Stability and change in genetic and environmental components of personality in old age

Stability and change in the mean levels and sources of variation in personality was examined. A sample of 149 monozygotic and 202 dizygotic twin pairs over 80 years were studied three times with a 2-year interval between measurement occasions. The Eysenck Personality Inventory to measure extraversion and neuroticism was used. Linear mixed models and Cholesky variance decomposition were carried out (age, gender and mortality controlled). High mean level stability was found in extraversion and neuroticism. Mortality was related to lower scores in extraversion and higher scores in neuroticism. In extraversion and neuroticism, genetic effects were moderate. Though no new genetic contributions emerged over time, significant new environmental effects were found over time. Controlling for mortality slightly increased genetic effect in extraversion.     

Early Personality Traits as Predictors of Mortality Risk Following Conjugal Bereavement

ABSTRACT This study explored pre-bereavement personality traits and gender as predictors of post-widowhood mortality risk, using newly derived life span data for participants originally recruited for Lewis Terman's classic study of the gifted. Personality traits measured in 1940 were used to predict mortality risk from 1940 through 2004 for married participants who were either widowed between 1940 and 1986 or who remained married. Results indicated that widowhood predicted a decrease in mortality risk for these (intelligent) individuals (relative hazard [ rh ]=0.68, N =843, p <.001) and neuroticism significantly moderated this effect. Specifically, neuroticism in young adulthood was significantly associated with decreased mortality risk among men who were later widowed ( rh =0.50, N =66, p <.02) but not among women or consistently married men. Conclusions reveal the importance of personality–situation interactions and the adoption of a long-term perspective.     

Patient personality and mortality: a 4-year prospective examination of chronic renal insufficiency.

The present study examined the role of personality as a predictor of mortality among patients with chronic renal insufficiency. A prospective evaluation of the influence of personality on patient survival was conducted over an average 49-month period. Cox regression was used to evaluate the effects of 5 dimensions of personality in a sample of 174 patients (100 male and 74 female). At follow-up, 49 patients had died. Significant demographic and clinical predictors of survival included age, diabetic status, and hemoglobin level. After these predictors were controlled for, 2 personality traits, conscientiousness and neuroticism, predicted patient mortality. Patients with high neuroticism scores had a 37.5% higher estimated mortality rate. Patients with low conscientiousness scores had a 36.4% increased mortality rate.     

The control of death and the death of control: The effects of mortality salience,neuroticism, and worldview threat on the desire for control

Two studies were designed to examine whether neuroticism would moderate the effect of mortality salience on desire for control. In Study 1, participants completed a neuroticism scale, contemplated their mortality or a control topic, and then completed a desire for control scale. Results indicated that those low in neuroticism evidenced an increase in desire for control following mortality salience whereas those high in neuroticism showed decreased desire for control. Study 2 used a 2 (neuroticism level) ×2 (worldview threat) ×2 (mortality salience) design to examine whether confident faith in a belief system is responsible for the increased desire for control among low neuroticism participants. Here results indicated that if participants scoring low in neuroticism were confronted with a threat to their worldview and were then reminded of their death, they showed reduced desires for control. Discussion focuses on the implications of these results for understanding the relationship between neuroticism, desire for control, and terror management processes.     

Moody and thin-skinned? The interplay of neuroticism and momentary affect in older romantic couples

Neuroticism is associated with heightened reactivity to social stressors. However, little is known about the micro-processes through which neuroticism shapes – and is shaped by – affective experiences in close relationships. We examine the extent to which momentary affect is coupled with one’s relationship partner, whether the strength of this coupling differs depending on levels of neuroticism, and whether this coupling and partner’s overall level of positive or negative affect prospectively contribute to differential (rank-order) changes in neuroticism. Older couples (N = 82, aged 67–93 years) rated their momentary affect six times per day for one week and provided ratings of trait neuroticism at baseline and 18 months later. Multilevel models revealed that among individuals high in neuroticism, individual positive affect was more closely coupled with partner positive affect compared with individuals low in neuroticism. Moreover, neuroticism decreased over time in those participants who showed a higher degree of coupling with partner positive affect and also had a partner with higher overall positive affect. In contrast, neuroticism increased in individuals whose partner had lower overall positive affect. Similar effects were not observed for negative affect. Our findings highlight how relationship partners contribute to daily affective experiences and longer-term changes in neuroticism.     

