The type A behavior pattern and cardiovascular disease as predictors of dementia

Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association
Kathleen BokenbergerAnna K Dahl

Abstract

Research has suggested that greater psychophysiological reactivity to stress increases risk of dementia and that those with the Type A behavior pattern (TABP) are predisposed to elevated stress reactivity and cardiovascular disease (CVD), but no study has evaluated the associations among TABP, CVD, and dementia, prospectively. Hence, the present study aimed to investigate dementia risk in relation to TABP and CVD. A population-based cohort of 1,069 persons with a baseline mean age of 64.81 years from the Swedish Twin Registry was followed consecutively for up to 23 years. Based on self-reported items, TABP was measured using 6 scales: Ambition, Stress, Hard-driving, Neuroticism, Cynicism, and Paranoia. CVD was self-reported and dementia was diagnosed adhering to Diagnostic and Statistical Manual of Mental Disorders, third edition, revised (DSM-III-R) or Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) criteria. TABP was generally not associated with dementia risk. However, significant interaction effects of stress, paranoia, and cynicism with CVD on dementia risk were observed. That is, for those with CVD, high scores on stress, paranoia, and cynicism were associated with increased risk of dementia...Continue Reading

Citations

Jun 21, 2017·Proceedings of the National Academy of Sciences of the United States of America·Malin EricssonNancy L Pedersen
Jun 22, 2016·American Journal of Lifestyle Medicine·Cameron BraunCraig A Johnston
Jun 22, 2017·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Anna MarsegliaWeili Xu
Mar 28, 2021·World Neurosurgery·Juan Silvestre G PascualKathleen Joy O Khu
Aug 10, 2021·Journal of Alzheimer's Disease : JAD·Katherine H FranksMatthew P Pase

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