Mastery is associated with cardiovascular disease mortality in men and women at apparently low risk.
Abstract
OBJECTIVE: We examine the prospective relationship between mastery, where limited mastery is defined as the inability to control negative emotions (and perceiving stressful experiences as beyond personal control), and cardiovascular disease (CVD) mortality particularly among individuals at apparently low CVD risk. DESIGN: Prospective population-based study of 19,067 men and women, aged 41-80 years with no previous heart disease or stroke at baseline assessment. MAIN OUTCOME MEASURES: Primary outcome measure CVD mortality. RESULTS: A total of 791 CVD deaths were recorded up to June 2009 during a median 11.3 person-years of follow-up. Limited perceived mastery over life circumstances was associated with an increased risk of CVD mortality, independently of biological, lifestyle, and socioeconomic risk factors (hazard ratio 1.11 per SD decrease in mastery score, 95% confidence interval 1.01-1.21). This association was more pronounced among those participants apparently at low CVD risk (p = .01 for test of interaction according to the number of CVD risk factors at baseline). CONCLUSIONS: Limited perceived control over life circumstances is associated with an increased risk of CVD mortality, independently of classical cardiovascular risk factors, and particularly among those at apparently low risk. Future attention should be given to this potentially modifiable personal characteristic, through the design of preliminary intervention studies, to reduce cardiovascular risk.
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In a large British national cohort, lower mastery was a risk factor for CVD mortality over 11 years, particularly in persons with low CVD risk.
“and for CVD mortality over 11 years, particularly in persons with low CVD risk [127, 128]”
From Personality and Longevity: Knowns, Unknowns, and Implications for Public Health and Personalized Medicine (2011) · cites this paper as [127]
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“Each class contains several diseases unified by a common set of etiologies, and in some cases the personality traits have been implicated more in one set of etiologic processes than another.”
BackgroundPositive psychological attributes and cardiac outcomes: associations, mechanisms, and interventions
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- Authors
- Surtees, P. G., Wainwright, N. W. J., Luben, R., Wareham, N. J., Bingham, S. A., & Khaw, K.-T.
- Affiliations
- University of Cambridge (GB)
- Addenbrooke's Hospital (GB)
- Venue
- Health Psychology
- Published
- 2010-07
- Volume
- 29
- Issue
- 4
- Pages
- 412-420
- ISSN
- 0278-6133 (ISSN-L)
- 1930-7810
- OpenAlex
- W2059131639
- Cited by
- 64
- References
- 57
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 3 · 2023: 6 · 2022: 2 · 2021: 1 · 2020: 2 · 2019: 9 · 2018: 4 · 2017: 8 · 2016: 8 · 2015: 5 · 2014: 2 · 2013: 4 · 2012: 4
- FWCI
- 2.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Medical Research Council (G9502233; G0300128)
- Cancer Research UK (C865/A2883)
- European Union
- Stroke Association
- British Heart Foundation
- Department of Health
- Wellcome Trust
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Social Sciences › Health › Health disparities and outcomes
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
- Keywords
- perceived mastery, cardiovascular mortality, low cardiovascular risk, negative emotion regulation, stress appraisal, cardiovascular risk factors, sex differences
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Aged, 80 and over, Cardiovascular Diseases, Cause of Death, Female, Follow-Up Studies, Humans, Internal-External Control, Male, Middle Aged, Prospective Studies, Risk, Risk Factors, Self Concept, Socioeconomic Factors, Proportional Hazards Models, Stroke
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