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| Publications of Ilene C. Siegler :chronological alphabetical combined listing:%% Journal Articles @article{fds374927, Author = {Andonian, BJ and Ross, LM and Sudnick, AM and Johnson, JL and Pieper, CF and Belski, KB and Counts, JD and King, AP and Wallis, JT and Bennett, WC and Gillespie, JC and Moertl, KM and Richard, D and Huebner, JL and Connelly, MA and Siegler, IC and Kraus, WE and Bales, CW and Porter Starr, KN and Huffman, KM}, Title = {Effect of Remotely Supervised Weight Loss and Exercise Training Versus Lifestyle Counseling on Cardiovascular Risk and Clinical Outcomes in Older Adults With Rheumatoid Arthritis: A Randomized Controlled Trial.}, Journal = {Acr Open Rheumatol}, Year = {2023}, Month = {December}, url = {http://dx.doi.org/10.1002/acr2.11639}, Abstract = {OBJECTIVE: To compare a remotely supervised weight loss and exercise intervention to lifestyle counseling for effects on cardiovascular disease risk, disease activity, and patient-reported outcomes in older patients with rheumatoid arthritis (RA) and overweight/obesity. METHODS: Twenty older (60-80 years), previously sedentary participants with seropositive RA and overweight/obesity were randomized to 16 weeks of either Supervised Weight loss and Exercise Training (SWET) or Counseling Health As Treatment (CHAT). The SWET group completed aerobic training (150 minutes/week moderate-to-vigorous intensity), resistance training (two days/week), and a hypocaloric diet (7% weight loss goal). The CHAT control group completed two lifestyle counseling sessions followed by monthly check-ins. The primary outcome was a composite metabolic syndrome z-score (MSSc) derived from fasting glucose, triglycerides, high density lipoprotein-cholesterol, minimal waist circumference, and mean arterial pressure. Secondary outcomes included RA disease activity and patient-reported outcomes. RESULTS: Both groups improved MSSc (absolute change -1.67 ± 0.64 in SWET; -1.34 ± 1.30 in CHAT; P < 0.01 for both groups) with no between-group difference. Compared with CHAT, SWET significantly improved body weight, fat mass, Disease Activity Score-28 C-reactive protein, and patient-reported physical health, physical function, mental health, and fatigue (P < 0.04 for all between-group comparisons). Based on canonical correlations for fat mass, cardiorespiratory fitness, and leg strength, component-specific effects were strongest for (1) weight loss improving MSSc, physical health, and mental health; (2) aerobic training improving physical function and fatigue; and (3) resistance training improving Disease Activity Score-28 C-reactive protein. CONCLUSION: In older patients with RA and overweight/obesity, 16 weeks of remotely supervised weight loss, aerobic training, and resistance training improve cardiometabolic health, patient-reported outcomes, and disease activity. Less intensive lifestyle counseling similarly improves cardiovascular disease risk profiles, suggesting an important role for integrative interventions in the routine clinical care of this at-risk RA population.}, Doi = {10.1002/acr2.11639}, Key = {fds374927} } @article{fds370527, Author = {Andonian, B and Ross, LM and Zidek, AM and Fos, LB and Piner, LW and Johnson, JL and Belski, KB and Counts, JD and Pieper, CF and Siegler, IC and Bales, CW and Porter Starr and KN and Kraus, WE and Huffman, KM}, Title = {Remotely Supervised Weight Loss and Exercise Training to Improve Rheumatoid Arthritis Cardiovascular Risk: Rationale and Design of the Supervised Weight Loss Plus Exercise Training-Rheumatoid Arthritis Trial.}, Journal = {Acr Open Rheumatol}, Volume = {5}, Number = {5}, Pages = {252-263}, Year = {2023}, Month = {May}, url = {http://dx.doi.org/10.1002/acr2.11536}, Abstract = {Patients with rheumatoid arthritis (RA) remain at an increased risk for cardiovascular disease (CVD) and mortality. RA CVD results from a combination of traditional risk factors and RA-related systemic inflammation. One hypothetical means of improving overall RA CVD risk is through reduction of excess body weight and increased physical activity. Together, weight loss and physical activity can improve traditional cardiometabolic health through fat mass loss, while also improving skeletal muscle health. Additionally, disease-related CVD risk may improve as both fat mass loss and exercise reduce systemic inflammation. To explore this hypothesis, 26 older persons with RA and overweight/obesity will be randomized to 16 weeks of a usual care control arm or to a remotely Supervised Weight Loss Plus Exercise Training (SWET) program. A caloric restriction diet (targeting 7% weight loss) will occur via a dietitian-led intervention, with weekly weigh-ins and group support sessions. Exercise training will consist of both aerobic training (150 minutes/week moderate-to-vigorous exercise) and resistance training (twice weekly). The SWET remote program will be delivered via a combination of video conference, the study YouTube channel, and study mobile applications. The primary cardiometabolic outcome is the metabolic syndrome Z score, calculated from blood pressure, waist circumference, high-density lipoprotein cholesterol, triglycerides, and glucose. RA-specific CVD risk will be assessed with measures of systemic inflammation, disease activity, patient-reported outcomes, and immune cell function. The SWET-RA trial will be the first to assess whether a remotely supervised, combined lifestyle intervention improves cardiometabolic health in an at-risk population of older individuals with RA and overweight/obesity.}, Doi = {10.1002/acr2.11536}, Key = {fds370527} } @article{fds371488, Author = {Collins, KA and Huffman, KM and Wolever, RQ and Smith, PJ and Ross, LM and Siegler, IC and Jakicic, JM and Costa, PT and Kraus, WE}, Title = {Demographic, Clinical, and Psychosocial Predictors of Exercise Adherence: The STRRIDE Trials.}, Journal = {Translational Journal of the American College of Sports Medicine}, Volume = {8}, Number = {3}, Year = {2023}, url = {http://dx.doi.org/10.1249/tjx.0000000000000229}, Abstract = {PURPOSE: To identify baseline demographic, clinical, and psychosocial predictors of exercise intervention adherence in the Studies of a Targeted Risk Reduction Intervention through Defined Exercise (STRRIDE) trials. METHODS: A total of 947 adults with dyslipidemia or prediabetes were enrolled into an inactive control group or one of ten exercise interventions with doses of 10-23 kcal/kg/week, intensities of 40-80% of peak oxygen consumption, and training for 6-8-months. Two groups included resistance training. Mean percent aerobic and resistance adherence were calculated as the amount completed divided by the prescribed weekly minutes or total sets of exercise times 100, respectively. Thirty-eight clinical, demographic, and psychosocial measures were considered for three separate models: 1) clinical + demographic factors, 2) psychosocial factors, and 3) all measures. A backward bootstrapped variable selection algorithm and multiple regressions were performed for each model. RESULTS: In the clinical and demographic measures model (n=947), variables explained 16.7% of the variance in adherence (p<0.001); lesser fasting glucose explained the greatest amount of variance (partial R2 = 3.2%). In the psychosocial factors model (n=561), variables explained 19.3% of the variance in adherence (p<0.001); greater 36-Item Short Form Health Survey (SF-36) physical component score explained the greatest amount of variance (partial R2 = 8.7%). In the model with all clinical, demographic, and psychosocial measures (n=561), variables explained 22.1% of the variance (p<0.001); greater SF-36 physical component score explained the greatest amount of variance (partial R2 = 8.9%). SF-36 physical component score was the only variable to account for >5% of the variance in adherence in any of the models. CONCLUSIONS: Baseline demographic, clinical, and psychosocial variables explain approximately 22% of the variance in exercise adherence. The limited variance explained suggests future research should investigate additional measures to better identify participants who are at risk for poor exercise intervention adherence.