Personality disorders and traits as predictors of incident cardiovascular disease: Findings from the 23-year follow-up of the Baltimore ECA study

Hochang Benjamin Lee, O. Joseph Bienvenu, Seong Jin Cho, Christine M. Ramsey, Karen Bandeen-Roche, William W. Eaton, Gerald Nestadt

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Over the past several decades, the relationship between personality traits and heart disease has interested clinicians and researchers alike. Objective: The authors investigated personality disorders (PDs) and PD dimensional traits as prospective risk factors for incident cardiovascular disease (CVD) in the Baltimore Epidemiologic Catchment Area (ECA) follow-up study. Method: In 1981, 244 community residents were examined for DSM-III PDs, and PD dimensional traits and were followed for incident CVD by 2004. Results: Logistic-regression models with or without adjustment for potential confounders revealed that Cluster B PD and PD dimensional traits at baseline were consistently associated with increased risk of incident CVD by 2004. Post-hoc analysis also revealed that Cluster B PD and traits also predict CVD mortality. Conclusion: Cluster B PDs and dimensional traits may be independent risk factors for incident CVD in the community.

Original languageEnglish (US)
Pages (from-to)289-296
Number of pages8
JournalPsychosomatics
Volume51
Issue number4
DOIs
StatePublished - Jan 1 2010
Externally publishedYes

ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Applied Psychology
  • Psychiatry and Mental health

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