Interactions in predicting mood from extraversion and neuroticism

Associations Between Interindividual Differences, Expectations and Placebo and Nocebo Effects in Itch

Introduction: Placebo and nocebo effects are positive and negative health outcomes that can be elicited by the psychosocial context. They can be mediated by expectations, and may emerge in somatic symptoms even when people are aware of these effects. Interindividual differences (e.g., in personality, affective states) could impact placebo and nocebo responding, but findings are inconsistent. Methods: The current work examined expectation as a mediator of the association between verbal placebo and nocebo suggestions (VSs) and histamine-induced itch across three experimental studies. Moreover, we examined whether interindividual differences (e.g., in optimism, neuroticism, behavioral activation system (BAS), body ignorance) modulated: (1) the direct association between VSs and itch (direct moderation), and (2) the indirect, expectation-mediated association between VSs and itch (moderated mediation). Positive VSs were compared to neutral instructions (Study 1; n = 92) or negative VSs (Studies 2+3; n = 203) in an open-label (i.e., explaining placebo and nocebo effects) or closed-label (concealed) context using PROCESS. First, mediation of VSs effects on itch by expectations was tested. Next, moderation by individual traits was explored using conditional process analyses. Results: The effects of VSs on itch were significantly mediated by expectation in Study 1 and in the open-label (but not closed-label) contexts of Studies 2 and 3. Ignorance of bodily signals marginally moderated the direct effects of VSs on itch when closed-label suggestions were given: at low levels of body ignorance, effects of positive and negative VSs were stronger. Moreover, moderated mediation was observed in the open-label groups of Studies 2 and 3: The expectation-mediated effects of VSs on itch were stronger when BAS drive was lower. Conclusion: Overall, the effects of VSs on itch were mediated by expectations in the open-label, but not the closed-label context. Moreover, the current work suggests that placebo and nocebo effects may be moderated by ignorance of bodily signals and the BAS. There was limited evidence that other interindividual differences modulated placebo and nocebo responding in itch.

Personality Disorders as Emergent Interpersonal Syndromes: Psychopathic Personality as a Case Example

Personality disorders have long been bedeviled by a host of conceptual and methodological quandaries. Starting from the assumption that personality disorders are inherently interpersonal conditions that reflect folk concepts of social impairment, the authors contend that a subset of personality disorders, rather than traditional syndromes, are emergent interpersonal syndromes (EISs): interpersonally malignant configurations (statistical interactions) of distinct personality dimensions that may be only modestly, weakly, or even negatively correlated. Preliminary support for this perspective derives from a surprising source, namely, largely forgotten research on the intercorrelations among the subscales of select MMPI/MMPI-2 clinical scales. Using psychopathic personality as a case example, the authors offer provisional evidence for the EIS hypothesis from four lines of research and delineate its implications for personality disorder theory, research, and classification. Conceptualizing some personality disorders as EISs elucidates long-standing quandaries and controversies in the psychopathology literature and affords fruitful avenues for future investigation.

Big Five personality traits and allostatic load in midlife

Objective: To examine the cross-sectional associations of Big Five personality traits with midlife allostatic load, including the role of sex, socio-demographic factors and health-related behaviours. Design: Cross-sectional analyses of 5512 members of the Copenhagen Aging and Midlife Biobank, aged 49-63 years, 69% men. Main outcome measure: Allostatic load (AL) based on 14 biomarkers representing the inflammatory, cardiovascular and metabolic system. Results: Due to significant sex × trait interactions, analyses were stratified by sex. Openness and Conscientiousness were inversely associated with AL in both sexes, and Extraversion was positively associated with AL in men. Adjusting for socio-demographic factors significantly attenuated the association of Openness in both sexes and of Extraversion in men, for whom the inverse association of Agreeableness with AL was strengthened. Further adjusting for health-related behaviours, the Conscientiousness-AL association was attenuated but remained significant, and Agreeableness remained significantly associated with AL in men. Conclusion: Results imply that higher levels of Agreeableness (in men) and Conscientiousness are associated with lower levels of AL above and beyond socio-demographic factors and health-related behaviours. The study further contributes by demonstrating the relevance of sex × trait and trait × trait interactions in the personality-health literature.

