Resumo
A evidência atual indica que os traços de personalidade influenciam significativamente a saúde cardiovascular, contribuindo para a prevenção e manejo das doenças cardiovasculares (DCV). Este estudo integra elementos de psicologia, medicina e ciências comportamentais para oferecer uma compreensão holística dos fatores que afetam as DCV. O artigo revisa a literatura sobre diferentes tipos de personalidade, com foco nas personalidades Tipo A e Tipo D, além dos traços dos Cinco Grandes, e como eles influenciam a saúde cardiovascular por meio de diversos mecanismos complexos. Traços como neuroticismo e hostilidade estão associados a um maior risco cardiovascular, enquanto a conscienciosidade atua como um fator protetor significativo. Esses traços afetam a saúde do coração por meio de mecanismos como reatividade ao estresse, comportamentos de saúde, suporte social e inflamação sistêmica. A reatividade exacerbada ao estresse em indivíduos com alto neuroticismo pode levar a uma ativação crônica do eixo hipotálamo-pituitária-adrenal e ao aumento dos níveis de cortisol, promovendo condições que favorecem a aterosclerose e outros processos patológicos cardiovasculares. A integração de avaliações de personalidade no atendimento clínico pode ajudar a identificar indivíduos em risco para intervenções direcionadas. O controle do estresse, a terapia cognitivo-comportamental e a atenção plena são recomendados para neuroticismo e personalidade do Tipo D. Mais pesquisas são necessárias para compreender os mecanismos e interações entre traços de personalidade, fatores psicossociais e saúde cardiovascular.
Referências
ACQUAH, Isaac et al. Social determinants of cardiovascular risk, subclinical cardiovascular disease, and cardiovascular events. Journal of the American Heart Association, v. 12, n. 6, p. e025581, 2023.
ADACHI, Takuji; TSUNEKAWA, Yuki; TANIMURA, Daisuke. Association between the Big Five personality traits and medication adherence in patients with cardiovascular disease: A cross-sectional study. Plos one, v. 17, n. 12, p. e0278534, 2022.
ANDRIES, Ellen et al. Evolution of Type D Personality Traits After Cochlear Implantation in Severely Hearing Impaired Adults 55 Years and Older: An Exploratory Prospective, Longitudinal, Controlled, Multicenter Study. Otology & Neurotology, v. 43, n. 8, p. e865-e871, 2022.
ATTIQ, Ali et al. Hegemony of inflammation in atherosclerosis and coronary artery disease. European journal of pharmacology, p. 176338, 2024.
BATOOL, Rabia et al. Type D Personality and Psychological Distress: A Correlational Study among Coronary Heart Disease Patients. Qlantic Journal of Social Sciences and Humanities, v. 5, n. 2, p. 39-45, 2024
BLANCHARD, Mark P.; ABELL, Steven. The Psychology of Cardiovascular Illness: Interventions, Ethics, and Best Practice. Routledge, 2022.
BOVET, Pascal et al. Cardiovascular disease: Burden, epidemiology and risk factors. In: Noncommunicable Diseases. Routledge, 2023. p. 45-51.
BREIK, Wisam; ELBEDOUR, Salman. The Predictive Ability of Type D Personality Pattern, Anxiety, and Depression in Cardiac Disease. European Journal of Mental Health, v. 16, n. 2, p. 196-209, 2021.
CARNEVALE, Daniela; LEMBO, Giuseppe. Neuroimmune interactions in cardiovascular diseases. Cardiovascular Research, v. 117, n. 2, p. 402-410, 2021.
CAO, Guilan et al. A quasi-randomized controlled trial of an integrated healthcare model for patients with coronary heart disease. Reviews in Cardiovascular Medicine, v. 23, n. 7, p. 234, 2022.
CHAVOSHI, Parisa. The relationship between the big-five personality traits and depressive symptoms: A meta-analysis. 2022. Tese de Doutorado. The University of Western Ontario (Canada).