Self-regulation and mortality from cancer, coronary heart disease, and other causes: A prospective study

This article introduces a new personality inventory dealing with self-regulation. This is in some ways the opposite of neuroticism, and measures personal autonomy or independence, particularly as far as emotional dependence is concerned. Our concern was the relation between self-regulation and health, and large samples of healthy men and women were tested and followed up to demonstrate high predictability of mortality from cancer, coronary heart disease and other causes of death from scores on the questionnaire. It was also demonstrated that psychological risk factors were largely independent from physical risk factors, and could be changed by behavioural-cognitive treatment, reducing mortality.     

Cardiovascular reactivity and neuroticism: results from a laboratory and controlled ambulatory stress protocol

A laboratory and controlled ambulatory protocol was used to study whether there are differences in the cardiovascular reactivity of persons varying in neuroticism, the disposition to experience negative subjective emotions. Thirty-six individuals (19 men, 17 women) who scored approximately 1 standard deviation above or below the mean on the NEO PI-R Neuroticism scale (Costa & McCrae, 1992) were recruited from a larger pool of undergraduate students. Participants, who had been outfitted with an ambulatory blood pressure/heart rate monitor, were exposed to 5 laboratory stressors and 7 field stressors during a 6-hour protocol. Results indicated that individuals scoring high in neuroticism showed blood pressure reactivity to laboratory and field stressors that was comparable to that of persons low in neuroticism. Aggregrating responses across stressors, there was evidence of exaggerated heart rate responses. The results suggested that, although neuroticism is related to high levels of negative subjective experience, differences between persons scoring high versus low in neuroticism were not exhibited strongly at the cardiovascular level. The implications for stress, coping, and disease are discussed.     

Misspecification in Latent Change Score Models: Consequences for Parameter Estimation,Model Evaluation,and Predicting Change

Latent change score models (LCS) are conceptually powerful tools for analyzing longitudinal data (McArdle & Hamagami, 2001). However, applications of these models typically include constraints on key parameters over time. Although practically useful, strict invariance over time in these parameters is unlikely in real data. This study investigates the robustness of LCS when invariance over time is incorrectly imposed on key change-related parameters. Monte Carlo simulation methods were used to explore the impact of misspecification on parameter estimation, predicted trajectories of change, and model fit in the dual change score model, the foundational LCS. When constraints were incorrectly applied, several parameters, most notably the slope (i.e., constant change) factor mean and autoproportion coefficient, were severely and consistently biased, as were regression paths to the slope factor when external predictors of change were included. Standard fit indices indicated that the misspecified models fit well, partly because mean level trajectories over time were accurately captured. Loosening constraint improved the accuracy of parameter estimates, but estimates were more unstable, and models frequently failed to converge. Results suggest that potentially common sources of misspecification in LCS can produce distorted impressions of developmental processes, and that identifying and rectifying the situation is a challenge.     

Psychological Factors Associated with Emotional Responses to Receiving Genetic Risk Information

This study identified levels of distress, and predictors of levels of distress, in women undergoing assessment for genetic risk of breast/ovarian cancer based on their family history. It comprised a cohort study following 154 women who completed questionnaires at entry into a cancer genetic assessment programme and following risk provision. Independent significant associates of anxiety following risk provision were age, neuroticism, feeling hopeless about developing cancer, a perceived lack of control over developing cancer, lack of a social confidant, and a coping response involving acceptance/resignation. Depression was associated with age, neuroticism, feeling hopeless about developing cancer, lack of social confidant, and a coping response involving acceptance/resignation. To avoid high levels of psychological morbidity in future cohorts undergoing cancer genetic risk assessment, information should be given that emphasises that some degree of control over health outcomes through behaviour change or increased surveillance is possible.     

