✅ Topic 3: Personality And Health Flashcards

1
Q

What are the 4 potential pathways between Personality and Health?

A
  1. Direct Causation: Personality trait -> Health
  2. Correlational: Factor X -> Personality trait & Health
  3. Causal chain: Personality trait -> Behaviour -> Health
  4. Somatogenic: Health -> Personality trait
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2
Q

What is meant by ‘Disease-Prone’ personality types? (comparing between Type A and B

A
  1. Study Aim: investigate personality type that predict cardiovascular diseases (CVD)
  2. Personality Type:
    - Type A: competitive, ambitious, aggressive, anger, hostillity
    - Type B: uninterested in power and achievement, relaxed
  3. How to measure type A:
    - ‘Challenging’ interview: anger & hostility ONLY
    - Self-report Jenkins Activity Survey (JAS): broader range of components.
  4. Result:
    - Large-scale studies: inconsistent findings.
    - Meta-analyses: significant but modest effect of Type A on CVD
    - Inconsistencies in personality assessments used => different results
  5. How can type A causes CVD?
    - Anger & Hostility components are significantly associated with CVD cases & prognosis (TOXIC)
    - Associated with reactivity to stress -> health
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3
Q

What are other ‘Disease-Prone’ Personality Types?

A
  1. Cancer-Prone (Type C):
    - High E and Low N
    - Suppressed emotions
    - Result: little convincing evidence (no link between E or N in a 30,000 cohort over 25yrs)
    - Issues: ‘questionable’ studies (ethical issues)
  2. Distressed (Type D):
    - Depressed and Socially inhibited
    - Result: poorer recovery from heart attack and increased risk of future heart problems.

=> Conclusion: better to look at Traits than Personality Types

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4
Q

What is the effect of conscientiousness (C) on health (longevity)?

A
  1. Clear link between C and longevity => High C associated with fewer daily stressors and better coping
  2. Most support for causal behavioural chain mechanism.
    - Example: C traits (e.g. competence, self-discipline, deliberation) -> healthy behaviours (e.g. regular exercise, diet, low/no smoking & substance abuse) -> increased longevity
  3. Potential causal biological chain mechanism
    - Example: C -> better coping mechanisms -> lower interleukin-6 (stress-related hormone) and increased longevity
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5
Q

What is the effect of neuroticism (N) on health (longevity)?

A
  1. Argued to be of ‘general public health significance’
    - Example: N traits (anxiety, angry hostility, depression) -> bad health behaviours -> reduced longevity
    - BUT Confounds! SES & inconsistent results
  2. Healthy vs Unhealthy Neuroticism:
    - ‘Healthy’ N traits (e.g. high anxiety but low depression and vulnerability) -> engagement in preventative behaviours -> increased longevity
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6
Q

What is the effect of extraversion (E) on health (longevity)?

A
  1. Mixed results for extraversion (depends on different effects of specific facets)
  2. Good facets (warmth, activity, sociability):
    - Increased immune functioning
    - More social ties/social suppport (against stress)
    - Active and engaged life
    => Increased longevity
  3. Bad facets (excitement-seeking/impulsivity):
    - Associated with addictive behaviours
    - High E associated with increased mortality, which is partly explained by smoking
  4. Example study: Gorillas
    - Gorillas are rated on Gorilla Behaviour Index
    - High E gorillas: more active, playful and sociable
    - Examine personality predictor of survival
    - Controlled for: age, sex, rearing conditions
    - Results: high E associated with lower mortality and increased longevity
    - Implication: high E associated with higher immune functioning, stronger social ties/support, and low CVD (low stress)
    => May suggest evolutionary significance
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7
Q

What is the effect of openness to experience (O) on health (longevity)?

A
  1. Good evidence for positive association with longevity but unclear mechanism
  2. Suggested mechanism: O traits (novelty, cognitively & behaviourally flexible) -> cognitive and educational activities -> Health decision making & ‘Cognitive reserve’ -> Increased longevity
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8
Q

What is the effects of health on personality?

A

Examined very/extreme low birth weight (V/E LBW) associated with personality traits:

  1. Results;
    - Lower E and O
    - Higher N, A, C
    => Higher ‘Cautiousness’
  2. Potential mechanisms:
    - Extra-uterine brain development
    - Subsequent illness
    - Higher parental monitoring and behavioural restrictions (safety)

Examined Personality change associated with chronic diseases. Results:
- Lower E, higher N, lower C and lower O, with increasing no. of chronic diseases
- A traits remains similar

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9
Q

What is the 5 Ts model proposed Hagger-Johnson & Pollard Whiteman?

