Association of psychosocial traits with coronary artery calcium development and progression: The Multi-Ethnic Study of Atherosclerosis
Coronary artery calcium (CAC) is a well-established quantifiable risk factor for cardiovascular disease (CVD). We examined the association of anger, hostility, anxiety, and depression with the development and progression of CAC. We studied the association of these psychosocial traits with CAC among...
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| Veröffentlicht in: | Journal of cardiovascular computed tomography 2021-01, Vol.15 (1), p.56-64 |
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| description | Coronary artery calcium (CAC) is a well-established quantifiable risk factor for cardiovascular disease (CVD). We examined the association of anger, hostility, anxiety, and depression with the development and progression of CAC.
We studied the association of these psychosocial traits with CAC among participants in the Multi-Ethnic Study of Atherosclerosis (MESA). Anger was measured using the Spielberger Trait Anger questionnaire, hostility using a modified Cook-Medley Hostility questionnaire, anxiety using the Spielberger Trait Scale, and depression using the Center for Epidemiological Studies Depression Scale (CES-D). Among the subsample of participants with CAC = 0 at the beginning of the study period, Poisson regression models were used to determine the relative risk of developing CAC>0 over the study period. In the subsample that developed CAC>0, we used linear regression models to estimate the average increase in CAC associated with a unit increase in psychosocial trait.
Median time of follow-up was 9.4 years (range 8.0–11.4 years). Cross-sectional analyses at baseline revealed no association of any of the psychosocial traits with the presence or magnitude of CAC (anger: RR 0.98, p |
| doi_str_mv | 10.1016/j.jcct.2020.03.004 |
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We studied the association of these psychosocial traits with CAC among participants in the Multi-Ethnic Study of Atherosclerosis (MESA). Anger was measured using the Spielberger Trait Anger questionnaire, hostility using a modified Cook-Medley Hostility questionnaire, anxiety using the Spielberger Trait Scale, and depression using the Center for Epidemiological Studies Depression Scale (CES-D). Among the subsample of participants with CAC = 0 at the beginning of the study period, Poisson regression models were used to determine the relative risk of developing CAC>0 over the study period. In the subsample that developed CAC>0, we used linear regression models to estimate the average increase in CAC associated with a unit increase in psychosocial trait.
Median time of follow-up was 9.4 years (range 8.0–11.4 years). Cross-sectional analyses at baseline revealed no association of any of the psychosocial traits with the presence or magnitude of CAC (anger: RR 0.98, p < 0.01; hostility: RR 1.01, p = 0.25; anxiety: RR 0.99, p < 0.01; depression: RR 0.99, p < 0.01 [not statistically significant after adjustment for covariates]). No association was detected between the traits and development of CAC (anger: RR 0.99, p = 0.23; hostility: RR 1.01, p = 0.68, anxiety: RR 1.00, p = 0.49; depression: RR 1.00, p = 0.51). We also found no association between any of the traits and progression of CAC (anger: beta −3.21, p = 0.08; hostility: beta 2.28, p = 0.43; anxiety: 3.45, p = 0.02 [not statistically significant after adjustment for covariates]; depression: beta −1.46, p = 0.11).
We found no association between anger, hostility, anxiety, or depression and CAC, suggesting these personality traits are not independent risk factors for CVD.</description><identifier>ISSN: 1934-5925</identifier><identifier>EISSN: 1876-861X</identifier><identifier>DOI: 10.1016/j.jcct.2020.03.004</identifier><identifier>PMID: 32280016</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Affect ; Aged ; Aged, 80 and over ; Anger ; Anxiety - diagnosis ; Anxiety - ethnology ; Anxiety - psychology ; Coronary Artery Disease - diagnostic imaging ; Coronary Artery Disease - ethnology ; Coronary Artery Disease - psychology ; Databases, Factual ; Depression - diagnosis ; Depression - ethnology ; Depression - psychology ; Disease Progression ; Emotions ; Female ; Hostility ; Humans ; Male ; Middle Aged ; Risk Assessment ; Risk Factors ; Time Factors ; United States - epidemiology ; Vascular Calcification - diagnostic imaging ; Vascular Calcification - ethnology ; Vascular Calcification - psychology</subject><ispartof>Journal of cardiovascular computed tomography, 2021-01, Vol.15 (1), p.56-64</ispartof><rights>2020 Society of Cardiovascular Computed Tomography</rights><rights>Copyright © 2020 Society of Cardiovascular Computed Tomography. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-3c75186f7806ecba2db0f28cbe3f668d2ae0f6dd45910d841bbf8851f2ba17db3</citedby><cites>FETCH-LOGICAL-c356t-3c75186f7806ecba2db0f28cbe3f668d2ae0f6dd45910d841bbf8851f2ba17db3</cites><orcidid>0000-0002-9616-1946</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1934592520301271$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32280016$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Abdulla, Amer G.</creatorcontrib><creatorcontrib>Buzkova, Petra</creatorcontrib><creatorcontrib>Nakanishi, Rine</creatorcontrib><creatorcontrib>Budoff, Matthew J.</creatorcontrib><title>Association of psychosocial traits with coronary artery calcium development and progression: The Multi-Ethnic Study of Atherosclerosis</title><title>Journal of cardiovascular computed tomography</title><addtitle>J Cardiovasc Comput Tomogr</addtitle><description>Coronary artery calcium (CAC) is a well-established quantifiable risk factor for cardiovascular disease (CVD). We examined the association of anger, hostility, anxiety, and depression with the development and progression of CAC.
