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Relationship Between Hypochondriacal Concerns and Personality Dimensions and Traits in a Military Population
Abstract
Our aim was to examine the relationship between personality dimensions and hypochondriacal concerns and somatic symptoms in a military population. The Schedule of Nonadaptive and Adaptive Personality along with measures of hypochondriacal concerns and somatic symptoms were administered to 602 military veterans who had been on active duty during the 1991 Gulf War. Factor analyses identified six separable dimensions-two of hypochondriacal concerns, two of somatic symptoms, and two of possible mechanisms of symptom generation-for study. Multiple regression models determined the proportion of variation in these measures of somatic distress explained by personality scales. Personality measures explained between 26% and 38% of the variance in hypochondriacal concerns and somatic symptoms, and Negative Temperament accounted for most of this. Moderately strong positive correlations were observed between trait scales Mistrust, Low Self-Esteem, and Eccentric Perceptions and the various measures of somatic distress. Thus, when Negative Temperament was taken into account, few significant correlations between personality measures and hypochondriacal concerns or somatic symptoms remained. Negative temperament or neuroticism is strongly associated with hypochondriacal concerns. Important features of hypochondriasis and somatic distress appear to lie within the domain of personality. It remains for future research to show whether negative temperament is a vulnerability factor for hypochondriasis or hypochondriasis is itself a personality disorder.
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Neuroticism gives rise to medically unfounded symptom complaints and somatic sensitivity, which may protect an individual from premature mortality even though it risks burdening health care providers and the health care system.
“Neuroticism gives rise to medically unfounded symptom complaints and somatic sensitivity [118, 121], which may protect an individual from premature mortality even though it risks burdening health care providers and the health care system.”
From Personality and Longevity: Knowns, Unknowns, and Implications for Public Health and Personalized Medicine (2011) · cites this paper as [121]
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Metadata
- Authors
- Noyes, R., Watson, D. B., Letuchy, E. M., Longley, S. L., Black, D. W., Carney, C. P., & Doebbeling, B. N.
- Affiliations
- University of Iowa (US)
- Johns Hopkins University (US)
- Regenstrief Institute (US)
- Indiana University (US)
- Corresponding author
- Noyes, Russell
- Black, Donald W.
- Doebbeling, Bradley N.
- Venue
- Journal of Nervous & Mental Disease
- Published
- 2005-02
- Volume
- 193
- Issue
- 2
- Pages
- 110-118
- ISSN
- 0022-3018 (ISSN-L)
- OpenAlex
- W2010518588
- Semantic Scholar
- 6b177f397555bf88272807563a973ed6002a410a
- Cited by
- 35
- References
- 52
- Citations by year
- 2026: 1 · 2023: 1 · 2022: 2 · 2020: 2 · 2019: 3 · 2018: 1 · 2017: 1 · 2016: 1 · 2015: 1 · 2014: 4 · 2013: 2 · 2012: 3
- FWCI
- 1.19
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Nervous and Mental Disease (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Center for Research Resources (M01-RR59)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- health anxiety, somatic symptoms, somatic distress, personality factors, personality traits, military veterans, Gulf War, neuroticism, distrust, low self-esteem, vulnerability factors
- MeSH terms
- Adult, Attitude to Health, Female, Health Status, Humans, Hypochondriasis, Male, Military Personnel, Personality Assessment, Personality Disorders, Personality Inventory, Psychiatric Status Rating Scales, Regression Analysis, Risk Factors, Temperament, Veterans, Reproducibility of Results, Gulf War
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