong predictor of health isorders 35 (2015) 88–102 service use, impairment, and psychiatric morbidity and is associated with considerable economic costs (Lahey, 2009; Cuijpers et al., 2010).”
BackgroundReliability and Validity of the Personality Inventory for DSM-5 (PID-5)
Fossati, A., Krueger, R. F., Markon, K. E., Borroni, S., & Maffei, C. (2013) · Assessment · doi:10.1177/1073191113504984 · Cited by 235
“This is because underlying personality dimensions confer risk for psychopathology in coherent ways (e.g., neuroticism represents a risk factor for diverse forms of behavioral dysfunction; Lahey, 2009).”
BackgroundDispositional negativity: An integrative psychological and neurobiological perspective.
Shackman, A. J., Tromp, D., Stockbridge, M. D., Kaplan, C. M., Tillman, R. M., & Fox, A. S. (2016) · Psychological Bulletin · doi:10.1037/bul0000073 · Cited by 249
“…has increasingly drawn the attention of educators, social scientists, neurobiologists, clinicians, economists, and public policymakers (Duckworth & Allred, 2012; Ferguson, Heckman, & Corr, 2011; Lahey, 2009; Moffitt, Poulton, & Caspi, 2013; Roberts, Kuncel, Shiner, Caspi, & Goldberg, 2007).”
InfluentialDepression, anxiety and perceived stress in women with and without PCOS: a community-based study
Damone, A. L., Joham, A. E., Loxton, D., Earnest, A., Teede, H. J., & Moran, L. J. (2019) · Psychological Medicine · doi:10.1017/s0033291718002076 · Cited by 230
“This is consistent with prior research on the relationship between stress, chronic illness and psychological morbidity in the general population (Hammen et al., 2009; Lahey, 2009).”
BackgroundResultNeuroticism and emotional risk during the COVID-19 pandemic
Kroencke, L., Geukes, K., Utesch, T., Kuper, N., & Back, M. D. (2020) · Journal of Research in Personality · doi:10.1016/j.jrp.2020.104038 · Cited by 252
“We focus on neuroticism, a personality trait that has far-reaching public health significance (Lahey, 2009).”
InfluentialPersonality change following unemployment.
Boyce, C. J., Wood, A. M., Daly, M., & Sedikides, C. (2015) · Journal of Applied Psychology · doi:10.1037/a0038647 · Cited by 231
“…example, higher savings rates (Ameriks et al., 2003; Ameriks et al., 2007), prosocial activities (Binder & Freytag, 2013), or better health behaviors (Lahey, 2009; O’Connor, Conner, Jones, McMillan, & Ferguson, 2009)—unemployment may pose additional difficulties beyond the simple economic.”
BackgroundInfluentialPsychological adjustment after breast cancer: a systematic review of longitudinal studies
Brandão, T., Schulz, M. S., & Matos, P. M. (2016) · Psycho-Oncology · doi:10.1002/pon.4230 · Cited by 246
“The personality traits of neuroticism and trait anxiety are linked more widely with a number of mental and physical disorders that have bearing on the quality and longevity of people's life.(70,71) Coping strategies marked by higher levels of avoidance and/ or rumination have also been associated with a number of nega…”
BackgroundPrimary Emotional Systems and Personality: An Evolutionary Perspective
Montag, C., & Panksepp, J. (2017) · Frontiers in Psychology · doi:10.3389/fpsyg.2017.00464 · Cited by 248
“It has been shown in many studies that negative emotionality, especially with respect to the personality dimension of Neuroticism represents a risk factor for instigating and promoting affective disorders (Lahey, 2009).”
BackgroundPersonality in a Hierarchical Model of Psychopathology
Widiger, T. A., Sellbom, M., Chmielewski, M. S., Clark, L. A., DeYoung, C. G., Kotov, R., Krueger, R. F., Lynam, D. R., Miller, J. D., Mullins‐Sweatt, S. N., et al. (2018) · Clinical Psychological Science · doi:10.1177/2167702618797105 · Cited by 240
Association of work-related stress with mental health problems in a special police force unit
Garbarino, S., Cuomo, G., Chiorri, C., & Magnavita, N. (2013) · BMJ Open · doi:10.1136/bmjopen-2013-002791 · Cited by 222
“Emotional stability was a significant predictor for all the measures of mental health problems, which was expected given the large body of research that has shown that this trait is associated with several mental disorders and physical health problems, and that this is not an artefact of the overlapping of some sympto…”
ResultInterpersonal Dynamics in Personality and Personality Disorders
Hopwood, C. J. (2018) · European Journal of Personality · doi:10.1002/per.2155 · Cited by 239
“It came to be seen as redundant and prone to problematic co-occurrence, because all of the PDs are already saturated with neuroticism (Lahey, 2009; Samuel & Widiger, 2008).”