We studied the association of these psychosocial traits with CAC among participants in the Multi-Ethnic Study of Atherosclerosis (MESA). Anger was measured using the Spielberger Trait Anger questionnaire, hostility using a modified Cook-Medley Hostility questionnaire, anxiety using the Spielberger Trait Scale, and depression using the Center for Epidemiological Studies Depression Scale (CES-D). Among the subsample of participants with CAC = 0 at the beginning of the study period, Poisson regression models were used to determine the relative risk of developing CAC>0 over the study period. In the subsample that developed CAC>0, we used linear regression models to estimate the average increase in CAC associated with a unit increase in psychosocial trait.
Median time of follow-up was 9.4 years (range 8.0–11.4 years). Cross-sectional analyses at baseline revealed no association of any of the psychosocial traits with the presence or magnitude of CAC (anger: RR 0.98, p < 0.01; hostility: RR 1.01, p = 0.25; anxiety: RR 0.99, p < 0.01; depression: RR 0.99, p < 0.01 [not statistically significant after adjustment for covariates]). No association was detected between the traits and development of CAC (anger: RR 0.99, p = 0.23; hostility: RR 1.01, p = 0.68, anxiety: RR 1.00, p = 0.49; depression: RR 1.00, p = 0.51). We also found no association between any of the traits and progression of CAC (anger: beta −3.21, p = 0.08; hostility: beta 2.28, p = 0.43; anxiety: 3.45, p = 0.02 [not statistically significant after adjustment for covariates]; depression: beta −1.46, p = 0.11).
We found no association between anger, hostility, anxiety, or depression and CAC, suggesting these personality traits are not independent risk factors for CVD.</description><subject>Affect</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anger</subject><subject>Anxiety - diagnosis</subject><subject>Anxiety - ethnology</subject><subject>Anxiety - psychology</subject><subject>Coronary Artery Disease - diagnostic imaging</subject><subject>Coronary Artery Disease - ethnology</subject><subject>Coronary Artery Disease - psychology</subject><subject>Databases, Factual</subject><subject>Depression - diagnosis</subject><subject>Depression - ethnology</subject><subject>Depression - psychology</subject><subject>Disease Progression</subject><subject>Emotions</subject><subject>Female</subject><subject>Hostility</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Time Factors</subject><subject>United States - epidemiology</subject><subject>Vascular Calcification - diagnostic imaging</subject><subject>Vascular Calcification - ethnology</subject><subject>Vascular Calcification - psychology</subject><issn>1934-5925</issn><issn>1876-861X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM9u1DAQhy0EoqXwAhyQj1wS_CdxHMRlVRVaqYgDReJmOfaYeJXEi-202hfguXHYwpGLx7J-8834Q-g1JTUlVLzb13tjcs0IIzXhNSHNE3ROZScqKej3p-Xe86Zqe9aeoRcp7QlpO0rkc3TGGZOkIM7Rr11KwXidfVhwcPiQjmYMf54mnKP2OeEHn0dsQgyLjkesY4ZSjJ6MX2ds4R6mcJhhyVgvFh9i-BEhpcJ7j-9GwJ_XKfvqKo-LN_hrXu1xm7PLI8SQzLSdPr1Ez5yeErx6rBfo28eru8vr6vbLp5vL3W1leCtyxU3XUilcJ4kAM2hmB-KYNANwJ4S0TANxwtqm7SmxsqHD4KRsqWODpp0d-AV6e-KWNX-ukLKafTIwTXqBsCbFuOwZZY3sS5SdoqZsmCI4dYh-LgYUJWrzr_Zq8682_4pwVfyXpjeP_HWYwf5r-Su8BD6cAlB-ee8hqmQ8LAasj1BgNvj_8X8DD4eawQ</recordid><startdate>202101</startdate><enddate>202101</enddate><creator>Abdulla, Amer G.</creator><creator>Buzkova, Petra</creator><creator>Nakanishi, Rine</creator><creator>Budoff, Matthew J.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9616-1946</orcidid></search><sort><creationdate>202101</creationdate><title>Association of psychosocial traits with coronary artery calcium development and progression: The Multi-Ethnic Study of Atherosclerosis</title><author>Abdulla, Amer G. ; Buzkova, Petra ; Nakanishi, Rine ; Budoff, Matthew J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-3c75186f7806ecba2db0f28cbe3f668d2ae0f6dd45910d841bbf8851f2ba17db3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Affect</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anger</topic><topic>Anxiety - diagnosis</topic><topic>Anxiety - ethnology</topic><topic>Anxiety - psychology</topic><topic>Coronary Artery Disease - diagnostic imaging</topic><topic>Coronary Artery Disease - ethnology</topic><topic>Coronary Artery Disease - psychology</topic><topic>Databases, Factual</topic><topic>Depression - diagnosis</topic><topic>Depression - ethnology</topic><topic>Depression - psychology</topic><topic>Disease Progression</topic><topic>Emotions</topic><topic>Female</topic><topic>Hostility</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Time Factors</topic><topic>United States - epidemiology</topic><topic>Vascular Calcification - diagnostic imaging</topic><topic>Vascular Calcification - ethnology</topic><topic>Vascular Calcification - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Abdulla, Amer G.