Cited by 208Cardiac Health and Mental HealthPersonality Traits and PsychologyHealth disparities and outcomes

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

Abstract

MMPI measures of neuroticism (N) and of cynicism (C) were obtained at the initial examination of 1871 employed, middle-aged men in Chicago. Neither N nor C was significantly associated cross-sectionally with systolic blood pressure or serum cholesterol, but both were positively associated with cigarette smoking and alcohol consumption. N was not significantly associated with risk of death from coronary disease, other cardiovascular diseases, cancer, all other causes combined, or all causes combined after adjustment for C, age, cigarette smoking, alcohol consumption, systolic blood pressure, and serum cholesterol. C was significantly associated with coronary death and total mortality after adjustment for N and the other variables listed above, and relative risks of 1.4 to 1.6 were observed for all endpoints. These results support the idea that neuroticism is not associated with major causes of mortality, but that cynicism is associated with several causes. The associations between cynicism and mortality may be mediated by cigarette smoking and excessive alcohol consumption since adjustment for these factors may have been incomplete due to correlation between cynicism and errors in self-reported data.

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Crossref · 10.1097/00006842-199103000-00006

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Authors
Almada, S. J., Zonderman, A. B., Shekelle, R. B., Dyer, A. R., Daviglus, M. L., Costa, P. T., & Stamler, J.
Affiliations
Northwestern University (US)
Venue
Psychosomatic Medicine
Published
1991-03
Volume
53
Issue
2
Pages
165-175
ISSN
0033-3174 (ISSN-L)
OpenAlex
W2009246019
Cited by
208
References
19
Citations by year
2025: 2 · 2024: 3 · 2023: 3 · 2022: 3 · 2021: 3 · 2020: 44 · 2019: 4 · 2018: 5 · 2017: 7 · 2016: 5 · 2015: 2 · 2014: 6 · 2013: 6 · 2012: 7
FWCI
4.02
Type
journal article
Language
en
Open access
closed
Locations
  • Psychosomatic Medicine (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5t32hl007113-20, 5r01ca038326-02)
  • National Heart, Lung, and Blood Institute (HL-21010, HL07113, R01HL021010)
  • National Cancer Institute (CA38326)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
  • Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
  • Social Sciences › Health › Health disparities and outcomes
Keywords
neuroticism, cynicism, mortality, middle-aged men, cardiovascular disease, cancer mortality, cigarette smoking, alcohol consumption, MMPI, personality traits
MeSH terms
Adult, Arousal, Cardiovascular Diseases, Cause of Death, Coronary Disease, Hostility, Humans, Life Style, Male, MMPI, Neoplasms, Neurotic Disorders, Psychometrics, Risk Factors, Type A Personality, Health Behavior

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