青少年中D型人格与血管健康的关联。
Association of type D personality with vascular health in adolescents.
作者信息
Fangman Cheng, Han Lv, Nan Sheng, Binqian Ge, Ying Liu, Chunmei Zhang, Ping Zhou, Fenfen Zhu, Juan Shen
机构信息
School of Nursing, Suzhou Vocational Health College, Suzhou, China.
出版信息
Front Cardiovasc Med. 2025 Jul 16;12:1591008. doi: 10.3389/fcvm.2025.1591008. eCollection 2025.
OBJECTIVE
This study aimed to evaluate the association between type D personality and vascular health in adolescents.
METHODS
A total of 645 adolescents were involved in this study. All completed questionnaires assessing demographic and sociological characteristics, Type D personality Scale, Scale for Healthy Lifestyle of College Students (SHLCS), and Self-Rating Scale of Sleep (SRSS). Vascular health was evaluated using a fingertip sensor with biofeedback technology to measure vascular wall elasticity. The effect of type D personality was analyzed using both dichotomous and continuous methods.
RESULTS
When analyzed as a binary variable, type D personality significantly affected vascular health scores [ = -0.169, 95% confidence interval (CI): [-4.001 to -1.483], < 0.001]. When treated as continuous variables, negative affectivity (NA) exhibited an independently negative association with vascular health [ = -0.240, 95% CI: (-0.569 to -0.049), = 0.020], whereas social inhibition (SI) and the interaction between NA and SI did not demonstrate significant effects. Additionally, abdominal circumference [ = -0.171, 95% CI: (-0.198 to -0.039), = 0.004], pulse rate [ = -0.093, 95% CI: (-0.127 to -0.010), = 0.021], and SRSS score [ = -0.155, 95% CI: (-0.336 to -0.110), < 0.001] were negatively associated with vascular health. Conversely, stress tolerance [ = 0.211, 95% CI: (0.062-0.139), < 0.001], exercise behavior [ = 0.078, 95% CI: (0.001-0.192), = 0.048], and stress management behavior [ = 0.226, 95% CI: (0.328-0.780), < 0.001] were positively associated with better vascular health.
CONCLUSION
The findings suggest that type D personality is associated with vascular health in adolescents. Moreover, the NA component of the type D, but not the SI and NA*SI interaction, may drive the connection between type D personality and vascular health in adolescents. These findings highlighted the importance of initiating cardiovascular and cerebrovascular health promotion and disease prevention strategies from childhood.
目的
本研究旨在评估青少年D型人格与血管健康之间的关联。
方法
共有645名青少年参与了本研究。所有人都完成了评估人口统计学和社会学特征、D型人格量表、大学生健康生活方式量表（SHLCS）以及睡眠自评量表（SRSS）的问卷。使用带有生物反馈技术的指尖传感器测量血管壁弹性来评估血管健康。采用二分法和连续法分析D型人格的影响。
结果
作为二元变量分析时，D型人格显著影响血管健康评分[β = -0.169，95%置信区间（CI）：[-4.001至 -1.483]，P < 0.001]。当作为连续变量处理时，消极情感性（NA）与血管健康呈独立负相关[β = -0.240，95% CI：(-0.569至 -0.049)，P = 0.020]，而社交抑制（SI）以及NA与SI的交互作用未显示出显著影响。此外，腹围[β = -0.171，95% CI：(-0.198至 -0.039)，P = 0.004]、脉搏率[β = -0.093，95% CI：(-0.127至 -0.010)，P = 0.021]和SRSS评分[β = -0.155，95% CI：(-0.336至 -0.110)，P < 0.001]与血管健康呈负相关。相反，应激耐受性[β = 0.211，95% CI：(0.062 - 0.139)，P < 0.001]、运动行为[β = 0.078，95% CI：(0.001 - 0.192)，P = 0.048]和压力管理行为[β = 0.226，95% CI：(0.328 - 0.780)，P < 0.001]与更好的血管健康呈正相关。
结论
研究结果表明，D型人格与青少年的血管健康相关。此外，D型人格的NA成分而非SI和NA*SI交互作用可能驱动了青少年D型人格与血管健康之间的联系。这些发现凸显了从儿童期就开始实施心血管和脑血管健康促进及疾病预防策略的重要性。
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