</creatorcontrib><creatorcontrib>Buzkova, Petra</creatorcontrib><creatorcontrib>Nakanishi, Rine</creatorcontrib><creatorcontrib>Budoff, Matthew J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cardiovascular computed tomography</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Abdulla, Amer G.</au><au>Buzkova, Petra</au><au>Nakanishi, Rine</au><au>Budoff, Matthew J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association of psychosocial traits with coronary artery calcium development and progression: The Multi-Ethnic Study of Atherosclerosis</atitle><jtitle>Journal of cardiovascular computed tomography</jtitle><addtitle>J Cardiovasc Comput Tomogr</addtitle><date>2021-01</date><risdate>2021</risdate><volume>15</volume><issue>1</issue><spage>56</spage><epage>64</epage><pages>56-64</pages><issn>1934-5925</issn><eissn>1876-861X</eissn><abstract>Coronary artery calcium (CAC) is a well-established quantifiable risk factor for cardiovascular disease (CVD). We examined the association of anger, hostility, anxiety, and depression with the development and progression of CAC.
We studied the association of these psychosocial traits with CAC among participants in the Multi-Ethnic Study of Atherosclerosis (MESA). Anger was measured using the Spielberger Trait Anger questionnaire, hostility using a modified Cook-Medley Hostility questionnaire, anxiety using the Spielberger Trait Scale, and depression using the Center for Epidemiological Studies Depression Scale (CES-D). Among the subsample of participants with CAC = 0 at the beginning of the study period, Poisson regression models were used to determine the relative risk of developing CAC>0 over the study period. In the subsample that developed CAC>0, we used linear regression models to estimate the average increase in CAC associated with a unit increase in psychosocial trait.
Median time of follow-up was 9.4 years (range 8.0–11.4 years). Cross-sectional analyses at baseline revealed no association of any of the psychosocial traits with the presence or magnitude of CAC (anger: RR 0.98, p < 0.01; hostility: RR 1.01, p = 0.25; anxiety: RR 0.99, p < 0.01; depression: RR 0.99, p < 0.01 [not statistically significant after adjustment for covariates]). No association was detected between the traits and development of CAC (anger: RR 0.99, p = 0.23; hostility: RR 1.01, p = 0.68, anxiety: RR 1.00, p = 0.49; depression: RR 1.00, p = 0.51). We also found no association between any of the traits and progression of CAC (anger: beta −3.21, p = 0.08; hostility: beta 2.28, p = 0.43; anxiety: 3.45, p = 0.02 [not statistically significant after adjustment for covariates]; depression: beta −1.46, p = 0.11).
We found no association between anger, hostility, anxiety, or depression and CAC, suggesting these personality traits are not independent risk factors for CVD.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>32280016</pmid><doi>10.1016/j.jcct.2020.03.004</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-9616-1946</orcidid></addata></record> |
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| subjects | Affect Aged Aged, 80 and over Anger Anxiety - diagnosis Anxiety - ethnology Anxiety - psychology Coronary Artery Disease - diagnostic imaging Coronary Artery Disease - ethnology Coronary Artery Disease - psychology Databases, Factual Depression - diagnosis Depression - ethnology Depression - psychology Disease Progression Emotions Female Hostility Humans Male Middle Aged Risk Assessment Risk Factors Time Factors United States - epidemiology Vascular Calcification - diagnostic imaging Vascular Calcification - ethnology Vascular Calcification - psychology |
| title | Association of psychosocial traits with coronary artery calcium development and progression: The Multi-Ethnic Study of Atherosclerosis |
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