BackgroundBlagov, P. S. (2020) · Social Psychological and Personality Science · doi:10.1177/1948550620936439 · Cited by 231
“Neuroticism, usually a health and risk behavior liability (Lahey, 2009), nevertheless may make people susceptible to “fear appeals” (dire warnings) to change behavior (Awagu & Basil, 2016).”
BackgroundSleep and Academic Performance in Undergraduates: A Multi-measure, Multi-predictor Approach
Gomes, A. A., Tavares, J., & de Azevedo, M. H. P. (2011) · Chronobiology International · doi:10.3109/07420528.2011.606518 · Cited by 211
“Lahey BB. (2009). Public health significance of neuroticism.”
BackgroundShould OCD be classified as an anxiety disorder in DSM-V?
Stein, D. J., Fineberg, N. A., Bienvenu, O. J., Denys, D., Lochner, C., Nestadt, G., Leckman, J. F., Rauch, S. L., & Phillips, K. A. (2010) · Depression and Anxiety · doi:10.1002/da.20699 · Cited by 212
“Similarly, although neuroticism has been associated with anxiety disorders including OCD,([89]) it has also been associated with a range of other psychiatric disorders.([90]) There may be some differences in personality disorder comorbidity between anxiety disorder and OCD, although again further systemic research is…”
BackgroundPersonality and healthy sleep: the importance of conscientiousness and neuroticism
Duggan, K. A., Friedman, H. S., McDevitt, E. A., & Mednick, S. C. (2014) · PLoS ONE · doi:10.1371/journal.pone.0090628 · Cited by 211
“People high in neuroticism are at greater risk of poor mental and physical health [10] and increased mortality [11].”
BackgroundMechanisms of Identity Conflict
Hirsh, J. B., & Kang, S. K. (2015) · Personality and Social Psychology Review · doi:10.1177/1088868315589475 · Cited by 247
Jeronimus, B. F., Riese, H., Sanderman, R., & Ormel, J. (2014) · Journal of Personality and Social Psychology · doi:10.1037/a0037009 · Cited by 231
“Insights into change in neuroticism and the determinants of change are therefore important (Lahey, 2009) and may lead to new interventions to target vulnerability to mental disorders rather than the manifesta tions of those disorders.”
BackgroundJohnson, S. L., Carver, C. S., & Joormann, J. (2013) · Journal of Affective Disorders · doi:10.1016/j.jad.2013.05.004 · Cited by 219
“One well-known transdiagnostic view is the idea that trait neuroticism increases general vulnerability to psychopathology (e.g., Kotov et al., 2010; Lahey, 2009).”
BackgroundServaas, M. N., van der Velde, J., Costafreda, S. G., Horton, P., Ormel, J., Riese, H., & Aleman, A. (2013) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2013.05.005 · Cited by 208
Smith, M. M., Sherry, S., Rnic, K., Saklofske, D. H., Enns, M. W., & Gralnick, T. M. (2016) · European Journal of Personality · doi:10.1002/per.2053 · Cited by 198
“(Lahey, 2009), including depressive symptoms (e.”
BackgroundInfluentialHierarchical models of psychopathology: empirical support, implications, and remaining issues
Lahey, B. B., Moore, T. M., Kaczkurkin, A. N., & Zald, D. H. (2021) · World Psychiatry · doi:10.1002/wps.20824 · Cited by 188
Self-citationLittlefield, A. K., Sher, K. J., & Wood, P. K. (2010) · Journal of Abnormal Psychology · doi:10.1037/a0017512 · Cited by 206
The general factor of psychopathology
Smith, G. T., Atkinson, E. A., Davis, H. A., Riley, E. N., & Oltmanns, J. R. (2020) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-071119-115848 · Cited by 195
“Research has also shown that, across samples and cultures, negative emotionality is one of the primary factors extracted from individual difference measures of personality ( John et al. 2008, Lahey 2009, Markon et al. 2005).”
