title: Personality pathology as a risk factor for negative health perception.
abstract: Previous findings suggest that self-perception of health relates to many physical health outcomes, including mortality. Many factors appear to shape health perceptions, such as personality. Little research, however, has focused on whether personality pathology may affect perceived health. This preliminary study examined the unique effects of personality pathology on health perceptions beyond those of objective health and normal personality factors. As part of an ongoing longitudinal study, the authors examined data from a representative sample (N = 697) of St. Louis residents (ages 55-64) who were identified using standard epidemiological methods. The Diagnostic Interview Schedule and the Health Status Inventory were used to collect reports of health perceptions, chronic illnesses, and physical functioning. Personality traits were measured with the revised NEO Personality Inventory, and personality disorders were assessed using the Structured Interview for DSM-IV Personality. Number of physical illnesses, physical functioning, normal personality, and personality disorders all predicted self-perception of health separately. Personality disorders also predicted health perception above and beyond objective health and personality variables. These findings elucidate the importance of personality pathology in understanding perceived health and suggest that certain patterns of pathology may be particularly detrimental to subjective health.
authors: Department of Psychology, Washington University in St Louis, MO 63130, USA. toltmann@artisci.wustl.edu
authors: Abigail D
authors: AD
authors: Powers
authors: Thomas F
authors: TF
authors: Oltmanns
mesh_terms: D001294:Attitude to Health; D005260:Female; D006304:Health Status; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D010554:Personality Disorders / Q000523:psychology*; D012307:Risk Factors; D012649:Self Concept
references: Qual Life Res. 2001;10(7):637-45
references: 11822796
references: J Health Soc Behav. 1997 Mar;38(1):21-37
references: 9097506
references: Psychol Bull. 2004 Nov;130(6):887-919
references: 15535742
references: J Psychiatr Pract. 2005 Nov;11(6):363-8
references: 16304504
references: Health Psychol. 2008 Sep;27(5):505-12
references: 18823176
references: Gerontologist. 2008 Aug;48(4):415-22
references: 18728291
references: Am J Psychiatry. 2001 Feb;158(2):295-302
references: 11156814
references: Arch Gerontol Geriatr. 2004 Nov-Dec;39(3):227-37
references: 15381341
references: J Pers. 1987 Jun;55(2):299-316
references: 3612472
references: Am Psychol. 2009 May-Jun;64(4):241-56
references: 19449983
references: J Abnorm Psychol. 2008 May;117(2):454-9
references: 18489222
references: Annu Rev Clin Psychol. 2006;2:435-67
references: 17716078
references: J Gerontol B Psychol Sci Soc Sci. 2004 May;59(3):P110-6
references: 15118013
references: Gerontologist. 2003 Jun;43(3):387-95; discussion 372-5
references: 12810903
references: J Gerontol B Psychol Sci Soc Sci. 2007 Sep;62(5):P295-9
references: 17906171
references: Ann Med. 2001 Jul;33(5):350-7
references: 11491194
references: Health Psychol. 2007 Jul;26(4):428-36
references: 17605562
references: Psychol Med. 2002 Feb;32(2):325-32
references: 11866326
references: Psychol Assess. 2009 Sep;21(3):243-55
references: 19719338
references: Lancet. 2002 Jan 19;359(9302):187-8
references: 11812551
references: Annu Rev Psychol. 2006;57:401-21
references: 16318601
references: Arch Gen Psychiatry. 2007 Dec;64(12):1393-401
references: 18056547
references: Psychol Med. 2009 May;39(5):865-74
references: 18775086
references: Gend Med. 2008 Jun;5(2):162-80
references: 18573483
references: Curr Opin Psychiatry. 2006 Jul;19(4):428-31
references: 16721176
references: Int J Psychiatry Med. 1999;29(1):63-74
references: 10376233