Do health behaviors explain the effect of neuroticism on mortality? Longitudinal findings from the VA Normative Aging Study

Studies have shown that higher levels of neuroticism are associated with greater risk of mortality. Yet what accounts for this association? One major theoretical position holds that persons higher in neuroticism engage in poorer health behaviors, such as smoking and excessive drinking, thus leading to earlier death. We tested this hypothesis using 30-year mortality in 1788 men from the VA Normative Aging Study. Using proportional hazards (Cox) models we found that one health behavior, smoking, attenuated the effect of neuroticism on mortality by 40%. However, 60% remained unexplained, suggesting that the effects of other pathways (e.g., biological) also influence the relationship between neuroticism and mortality.     

Neuroticism and vigilance revisited: A transcranial doppler investigation

Selecting for vigilance assignments remains an important factor in human performance research. The current study revisits the potential relationship between vigilance performance and trait neuroticism, in light of two possible theories. The first theory suggests that neuroticism impairs vigilance performance by competing for available resources. The second theory, attentional control theory, posits that high neuroticism can result in similar or superior performance levels due to the allocation of compensatory effort. In the present study, Transcranial Doppler Sonography was used to investigate the neurophysiological underpinnings of neuroticism during a 12-min abbreviated vigilance task. Performance results were not modified by level of neuroticism, but high neuroticism was associated with higher initial CBFV levels and a greater CBFV decrement over time. These findings indicate that participants higher in neuroticism recruited additional cognitive resources in order to achieve similar performance, suggesting that there is more of an effect on processing efficiency than effectiveness.     

Abstract: Identifying Longitudinal Patterns of Adherence to Treatment for Obstructive Sleep Apnea

Increasing adherence to medical recommendations is crucial for improving health outcomes and reducing costs of health care. To improve adherence, we have to better understand behavior change over time. The focus of this study was adherence to treatment for obstructive sleep apnea (OSA). Adherence to positive airway pressure (PAP), the most common treatment for OSA, is poor. This study involved an international sample of 161 participants, each with approximately 180 nights of data, and had three phases. First, a separate time series analysis was performed for each individual. Time series parameters included the mean (average hours of use per night), level (the intercept), slope (the rate of change over time), variance (variability in use), and autocorrelation (a measure of dependency). Second, a dynamic cluster analysis was performed to find homogenous subgroups of individuals with similar adherence patterns. A four-cluster solution was found, and the subgroups were labeled (see Figure 1): Great Users (17.2%; high mean and level, no slope), Good Users (32.8%; moderate mean and level, no slope), Poor Users (22.7%; low mean and level, negative slope), and Slow Decliners (moderate mean and level, negative slope, high variance). Third, participants in the identified subgroups were compared on a number of variables that were not involved in the clustering to establish external validity. Some notable findings at later time points include the following: Great Users reported the most self-efficacy (confidence to use PAP), Poor Users reported the most sleepiness, and Great Users reported the highest quality of sleep. Combining time series analysis and dynamic cluster analysis is a useful way to evaluate adherence patterns at both the individual level and subgroup level. Psychological variables relevant to adherence patterns, such as self-efficacy, could be the focus of interventions to increase PAP usage.     

Love, work, and changes in extraversion and neuroticism over time

The present study examined individual differences in change in extraversion, neuroticism, and work and relationship satisfaction. Of particular interest were the correlations between changes. Data were from the Victorian Quality of Life Panel Study (B. Headey & A. Wearing, 1989, 1992), in which an overall 1,130 individuals participated (ages 16 to 70). Respondents were assessed every 2 years from 1981 to 1989. Four major findings emerged. (a) There were significant individual differences in changes in extraversion and neuroticism. (b) Change was not limited to young adulthood. (c) Development was systematic in that increased work and relationship satisfaction was associated with decreases in neuroticism and increases in extraversion over time; on average, the magnitude of the relation between changes in work and relationship satisfaction and traits was .40. (d) Cross-lagged models indicated traits had a greater influence on role satisfaction; however, marginal support emerged for work satisfaction leading to increased extraversion. Implications of correlated change are discussed.     