A
  1. Targeting campaigns to personality traits.
  2. Tailoring interventions to personality profiles
  3. Personality ‘Training’ (more resilience)
  4. ‘Treatment’ of personality (behaviours)
  5. (recording) Transformation

=> Utilise from the Personality traits - Health knowledge

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10
Q

What is the Diathesis-Stress model?

A
  1. Definition:
    - Diathesis: inherent vulnerability of developing an illness
    - Stress: increase the risk of developing an illness
  2. Why is this important?
    - Many potential relationships between diathesis and risk levels
    - Complicated (unlikely to be simply additive)
  3. Why are personality diatheses difficult?
    - Could be several diatheses per disorders
    - Many confounds (e.g. culture, age, gene, SES)
    - There maybe protective factors (e.g. social support, self-esteem, personality trait M)
    - The Specific Vulnerability Hypothesis: certain personality traits makes individuals suffer more for one stressor and vice versa)
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11
Q

What are the non-personality diatheses of depression?

A
  1. Several non-personality diatheses:
    - Female gender
    - Relative with depression
    - Death of parent in childhood
    - Lack of social support
  2. Reactive to stressors (to events): e.g. divorce, unemployment, physical illness, etc.
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12
Q

What are the personality diatheses of depression? How is SVH related to these personality types?

A
  1. High autonomy:
    - Compulsive self-reliance
    - Aversion to being dependant on others
    - SVH: sensitive to indicators of personal failure
  2. High dependency:
    - Anxious attachment
    - Exaggerated need for others’ guidance, nurturance and approval
    - Fears separation & abandonment
    - SVH: sensitive to events related to interpersonal conflicts, loss, rejection and separation.
  3. Self-critical personality type:
    - Hold unreasonably high standards for self
    - Prone to punishing self-evaluations
    - SVH: sensitive to negative life events one feels responsible for (e.g. accidents)
  4. Pessimism personality type:
    - Explain negative events according to stable and global causes
    - Feel unable to avoid negative events
    - SVH: sensitive to negative life events that could be attributed to stable/global causes (e.g. failure)
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13
Q

How is SVH related to each personality diatheses of depression?

A
  1. Predicted Domain-Congruent Stressors (PDCS)
    - situation that can worsen/increase risk of depression onset
    - Certain personality types with PDSC won’t have depression onset if expose to non-related domains
  2. What are the results for this SVH hypothesis?
    - Mixed results
    - Three possible causes for inconsistencies:
    + Little focus on other risk and protective factors
    + Too much focus on individual stress level relative to group (changes > stats)
    + Research cannot classify stressful events for each individual (interpretation differences)
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14
Q

Describe a study that explains the mixed results seen in the personality diatheses of depression and SVH domains? (hint: children)

A
  1. Aim: looking at 140 children with current/past depressed parent, on the:
    - Ability of dependency and self-criticism to predict depression
    - Effect of increased amount of total stress
    - Effect of self-esteem as protective factor
  2. Method: measure personality types + protective factor using self-report
    - children’s depressive experiences questionnaire
    - self-esteem questionnaire
    - children’s depression inventory (CDI)
    - children’s hassles scale (CHS)
    - Repeated measure for CDI and CHS every 6 week for a year
  3. Result:
    - No evidence of self-criticism as a diathesis
    - Diathesis-stress effects apparent for high dependency
    - High dependency acts as a diathesis, but is buffered by protective effects of self-esteem.
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15
Q

What is the personality diathesis (schizotypy) model of schizophrenia? Describe a study supporting this model?

A
  1. Biological model based on Meehl:
    - DNA (52 genes) causing CNS abnormalities (Schizotaxia) -> manifested as Schizotypy
    - Combined external factors (e.g. stressors + traits) -> developing schizophrenia/schizotypic disorders
  2. Supporting study
    - 10-year longitudinal study tested for schizotypy using the Winconsin Schizotypy Scales (WSS)
    - Positive schizotypy (perceptual aberration and magical ideation)
    - Negative schizotypy (physical and social anhedonia)
    - Results: people that scored high for positive and negative schizotypy later develop schizophrenia-spectrum disorders
  3. Specific vulnerabilities: Positive schizotypy experiencing chaotic environment stressors & Negative schizotypy experiencing birth complications stressors
    => Schizophrenia spectrum disorders
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16
Q

What is the schizotypy diathesis of creativity? Describe a study supporting this model?

A
  1. Schizotypy can also enhance creativity other than risk of developing psychosis
  2. Supporting study:
    - Online schizotypy scales completed by comedians and actors, comparing to existing ‘normal’ group
    - Actors and comedians scores higher than normal controls on most subscales
    - BUT! comedians > actors on 3 subscales implying that they have higher ‘creative’ thinking

=> Same results found for poet vs. control study, in which highest levels of schizotypy for ‘avant-garde’ poets (more creative)