个性与肺功能和呼吸困难的关系:六项研究的证据。
Personality associations with lung function and dyspnea: Evidence from six studies.
机构信息
Euromov, University of Montpellier, France.
Department of Behavioral Sciences and Social Medicine, College of Medicine, Florida State University, USA.
出版信息
Respir Med. 2023 Mar;208:107127. doi: 10.1016/j.rmed.2023.107127. Epub 2023 Jan 21.
OBJECTIVE
The present study examined the association between Five Factor Model personality traits and lung function and dyspnea.
METHODS
Participants were middle aged and older adults aged 34-103 years old (N > 25,000) from the Midlife in the United States Study (MIDUS), the Health and Retirement Study (HRS), the English Longitudinal Study of Ageing (ELSA), the National Health and Aging Trends Survey (NHATS), and the Wisconsin Longitudinal Study graduate (WLSG) and sibling (WLSS) samples. Data on peak expiratory flow (PEF), dyspnea, personality traits, smoking, physical activity, body mass index (BMI), emotional/psychiatric problems, and demographic factors were obtained in each sample.
RESULTS
A meta-analysis indicated that higher neuroticism was related to lower PEF, higher risk of PEF less than 80% of predicted value, and higher risk of dyspnea. In contrast, higher extraversion and conscientiousness were associated with higher PEF, lower likelihood of PEF lower than 80% of the predicted value, and lower risk of dyspnea. Higher openness was related to higher PEF and lower risk of PEF less than 80%, whereas agreeableness was related to higher PEF and lower risk of dyspnea. Smoking, physical activity, BMI and emotional/psychiatric problems partially accounted for these associations. There was little evidence that lung disease moderated the association between personality and PEF and dyspnea.
CONCLUSIONS
Across cohorts, this study found replicable evidence that personality is associated with lung function and associated symptomatology.
目的
本研究考察了五因素人格特质与肺功能和呼吸困难之间的关系。
方法
参与者为来自美国中期生活研究(MIDUS)、健康与退休研究(HRS)、英国老龄化纵向研究(ELSA)、国家健康老龄化趋势调查(NHATS)以及威斯康星纵向研究毕业生(WLSG)和兄弟姐妹(WLSS)样本的 34-103 岁的中老年人(N>25000)。每个样本均获取了关于呼气峰值流量(PEF)、呼吸困难、人格特质、吸烟、身体活动、体重指数(BMI)、情感/精神问题和人口统计学因素的数据。
结果
荟萃分析表明,神经质程度越高,PEF 越低,PEF 低于预计值 80%的风险越高,呼吸困难的风险越高。相比之下,外向性和尽责性越高,PEF 越高,PEF 低于预计值 80%的可能性越低,呼吸困难的风险越低。开放性越高与 PEF 越高和低于预计值 80%的风险越低有关,而宜人性与 PEF 越高和呼吸困难风险越低有关。吸烟、身体活动、BMI 和情感/精神问题部分解释了这些关联。几乎没有证据表明肺部疾病会调节人格特质与 PEF 和呼吸困难之间的关系。
结论
在不同队列中,本研究发现了人格特质与肺功能和相关症状之间存在可重复的关联的证据。