Nagano J, Sudo N, Kubo C, Kono S
Department of Preventive Medicine, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan.
J Epidemiol. 2001 Nov;11(6):281-7. doi: 10.2188/jea.11.281.
Grossarth-Maticek and colleagues have shown, in their prospective studies, a strong relationship of their personality types, Types 1 and 2, to cancer and coronary heart disease (CHD), respectively. Relevant information is limited from replication studies, and little is known about psychosocial factors in relation to cancer or CHD in Japan. Subjects included 95 cases of lung cancer (LC), 94 cases of myocardial infarction (MI) and 596 controls. The controls were men and women who visited a clinic for a health checkup. The Grossarth-Maticek personality types, Types 1 to 6, were assessed using the Short Interpersonal Reactions Inventory. The distributions of the 6 personality types were compared between the case and control groups, adjusting for sex and age class. The relation of each of the 6 types to LC and MI were examined in terms of odds ratio, using a logistic regression model controlling for age, sex, job status, education level, and smoking status. As regards the distribution analysis, Types 1 and 2 in the LC and MI groups each were not more prevalent than the controls, respectively. High score of the Type 1 scale was associated with a statistically nonsignificant decrease in LC risk. MI risk was significantly, positively associated with the Type 2 and 5 scales, and unexpectedly, positively related to the Type 3 scale. The present findings partly supported the Grossarth-Maticek theory, but there remain some conflicting issues to be confirmed in future studies.
格罗斯阿尔特 - 马蒂塞克及其同事在他们的前瞻性研究中表明,他们所定义的1型和2型人格类型分别与癌症和冠心病(CHD)存在密切关系。来自重复研究的相关信息有限,并且在日本,关于与癌症或冠心病相关的社会心理因素知之甚少。研究对象包括95例肺癌(LC)患者、94例心肌梗死(MI)患者和596名对照者。对照者为前往诊所进行健康检查的男性和女性。使用简短人际反应量表评估格罗斯阿尔特 - 马蒂塞克人格类型1至6型。在调整性别和年龄组的情况下,比较病例组和对照组中6种人格类型的分布情况。使用控制年龄、性别、工作状态、教育水平和吸烟状况的逻辑回归模型,以优势比来检验6种类型中的每一种与肺癌和心肌梗死的关系。关于分布分析,肺癌组和心肌梗死组中的1型和2型分别并不比对照组更普遍。1型量表高分与肺癌风险的统计学上无显著意义的降低相关。心肌梗死风险与2型和5型量表显著正相关,并且出乎意料的是,与3型量表也呈正相关。本研究结果部分支持了格罗斯阿尔特 - 马蒂塞克理论,但仍有一些相互矛盾的问题有待未来研究证实。