Latent profiles of early trauma & Type D personality: Sex differences in cardiovascular risk markers

E.M.J. van Montfort; P.M.C. Mommersteeg; V.R.M. Spek; N. Kupper

doi:10.1016/j.comppsych.2018.02.009

Latent profiles of early trauma & Type D personality: Sex differences in cardiovascular risk markers

E.M.J. van Montfort, P.M.C. Mommersteeg, V.R.M. Spek, N. Kupper^*

^*Corresponding author for this work

Medical and Clinical Psychology

Research output: Contribution to journal › Article › Scientific › peer-review

6 Citations (Scopus)

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.

Original language	English
Pages (from-to)	38-45
Journal	Comprehensive Psychiatry
Volume	83
DOIs	https://doi.org/10.1016/j.comppsych.2018.02.009
Publication status	Published - 2018

Keywords

Personality
Type D
trauma, personality, coping self-efficacy
cardiovascular risk factors
Cholesterol
Hypertension
Anxiety
Depression
Lifestyle

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10.1016/j.comppsych.2018.02.009

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@article{7440ec8b0c01487d97a85a3b31fd27d9,

title = "Latent profiles of early trauma & Type D personality: Sex differences in cardiovascular risk markers",

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. ",

keywords = "Personality, Type D, trauma, personality, coping self-efficacy, cardiovascular risk factors, Cholesterol, Hypertension, Anxiety, Depression, Lifestyle",

author = "{van Montfort}, E.M.J. and P.M.C. Mommersteeg and V.R.M. Spek and N. Kupper",

year = "2018",

doi = "10.1016/j.comppsych.2018.02.009",

language = "English",

volume = "83",

pages = "38--45",

journal = "Comprehensive Psychiatry",

issn = "0010-440X",

publisher = "W.B. Saunders Ltd",

}

TY - JOUR

T1 - Latent profiles of early trauma & Type D personality

T2 - Sex differences in cardiovascular risk markers

AU - van Montfort, E.M.J.

AU - Mommersteeg, P.M.C.

AU - Spek, V.R.M.

AU - Kupper, N.

PY - 2018

Y1 - 2018

N2 - 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.

AB - 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.

KW - Personality

KW - Type D

KW - trauma, personality, coping self-efficacy

KW - cardiovascular risk factors

KW - Cholesterol

KW - Hypertension

KW - Anxiety

KW - Depression

KW - Lifestyle

U2 - 10.1016/j.comppsych.2018.02.009

DO - 10.1016/j.comppsych.2018.02.009

M3 - Article

SN - 0010-440X

VL - 83

SP - 38

EP - 45

JO - Comprehensive Psychiatry

JF - Comprehensive Psychiatry

ER -

Latent profiles of early trauma & Type D personality: Sex differences in cardiovascular risk markers

Abstract

Keywords

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