}, Doi = {10.1249/tjx.0000000000000229}, Key = {fds371488} } @article{fds372235, Author = {Collins, KA and Huffman, KM and Wolever, RQ and Smith, PJ and Siegler, IC and Ross, LM and Jakicic, JM and Costa, PT and Kraus, WE}, Title = {Race and sex differences in dropout from the STRRIDE trials.}, Journal = {Frontiers in Sports and Active Living}, Volume = {5}, Pages = {1215704}, Year = {2023}, url = {http://dx.doi.org/10.3389/fspor.2023.1215704}, Abstract = {PURPOSE: To determine if race and sex differences exist in determinants and timing of dropout among individuals enrolled in an exercise and/or caloric restriction intervention. METHODS: A total of 947 adults with dyslipidemia (STRRIDE I, STRRIDE AT/RT) or prediabetes (STRRIDE-PD) were randomized to either inactive control or to 1 of 10 exercise interventions, ranging from doses of 8-23 kcal/kg/week, intensities of 50%-75% V˙O2 peak, and durations of 6-8 months. Two groups included resistance training, and one included a dietary intervention (7% weight loss goal). Dropout was defined as an individual withdrawn from the study, with the reasons for dropout aggregated into determinant categories. Timing of dropout was defined as the last session attended and aggregated into phases (i.e., "ramp" period to allow gradual adaptation to exercise prescription). Utilizing descriptive statistics, percentages were generated according to categories of determinants and timing of dropout to describe the proportion of individuals who fell within each category. RESULTS: Black men and women were more likely to be lost to follow-up (Black men: 31.3% and Black women: 19.6%), or dropout due to work responsibilities (15.6% and 12.5%), "change of mind" (12.5% and 8.9%), transportation issues (6.3% and 3.6%), or reported lack of motivation (6.3% and 3.6%). Women in general noted lack of time more often than men as a reason for dropout (White women: 22.4% and Black women: 22.1%). Regardless of race and sex, most participants dropped out during the ramp period of the exercise intervention; with Black women (50%) and White men (37.1%) having the highest dropout rate during this period. CONCLUSION: These findings emphasize the importance of targeted retention strategies when aiming to address race and sex differences that exist in determinants and timing of dropout among individuals enrolled in an exercise and/or caloric restriction intervention.}, Doi = {10.3389/fspor.2023.1215704}, Key = {fds372235} } @article{fds362115, Author = {Collins, KA and Ross, LM and Piner, LW and Fos, LB and Slentz, CA and Bateman, LA and Willis, LH and Bales, CW and Siegler, IC and Wolever, RQ and Huffman, KM and Kraus, WE}, Title = {Amount and intensity effects of exercise training alone versus a combined diet and exercise lifestyle intervention on health-related quality of life in the STRRIDE-PD randomized trial.}, Journal = {Bmj Open Diabetes Research & Care}, Volume = {10}, Number = {1}, Year = {2022}, Month = {January}, url = {http://dx.doi.org/10.1136/bmjdrc-2021-002584}, Abstract = {INTRODUCTION: To determine the relative contributions of various amounts and intensities of exercise alone to a combined lifestyle intervention on health-related quality of life (HrQoL) measures. RESEARCH DESIGN AND METHODS: Participants (n=162) were sedentary, overweight/obese, with pre-diabetes, and randomized to one of four 6-month interventions: (1) high amount/moderate intensity exercise-energy expenditure of 16 kcal/kg of body weight/week (KKW) at 50% oxygen consumption (V̇O2) reserve; (2) high/vigorous-16 KKW at 75% V̇O2 reserve; (3) low/moderate-10 KKW at 50% V̇O2 reserve; (4) low/moderate plus diet-10 KKW at 50% V̇O2 reserve plus a calorically restricted diet. The 36-Item Short-Form Survey (SF-36) and Satisfaction with Physical Function and Appearance (SPF/SPA) survey were assessed at baseline and post-intervention. Analyses of covariance determined differences in change scores among groups (p<0.05). Paired t-tests determined significant pre-intervention versus post-intervention scores within groups (p<0.05). RESULTS: Across the intervention, all groups (p<0.05) improved the physical component, SPF, and SPA scores. Only the low/moderate/diet group (p<0.001) significantly improved the mental component score. The high/vigorous group achieved 84.5% of the low/moderate/diet group effect for change in physical component score, and the low/moderate group achieved 83.7% of the low/moderate/diet group effect for change in mental component score. CONCLUSIONS: In general, a low amount of moderate intensity exercise combined with diet was the most effective intervention for improving HrQoL. Of the exercise-only interventions, vigorous intensity exercise provided the greatest impact on changes in physical function. On the other hand, low amounts of moderate intensity exercise provided the greatest impact on mental well-being, potentially being a more attainable exercise dose for previously sedentary individuals with pre-diabetes to achieve.}, Doi = {10.1136/bmjdrc-2021-002584}, Key = {fds362115} } @article{fds374443, Author = {Collins, KA and Huffman, KM and Wolever, RQ and Smith, PJ and Siegler, IC and Ross, LM and Hauser, ER and Jiang, R and Jakicic, JM and Costa, PT and Kraus, WE}, Title = {Determinants of Dropout from and Variation in Adherence to an Exercise Intervention: The STRRIDE Randomized Trials.}, Journal = {Translational Journal of the American College of Sports Medicine}, Volume = {7}, Number = {1}, Year = {2022}, url = {http://dx.doi.org/10.1249/tjx.0000000000000190}, Abstract = {PURPOSE: This study aimed to characterize the timing and self-reported determinants of exercise dropout among sedentary adults with overweight or obesity. We also sought to explore variations in adherence among individuals who completed a 6- to 8-month structured exercise intervention. METHODS: A total of 947 adults with dyslipidemia [STRRIDE I, STRRIDE AT/RT] or prediabetes [STRRIDE-PD] were enrolled to either control or to one of 10 exercise interventions, ranging from doses of 8-23 kcal/kg/week; intensities of 50%-75% V̇O2 peak; and durations of 6-8 months. Two groups included resistance training and one included dietary intervention (7% weight loss goal). Dropout was defined as an individual who withdrew from the study due a variety of determinants. Timing of intervention dropout was defined as the last session attended and categorized into phases. Exercise training adherence was calculated by dividing weekly minutes or total sets of exercise completed by weekly minutes or total sets of exercise prescribed. General linear models were used to characterize the associations between timing of dropout and determinant category. RESULTS: Compared to exercise intervention completers (n=652), participants who dropped out (n=295) were on average non-white (98% vs. 80%, p<0.01), had higher body mass index (31.0 kg/m2 vs. 30.2 kg/m2; p<0.01), and were less fit at baseline (25.0 mg/kg/min vs. 26.7 ml/kg/min, p<0.01). Of those who dropped out, 67% did so prior to the start of or while ramping up to the prescribed exercise volume and intensity. The most commonly reported reason for dropout was lack of time (40%). Notably, among individuals who completed the ramp training period, subsequent exercise intervention adherence did not waiver over the ensuing 6-8 months of training. CONCLUSION: These findings are some of the first to delineate associations between the timing of dropout and dropout determinants, providing guidance to future exercise interventions to better support individuals at-risk for dropout.