Latent profiles of early trauma & Type D personality: Sex differences in cardiovascular risk markers
van Montfort,E.M.J. Mommersteeg,P.M.C. Spek,V.R.M. Kupper,N.
van Montfort,E.M.J.
Mommersteeg,P.M.C.
Spek,V.R.M.
Kupper,N.
Abstract
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.
Description
Date
2018
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Volume Title
Publisher
Research Projects
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Keywords
Personality, Type D, trauma, personality, coping self-efficacy, cardiovascular risk factors, Cholesterol, Hypertension, Anxiety, Depression, Lifestyle, SDG 5 - Gender Equality, SDG 16 - Peace, Justice and Strong Institutions
Citation
van Montfort, E M J, Mommersteeg, P M C, Spek, V R M & Kupper, N 2018, 'Latent profiles of early trauma & Type D personality : Sex differences in cardiovascular risk markers', Comprehensive Psychiatry, vol. 83, pp. 38-45. https://doi.org/10.1016/j.comppsych.2018.02.009
License
info:eu-repo/semantics/closedAccess