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Cited by 65Personality Traits and PsychologyCardiac Health and Mental HealthHealth disparities and outcomes

Does personality predict mortality? Results from the GAZEL French prospective cohort study

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Nabi, H., Kivimaki, M., Zins, M., Elovainio, M., Consoli, S. M, Cordier, S., Ducimetiere, P., Goldberg, M. +1 more·2008·International Journal of Epidemiology
DOI 10.1093/ije/dyn013PMC PMC2662885
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Abstract

BACKGROUND: Majority of studies on personality and physical health have focused on one or two isolated personality traits. We aim to test the independent association of 10 personality traits, from three major conceptual models, with all-cause and cause-specific mortality in the French GAZEL cohort. METHODS: A total of 14,445 participants, aged 39-54 in 1993, completed the personality questionnaires composed of the Bortner Type-A scale, the Buss-Durkee Hostility Inventory (for total, neurotic and reactive hostility) and the Grossarth-Maticek-Eysenck Personality Stress Inventory that assesses six personality types [cancer-prone, coronary heart disease (CHD)-prone, ambivalent, healthy, rational, anti-social]. The association between personality traits and mortality, during a mean follow-up of 12.7 years, was assessed using the Relative Index of Inequality (RII) in Cox regression. RESULTS: In models adjusted for age, sex, marital status and education, all-cause and cause-specific mortality were predicted by 'total hostility', its 'neurotic hostility' component as well as by 'CHD-prone', 'ambivalent' 'antisocial', and 'healthy' personality types. After mutually adjusting personality traits for each other, only high 'neurotic hostility' remained a robust predictor of excess mortality from all causes [RII = 2.62; 95% confidence interval (CI) = 1.68-4.09] and external causes (RII = 3.24; 95% CI = 1.03-10.18). 'CHD-prone' (RII = 2.23; 95% CI = 0.72-6.95) and 'anti-social' (RII = 2.13; 95% CI 0.61-6.58) personality types were associated with cardiovascular mortality and with mortality from external causes, respectively, but CIs were wider. Adjustment for potential behavioural mediators had only a modest effect on these associations. CONCLUSIONS: Neurotic hostility, CHD-prone personality and anti-social personality were all predictive of mortality outcomes. Further research is required to determine the precise mechanisms that contribute to these associations.

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Authors
Nabi, H., Kivimaki, M., Zins, M., Elovainio, M., Consoli, S. M., Cordier, S., Ducimetiere, P., Goldberg, M., & Singh-Manoux, A.
Affiliations
  • Inserm (FR)
  • University College London (GB)
  • Hôpital Européen Georges-Pompidou (FR)
Corresponding author
Nabi, H.
ORCID
Venue
International Journal of Epidemiology
Publisher
Oxford University Press (OUP)
Published
2008-02-08
Volume
37
Issue
2
Pages
386-396
ISSN
  • 0300-5771 (ISSN-L)
  • 1464-3685
DOI
10.1093/ije/dyn013
PMC
PMC2662885
OpenAlex
W2111796769
Cited by
62
References
55
Citations by year
2025: 1 · 2024: 2 · 2023: 2 · 2022: 1 · 2021: 2 · 2020: 6 · 2019: 3 · 2018: 3 · 2017: 3 · 2016: 4 · 2015: 4 · 2014: 5 · 2013: 3 · 2012: 6
FWCI
6.32
Type
journal article
Language
en
Open access
Locations
  • International Journal of Epidemiology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • HAL (submittedVersion, other-oa)
Funders
British Heart Foundation (RG/07/008/23674)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
  • Social Sciences › Health › Health disparities and outcomes
Keywords
personality traits, mortality, Type A behavior pattern, hostility, antisocial personality, healthy personality, cardiovascular mortality, external causes of death, all-cause mortality, GAZEL cohort
MeSH terms
Adult, Antisocial Personality Disorder, Cause of Death, Coronary Disease, Female, Follow-Up Studies, Hostility, Humans, Male, Middle Aged, Neoplasms, Personality, Personality Inventory, Prospective Studies, Risk Factors, Type A Personality, Proportional Hazards Models

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