}, Doi = {10.1249/tjx.0000000000000190}, Key = {fds374443} } @article{fds357277, Author = {Reavis, ZW and Mirjankar, N and Sarangi, S and Boyle, SH and Kuhn, CM and Matson, WR and Babyak, MA and Matson, SA and Siegler, IC and Kaddurah-Daouk, R and Suarez, EC and Williams, RB and Grichnik, K and Stafford-Smith, M and Georgiades, A}, Title = {Correction to: Sex and race differences of cerebrospinal fluid metabolites in healthy individuals.}, Journal = {Metabolomics}, Volume = {17}, Number = {6}, Pages = {56}, Year = {2021}, Month = {June}, url = {http://dx.doi.org/10.1007/s11306-021-01809-z}, Doi = {10.1007/s11306-021-01809-z}, Key = {fds357277} } @article{fds354178, Author = {Brummett, BH and Muller, CL and Collins, AL and Boyle, SH and Kuhn, CM and Siegler, IC and Williams, RB and Suarez, EC and Ashley-Koch, A}, Title = {Correction to: 5-HTTLPR and Gender Moderate Changes in Negative Affect Responses to Tryptophan Infusion.}, Journal = {Behav Genet}, Volume = {51}, Number = {2}, Pages = {163}, Year = {2021}, Month = {March}, url = {http://dx.doi.org/10.1007/s10519-020-10030-y}, Abstract = {© 2020, Springer Science+Business Media, LLC, part of Springer Nature. After the publication of original article, the Editor was notified by Duke University that they have determined the authorship to be incomplete. Consequently, Dr. Edward Suarez has been added as a co-author to this article to represent his contribution to the conception and design of the work and acquisition of the data.}, Doi = {10.1007/s10519-020-10030-y}, Key = {fds354178} } @article{fds354287, Author = {Brummett, BH and Boyle, SH and Siegler, IC and Kuhn, CM and Ashley-Koch, A and Jonassaint, CR and Züchner, S and Collins, A and Suarez, EC and Williams, RB}, Title = {Correction to: Effects of Environmental Stress and Gender on Associations among Symptoms of Depression and the Serotonin Transporter Gene Linked Polymorphic Region (5-HTTLPR).}, Journal = {Behav Genet}, Volume = {51}, Number = {2}, Pages = {162}, Year = {2021}, Month = {March}, url = {http://dx.doi.org/10.1007/s10519-020-10029-5}, Doi = {10.1007/s10519-020-10029-5}, Key = {fds354287} } @article{fds355174, Author = {Reavis, ZW and Mirjankar, N and Sarangi, S and Boyle, SH and Kuhn, CM and Matson, WR and Babyak, MA and Matson, SA and Siegler, IC and Kaddurah-Daouk, R and Suarez, EC and Williams, RB and Grichnik, K and Stafford-Smith, M and Georgiades, A}, Title = {Sex and race differences of cerebrospinal fluid metabolites in healthy individuals.}, Journal = {Metabolomics}, Volume = {17}, Number = {2}, Pages = {13}, Year = {2021}, Month = {January}, url = {http://dx.doi.org/10.1007/s11306-020-01757-0}, Abstract = {INTRODUCTION: Analyses of cerebrospinal fluid (CSF) metabolites in large, healthy samples have been limited and potential demographic moderators of brain metabolism are largely unknown. OBJECTIVE: Our objective in this study was to examine sex and race differences in 33 CSF metabolites within a sample of 129 healthy individuals (37 African American women, 29 white women, 38 African American men, and 25 white men). METHODS: CSF metabolites were measured with a targeted electrochemistry-based metabolomics platform. Sex and race differences were quantified with both univariate and multivariate analyses. Type I error was controlled for by using a Bonferroni adjustment (0.05/33 = .0015). RESULTS: Multivariate Canonical Variate Analysis (CVA) of the 33 metabolites showed correct classification of sex at an average rate of 80.6% and correct classification of race at an average rate of 88.4%. Univariate analyses revealed that men had significantly higher concentrations of cysteine (p < 0.0001), uric acid (p < 0.0001), and N-acetylserotonin (p = 0.049), while women had significantly higher concentrations of 5-hydroxyindoleacetic acid (5-HIAA) (p = 0.001). African American participants had significantly higher concentrations of 3-hydroxykynurenine (p = 0.018), while white participants had significantly higher concentrations of kynurenine (p < 0.0001), indoleacetic acid (p < 0.0001), xanthine (p = 0.001), alpha-tocopherol (p = 0.007), cysteine (p = 0.029), melatonin (p = 0.036), and 7-methylxanthine (p = 0.037). After the Bonferroni adjustment, the effects for cysteine, uric acid, and 5-HIAA were still significant from the analysis of sex differences and kynurenine and indoleacetic acid were still significant from the analysis of race differences. CONCLUSION: Several of the metabolites assayed in this study have been associated with mental health disorders and neurological diseases. Our data provide some novel information regarding normal variations by sex and race in CSF metabolite levels within the tryptophan, tyrosine and purine pathways, which may help to enhance our understanding of mechanisms underlying sex and race differences and potentially prove useful in the future treatment of disease.}, Doi = {10.1007/s11306-020-01757-0}, Key = {fds355174} } @article{fds351217, Author = {Jonassaint, CR and Siegler, IC and Barefoot, JC and Edwards, CL and Suarez, EC and Williams, RB}, Title = {Correction to: Low Life Course Socioeconomic Status (SES) Is Associated with Negative NEO PI-R Personality Patterns.}, Journal = {International Journal of Behavioral Medicine}, Volume = {27}, Number = {6}, Pages = {737}, Year = {2020}, Month = {December}, url = {http://dx.doi.org/10.1007/s12529-020-09923-3}, Abstract = {After the publication of the original article, the Editor was notified by Duke University that they have determined the authorship to be incomplete. Consequently, Dr Edward Suarez has been added as a co-author to represent his contribution to the conception and design of the work and acquisition of the data.}, Doi = {10.1007/s12529-020-09923-3}, Key = {fds351217} } @article{fds352414, Author = {Jiang, R and Babyak, MA and Brummett, BH and Siegler, IC and Kuhn, CM and Williams, RB}, Title = {Corrigendum to "Brain-derived neurotrophic factor (BDNF) Val66Met polymorphism interacts with gender to influence cortisol responses to mental stress" [Psychoneuroendocrinology 79 (2017) (May) 13-19].}, Journal = {Psychoneuroendocrinology}, Volume = {121}, Pages = {104861}, Year = {2020}, Month = {November}, url = {http://dx.doi.org/10.1016/j.psyneuen.2020.104861}, Doi = {10.1016/j.psyneuen.2020.104861}, Key = {fds352414} } @article{fds352832, Author = {Singh, A and Babyak, MA and Sims, M and Musani, SK and Brummett, BH and Jiang, R and Kraus, WE and Shah, SH and Siegler, IC and Hauser, ER and Williams, RB}, Title = {Evaluating the precision of EBF1 SNP x stress interaction association: sex, race, and age differences in a big harmonized data set of 28,026 participants.}, Journal = {Translational Psychiatry}, Volume = {10}, Number = {1}, Pages = {351}, Year = {2020}, Month = {October}, url = {http://dx.doi.org/10.1038/s41398-020-01028-5}, Abstract = {In prior work, we identified a novel gene-by-stress association of EBF1's common variation (SNP rs4704963) with obesity (i.e., hip, waist) in Whites, which was further strengthened through multiple replications using our synthetic stress measure. We now extend this prior work in a precision medicine framework to find the risk group using harmonized data from 28,026 participants by evaluating the following: (a) EBF1 SNPxSTRESS interaction in Blacks; (b) 3-way interaction of EBF1 SNPxSTRESS with sex, race, and age; and (c) a race and sex-specific path linking EBF1 and stress to obesity to fasting glucose to the development of cardiometabolic disease risk. Our findings provided additional confirmation that genetic variation in EBF1 may contribute to stress-induced human obesity, including in Blacks (P = 0.022) that mainly resulted from race-specific stress due to "racism/discrimination" (P = 0.036) and "not meeting basic needs" (P = 0.053). The EBF1 gene-by-stress interaction differed significantly (P = 1.01e-03) depending on the sex of participants in Whites. Race and age also showed tentative associations (Ps = 0.103, 0.093, respectively) with this interaction. There was a significant and substantially larger path linking EBF1 and stress to obesity to fasting glucose to type 2 diabetes for the EBF1 minor allele group (coefficient = 0.28, P = 0.009, 95% CI = 0.07-0.49) compared with the same path for the EBF1 major allele homozygotes in White females and also a similar pattern of the path in Black females. Underscoring the race-specific key life-stress indicators (e.g., racism/discrimination) and also the utility of our synthetic stress, we identified the potential risk group of EBF1 and stress-induced human obesity and cardiometabolic disease.