BackgroundPolusny, M. A., Erbes, C. R., Murdoch, M., Arbisi, P. A., THURAS, P. D., & Rath, M. B. (2010) · Psychological Medicine · doi:10.1017/s0033291710002047 · Cited by 192
“For example, childhood trauma and adversity (King et al. 1999 ; Iversen et al. 2007), neuroticism (Miller et al. 2004 ; Rubin et al. 2008 ; Lahey, 2009), worries about families and civilian life while deployed (Vogt et al. 2005), subsequent life stressors (King et al. 1998 ; Dirkzwager et al. 2003…”
BackgroundHyde, L. W., Gorka, A., Manuck, S. B., & Hariri, A. R. (2011) · Neuropsychologia · doi:10.1016/j.neuropsychologia.2010.08.025 · Cited by 188
“…study we asked if perceived social support, a resource for coping with adversity, moderates the link between amygdala reactivity to threat-related cues and the expression of trait anxiety, a well-established personality risk factor for psychopathology (Kendler, Kuhn, & Prescott, 2004; Lahey, 2009).”
BackgroundBucher, M. A., Suzuki, T., & Samuel, D. B. (2019) · Clinical Psychology Review · doi:10.1016/j.cpr.2019.04.002 · Cited by 203
“This is quite sensible as personality is known to relate with a wide variety of life outcomes (Ozer & Benet-Martinez, 2006) and has great public health significance in its own right (Hengartner, 2015; Lahey, 2009).”
BackgroundDimensional models of personality: the five-factor model and the DSM-5
Trull, T. J., & Widiger, T. A. (2013) · Dialogues in Clinical Neuroscience · doi:10.31887/dcns.2013.15.2/ttrull · Cited by 196
“The FFM domains and traits have been shown to be useful in predicting a substantial number of important life outcomes, both positive and negative, such as subjective well-being, social acceptance, relationship conflict, marital status, academic success, criminality, unemployment, physical health, mental health, job sa…”
BackgroundVerweij, K. J. H., Yang, J., Lahti, J. M. T., Veijola, J. M., Hintsanen, M., Pulkki-Råbäck, L., Heinonen, K., Pouta, A. M., Pesonen, A., Widén, E., et al. (2012) · Evolution · doi:10.1111/j.1558-5646.2012.01679.x · Cited by 187
Bullis, J. R., Boettcher, H., Sauer‐Zavala, S., Farchione, T. J., & Barlow, D. H. (2019) · Clinical Psychology: Science and Practice · doi:10.1111/cpsp.12278 · Cited by 216
“Emotional disorders are the most common psychological disorders and are associated with significant impairment across all areas of life, as well as substantial direct and indirect costs (Kessler, Petukhova, Sampson, Zaslavsky, & Wittchen, 2012; Lahey, 2009; Mojtabai et al., 2015).”
BackgroundNew evidence for a pain personality? A critical review of the last 120 years of pain and personality
Naylor, B., Boag, S., & Gustin, S. M. (2017) · Scandinavian Journal of Pain · doi:10.1016/j.sjpain.2017.07.011 · Cited by 188
Microdosing psychedelics: personality, mental health, and creativity differences in microdosers
Anderson, T., Petranker, R., Rosenbaum, D., Weissman, C. R., Dinh-Williams, L.-A., Hui, K., Hapke, E., & Farb, N. A. S. (2019) · Psychopharmacology · doi:10.1007/s00213-018-5106-2 · Cited by 174
“Tendencies to experience negative emotionality (e.g., anxiety, depression, and emotional volatility) are a robust predictor of mental and physical health problems (Lahey 2009) thus reduced vulnerability is reflected in the lower scores seen in microdosers.”
BackgroundGenomic analysis of family data reveals additional genetic effects on intelligence and personality
Hill, W. D., Arslan, R. C., Xia, C., Luciano, M., Amador, C., Navarro, P., Hayward, C., Nagy, R., Porteous, D. J., McIntosh, A. M., et al. (2018) · Molecular Psychiatry · doi:10.1038/s41380-017-0005-1 · Cited by 158
“sitivity, as well as mental and physical disorders [2].”