CHEN, Jiangyun et al. The association between smoking and family health with the mediation role of personality among Chinese people: nationwide cross-sectional study. BMC psychiatry, v. 24, n. 1, p. 206, 2024.
DAHLÉN, Amelia D. et al. The influence of personality on the risk of myocardial infarction in UK Biobank cohort. Scientific Reports, v. 12, n. 1, p. 6706, 2022.
DENOLLET, Johan. Type D personality: A potential risk factor refined. Journal of psychosomatic research, v. 49, n. 4, p. 255-266, 2000.
DOUMA, Emma R.; KOP, Willem J.; KUPPER, Nina. Associations Between Psychological Factors and Adherence to Health Behaviors After Percutaneous Coronary Intervention: The Role of Cardiac Rehabilitation. Annals of Behavioral Medicine, p. kaae008, 2024.
DUMBLEKAR, Vinod; ANTONY, Suresh Paul; DHAR, Upinder. Openness to Experience and Player Satisfaction in a Simulation Game. Simulation & Gaming, p. 10468781241234131, 2024.
DUPONT, Caitlin M. et al. Is stressor‐evoked cardiovascular reactivity a pathway linking positive and negative emotionality to preclinical cardiovascular disease risk?. Psychophysiology, v. 58, n. 3, p. e13741, 2021.
EDE, David E.; WALTER, Fawn A.; HUGHES, Joel W. Exploring how trait mindfulness relates to perceived stress and cardiovascular reactivity. International Journal of Behavioral Medicine, v. 27, p. 415-425, 2020.
FIRTH-COZENS, Jenny; KING, Jennifer. Are psychological factors linked to performance?. In: Understanding doctors' performance. CRC Press, 2023. p. 61-77.
FODSTAD, Elise Constance et al. Personality and substance use disorder: Characteristics as measured by NEO-personality inventory–revised. Frontiers in Psychology, v. 13, p. 982763, 2022.
FOWLES, Don C. Arousal, Gray’s theory of anxiety, and the etiology of psychopathy. Biological Psychology, p. 108772, 2024.
FRØJD, Lars Aastebøl et al. Predictors of health-related quality of life in outpatients with coronary heart disease. Frontiers in Psychology, v. 14, p. 1119093, 2023.
GADELRAB, Romayne; JURUENA, Mario. Mood Disorders and Stress-Related Disorders. Clinical Textbook of Mood Disorders, p. 103, 2024.
GASTON, Emma et al. Can flow proneness be protective against mental and cardiovascular health problems? A genetically informed prospective cohort study. Translational Psychiatry, v. 14, n. 1, p. 144, 2024.
GAZIANO, Thomas A. Cardiovascular diseases worldwide. Public Health Approach Cardiovasc. Dis. Prev. Manag, v. 1, p. 8-18, 2022.
GIULIANI, Mattia et al. The heart-mind relationship in women cardiovascular primary prevention: the role of depression, anxiety, distress and Type-D personality in the 10-years cardiovascular risk evaluation. Frontiers in Cardiovascular Medicine, v. 11, p. 1308337, 2024.
GONZALEZ, Azuah L. et al. Inflammation resolution in the cardiovascular system: Arterial hypertension, atherosclerosis, and ischemic heart disease. Antioxidants & Redox Signaling, v. 40, n. 4-6, p. 292-316, 2024;
GRABOVAC, Siniša. Personalized patient treatment goals and the utilization of occupational therapy in chronic diseases. 2023. Tese de Doutorado. Medical University of Vienna.
HABIBOVIĆ, Mirela et al. Type D personality and global positioning system tracked social behavior in patients with cardiovascular disease. Health Psychology, v. 39, n. 8, p. 711, 2020.
HAFF, Nancy et al. Testing interventions to reduce clinical inertia in the treatment of hypertension: rationale and design of a pragmatic randomized controlled trial. American Heart Journal, v. 268, p. 18-28, 2024.