}, Doi = {10.1038/s41398-020-01028-5}, Key = {fds352832} } @article{fds349212, Author = {Calland, AR and Siegler, IC and Costa, PT and Ross, LM and Zucker, N and French, R and Hauser, E and Huffman, KM}, Title = {Associations of self-reported eating disorder behaviors and personality in a college-educated sample.}, Journal = {Appetite}, Volume = {151}, Pages = {104669}, Year = {2020}, Month = {August}, url = {http://dx.doi.org/10.1016/j.appet.2020.104669}, Abstract = {OBJECTIVE: In order to better understand factors motivating eating disorder (ED) behaviors and better identify persons at-risk for these behaviors, we sought to identify which personality domains and facets were associated with behaviors for weight control. METHODS: ED behavior information was gathered from the University of North Carolina Alumni Heart Study using the question, "have you ever used any of the following to lose weight?" Respondents endorsed any combination of the following: "Vomiting," "Fasting," "Laxatives," "Excessive physical exercise." Personality was measured using the Revised NEO Personality Inventory (NEO-PI-R). One-way ANOVAs were performed comparing personality domains and facets to reported ED behaviors, computed both as separate behaviors and the number of cumulative behaviors. RESULTS: Of 3496 respondents, 9.41% endorsed ever having used at least one ED behavior, with the majority endorsing only a single ED behavior. For both sexes, endorsing greater numbers of ED behaviors was associated with higher scores on Neuroticism and Openness. For women, the strongest associations for behaviors with personality were: excessive exercise with high Impulsiveness; fasting with high Impulsiveness and low Gregariousness; laxative use/purging with high scores on Activity and Feelings. For men, the strongest associations were: excessive exercise with high Impulsiveness; fasting with high Ideas; laxative use/purging with low Modesty. DISCUSSION: Data collected from this sample showed a sex-modulated pattern of association between personality domains and facets with ED behaviors. Our findings support that obtaining personality profiles of individuals exhibiting subclinical eating behaviors will enhance our understanding of who is at risk of developing an ED diagnosis.}, Doi = {10.1016/j.appet.2020.104669}, Key = {fds349212} } @article{fds347366, Author = {Brummett, BH and Boyle, SH and Kuhn, CM and Siegler, IC and Suarez, EC and Williams, RB}, Title = {Corrigendum to "Socioeconomic status moderates associations between CNS serotonin and expression of beta2-integrins CD11b and CD11c" [J. Psychiatr Res. (2010) 44:373-377].}, Journal = {J Psychiatr Res}, Volume = {126}, Pages = {142}, Year = {2020}, Month = {July}, url = {http://dx.doi.org/10.1016/j.jpsychires.2019.11.003}, Doi = {10.1016/j.jpsychires.2019.11.003}, Key = {fds347366} } @article{fds348812, Author = {Surwit, RS and Williams, RB and Siegler, IC and Lane, JD and Helms, M and Applegate, KL and Zucker, N and Feinglos, MN and McCaskill, CM and Barefoot, JC}, Title = {Erratum. Hostility, race, and glucose metabolism in nondiabetic individuals. Diabetes Care 2002;25:835-839.}, Journal = {Diabetes Care}, Volume = {43}, Number = {3}, Pages = {691}, Year = {2020}, Month = {March}, url = {http://dx.doi.org/10.2337/dc20-er03}, Doi = {10.2337/dc20-er03}, Key = {fds348812} } @article{fds346731, Author = {Brummett, BH and Babyak, MA and Jiang, R and Huffman, KM and Kraus, WE and Singh, A and Hauser, ER and Siegler, IC and Williams, RB}, Title = {Systolic Blood Pressure and Socioeconomic Status in a large multi-study population.}, Journal = {Ssm Population Health}, Volume = {9}, Pages = {100498}, Year = {2019}, Month = {December}, url = {http://dx.doi.org/10.1016/j.ssmph.2019.100498}, Abstract = {The present study used harmonized data from eight studies (N = 28,891) to examine the association between socioeconomic status (SES) and resting systolic blood pressure (SBP). The study replicates and extends our prior work on this topic by examining potential moderation of this association by race and gender. We also examined the extent to which body mass index (BMI), waist circumference (WC), and smoking might explain the association between SES and SBP. Data were available from six race/gender groups: 9200 Black women; 2337 Black men; 7248 White women; 6519 White men; 2950 Hispanic women; and 637 Hispanic men. Multivariable regression models showed that greater annual household income was associated with lower SBP in all groups except Hispanic men. The magnitude and form of this negative association differed across groups, with White women showing the strongest linear negative association. Among Black men and Hispanic women, the association was curvilinear: relatively flat among lower income levels, but then negative among higher income ranges. Education also was independently, negatively related to SBP, though evidence was weaker for race and gender differences in the strength of the association. Higher BMI and WC were associated with higher SBP, and current smoking with lower SBP. Inclusion of these risk factors resulted in only a modest change in the magnitude of the SBP and SES relation, accounting on average about 0.4 mmHg of the effect of income and 0.2 mmHg of the effect of education-effects unlikely to be clinically significant. Further understanding of mechanisms underlying the association between SBP and SES may improve risk stratification in clinical settings and potentially inform interventions aimed at reductions in social disparities in health.}, Doi = {10.1016/j.ssmph.2019.100498}, Key = {fds346731} } @article{fds346905, Author = {Abdulrahim, JW and Kwee, LC and Grass, E and Siegler, IC and Williams, R and Karra, R and Kraus, WE and Gregory, SG and Shah, SH}, Title = {Epigenome-Wide Association Study for All-Cause Mortality in a Cardiovascular Cohort Identifies Differential Methylation in Castor Zinc Finger 1 (CASZ1).}, Journal = {Journal of the American Heart Association}, Volume = {8}, Number = {21}, Pages = {e013228}, Year = {2019}, Month = {November}, url = {http://dx.doi.org/10.1161/JAHA.119.013228}, Abstract = {Background DNA methylation is implicated in many chronic diseases and may contribute to mortality. Therefore, we conducted an epigenome-wide association study (EWAS) for all-cause mortality with whole-transcriptome data in a cardiovascular cohort (CATHGEN [Catheterization Genetics]). Methods and Results Cases were participants with mortality≥7 days postcatheterization whereas controls were alive with≥2 years of follow-up. The Illumina Human Methylation 450K and EPIC arrays (Illumina, San Diego, CA) were used for the discovery and validation sets, respectively. A linear model approach with empirical Bayes estimators adjusted for confounders was used to assess difference in methylation (Δβ). In the discovery set (55 cases, 49 controls), 25 629 (6.5%) probes were differently methylated (P<0.05). In the validation set (108 cases, 108 controls), 3 probes were differentially methylated with a false discovery rate-adjusted P<0.10: cg08215811 (SLC4A9; log2 fold change=-0.14); cg17845532 (MATK; fold change=-0.26); and cg17944110 (castor zinc finger 1 [CASZ1]; FC=0.26; P<0.0001; false discovery rate-adjusted P=0.046-0.080). Meta-analysis identified 6 probes (false discovery rate-adjusted P<0.05): the 3 above, cg20428720 (intergenic), cg17647904 (NCOR2), and cg23198793 (CAPN3). Messenger RNA expression of 2 MATK isoforms was lower in cases (fold change=-0.24 [P=0.007] and fold change=-0.61 [P=0.009]). The CASZ1, NCOR2, and CAPN3 transcripts did not show differential expression (P>0.05); the SLC4A9 transcript did not pass quality control. The cg17944110 probe is located within a potential regulatory element; expression of predicted targets (using GeneHancer) of the regulatory element, UBIAD1 (P=0.01) and CLSTN1 (P=0.03), were lower in cases. Conclusions We identified 6 novel methylation sites associated with all-cause mortality. Methylation in CASZ1 may serve as a regulatory element associated with mortality in cardiovascular patients. Larger studies are necessary to confirm these observations.