Association between personality and the risk of ischemic heart disease mortality before and after the Great East Japan Earthquake: Data from the Miyagi Cohort Study

Association between personality and the risk of ischemic heart disease mortality before and after the Great East Japan Earthquake: Data from the Miyagi Cohort Study
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东日本大地震前后性格与缺血性心脏病死亡风险之间的关联:来自宫城队列研究的数据

DOI:
10.1016/j.jpsychires.2023.02.024
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发表时间:
2023
影响因子:
4.8
通讯作者:
Tsuji I
Tsuji I
中科院分区:
医学2区
文献类型:
--
作者:
Sugawara Y;Kanemura S;Fukao A;Tsuji I

文献摘要

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BackgroundThe本研究的目的是调查人格和IHD死亡率的风险之间的关联大东日本地震(GEJE)的幸存者,并调查是否人格特质影响后GEJE.MethodsWe观察到的IHD死亡率增加的宫城队列研究中的29,065名男性和女性谁是40-64岁的基线数据进行了分析。我们使用日本版的艾森克人格量表修订简表,根据四个人格分量表(外向性、神经质、精神质和谎言)的得分将参与者分为四分位数。我们将GEJE事件前后的八年(2011年3月11日)分为两个时期,并检查人格特质与IHD死亡风险之间的关系。考克斯比例风险分析被用来估计多变量风险比(HR)和95%置信区间(CI)的IHD死亡率的风险,根据每个个性子量表category.ResultsIn四年前的GEJE,神经质与IHD死亡率的风险增加显着相关。与神经质最低类别相比,最高类别中IHD死亡率的多变量校正HR(95%CI)为2.19(1.03-4.67)(p趋势= 0.12)。相反,神经质和IHD死亡率之间没有统计学显着的关联,观察在四年后GEJE.ConclusionThis发现表明,观察到的增加,在IHD死亡率后GEJE可以归因于风险因素,而不是个性。
BackgroundThe purpose of the present study was to investigate the association between personality and the risk of IHD mortality among Great East Japan Earthquake (GEJE) survivors, and to investigate whether personality traits affected the increase in IHD mortality observed after the GEJE.MethodsWe analyzed data for 29,065 men and women in the Miyagi Cohort Study who were 40–64 years old at baseline. We divided the participants into quartiles based on scores for each of the four personality subscales (extraversion, neuroticism, psychoticism, and lie), using the Japanese version of the Eysenck Personality Questionnaire-Revised Short Form. We divided the eight years before and after the GEJE event (11 March 2011) into two period, and examined the relationship between personality traits and the risk of IHD mortality. Cox proportional hazards analysis was used to estimate the multivariate hazard ratios (HRs) and 95% confidence intervals (CIs) for the risk of IHD mortality according to each personality subscale category.ResultsIn the four years before the GEJE, neuroticism was significantly associated with an increased risk of IHD mortality. Compared with the lowest category for neuroticism, the multivariate-adjusted HR (95% CI) for IHD mortality in the highest category was 2.19 (1.03–4.67) (p-trend = 0.12). In contrast, no statistically significant association between neuroticism and IHD mortality was observed in the four years after the GEJE.ConclusionThis finding suggests that the observed increase in IHD mortality after the GEJE can be attributed to risk factors other than personality.