HALLER, Karl et al. Associations Between Personality Functioning, Childhood Trauma and Non-adherence in Cardiovascular Disease: A Psychodynamically-Informed Cross-Sectional Study. Frontiers in Psychology, v. 13, p. 913081, 2022.
HATAMIAN, Peyman; TABATABAEI, Seyed Kazem Rasoolzadeh. Effectiveness of Mindfulness-based Cognitive Therapy and Meta-Cognitive¬ Therapy based on Training on Emotion Regulation and Anxiety Sensitivity in Elderly with Heart Disease. Elderly Health Journal, 2020.
HENEIN, Michael Y. et al. The role of inflammation in cardiovascular disease. International journal of molecular sciences, v. 23, n. 21, p. 12906, 2022.
HILL, Patrick L.; OLARU, Gabriel; ALLEMAND, Mathias. Examining sense of purpose and conscientiousness as unique correlates of health: A bifactor examination. Journal of Health Psychology, p. 13591053241226814, 2024.
IKE, Obinna Osita; NWUFO, Ifeoma Juliet; ADUBI, Peace Chisaokwu. Mental health of family caregivers: does the complimentary roles of personality trait, social support and resilience matter?. Palliative Medicine in Practice, 2024.
KANG, Weixi; MALVASO, Antonio. Personality Traits Predict Self-Rated Health (SRH) in Coronary Heart Disease (CHD) Patients and Healthy Controls. In: Healthcare. MDPI, 2023. p. 1645.
KARKI, Mina; MAHARA, Gehendra. Heart diseases, anxiety disorders, and negative thoughts. Heart and Mind, v. 6, n. 1, p. 22-25, 2022.
KARLSEN, Håvard R.; LANGVIK, Eva. Sex-specific psychological risk profiles of CVD in the HUNT study: the role of neuroticism and extraversion. Psychology & Health, p. 1-19, 2022.
KUPPER, Nina; DENOLLET, Johan. Type D personality as a risk factor in coronary heart disease: a review of current evidence. Current cardiology reports, v. 20, p. 1-8, 2018.
KUPPER, Nina et al. The importance, consequences and treatment of psychosocial risk factors in heart disease: less conversation, more action!. Netherlands Heart Journal, v. 32, n. 1, p. 6-13, 2024.
KASHANI, Mina; MANSOURIEH, Nastaran. The relationship between mindfulness, personality factors and perfectionism with anger in hypertensive patients. The Journal of Tolooebehdasht, 2024.
LAW, Jing Hui et al. Advancing the communication of genetic risk for cardiometabolic diseases: a critical interpretive synthesis. BMC medicine, v. 21, n. 1, p. 432, 2023;
LIU, Dan et al. Morphological Characteristics of Culprit Plaques in Acute Myocardial Infarction Patients With Different Scores of Type A Personality―An Intravascular Optical Coherence Tomography Study―. Circulation Journal, v. 87, n. 11, p. 1654-1660, 2023.
LIU, Yufei et al. Neuroticism personality, social contact, and dementia risk: A prospective cohort study. Journal of Affective Disorders, v. 358, p. 391-398, 2024.
LODDER, Paul et al. Type D personality as a risk factor for adverse outcome in patients with Cardiovascular Disease: an individual patient-data Meta-analysis. Psychosomatic medicine, v. 85, n. 2, p. 188-202, 2023.
MAES, Michael et al. Major depressive disorder, neuroticism, suicidal behaviors, and depression severity are all associated with neurotoxic immune networks and their intricate interactions with metabolic syndrome. medRxiv, p. 2024.01. 20.24301553, 2024.
MARTINAITIENĖ, Dalia et al. A randomised controlled trial assessing the effects of weather sensitivity profile and walking in nature on the psychophysiological response to stress in individuals with coronary artery disease. A study protocol. BMC psychology, v. 12, n. 1, p. 82, 2024.