Extreme Personalities at Work and in Life

Contemporary personality taxonomies cast personality traits as ranging from the maladaptive (e.g., low conscientiousness) to adaptive (e.g., high conscientiousness) levels. Despite philosophical and conventional wisdom dating back to the ancients, researchers have only recently begun to uncover evidence that extreme standing on “normal” or “desirable” personality traits might be maladaptive. Here, we present an emerging perspective on why and how extreme standing on “desirable” trait continua translates into maladaptive behavior and undesirable outcomes at work and in life. An overview of the literature on the topic is presented for each trait within the five-factor model. We suggest two reasons for the lack of clarity in the empirical literature: (a) problems with statistical tests resulting from measurement error and (b) lack of breadth in the conceptualization and measurement of personality traits. We suggest that a solution to this problem is to extend trait continua to reflect maladaptive levels at both ends. We close by pointing out that a major implication of this emerging perspective indicates that many more people possess optimal personality-trait levels than previously thought and that future research needs to examine whether the question is consistent with evolutionary and neurophysiological accounts of personality science.

Factors Mediating Dysphoric Moods and Help Seeking Behaviour Among Australian Parents of Children with Autism

This study compared levels of state affect, dysphoric mood, and parenting sense of competence in Australian parents of children with or without autism. The effects of personality and location on the parents' experience were also examined, while controlling for current affect. Possible relationships among personality, location factors and help-seeking behavior were also explored in parents of children with autism. Prior findings of higher dysphoric mood levels in parents of children with autism were supported, as was the positive correlation between dysphoric moods and Neuroticism levels. Parenting Sense of Competence did not differ across locations, and there were no parent type by location interactions. Access to services among parents of a child with autism did not moderate dysphoria levels.

Personality and Cognitive Processing of Affective Information

Several studies have demonstrated that the personality traits of extraversion and neuroticism are positively correlated with susceptibilities to positive and negative affect, respectively. These findings are often explained in terms of Jeffrey Gray's theory of personality, which predicts that extraverts and neurotics are differentially susceptible to stimuli that generate positive and negative emotional states. The current research provides a further test of Gray's theory using a series of cognitive tasks with positive and negative stimuli. In Study 1, participants completed a word-fragment completion task, a reaction-time task and a recall task. Results showed that extraversion was generally related to performance when stimuli were positive but not when stimuli were negative or neutral. Study 2 replicated these findings and demonstrated that the relationships between personality and performance were not mediated by current mood state. Discussion focuses on integrating a cognitive analysis of personality with existing biological theories.

Accuracy of the Five-Factor Model in Predicting Perceptions of Daily Social Interactions

The present study examined whether individuals' personality ratings on dimensions of the five-factor model (i.e., extraversion, neuroticism, agreeableness, openness to experience, and conscientiousness) predicted their immediate perceptions of themselves and others during daily social interactions. Participants completed personality measures at an initial session and recorded and evaluated their interactions over a 1-week period. Participants' immediate perceptions were predicted strongly by their extraversion scores, moderately by their agreeableness and neuroticism scores, and only weakly by their openness to experience score. These findings suggest that at least three of the five factors accurately represent individuals' thoughts and feelings during their daily lives.

Emotional Reactivity to Everyday Problems, Affective Inertia, and Neuroticism

A naturalistic diary recording study was conducted to assess affective responses to everyday stress. Community-residing male participants made diary recordings regarding problem occurrence and mood several times a day for 8 days. In addition to reporting more frequent daily problems, persons scoring high in neuroticism were more reactive to stressors and were more distressed by recurrent problems than were persons scoring low in neuroticism. New problems affected everyone comparably. There was also evidence of affective inertia, such that bad mood was more likely to carry over to the next assessment. This lag effect tended to be stronger among more neurotic individuals.

Relations between Affect and Personality: Support for the Affect-Level and Affective-Reactivity Views

A consensus has emerged that neuroticism is associated with negative affect and extraversion is associated with positive affect. However, it is unclear whether these personality traits are associated with magnitude of affective reactions (Affective-Reactivity view), with levels of tonic affect (Affect-Level view), or with both. To assess these views, affective state was manipulated using film clips, measured at multiple time points and related to measures of neuroticism and extraversion (H. J. Esyenck) and dispositional negative affect and positive affect (Watson, Clark, & Tellegen). Results supported both Affective-Reactivity and Affect-Level views, and this support was more robust for neuroticism and extraversion than for dispositional negative affect and positive affect.