The Nature and Predictors of Undercontrolled and Internalizing Problem Trajectories Across Early Childhood

Using growth curve modeling, trajectories of undercontrolled (oppositional, irritable, inattentive and overactive behaviors) and internalizing (worried, sad and fearful) problems from 18 months to 4.5 years were studied in a population based sample of 921 Norwegian children. At the population level, undercontrolled problems decreased and internalizing problems increased with increasing age. Child temperament and family factors present at 18 months predicted 43% of the stability and 20% of the linear changes in undercontrolled problems and 30% of the stability and 7% of the linear changes in internalizing problems. Persisting effects of child and family factors from 18 month were found on the two problem dimensions over and above the impact of changes in the same risk factors. Lower initial level of partner support and higher initial level of child emotionality predicted higher slope of undercontrolled problems and higher initial level of family stress predicted higher slope for internalizing problems. As expected, time to time change (t1 to t2 and t2 to t3) in risk factors predicted time to time change in problem scores as well. The study shows the significance of early emerging internalizing and undercontrolled problems, the need to consider their pathways separately from very young ages, lasting effects of early experiences, and the importance of a dynamic approach to the analysis of risk.     

The thrust of the problem: bodily inhibitions and guilt as a function of mortality salience and neuroticism

We argue that existential concerns underlie discomfort with the physicality of the body and that activities likely to make individuals aware of their physical body (e.g., sex, dancing) may be inhibited and cause guilt. Further, individuals high in neuroticism may be especially vulnerable to such difficulties. To test this, individuals high and low in neuroticism were primed with thoughts about their mortality or a control topic and then engaged in an exercise designed to promote body awareness before self-reporting guilt. A comparison group engaged in non-body-oriented behavior. The results revealed that high neuroticism participants inhibited their body-oriented behavior when mortality was salient and that they experienced a marginal increase in guilt after performing the behavior in conjunction with mortality salience. Discussion focuses on the relationship between neuroticism, mortality salience, inhibition surrounding the body, and guilt.     

Gender differences in social cognitive determinants of exercise adoption

Gender differences in lifestyle-related mortality and morbidity suggest a need to investigate gender-specificity of health behaviour change process and factors influencing it. We tested whether changes in self-efficacy beliefs and planning, as well as the level of social support predict change in exercise. Finnish men and women, aged 50–65 years, at an increased risk for type 2 diabetes were recruited from health care centres to participate in the Good Ageing in Lahti Region (GOAL) Lifestyle Implementation Trial. Psychosocial factors were measured with questionnaires and exercise with 7-day physical activity diaries at baseline and at 3 months. At baseline, no gender differences were found in self-efficacy and planning, but men reported receiving more social support than women. At 3 months, women reported having formed more action plans for changing their exercise routines than men. Among women, increase in self-efficacy and planning predicted increase in exercise. Among men, changes in planning played a less significant role. The more salient role of planning for women than for men, and the fact that women receive less social support, may reflect life circumstances allowing less spontaneous lifestyle decisions and a lower acceptance of lifestyle changes by their social environment.     

ASSESSMENT OF SOCIAL COMPETENCE IN AN EVALUATION-INTERACTION ANALOGUE1

Forty men were selected from a larger pool of 235 college students who had completed three questionnaires designed to measure social competence. Twenty high socially competent and 20 low socially competent college men were given either positive or negative feedback by a woman confederate in a five-minute dyadic interaction. The confederate made either four all-positive or all-negative statements on the impression she was forming about the men during the interaction. Measures were taken of the amount of time the men spoke, the latency of their response to the confederate's statements, and the number of topics and topic changes used during the interaction. Judgements were also made on the men's physical attractiveness and social skill. Finally, the men's verbal reactions to the confederate statements were content analyzed for direction (self, confederate, or other) and valence (positive, negative, or neutral). A 2-by-2-by-4 (competence by feedback by statements) ANOVA indicated that subjects differed over trials (statements) in their reaction latencies as a function of their competence level and feedback: low competent men took considerably longer to react to the confederate's negative feedback than did men in other conditions. There were no differences among groups on the amount of conversation time or number of topics and topic changes. High competent men were judged to be more attractive and more socially skilled than low competent men. Content analysis revealed that high competent and low competent men did not differ in their verbal responses when receiving positive feedback. During negative feedback, however, high competent men employed a wider range of responses than low competent men. These findings suggest that high and low socially competent men may differ in their responses to evaluative feedback such that high competent men are both quicker to respond and have a broader repertoire of response than do low competent men.     