Stress and depression: old questions, new approaches
Hammen, C. L. (2015) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2014.12.024 · Cited by 197
“Joining the list of prime predictors of depression or moderators of the stress–depression link, neuroticism is a core human trait reflecting the tendency to interpret the world as dangerous and threatening, coupled with negative emotional reactions in response to stress [38] and is highly predictive of mood and anxiet…”
BackgroundPsychological Approaches to Origins and Treatments of Somatoform Disorders
Witthöft, M., & Hiller, W. (2010) · Annual Review of Clinical Psychology · doi:10.1146/annurev.clinpsy.121208.131505 · Cited by 183
Measures to Assess Maladaptive Variants of the Five-Factor Model
Widiger, T. A., Lynam, D. R., Miller, J. D., & Oltmanns, T. F. (2012) · Journal of Personality Assessment · doi:10.1080/00223891.2012.677887 · Cited by 170
“…a substantial number of important life outcomes, both positive and negative, such as subjective well-being, social acceptance, relationship conflict, criminality, unemployment, physical health, mortality, and occupational satisfaction (John et al., 2008; Lahey, 2009; Ozer & Benet-Martinez, 2006).”
Decoding Spontaneous Emotional States in the Human Brain
Kragel, P. A., Knodt, A. R., Hariri, A. R., & LaBar, K. S. (2016) · PLoS Biology · doi:10.1371/journal.pbio.2000106 · Cited by 174
Unemployment in multiple sclerosis: the contribution of personality and disease
Strober, L., Christodoulou, C., Benedict, R., Westervelt, H., Melville, P., Scherl, W., Weinstock-Guttman, B., Rizvi, S., Goodman, A., & Krupp, L. (2012) · Multiple Sclerosis · doi:10.1177/1352458511426735 · Cited by 177
The joint structure of DSM-IV Axis I and Axis II disorders.
Røysamb, E., Kendler, K. S., Tambs, K., Ørstavik, R., Neale, M. C., Aggen, S. H., Torgersen, S. O., & Reichborn‐Kjennerud, T. (2011) · Journal of Abnormal Psychology · doi:10.1037/a0021660 · Cited by 172
“For example, the trait of neuroticism is associated with a spectrum of internalizing clinical disorders such as depression, anxiety, anorexia, panic disorders, and phobias (Clark, Watson, & Mineka, 1994; Hettema, Neale, Myers, Prescott, & Kendler, 2006; Lahey, 2009).”
BackgroundAddressing neuroticism in psychological treatment.
Sauer-Zavala, S., Wilner, J. G., & Barlow, D. H. (2017) · Personality Disorders: Theory, Research, and Treatment · doi:10.1037/per0000224 · Cited by 162
“Additionally, a number of longitudinal studies have controlled for the periodic occurrence of anxious or depressive symptoms and still found neuroticism to act independently in predicting anxiety and mood (Lahey, 2009; Spijker, 2007).”
BackgroundNegative and positive life events are associated with small but lasting change in neuroticism
Jeronimus, B. F., Ormel, J., Aleman, A., Penninx, B. W. J. H., & Riese, H. (2013) · Psychological Medicine · doi:10.1017/s0033291713000159 · Cited by 171
“High neuroticism is prospectively associated with psychopathology (Ormel et al. 2004b ; Malouff et al. 2005; Lahey, 2009) and life-course outcomes across multiple domains, for example occupational attainment, divorce and mortality (Roberts et al. 2007).”
BackgroundThe Hierarchical Taxonomy of Psychopathology (HiTOP) in psychiatric practice and research
Kotov, R., Cicero, D. C., Conway, C., DeYoung, C. G., Dombrovski, A. Y., Eaton, N. R., First, M. B., Forbes, M. K., Hyman, S. E., Jonas, K. G., et al. (2022) · Psychological Medicine · doi:10.1017/s0033291722001301 · Cited by 179
“This likely underestimates the impact of psychopathology (Lahey, 2009; Ruscio, 2019).”
BackgroundIntegrating Normal and Abnormal Personality Structure: The Five‐Factor Model
Widiger, T. A., & Costa, P. T. (2012) · Journal of Personality · doi:10.1111/j.1467-6494.2012.00776.x · Cited by 173
“The only exception to this distinct alignment was a relationship of Neuroticism with social impairment, albeit this is consistent with previous research and expectations (Lahey, 2009).”
BackgroundResultInfluentialSocial Safety Theory: Conceptual foundation, underlying mechanisms, and future directions
Slavich, G. M., Roos, L. G., Mengelkoch, S., Webb, C. A., Shattuck, E. C., Moriarity, D. P., & Alley, J. C. (2023) · Health Psychology Review · doi:10.1080/17437199.2023.2171900 · Cited by 193
“Linking this research to health, individuals high in neuroticism are known to be at greater risk of inflammation-related diseases including depression, cardiovascular disease, asthma, and irritable bowel syndrome, compared to their lowneuroticism counterparts (Lahey, 2009).”