Personality and risk for postpartum depressive symptoms

Postpartum depression (PPD) is a common childbirth complication, affecting 10-15 % of newly delivered mothers. This study aims to assess the association between personality factors and PPD. All pregnant women during the period September 2009 to September 2010, undergoing a routine ultrasound at Uppsala University Hospital, were invited to participate in the BASIC study, a prospective study designed to investigate maternal well-being. Depressive symptoms were assessed with the Edinburgh Postnatal Depression Scale (EPDS) while the Depression Self-Rating Scale (DSRS) was used as a diagnostic tool for major depression. Personality traits were evaluated using the Swedish Universities Scale of Personality (SSP). One thousand thirty-seven non-depressed pregnant women were included in the study. Non-depressed women reporting high levels of neuroticism in late pregnancy were at high risk of developing postpartum depressive symptoms (PPDSs) at 6 weeks and 6 months after delivery, even after adjustment for confounders (adjusted odds ratio (aOR) = 3.4, 95 % confidence interval (CI) 1.8-6.5 and adjusted odds ratio (aOR) = 3.9, 95 % CI 1.9-7.9). The same was true for a DSRS-based diagnosis of major depression at 6 months postpartum. Somatic trait anxiety and psychic trait anxiety were associated with increased risk for PPDS at 6 weeks (aOR = 2.1, 95 % CI 1.2-3.5 and aOR = 1.9, 95 % CI 1.1-3.1), while high scores of mistrust were associated with a twofold increased risk for PPDS at 6 months postpartum (aOR 1.9, 95 % CI 1.1-3.4). Non-depressed pregnant women with high neuroticism scores have an almost fourfold increased risk to develop depressive symptoms postpartum, and the association remains robust even after controlling for most known confounders. Clinically, this could be of importance for health care professionals working with pregnant and newly delivered women.

Examination of personality characteristics in a Turkish sample: development of Basic Personality Traits Inventory

The aim of the present study was to test the cross-cultural validity of the five-factor nature of personality. For this aim, an indigenous, psychometrically strong instrument measuring the basic personality dimensions within Turkish culture and language was developed through three consecutive studies. The first study aimed to reveal the adjectives that have been most frequently used to define people in the Turkish culture. In the second study, factor analysis of these personality characteristics revealed big five personality factors, along with the sixth factor, which had been called as the Negative Valence factor. The adjectives that most strongly represented and differentiated each factor constituted 45-item "Basic Personality Traits Inventory". Finally, in the third study, psychometric characteristics of the Basic Personality Traits Inventory were examined. Factor structure and psychometric properties of this instrument confirmed that five-factor nature of personality may not hold true in every culture.

Personality Traits Increasingly Important for Male Fertility: Evidence from Norway

We study the relationship between personality traits and fertility using a survey of Norwegian men and women born from 1927 to 1968 (N = 7017 individuals). We found that personality relates to men's and women's fertility differently; conscientiousness decreases female fertility, openness decreases male fertility and extraversion raises the fertility of both sexes. Neuroticism depresses fertility for men, but only for those born after 1956. The lower male fertility in younger cohorts high in neuroticism cannot be explained by partnership status, income or education. The proportion of childless men (at age 40 years) has increased rapidly for Norwegian male cohorts from 1940 to 1970 (from about 15 to 25 per cent). For women, it has only increased marginally (from 10 to 13 per cent). Our findings suggest that this could be partly explained by the increasing importance of personality characteristics for men's probability of becoming fathers. Men that have certain personality traits may increasingly be avoiding the long–term commitment of having children, or their female partners are shunning entering this type of commitment with them. Childbearing in contemporary richer countries may be less likely to be influenced by economic necessities and more by individual partner characteristics, such as personality. Copyright © 2013 European Association of Personality Psychology

The effect of personality on daily life emotional processes

Personality features are associated with individual differences in daily emotional life, such as negative and positive affectivity, affect variability and affect reactivity. The existing literature is somewhat mixed and inconclusive about the nature of these associations. The aim of this study was to shed light on what personality features represent in daily life by investigating the effect of the Five Factor traits on different daily emotional processes using an ecologically valid method. The Experience Sampling Method was used to collect repeated reports of daily affect and experiences from 104 healthy university students during one week of their normal lives. Personality traits of the Five Factor model were assessed using NEO Five Factor Inventory. Hierarchical linear modeling was used to analyze the effect of the personality traits on daily emotional processes. Neuroticism predicted higher negative and lower positive affect, higher affect variability, more negative subjective evaluations of daily incidents, and higher reactivity to stressors. Conscientiousness, by contrast, predicted lower average level, variability, and reactivity of negative affect. Agreeableness was associated with higher positive and lower negative affect, lower variability of sadness, and more positive subjective evaluations of daily incidents. Extraversion predicted higher positive affect and more positive subjective evaluations of daily activities. Openness had no effect on average level of affect, but predicted higher reactivity to daily stressors. The results show that the personality features independently predict different aspects of daily emotional processes. Neuroticism was associated with all of the processes. Identifying these processes can help us to better understand individual differences in daily emotional life.