}, Doi = {10.1161/JAHA.119.013228}, Key = {fds346905} } @article{fds339673, Author = {Do, EK and Haberstick, BC and Williams, RB and Lessem, JM and Smolen, A and Siegler, IC and Fuemmeler, BF}, Title = {The role of genetic and environmental influences on the association between childhood ADHD symptoms and BMI.}, Journal = {Int J Obes (Lond)}, Volume = {43}, Number = {1}, Pages = {33-42}, Year = {2019}, Month = {January}, url = {http://dx.doi.org/10.1038/s41366-018-0236-5}, Abstract = {BACKGROUND/OBJECTIVES: Although childhood attention deficit hyperactivity disorder (ADHD) has been previously associated with concurrent and later obesity in adulthood, the etiology of this association remains unclear. The objective of this study is to determine the shared genetic effects of ADHD symptoms and BMI in a large sample of sibling pairs, consider how these shared effects may vary over time, and examine potential sex differences. SUBJECT/METHODS: Sibling pair data were obtained from the National Longitudinal Study of Adolescent to Adult Health (Add Health); childhood ADHD symptoms were reported retrospectively during young adulthood, while three prospective measurements of BMI were available from young adulthood to later adulthood. Cholesky decomposition models were fit to this data using Mx and maximum-likelihood estimation. The twin and sibling sample for these analyses included: 221 monozygotic (MZ) pairs (92 male-male, 139 female-female), 228 dizygotic (DZ) pairs (123 male-male, 105 female-female), 471 full-sibling (FS) pairs (289 male-male, 182 female-female), 106 male-female DZ twin pairs, and 234 male-female FS pairs. RESULTS: The magnitude of the association between childhood ADHD symptoms and BMI changed over time and by sex. The etiological relationship between childhood ADHD symptoms and the three prospective measurements of BMI differed for males and females, such that unique or non-shared environmental influences contributed to the relationship within males and genetic factors contributed to the relationship within females. Specifically, among females, genetic influences on childhood ADHD symptoms were partially shared with those effecting BMI and increased from adolescence to later adulthood (genetic correlation = 0.20 (95% CI: 0.07-0.36) in adolescence and 0.24 (95% CI: 0.10, 0.41) in adulthood). CONCLUSION: Genetic influences on ADHD symptoms in childhood are partially shared with those effecting obesity. However, future research is needed to determine why this association is limited to females.}, Doi = {10.1038/s41366-018-0236-5}, Key = {fds339673} } @article{fds340487, Author = {Boyle, SH and Brummett, BH and Kuhn, CM and Barefoot, JC and Siegler, IC and Williams, RB and Georgiades, A}, Title = {The Effects of Tryptophan Enhancement and Depletion on Plasma Catecholamine Levels in Healthy Individuals.}, Journal = {Psychosom Med}, Volume = {81}, Number = {1}, Pages = {34-40}, Year = {2019}, Month = {January}, url = {http://dx.doi.org/10.1097/PSY.0000000000000637}, Abstract = {OBJECTIVE: Central nervous system (CNS) serotonin (5-HT) exerts both excitatory and inhibitory effects on the sympathetic nervous system (SNS) in animals. In this study, we examine the effects of tryptophan enhancement and depletion on plasma catecholamine levels in humans. METHODS: The total sample consisted of 164 healthy men and women who were tested for 2 days. Seventy-nine participants were randomized to a tryptophan enhancement condition and 85 to a tryptophan depletion condition. Both protocols consisted of a "sham day," followed by an "active day." Blood samples for assessment of plasma norepinephrine and epinephrine levels were collected before and after tryptophan enhancement/depletion. Data were analyzed using general linear models. Separate analyses were conducted for each study arm and for each measure. RESULTS: In the depletion condition, both epinephrine (F(5,330) = 2.69, p = .021) and norepinephrine (F(5,335) = 2.79, p = .018) showed small increases on active versus "sham" depletion days. There were also significant day by time interactions for epinephrine (F(3,171) = 39.32, p < .0001) and norepinephrine (F(3,195) = 31.09, p < .0001) levels in the enhancement arm. Tryptophan infusion resulted in a marked increase in epinephrine (Premean = 23.92 (12.23) versus Postmean = 81.57 (62.36)) and decrease in norepinephrine (Premean = 257.2 (106.11) versus Postmean = 177.04 (87.15)), whereas levels of both catecholamines were stable on the "sham day." CONCLUSIONS: CNS 5-HT exerts both inhibitory and excitatory effects on SNS activity in humans, potentially due to stimulation of CNS 5-HT receptors that have shown to have inhibitory (5-HT1A) and excitatory (5-HT1A and/or 5-HT2) SNS effects in animal models.}, Doi = {10.1097/PSY.0000000000000637}, Key = {fds340487} } @article{fds337114, Author = {Singh, A and Babyak, MA and Brummett, BH and Kraus, WE and Siegler, IC and Hauser, ER and Williams, RB}, Title = {Developing a synthetic psychosocial stress measure and harmonizing CVD-risk data: a way forward to GxE meta- and mega-analyses.}, Journal = {Bmc Research Notes}, Volume = {11}, Number = {1}, Pages = {504}, Year = {2018}, Month = {July}, url = {http://dx.doi.org/10.1186/s13104-018-3595-z}, Abstract = {OBJECTIVES: Among many challenges in cardiovascular disease (CVD) risk prediction are interactions of genes with stress, race, and/or sex and developing robust estimates of these interactions. Improved power with larger sample size contributed by the accumulation of epidemiological data could be helpful, but integration of these datasets is difficult due the absence of standardized phenotypic measures. In this paper, we describe the details of our undertaking to harmonize a dozen datasets and provide a detailed account of a number of decisions made in the process. RESULTS: We harmonized candidate genetic variants and CVD-risk variables related to demography, adiposity, hypertension, lipodystrophy, hypertriglyceridemia, hyperglycemia, depressive symptom, and chronic psychosocial stress from a dozen studies. Using our synthetic stress algorithm, we constructed a synthetic chronic psychosocial stress measure in nine out of twelve studies where a formal self-rated stress measure was not available. The mega-analytic partial correlation between the stress measure and depressive symptoms while controlling for the effect of study variable in the combined dataset was significant (Rho = 0.27, p < 0.0001). This evidence of the validity and the detailed account of our data harmonization approaches demonstrated that it is possible to overcome the inconsistencies in the collection and measurement of human health risk variables.}, Doi = {10.1186/s13104-018-3595-z}, Key = {fds337114} } @article{fds336095, Author = {Lewis, LS and Huffman, KM and Smith, IJ and Donahue, MP and Slentz, CA and Houmard, JA and Hubal, MJ and Hoffman, EP and Hauser, ER and Siegler, IC and Kraus, WE}, Title = {Genetic Variation in Acid Ceramidase Predicts Non-completion of an Exercise Intervention.