BackgroundGalé, C. R., Hagenaars, S. P., Davies, G., Hill, W. D., Liewald, D. C. M., Cullen, B., Penninx, B. W. J. H., Boomsma, D. I., Pell, J. P., McIntosh, A. M., et al. (2016) · Translational Psychiatry · doi:10.1038/tp.2016.56 · Cited by 156
Rockliff, H., Lightman, S. L., Rhidian, E., Buchanan, H., Gordon, U. D., & Vedhara, K. (2014) · Human Reproduction Update · doi:10.1093/humupd/dmu010 · Cited by 160
“…U niversity of G lasgow on June 29, 2015 http://hum upd.oxfordjournals.org/ D ow nloaded from physiology and health, but the data suggest it does (Lahey, 2009) and it could therefore be of clinical importance to infertility patients, as well as of psychological significance to their treatment…”
BackgroundEnduring mental health: Prevalence and prediction.
Schaefer, J. D., Caspi, A., Belsky, D. W., Harrington, H., Houts, R., Horwood, L. J., Hussong, A. M., Ramrakha, S., Poulton, R., & Moffitt, T. E. (2016) · Journal of Abnormal Psychology · doi:10.1037/abn0000232 · Cited by 168
“Consistent with research that names a neurotic personality style as a risk factor for multiple different mental disorders (Kendler, Gatz, Gardner, & Pedersen, 2006; Lahey, 2009), we found that Study members who showed little evidence of strong negative emotions in childhood were more likely to experience enduring ment…”
BackgroundPsychological predictors of weight loss after bariatric surgery: A review of the recent research
Wimmelmann, C. L., Dela, F., & Mortensen, E. L. (2014) · Obesity Research & Clinical Practice · doi:10.1016/j.orcp.2013.09.003 · Cited by 151
“Either the relation between personality and postoperative weight changes is mediated by postoperative eating behaviour or specific personality traits independently predict postoperative weight outcome because they predispose to elevated stress levels [80,81] which in turn have been shown to have a negative effect on m…”
BackgroundThe Big Five Personality Factors as Predictors of Changes Across Time in Burnout and Its Facets
Armon, G., Shirom, A., & Melamed, S. (2011) · Journal of Personality · doi:10.1111/j.1467-6494.2011.00731.x · Cited by 150
Neuroticism and Extraversion in youth predict mental wellbeing and life satisfaction 40 years later
Galé, C. R., Booth, T., Mõttus, R., Kuh, D. J., & Deary, I. J. (2013) · Journal of Research in Personality · doi:10.1016/j.jrp.2013.06.005 · Cited by 163
“There is a weight of evidence linking Neuroticism in particular with risk of psychological distress, somatic complaints and poorer perceived health (Charles, Gatz, Kato, & Pedersen, 2008; Costa & McCrae, 1987; Jerram & Coleman, 1999; Lahey, 2009; Ozer & Benet-Martinez, 2006; Roberts et al., 2007).”
The American Psychiatric Publishing Textbook of Personality Disorders
Oldham, J. M., Skodol, A. E., & Bender, D. S. (2014) · Cited by 146
Metadata
- Authors
- Lahey, B. B.
- Affiliations
- University of Chicago (US)
- Corresponding author
- Lahey, Benjamin B.
- ORCID
- Lahey, Benjamin B.
- Venue
- American Psychologist
- Published
- 2009
- Volume
- 64
- Issue
- 4
- Pages
- 241-256
- ISSN
- 0003-066X (ISSN-L)
- 1935-990X
- PMC
- PMC2792076
- OpenAlex
- W1982330837
- Cited by
- 1,901
- References
- 233
- Citations by year
- 2026: 118 · 2025: 125 · 2024: 129 · 2023: 157 · 2022: 149 · 2021: 166 · 2020: 202 · 2019: 106 · 2018: 100 · 2017: 108 · 2016: 113 · 2015: 99 · 2014: 77 · 2013: 78 · 2012: 68
- FWCI
- 58.39
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Psychologist (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R01MH059111)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- neuroticism, personality traits, public health, mental illness, physical disorders, comorbidities, health care utilization, quality of life, longevity, emotional reactivity, prevention
- MeSH terms
- Arousal, Mental Disorders, Character, Emotions, Humans, Neurotic Disorders, Prognosis, Public Health, Risk Factors, Risk-Taking, Somatoform Disorders, Health Behavior, Comorbidity
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