MCDOWELL, Ian. The Relationship Between Personality and Health. In: Understanding Health Determinants: Explanatory Theories for Social Epidemiology. Cham: Springer International Publishing, 2023. p. 459-497.
MORGANA, Erika. Stress and its impact on health: a systematic review on adverse cardiovascular outcomes. 2023. Dissertação de Mestrado. Università di Parma. Dipartimento di Medicina e Chirurgia.
NAHLÉN BOSE, Catarina. A meta-review of systematic reviews and meta-analyses on outcomes of psychosocial interventions in heart failure. Frontiers in Psychiatry, v. 14, p. 1095665, 2023.
NAWATA, Kazumitsu. Risk factors for heart, cerebrovascular, and kidney diseases: evaluation of potential side effects of medications to control hypertension, hyperglycemia, and hypercholesterolemia. Frontiers in Cardiovascular Medicine, v. 10, p. 1103250, 2023.
NEJATI, Maryam et al. Comparison of the effectiveness of cognitive-behavioral group intervention for coronary heart disease and cognitive therapy in groups on type D personality and psychological distress on coronary heart patients-a randomized clinical trial. Current Psychology, v. 41, n. 6, p. 4001-4011, 2022.
O’RIORDAN, Adam et al. Type D personality is associated with lower cardiovascular reactivity to stress in women. Psychology & health, v. 38, n. 11, p. 1515-1535, 2023.
O'RIORDAN, Adam et al. Extraversion is associated with lower cardiovascular reactivity to acute psychological stress. International Journal of Psychophysiology, v. 189, p. 20-29, 2023.
O’RIORDAN, Adam et al. Type D personality and cardiovascular reactivity to acute stress: The mediating effects of social support and negative social relationships. Psychophysiology, v. 57, n. 11, p. e13660, 2020.
PATEY, Andrea M. et al. Healthcare professional behaviour: health impact, prevalence of evidence-based behaviours, correlates and interventions. Psychology & health, v. 38, n. 6, p. 766-794, 2023;
PARK, Chanhee; WON, Mi Hwa; SON, Youn‐Jung. Mediating effects of social support between Type D personality and self‐care behaviours among heart failure patients. Journal of advanced nursing, v. 77, n. 3, p. 1315-1324, 2021.
PFUND, Gabrielle N.; ALLEMAND, Mathias. Correlated change between personality traits and perceived social support in old age. Personality and Social Psychology Bulletin, v. 50, n. 2, p. 167-181, 2024.
POSHTI, Z.; HASSANZADEH, R.; EMADIAN, S. O. The Effectiveness of Emotional Schema Therapy on Neuroticism and the Life Style of Cardiovascular Patients. Journal of Babol University of Medical Sciences, v. 23, n. 1, 2021.
RANDVÄLI, Maarja; TOOMSOO, Toomas; ŠTEINMILLER, Jekaterina. The Main Risk Factors in Type 2 Diabetes for Cognitive Dysfunction, Depression, and Psychosocial Problems: A Systematic Review. Diabetology, v. 5, n. 1, p. 40-59, 2024.
RINGWALD, Whitney R. et al. Characterizing stress processes by linking big five personality states, traits, and day-to-day stressors. Journal of Research in Personality, v. 110, p. 104487, 2024.
RAZAGHPOUR, Mehdi et al. Structural Model of Personality Traits and Illness Perception with Functional Disability in Functional Somatic Syndromes in Patients with Coronary Artery Disease Based on the Mediating Role of Self-Care Behavior. Journal of Assessment and Research in Applied Counseling (JARAC), v. 6, n. 2, p. 86-94, 2024.
RIAHI, Seyed Mohammad et al. Associations of emotional social support, depressive symptoms, chronic stress, and anxiety with hard cardiovascular disease events in the United States: the multi-ethnic study of atherosclerosis (MESA). BMC Cardiovascular Disorders, v. 23, n. 1, p. 236, 2023.
