Latent profiles of early trauma & Type D personality

Autor: Eveline van Montfort, Paula M.C. Mommersteeg, Viola Spek, Nina Kupper
Přispěvatelé: Medical and Clinical Psychology
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Male
cardiovascular risk factors
Cross-sectional study
Emotions
Anxiety
Type D
Type D Personality
0302 clinical medicine
Adverse Childhood Experiences
Risk Factors
lcsh:Psychiatry
Surveys and Questionnaires
Young adult
Depression (differential diagnoses)
education.field_of_study
Sex Characteristics
Depression
Middle Aged
Psychiatry and Mental health
Clinical Psychology
Physical abuse
trauma
Cholesterol
Cardiovascular Diseases
Hypertension
Female
medicine.symptom
Sex characteristics
Adult
medicine.medical_specialty
lcsh:RC435-571
Population
trauma
personality
coping self-efficacy
Psychological Trauma
03 medical and health sciences
Young Adult
Internal medicine
medicine
Humans
education
Aged
business.industry
Type D personality
Lifestyle
coping self-efficacy
030227 psychiatry
Cross-Sectional Studies
personality
business
030217 neurology & neurosurgery
Zdroj: Comprehensive Psychiatry, 83, 38-45. W.B. Saunders Ltd
Comprehensive Psychiatry, Vol 83, Iss, Pp 38-45 (2018)
ISSN: 0010-440X
Popis: Background: Both adverse early life-events and distressed personality are associated with an increased cardiovascular risk. As there is an important link between these psychological factors, we investigated how these might cluster in sex-specific psychological profiles. We further examined the association of these profiles with cardiovascular risk markers.Method: 446 women (mean age = 49.8 +/- 17.9 years) and 431 men (mean age = 49.4 +/- 17.5 years) from the Dutch general population completed questionnaires on demographics, adverse early life-events (ETI), Type D personality (DS14), anxiety (GAD-7) and depressive (PHQ-9) symptoms, and traditional cardiovascular risk markers.Results: A step-3 latent profile analysis identified three profiles in women (Reference, Type D & trauma, and Type D/no trauma) and four in men (Reference, Type D & trauma, Type D/no trauma, and Physical abuse). In women, the Type D/no trauma was associated with highest levels of emotional symptoms (OR = 2.47; 95% CI: 2.11-2.89), lipid abnormalities (OR = 3.69; 95% CI: 1.47-9.27), and increased levels of alcohol use (OR = 3.63; 95% CI: 1.42-930). The Type D & trauma profile was associated with increased levels of emotional symptoms (OR = 2.03; 95% CI: 1.70-2.42), highest levels of smoking (OR = 3.30; 95% CI: 1.21-8.97) and alcohol use (OR = 7.63; 95% CI: 2.86-20.33). Women in both profiles were older as compared to the Reference group (OR = 1.03; 95% CI: 1.01-1.05). In men, the Type D & trauma profile was associated with increased levels of emotional symptoms (OR = 1.11; 95% CI: 1.03-1.20). There were no significant differences between the profiles in lifestyle factors and cardiometabolic factors.Conclusions: In women, the Type D/no trauma profile and the Type D & trauma profile were associated with a specific combination of cardiovascular risk markers. In men, the Type D & trauma profile was associated with an increased level of emotional symptoms.
Databáze: OpenAIRE
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