}, Journal = {Frontiers in Physiology}, Volume = {9}, Pages = {781}, Year = {2018}, url = {http://dx.doi.org/10.3389/fphys.2018.00781}, Abstract = {Genetic variation is associated with a number of lifestyle behaviours; it may be associated with adherence and individual responses to exercise training. We tested single nucleotide polymorphisms (SNPs) in the acid ceramidase gene (ASAH1) for association with subject adherence and physiologic benefit with exercise training in two well-characterised randomised, controlled 8-month exercise interventions: STRRIDE I (n = 239) and STRRIDE II (n = 246). Three ASAH1 non-coding SNPs in a linkage disequilibrium block were associated with non-completion: rs2898458(G/T), rs7508(A/G), and rs3810(A/G) were associated with non-completion in both additive (OR = 1.8, 1.8, 2.0; P < 0.05 all) and dominant (OR = 2.5, 2.6, 3.5; P < 0.05 all) models; with less skeletal muscle ASAH expression (p < 0.01) in a subset (N = 60); and poorer training response in cardiorespiratory fitness (peak VO2 change rs3810 r2 = 0.29, P = 0.04; rs2898458 r2 = 0.29, P = 0.08; rs7508 r2 = 0.28, p = 0.09); and similar in direction and magnitude in both independent exploratory and replication studies. Adherence to exercise may be partly biologically and genetically moderated through metabolic regulatory pathways participating in skeletal muscle adaptation to exercise training.}, Doi = {10.3389/fphys.2018.00781}, Key = {fds336095} } @article{fds339606, Author = {Brummett, BH and Babyak, MA and Singh, A and Hauser, ER and Jiang, R and Huffman, KM and Kraus, WE and Shah, SH and Siegler, IC and Williams, RB}, Title = {Lack of Association of a Functional Polymorphism in the Serotonin Receptor Gene With Body Mass Index and Depressive Symptoms in a Large Meta-Analysis of Population Based Studies.}, Journal = {Frontiers in Genetics}, Volume = {9}, Pages = {423}, Year = {2018}, url = {http://dx.doi.org/10.3389/fgene.2018.00423}, Abstract = {The serotonin receptor 5-HTR2C is thought to be involved in the function of multiple brain structures. Consequently, the HTR2C gene has been studied extensively with respect to its association with a variety of phenotypes. One coding variant in the HTR2C gene, Cys23Ser (rs6318), has been associated with depressive symptoms. and adiposity; however, these findings have been inconsistent. The reasons for this mixed picture may be due to low statistical power or due to other factors such as failure to account for possible interacting environmental factors, such as psychosocial stress. Further, the literature around this polymorphism is marked by limited inclusion of persons of African ancestry. The present study sought to overcome these limitations and definitively determine the relationship of this polymorphism with depressive and obesity phenotypes in a large sample meta-analysis. Thus, we harmonized individual level data from 10 studies including the Women's Health Initiative, CARDIA, ARIC, Framingham Offspring, and the Jackson Heart Study, resulting in a sample of 27,161 individuals (10,457 Black women, 2,819 Black men, 7,419 White women, and 6,466 White men). We conducted a random effects meta-analysis using individual level data to examine whether the Cys23Ser variant-either directly, or conditionally depending on the level of psychosocial stress-was associated with depressive symptoms and body mass index (BMI). We found that psychosocial stress was associated with both depression and BMI, but that Cys23Ser was not directly associated with, nor did it modify the associations of psychosocial stress with depression or BMI. Thus, in the largest study of this polymorphism, we have determined that rs6318 is not associated with depression, or BMI.}, Doi = {10.3389/fgene.2018.00423}, Key = {fds339606} } @article{fds333701, Author = {Jiang, R and Babyak, MA and Brummett, BH and Hauser, ER and Singh, A and Siegler, IC and Williams, RB}, Title = {The effect of Brain- Derived Neurotrophic Factor (BDNF) Val66Met Variants on the Path from Psychosocial Stress to Depression, Body Mass Index and Pre-Clinical Atherosclerosis}, Journal = {Genetic Epidemiology}, Volume = {41}, Number = {7}, Pages = {665-666}, Publisher = {WILEY}, Year = {2017}, Month = {November}, Key = {fds333701} } @article{fds319710, Author = {Ogle, CM and Siegler, IC and Beckham, JC and Rubin, DC}, Title = {Neuroticism Increases PTSD Symptom Severity by Amplifying the Emotionality, Rehearsal, and Centrality of Trauma Memories.}, Journal = {Journal of Personality}, Volume = {85}, Number = {5}, Pages = {702-715}, Year = {2017}, Month = {October}, url = {http://dx.doi.org/10.1111/jopy.12278}, Abstract = {OBJECTIVE: Although it is well established that neuroticism increases the risk of posttraumatic stress disorder (PTSD), little is known about the mechanisms that promote PTSD in individuals with elevated levels of neuroticism. Across two studies, we examined the cognitive-affective processes through which neuroticism leads to greater PTSD symptom severity. METHOD: Community-dwelling adults with trauma histories varying widely in severity (Study 1) and clinically diagnosed individuals exposed to DSM-IV-TR A1 criterion traumas (Study 2) completed measures of neuroticism, negative affectivity, trauma memory characteristics, and PTSD symptom severity. RESULTS: Longitudinal data in Study 1 showed that individuals with higher scores on two measures of neuroticism assessed approximately three decades apart in young adulthood and midlife reported trauma memories accompanied by more intense physiological reactions, more frequent involuntary rehearsal, and greater perceived centrality to identity in older adulthood. These properties of trauma memories were in turn associated with more severe PTSD symptoms. Study 2 replicated these findings using cross-sectional data from individuals with severe trauma histories and three additional measures of neuroticism. CONCLUSIONS: Results suggest that neuroticism leads to PTSD symptoms by magnifying the emotionality, availability, and centrality of trauma memories as proposed in mnemonic models of PTSD.}, Doi = {10.1111/jopy.12278}, Key = {fds319710} } @article{fds326504, Author = {Jiang, R and Babyak, MA and Brummett, BH and Hauser, ER and Shah, SH and Becker, RC and Siegler, IC and Singh, A and Haynes, C and Chryst-Ladd, M and Craig, DM and Williams, RB}, Title = {Brain-derived neurotrophic factor rs6265 (Val66Met) polymorphism is associated with disease severity and incidence of cardiovascular events in a patient cohort.}, Journal = {American Heart Journal}, Volume = {190}, Pages = {40-45}, Year = {2017}, Month = {August}, url = {http://dx.doi.org/10.1016/j.ahj.2017.05.002}, Abstract = {BACKGROUND: The rs6265 (Val66Met) single-nucleotide polymorphism in the BDNF gene has been related to a number of endophenotypes that have in turn been shown to confer risk for atherosclerotic cardiovascular disease (CVD). To date, however, very few studies have examined the association of the Val66Met single-nucleotide polymorphism with CVD clinical outcomes. METHODS: In a cohort of 5,510 Caucasian patients enrolled in the CATHeterization GENetics (CATHGEN) study at Duke University Hospital between 2001 and 2011, we determined the severity of coronary artery disease (CAD) and CVD event incidence through up to 11.8years of follow-up. We examined the association of Val66Met genotype with time-to-death or myocardial infarction, adjusting for age, sex, CAD risk variables, and CAD severity measures. RESULTS: The Val/Val genotype was associated with a higher risk than Met carriers for clinical CVD events (P=.034, hazard ratio 1.12, 95% CI 1.01-1.24). In addition, compared with Met carriers, individuals with the Val/Val genotype had a greater odds of having more diseased vessels (odds ratio 1.17, 95% CI 1.06-1.30, P=.002), and lower left ventricular ejection fraction (β=-0.72, 95% CI, -1.42 to -0.02, P=.044). CONCLUSIONS: The Val/Val genotype was associated with greater severity of CAD and incidence of CVD-related clinical events in a patient sample. If these findings are confirmed in further research, intervention studies in clinical groups with the Val/Val genotype could be undertaken to prevent disease and improve prognosis.