ROSENMAN, R. H. et al. The possible relationship of the emotions to clinical coronary heart disease. Hormones and atherosclerosis, p. 283-300, 1959.
RUKH, Gull; DE RUIJTER, Markus; SCHIÖTH, Helgi Birgir. Effect of worry, depression, and sensitivity to environmental stress owing to neurotic personality on risk of cardiovascular disease: a Mendelian randomization study. Journal of personality, v. 91, n. 3, p. 856-867, 2023;
RYCHTER, Anna; MINISZEWSKA, Joanna; GÓRA-TYBOR, Joanna. Personality traits favourable for non-adherence to treatment in patients with chronic myeloid leukaemia: role of type A and D personality. BioPsychoSocial Medicine, v. 17, n. 1, p. 1, 2023.
SAUER-ZAVALA, Shannon et al. Does the unified protocol really change neuroticism? Results from a randomized trial. Psychological medicine, v. 51, n. 14, p. 2378-2387, 2021.
SCHIELE, Miriam A.; GOTTSCHALK, Michael G.; DOMSCHKE, Katharina. The applied implications of epigenetics in anxiety, affective and stress-related disorders-A review and synthesis on psychosocial stress, psychotherapy and prevention. Clinical psychology review, v. 77, p. 101830, 2020.
SERAFETINIDOU, Eleni; PARPOULA, Christina. The Impact of Big Five Personality Traits on Older Europeans’ Physical Health. Journal of Biomedical Science and Engineering, v. 17, n. 2, p. 41-56, 2024.
SHAH, Khushi; KUMARI, Ruchi; JAIN, Mukul. Unveiling stress markers: A systematic review investigating psychological stress biomarkers. Developmental Psychobiology, v. 66, n. 5, p. e22490, 2024.
SHARMA, Hitesh; MOSSMAN, Karen; AUSTIN, Richard C. Fatal attractions that trigger inflammation and drive atherosclerotic disease. European Journal of Clinical Investigation, p. e14169, 2024;
SHUKLA, Meenakshi; LAU, Jennifer YF; PANDEY, Rakesh. Behavioural approach-avoidance tendencies among individuals with elevated blood pressure. Current Psychology, v. 43, n. 1, p. 698-706, 2024.
SMALL, Amanda K.; ZAWADZKI, Matthew J. Trait Hostility Moderates the Relationships Between Work Environments and Ambulatory Blood Pressure and Momentary Affect. Psychosomatic Medicine, v. 85, n. 6, p. 535-544, 2023
SMISETH, Otto A.; GILLEBERT, Thierry C. Personality traits and cardiovascular diseases: is it about ‘don’t worry, be happy’, or is this a deeper underlying problem?. European Heart Journal-Cardiovascular Imaging, v. 24, n. 11, p. 1468-1469, 2023.
SUAREZ, Edward C. Inflammation, Atherosclerosis, and Psychological Factors. Handbook of Cardiovascular Behavioral Medicine, p. 833-860, 2022.
SUGLIA, Shakira F. et al. Social determinants of cardiovascular health: early life adversity as a contributor to disparities in cardiovascular diseases. The journal of Pediatrics, v. 219, p. 267-273, 2020.
SUMIN, Alexey N.; PROKASHKO, Ingrid Yu; SHCHEGLOVA, Anna V. Evaluation of coping strategies among students with type D personality. International journal of environmental research and public health, v. 19, n. 8, p. 4918, 2022.
SUMI, Mamta P. et al. Elucidation of epigenetic landscape in coronary artery disease: a review on basic concept to personalized medicine. Epigenetics Insights, v. 14, p. 2516865720988567, 2021.
SYK, Mikaela et al. Neuroticism is positively associated with leptin/adiponectin ratio, leptin and IL-6 in young adults. Scientific reports, v. 11, n. 1, p. 9690, 2021.
