Angry Man Frequent bouts of depression, anger and anxiety are known to increase a person’s risk for developing coronary heart disease, but a combination of these “negative” personality traits may put people at seriously high risks, say researchers at Duke University Mediacl Center.

“The risk of developing coronary heart disease due to a combination of negative personality traits in people has never before been explored,” said the study’s senior investigator, Edward C Suarez, Ph D, an associate professor of psychiatry.

“Although each of the negative traits significantly predicted heart disease, having the combination of these traits was the most powerful predictor of heart disease.”

Similar patterns have been reported with three traditional risk factors of heart disease high blood pressure, elevated cholesterol levels and excessive weight where each factor independently increases risk but their presence together predicts a greater risk of future heart disease, Suarez said.

The team analyzed data on 2,105 military veterans who served in the Vietnam War and took part in the US Air Force Health Study, in which researchers tracked the health of participants for 20 years. None of the men enrolled had heart disease when the study began.

At the start of the study, participants took a personality inventory test, called the Minnesota Multiphasic Personality Inventory, in which they stated whether or not they thought of themselves as possessing various personality and behavioral traits.

At six intervals during the study, the participants underwent physical examinations that recorded health information, including blood pressure rates, cholesterol levels and body mass index that can indicate whether or not someone is at risk for developing coronary heart disease.

Suarez said his team looked for a possible correlation between each individual negative personality trait and development of coronary heart disease, and then for a possible correlation between a combination of the negative personality traits and the development of coronary heart disease.

The researchers found that each negative personality trait, by itself, was significantly associated with increased risk for heart disease. However, when they analyzed all of the traits in combination, they found statistical evidence that the clustering of traits was the best predictor of a person’s risk for heart disease, Suarez said.

“In the future, doctors may wish to explore the use of earlier interventions aimed at diminishing negative personality traits in people who may be most at risk for future heart disease,” Suarez said.