Dimensions of Temperament and Depressive Symptoms: Replicating a Three-Way Interaction

High negative emotionality (NE), low positive emotionality (PE), and low self-regulatory capacity (i.e., effortful control or EC) are related to depressive symptoms and furthermore, may moderate one another's relations to such symptoms. Indeed, preliminary evidence suggests they may operate in a three-way interaction (Dinovo & Vasey, 2011), but the replicability of that finding remains unknown. Therefore, we tested this NExPExEC interaction in association with depressive symptoms in 5 independent samples. This interaction was significant in 4 of the 5 samples and a combined sample and approached significance in the fifth sample. In contrast, the NExPExEC interaction was unrelated to general anxious symptoms and thus may be specific to symptoms of depression. Implications, directions for future research, and limitations are discussed.

Construction of anxiety and dimensional personality model in college students

A sample of 402 volunteer male (n = 156) and female (n = 246) Kuwaiti undergraduates responded to the Arabic versions of the Kuwait University Anxiety Scale and the Eysenck Personality Questionnaire. The latter questionnaire has four subscales: Psychoticism, Extraversion, Neuroticism, and Lie. Women obtained a higher mean score on Kuwait University Anxiety Scale and Neuroticism than did men, while men had a higher mean score on Psychoticism than did women. Factor analysis of the intercorrelations between the five variables, separately conducted for men and women, gave rise to two orthogonal factors called Anxiety-and-Neuroticism vs Extraversion, and Psychoticism vs Lie. Stepwise regression revealed that Neuroticism was the main predictor of anxiety. It was concluded that persons with high Neuroticism scores may be more vulnerable to anxiety than those with low scores.

The relationship among neuroticism, extraversion, and depression in the HUNT Study: in relation to age and gender

The purpose of this study was to examine the relationship between personality and depression in a general population in relation to gender and age. The Nord-Trøndelag Health Study (2006-2008), a large cross-sectional survey, was used. The sample consists of 35,832 men (16,104) and women (19,728) aged 20-89 years, living in the Nord-Trøndelag County of Norway, with valid ratings on the depression subscale of the Hospital Anxiety and Depression Scale (HADS) and Eysenck Personality Questionnaire (EPQ). This study demonstrates a relationship between depression and both neuroticism and extraversion in a general population. Older people score low more often on Extraversion (E) than younger people. Interactions were observed between neuroticism and age, gender, and extraversion with depression. The interaction term indicates a high score on Neuroticism (N) enhanced by introversion, older age, and being a male with depression. The findings suggest that health professionals may need to put extra effort into the care of patients with low extraversion and high neuroticism, in order to help those patients avoid depression.

A latent profile analysis of the Five Factor Model of personality: Modeling trait interactions

Interactions among the dimensions of the Five Factor Model (FFM) have not typically been evaluated in mental health research, with the extant literature focusing on bivariate relationships with psychological constructs of interest. This study used latent profile analysis to mimic higher-order interactions to identify homogenous personality profiles using the FFM, and also examined relationships between resultant profiles and affect, self-esteem, depression, anxiety, and coping efficacy. Participants (N = 371) completed self-report and daily diary questionnaires. A 3-profile solution provided the best fit to the data; the profiles were characterized as well-adjusted, reserved, and excitable. The well-adjusted group reported better psychological functioning in validation analyses. The reserved and excitable groups differed on anxiety, with the excitable group reporting generally higher anxiety than the reserved group. Latent profile analysis may be a parsimonious way to model personality heterogeneity.

Personality factors as determinants of depression in postpartum women: a prospective 1-year follow-up study

OBJECTIVE

Personality has been associated with clinical depression in general. However, few studies have investigated personality in relation to postpartum depression, and these studies reported inconclusive findings. Therefore, the present study focused on neuroticism and introversion in the prediction of postpartum depression.

METHOD

In a population-based prospective study, women were screened during mid-pregnancy on standard risk factors for depression. In a group of randomly selected women (n = 277), neuroticism and introversion were measured at 32 weeks gestation. Clinical depression (Research Diagnostic Criteria) and depressive symptoms (Edinburgh Postnatal Depression Scale) were measured at 32 weeks gestation and at 3, 6, and 12 months postpartum.

RESULTS

High neuroticism was associated with an increased risk of clinical depression and depressive symptoms during the postpartum period. The combination of high neuroticism and high introversion was the only independent predictor of clinical depression across the first year postpartum (odds ratios: 3.08, 4.64, and 6.83 at 3, 6, and 12 months postpartum, respectively, p < .05-.01), even when controlling for clinical depression during pregnancy. History of depression was the only other independent predictor during the early but not during the late postpartum. Inclusion of personality not only significantly improved the detection of women at increased depression risk but also the identification of women with an extremely low depression risk.