Identifying Longitudinal Patterns for Individuals and Subgroups: An Example with Adherence to Treatment for Obstructive Sleep Apnea

To improve complex behaviors such as adherence to medical recommendations, a better understanding of behavior change over time is needed. The focus of this study was adherence to treatment for obstructive sleep apnea (OSA). Adherence to the most common treatment for OSA is poor. This study involved a sample of 161 participants, each with approximately 180 nights of data. First, a time series analysis was performed for each individual. Time series parameters included the mean (average hours of use per night), level, slope, variance, and autocorrelation. Second, a dynamic cluster analysis was performed to find homogenous subgroups of individuals with similar adherence patterns. A four-cluster solution was found, and the subgroups were labeled: Great Users (17.2%; high mean and level, no slope), Good Users (32.8%; moderate mean and level, no slope), Low Users (22.7%; low mean and level, negative slope), and Slow Decliners (moderate mean and level, negative slope, high variance). Third, participants in the identified subgroups were compared to establish external validity. These steps represent a Typology of Temporal Patterns (TTP) approach. Combining time series analysis and dynamic cluster analysis is a useful way to evaluate longitudinal patterns at both the individual level and subgroup level.     

The association between change in cognitive ability and cause-specific mortality in a community sample of older adults

While there is consistent evidence that initial levels of cognitive ability predict mortality, there is mixed evidence for a relationship between changes in cognition and mortality. There have been few studies that have examined whether the level and slope of cognitive performance is predictive of subsequent mortality from all causes or from cardiovascular disease, stroke, heart disease, respiratory disease, or cancer. This study aimed to assess whether the level and slope of cognitive ability were associated with all-cause or cause-specific mortality. A cohort of 896 community-based elderly people in Australia was interviewed four times over 12 years, with vital status followed for up to 17 years. Of these, 592 participants completed two or more interviews and were included in survival models of six mortality outcomes. Cognitive change in five domains of ability was estimated using latent growth models. Poorer initial processing speed or verbal fluency was significantly associated with greater all-cause and/or cardiovascular mortality. In addition, declines in global ability were associated with greater all-cause, cardiovascular, and heart disease mortality. Vocabulary and episodic memory were not associated with mortality, and none of the cognitive tests significantly predicted respiratory or cancer mortality. Initial levels of cognitive ability tended to be better predictors of subsequent mortality than were changes in ability. The results suggest that vascular events may be largely responsible for the overall relationship between cognition and mortality.     

Personality Traits and Body Weight Measures: Concurrent and Across‐Time Associations

We tested the possibility that the five‐factor model of personality is associated with three measures of body weight and with changes in their levels over time and that these associations are gender specific. The study was conducted at two points of time, Time 1 (2664 participants) and Time 2 (1492 participants), over approximately 4 years, controlling for gender, age, education, and having a chronic disease. Body weight was assessed by body mass index, waist circumference, waist‐to‐hip ratio, and the five‐factor model by Saucier's Mini‐Markers. Cross‐sectional regression results indicated that conscientiousness was negatively associated with the three body weight measures, whereas neuroticism and extraversion were positively associated with the three body weight measures. The longitudinal regression results indicate that extraversion was associated with an increase in two of the body weight measures. Neuroticism was associated with increase in all three body weight measures and more strongly for women than for men. Openness was associated with a decrease in all three body weight measures for women, but this association was not significant for men. These findings help identify personality traits that lead to risk of weight gain and point to the modifying role of gender. Copyright © 2013 John Wiley & Sons, Ltd.