TORGERSEN, Kristin et al. Shared genetic architecture between neuroticism, coronary artery disease and cardiovascular risk factors. Translational Psychiatry, v. 11, n. 1, p. 368, 2021.
TORGERSEN, Kristin Stensland et al. Risk of recurrent cardiovascular events in coronary artery disease patients with Type D personality. Frontiers in Psychology, v. 14, p. 1119146, 2023.
TUNHEIM, Kristoffer et al. Relationships between depression, anxiety, type D personality, and worry and rumination in patients with coronary heart disease. Frontiers in psychology, v. 13, p. 929410, 2022.
VAN DEN HOUDT, Sophie CM et al. Sex and Gender Differences in Psychosocial Risk Profiles Among Patients with Coronary Heart Disease—the THORESCI-Gender Study. International Journal of Behavioral Medicine, v. 31, n. 1, p. 130-144, 2024.
VASSOUA, Christina et al. Psychological interventions aiming at dietary habits’ modification in cardiovascular disease patients: a systematic review and meta-analysis. Journal of Human Nutrition and Dietetics, v. 36, n. 4, p. 1193-1206, 2023.
VELA, Alyssa M.; CARROLL, Allison J. Cardiac Psychology: Psychosocial and Behavioral Assessment and Treatment for Cardiovascular Conditions. Journal of Health Service Psychology, v. 49, n. 1, p. 21-32, 2023.
VERSTEEG, Henneke; SCHIFFER, Angélique A.; PEDERSEN, Susanne S. Personality Factors in Cardiovascular Disease: The Big Five and Type D Personality. In: Handbook of Cardiovascular Behavioral Medicine. New York, NY: Springer New York, 2022. p. 471-501.
VERSTEEG, Henneke et al. Type D personality and health status in cardiovascular disease populations: a meta-analysis of prospective studies. European journal of preventive cardiology, v. 19, n. 6, p. 1373-1380, 2012.
VODOVOTZ, Yoram et al. A multiscale inflammatory map: linking individual stress to societal dysfunction. Frontiers in Science, v. 1, p. 1239462, 2024.
XU, Linjie et al. Depression and coronary heart disease: mechanisms, interventions, and treatments. Frontiers in Psychiatry, v. 15, p. 1328048, 2024.
ZHANG, Fuquan et al. Causal influences of neuroticism on mental health and cardiovascular disease. Human genetics, v. 140, p. 1267-1281, 2021.
ZHAZYKBAYEVA, Saltanat et al. The molecular mechanisms associated with the physiological responses to inflammation and oxidative stress in cardiovascular diseases. Biophysical reviews, v. 12, n. 4, p. 947-968, 2020.
WANG, Yini et al. The relationship between Type D personality with atherosclerotic plaque and cardiovascular events: The mediation effect of inflammation and kynurenine/tryptophan metabolism. Frontiers in Cardiovascular Medicine, v. 9, p. 986712, 2022.
WHITTAKER, Anna C. et al. Cardiovascular stress reactivity and health: Recent questions and future directions. Psychosomatic medicine, v. 83, n. 7, p. 756-766, 2021.
YAMAGUCHI, Daisuke; IZAWA, Atsushi; MATSUNAGA, Yasuko. The association of depression with Type D personality and coping strategies in patients with coronary artery disease. Internal Medicine, v. 59, n. 13, p. 1589-1595, 2020.
YIN, Mengxin et al. The relationship between neuroticism and the acute psychological stress response: Evidence from the autonomic nervous system. Current Psychology, p. 1-12, 2024.
YONEDA, Tomiko et al. The Big Five personality traits and allostatic load in middle to older adulthood: A systematic review and meta-analysis. Neuroscience & Biobehavioral Reviews, p. 105145, 2023.
YURKOVICH, James T. et al. The transition from genomics to phenomics in personalized population health. Nature Reviews Genetics, v. 25, n. 4, p. 286-302, 2024.
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