CONCLUSIONS

Personality may be an important and stable determinant of postpartum depression. The combination of high neuroticism and high introversion considerably improved the risk estimates for clinical depression across the first year postpartum.

Type D personality. A potential risk factor refined

OBJECTIVE

Acute and chronic psychological distress have been associated with coronary heart disease (CHD) but little is known about the determinants of distress as a coronary risk factor. Broad and stable personality traits may have much explanatory power; this article selectively focuses on negative affectivity (NA; tendency to experience negative emotions) and social inhibition (SI; tendency to inhibit self-expression in social interaction) in the context of CHD.

METHODS

The first part of this article reviews research on NA and SI in patients with CHD. The second part presents new findings on NA and SI in 734 patients with hypertension.

RESULTS

Accumulating evidence suggests that the combination of high NA and high SI designates a personality subtype ("distressed" type or type D) of coronary patients who are at risk for clustering of psychosocial risk factors and incidence of long-term cardiac events. Type D and its contributing low-order traits (dysphoria/tension and reticence/withdrawal) could also be reliably assessed in a community-based sample of patients with hypertension. This finding was replicated in men and women, and in Dutch- and French-speaking subjects. Type D hypertensives reported more depressive affect than their non type D counterparts.

CONCLUSIONS

There is an urgent need to adopt a personality approach in the identification of patients at risk for cardiac events. NA and SI are broad and stable personality traits that may be of special interest not only in CHD, but in other chronic medical conditions as well.

Predicting anxiety and depression from personality: is there a synergistic effect of neuroticism and extraversion?

In a longitudinal study of college students, B. S. Gershuny and K. J. Sher (1998) found that high neuroticism and low extraversion had a synergistic effect in predicting anxiety and depression 3 years later. This article attempted to replicate their finding using data from 2 community samples: (a) a cross-sectional survey of 2,677 persons aged 18-79 years, and (b) a longitudinal study in which 441 persons aged 70 or older were followed over 3-4 years. Both studies found that neuroticism predicted anxiety and depression, but there were no Neuroticism x Extraversion interaction effects. These results cast doubt on the generalizability of the original findings.

Personality and coronary heart disease: the type-D scale-16 (DS16)

Clinical diagnoses of depression, self-reported negative emotions, and personality traits have been associated with both the development and progression of coronary heart disease (CHD). This article focusses on negative affectivity (the tendency to experience negative emotions) and social inhibition (the tendency to inhibit self-expression in social interaction) in CHD patients. Two independent samples of patients with CHD were included in this study. Both empirical and internal-structural criteria were used to devise a brief self-report measure comprising an eight-item negative affectivity and an eight-item social inhibition scale in Sample 1 (N = 400). These scales were internally consistent (alpha = .89 and .82), stable over time (three-month test-retest reliability = .78 and .87) and were validated against standard personality scales. CHD patients with a "distressed" personality (Type-D) report high levels of negative affectivity and social inhibition; accordingly, this self-report measure was termed Type-D Scale-16 (DS16). Previous research showed that Type-D was associated with cardiac events and incidence of cancer in patients with CHD. Type-D as measured by the DS16 was associated with depressive affect and symptoms, stress, poor self-esteem, dissatisfaction with life, and low positive affect in Sample 2 (N = 100) of the present article. It is concluded that research on CHD should focus on affective disorder, specific negative emotions, and global personality traits, and that the DS16 is a practical, sound research tool that can be used to assess Type-D.

Interactions between self and external reinforcement in predicting depressive symptoms

A low rate of self-reinforcement has been argued by a number of theorists to be implicated in the aetiology and maintenance of unipolar depression. This paper examines the relationship between dispositional rates of self-reinforcement, as assessed by the Frequency of Self-Reinforcement Questionnaire (Heiby, 1982, Behaviour Research and Therapy, 20, 397-401), external sources of reward and punishment, extraversion, neuroticism, and depression. Using a hierarchical regression methodology (N = 366), evidence was found to support the view that self-reinforcement is a construct distinct from other major personality variables, and that it has both direct and moderational effects on depression. The results did not support the view that extraversion is associated with depression either as a main effect or in interaction with neuroticism. It is argued that despite the significant results, the main and interactional influences of self-reinforcement on depression are minor and that the important role of external sources of reinforcement and punishment should not be disregarded.

The acute effects of exercise on mood state

This paper documents the recent (1976-1995) literature on the acute mood effects associated with participation in single sessions of exercise. Issues regarding experimental design, "ecological validity' and the operational definition of mood are addressed. Results from these studies suggest that both clinical and nonclinical subjects may benefit acutely from even a single bout of exercise. Finally, possible mechanisms and recommendations for future research are discussed.