}, Doi = {10.1016/j.ahj.2017.05.002}, Key = {fds326504} } @article{fds324506, Author = {Jiang, R and Babyak, MA and Brummett, BH and Siegler, IC and Kuhn, CM and Williams, RB}, Title = {Brain-derived neurotrophic factor (BDNF) Val66Met polymorphism interacts with gender to influence cortisol responses to mental stress.}, Journal = {Psychoneuroendocrinology}, Volume = {79}, Pages = {13-19}, Year = {2017}, Month = {May}, url = {http://dx.doi.org/10.1016/j.psyneuen.2017.02.005}, Abstract = {Brain-derived neurotrophic factor (BDNF) Val66Met polymorphism has been associated with cortisol responses to stress with gender differences reported, although the findings are not entirely consistent. To evaluate the role of Val66Met genotype and gender on cortisol responses to stress, we conducted a 45-min mental stress protocol including four tasks and four rest periods. Blood cortisol was collected for assay immediately before and after each task and rest period. A significant two-way interaction of Val66Met genotype×gender (P=0.022) was observed on the total area under the curve (AUC), a total cortisol response over time, such that the Val/Val genotype was associated with a larger cortisol response to stress as compared to the Met group in women but not in men. Further contrast analyses between the Val/Val and Met group for each stress task showed a similar increased cortisol pattern among women Val/Val genotype but not among men. The present findings indicate the gender differences in the effect of Val66Met genotype on the cortisol responses to stress protocol, and extend the evidence for the importance of gender and the role of Val66Met in the modulation of stress reactivity and subsequent depression prevalence. Further studies and the underlying mechanism need to be investigated, which may provide an insight for prevention, intervention, and treatment strategies that target those at high risk.}, Doi = {10.1016/j.psyneuen.2017.02.005}, Key = {fds324506} } @article{fds323547, Author = {Williams, RB and Bishop, GD and Haberstick, BC and Smolen, A and Brummett, BH and Siegler, IC and Babyak, MA and Zhang, X and Tai, ES and Lee, JJ-M and Tan, M and Teo, YY and Cai, S and Chan, E and Halpern, CT and Whitsel, EA and Bauldry, S and Harris, KM}, Title = {Population differences in associations of serotonin transporter promoter polymorphism (5HTTLPR) di- and triallelic genotypes with blood pressure and hypertension prevalence.}, Journal = {American Heart Journal}, Volume = {185}, Pages = {110-122}, Year = {2017}, Month = {March}, url = {http://dx.doi.org/10.1016/j.ahj.2016.12.013}, Abstract = {UNLABELLED: Based on prior research finding the 5HTTLPR L allele associated with increased cardiovascular reactivity to laboratory stressors and increased risk of myocardial infarction, we hypothesized that the 5HTTLPR L allele will be associated with increased blood pressure (BP) and increased hypertension prevalence in 2 large nationally representative samples in the United States and Singapore. METHODS: Logistic regression and linear models tested associations between triallelic (L'S', based on rs25531) 5HTTLPR genotypes and hypertension severity and mean systolic and diastolic blood pressure (SBP and DBP) collected during the Wave IV survey of the National Longitudinal Study of Adolescent to Adult Health (Add Health, N=11,815) in 2008-09 and during 2004-07 in 4196 Singaporeans. RESULTS: In US Whites, L' allele carriers had higher SBP (0.9 mm Hg, 95% CI=0.26-1.56) and greater odds (OR=1.23, 95% CI=1.10-1.38) of more severe hypertension than those with S'S' genotypes. In African Americans, L' carriers had lower mean SBP (-1.27mm Hg, 95% CI=-2.53 to -0.01) and lower odds (OR = 0.78, 95% CI=0.65-0.94) of more severe hypertension than those with the S'S' genotype. In African Americans, those with L'L' genotypes had lower DBP (-1.13mm Hg, 95% CI=-2.09 to -0.16) than S' carriers. In Native Americans, L' carriers had lower SBP (-6.05mm Hg, 95% CI=-9.59 to -2.51) and lower odds of hypertension (OR = 0.34, 95% CI=0.13-0.89) than those with the S'S' genotype. In Asian/Pacific Islanders those carrying the L' allele had lower DBP (-1.77mm Hg, 95% CI=-3.16 to -0.38) and lower odds of hypertension (OR = 0.68, 95% CI=0.48-0.96) than those with S'S'. In the Singapore sample S' carriers had higher SBP (3.02mm Hg, 95% CI=0.54-5.51) and DBP (1.90mm Hg, 95% CI=0.49-3.31) than those with the L'L' genotype. CONCLUSIONS: These findings suggest that Whites carrying the L' allele, African Americans and Native Americans with the S'S' genotype, and Asians carrying the S' allele will be found to be at higher risk of developing cardiovascular disease and may benefit from preventive measures.}, Doi = {10.1016/j.ahj.2016.12.013}, Key = {fds323547} } @article{fds323727, Author = {Ogle, CM and Rubin, DC and Siegler, IC}, Title = {Commentary-Pre- and Posttrauma Predictors of Posttraumatic Stress Disorder Symptom Severity: Reply to van der Velden and van der Knaap (2017).}, Journal = {Clinical Psychological Science : a Journal of the Association for Psychological Science}, Volume = {5}, Number = {1}, Pages = {146-149}, Year = {2017}, Month = {January}, url = {http://dx.doi.org/10.1177/2167702616661057}, Doi = {10.1177/2167702616661057}, Key = {fds323727} } @article{fds323728, Author = {Baek, Y and Martin, P and Siegler, IC and Davey, A and Poon, LW}, Title = {Personality Traits and Successful Aging: Findings From the Georgia Centenarian Study.}, Journal = {Int J Aging Hum Dev}, Volume = {83}, Number = {3}, Pages = {207-227}, Year = {2016}, Month = {September}, url = {http://dx.doi.org/10.1177/0091415016652404}, Abstract = {The current study attempted to describe how personality traits of older adults are associated with components of successful aging (cognition, volunteering, activities of daily living, and subjective health). Three-hundred and six octogenarians and centenarians who participated in the third phase of the Georgia Centenarian Study provided data for this study. Factor analysis was conducted to test the existence of two higher-order factors of the Big Five personality traits, and a two-factor model (alpha and beta) fit the data well. Also, blocked multiple regression analysis was conducted to examine the association between personality traits and four components of successful aging. Results indicated that low scores on neuroticism and high scores on extraversion, openness to experience, agreeableness, and conscientiousness are significantly related to the components of successful aging. After controlling for demographic variables (age, gender, residential type, and race/ethnicity), alpha (i.e., emotional stability, agreeableness, and conscientiousness) was associated with higher levels of cognition, higher likelihood of engaging in volunteer work, higher levels of activities of daily living, and higher levels of subjective health. Beta (i.e., extraversion and openness to experience) was also positively associated with cognition and engaging in volunteer work.}, Doi = {10.1177/0091415016652404}, Key = {fds323728} } @article{fds315580, Author = {Ogle, CM and Rubin, DC and Siegler, IC}, Title = {Maladaptive trauma appraisals mediate the relation between attachment anxiety and PTSD symptom severity.