Anger temperament is modestly associated with the risk of type 2 diabetes mellitus: The atheroslcerosis risk in communities study

Sherita Hill Golden, Janice E. Williams, Daniel E. Ford, Hsin Chieh Yeh, Catherine Paton Sanford, F. Javier Nieto, Frederick L. Brancati

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: Trait anger has been shown to predict coronary heart disease; however, there are no prior studies evaluating anger as a risk factor for type 2 diabetes. The objective of this study was to determine if anger proneness predicted type 2 diabetes using prospective analyses. Methods: We analyzed data on trait anger, assessed by questionnaire, in a longitudinal, bi-racial cohort study of 11,615 initially non-diabetic adults aged 48-67, who were subsequently followed for 6 years for the development of type 2 diabetes. Results: There was no relation between overall trait anger and the subsequent risk of diabetes; however, individuals in the highest tertile of trait anger temperament scores had a 34% increased risk of developing diabetes compared to those in the lowest tertile (Relative hazard [RH]=1.34; 95% confidence interval: 1.10, 1.62), following adjustment for age, race, gender, and education. The relation between anger temperament and diabetes remained significant following adjustment for behavioral factors (smoking, physical activity, and caloric intake) (RH=1.31; 95% CI: 1.08, 1.60) but was non-significant after additional adjustment for waist-to-hip ratio and body-mass index (RH=1.18; 95% CI: 0.97, 1.44). Conclusions: While we found no relation between overall trait anger and incident diabetes, persons who had higher anger temperament subscale scores had a slightly increased risk of type 2 diabetes, which was largely explained by adiposity. Anger temperament may deserve further attention as a potential risk factor for type 2 diabetes.

Original languageEnglish (US)
Pages (from-to)325-332
Number of pages8
JournalPsychoneuroendocrinology
Volume31
Issue number3
DOIs
StatePublished - Apr 2006

Keywords

  • Anger proneness
  • Anger reaction
  • Anger temperament
  • Cohort Study
  • Diabetes mellitus
  • Epidemiology

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Endocrinology
  • Endocrine and Autonomic Systems
  • Psychiatry and Mental health
  • Biological Psychiatry

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