}, Journal = {Psychol Trauma}, Volume = {8}, Number = {3}, Pages = {301-309}, Year = {2016}, Month = {May}, ISSN = {1942-9681}, url = {http://hdl.handle.net/10161/12029 Duke open access}, Abstract = {OBJECTIVE: In a large sample of community-dwelling older adults with histories of exposure to a broad range of traumatic events, we examined the extent to which appraisals of traumatic events mediate the relations between insecure attachment styles and posttraumatic stress disorder (PTSD) symptom severity. METHOD: Participants completed an assessment of adult attachment, in addition to measures of PTSD symptom severity, event centrality, event severity, and ratings of the A1 PTSD diagnostic criterion for the potentially traumatic life event that bothered them most at the time of the study. RESULTS: Consistent with theoretical proposals and empirical studies indicating that individual differences in adult attachment systematically influence how individuals evaluate distressing events, individuals with higher attachment anxiety perceived their traumatic life events to be more central to their identity and more severe. Greater event centrality and event severity were each in turn related to higher PTSD symptom severity. In contrast, the relation between attachment avoidance and PTSD symptoms was not mediated by appraisals of event centrality or event severity. Furthermore, neither attachment anxiety nor attachment avoidance was related to participants' ratings of the A1 PTSD diagnostic criterion. CONCLUSION: Our findings suggest that attachment anxiety contributes to greater PTSD symptom severity through heightened perceptions of traumatic events as central to identity and severe. (PsycINFO Database Record}, Doi = {10.1037/tra0000112}, Key = {fds315580} } @article{fds315581, Author = {Ogle, CM and Rubin, DC and Siegler, IC}, Title = {Accounting for Posttraumatic Stress Disorder Symptom Severity With Pre- and Posttrauma Measures: A Longitudinal Study of Older Adults.}, Journal = {Clinical Psychological Science : a Journal of the Association for Psychological Science}, Volume = {4}, Number = {2}, Pages = {272-286}, Year = {2016}, Month = {March}, ISSN = {2167-7026}, url = {http://hdl.handle.net/10161/12025 Duke open access}, Abstract = {Using data from a longitudinal study of community-dwelling older adults, we analyzed the most extensive set of known correlates of PTSD symptoms obtained from a single sample to examine the measures' independent and combined utility in accounting for PTSD symptom severity. Fifteen measures identified as PTSD risk factors in published meta-analyses and 12 theoretically and empirically supported individual difference and health-related measures were included. Individual difference measures assessed after the trauma, including insecure attachment and factors related to the current trauma memory, such as self-rated severity, event centrality, frequency of involuntary recall, and physical reactions to the memory, accounted for symptom severity better than measures of pre-trauma factors. In an analysis restricted to prospective measures assessed before the trauma, the total variance explained decreased from 56% to 16%. Results support a model of PTSD in which characteristics of the current trauma memory promote the development and maintenance of PTSD symptoms.}, Doi = {10.1177/2167702615583227}, Key = {fds315581} } @article{fds315961, Author = {Haberstick, BC and Boardman, JD and Wagner, B and Smolen, A and Hewitt, JK and Killeya-Jones, LA and Tabor, J and Halpern, CT and Brummett, BH and Williams, RB and Siegler, IC and Hopfer, CJ and Mullan Harris, K}, Title = {Depression, Stressful Life Events, and the Impact of Variation in the Serotonin Transporter: Findings from the National Longitudinal Study of Adolescent to Adult Health (Add Health).}, Journal = {Plos One}, Volume = {11}, Number = {3}, Pages = {e0148373}, Year = {2016}, url = {http://dx.doi.org/10.1371/journal.pone.0148373}, Abstract = {BACKGROUND: The low transcriptionally efficient short-allele of the 5HTTLPR serotonin transporter polymorphism has been implicated to moderate the relationship between the experience of stressful life events (SLEs) and depression. Despite numerous attempts at replicating this observation, results remain inconclusive. METHODS: We examined this relationship in young-adult Non-Hispanic white males and females between the ages of 22 and 26 (n = 4724) participating in the National Longitudinal Study of Adolescent to Adult Health (Add Health) with follow-up information every six years since 1995. RESULTS: Linear and logistic regression models, corrected for multiple testing, indicated that carriers of one or more of the S-alleles were more sensitive to stress than those with two L-alleles and at a higher risk for depression. This relationship behaved in a dose-response manner such that the risk for depression was greatest among those who reported experiencing higher numbers of SLEs. In post-hoc analyses we were not able to replicate an interaction effect for suicide ideation but did find suggestive evidence that the effects of SLEs and 5HTTLPR on suicide ideation differed for males and females. There were no effects of childhood maltreatment. DISCUSSION: Our results provide partial support for the original hypothesis that 5-HTTLPR genotype interacts with the experience of stressful life events in the etiology of depression during young adulthood. However, even with this large sample, and a carefully constructed a priori analysis plan, the results were still not definitive. For the purposes of replication, characterizing the 5HTTLPR in other large data sets with extensive environmental and depression measures is needed.}, Doi = {10.1371/journal.pone.0148373}, Key = {fds315961} } @article{fds276042, Author = {Ribeiro, JD and Yen, S and Joiner, T and Siegler, IC}, Title = {Capability for suicide interacts with states of heightened arousal to predict death by suicide beyond the effects of depression and hopelessness.}, Journal = {J Affect Disord}, Volume = {188}, Pages = {53-59}, Year = {2015}, Month = {December}, ISSN = {0165-0327}, url = {http://dx.doi.org/10.1016/j.jad.2015.07.037}, Abstract = {BACKGROUND: States of heightened arousal (e.g., agitation, sleep disturbance) have been repeatedly linked to suicidal thoughts and behaviors, including attempts and death. Studies have further indicated that these states may be particularly pernicious among individuals who evidence high suicidal capability. The objective of this study was to examine the interactive effects of heightened arousal and the capability for suicide in the prospective prediction of death by suicide. We examine this relation beyond the effects of robust predictors of suicide, namely depression and hopelessness. METHODS: Participants were drawn from a larger study of undergraduates who completed baseline assessments during their freshman year and were then followed to time of death. The sample in this study only included individuals who had died by suicide (n=96) or other causes (n=542). Proxy measures to assess predictor variables were constructed using items from the MMPI, which was administered at baseline. An independent sample of clinical outpatients (n=was used to evaluate the construct validity of the proxy measures). RESULTS: Results were in line with expectation: heightened arousal interacted with capability for suicide to prospectively predict death by suicide, such that, as severity of heightened arousal symptoms increased, the likelihood of death by suicide increased among individuals high but not low on capability for suicide. LIMITATIONS: Limitations include the use of proxy measures, the extended length of follow-up, and the homogeneity of the sample (i.e., primarily White males). CONCLUSION: These findings add to an emerging literature that supports the moderating influence of capability for suicide on the relationship between states of heightened arousal on the likelihood of death by suicide.}, Doi = {10.1016/j.jad.2015.07.037}, Key = {fds276042} } @article{fds276044, Author = {Singh, A and Babyak, MA and Brummett, BH and Jiang, R and Watkins, LL and Barefoot, JC and Kraus, WE and Shah, SH and Siegler, IC and Hauser, ER and Williams, RB}, Title = {Computing a Synthetic Chronic Psychosocial Stress Measurement in Multiple Datasets and its Application in the Replication of G × E Interactions of the EBF1 Gene.}, Journal = {Genetic Epidemiology}, Volume = {39}, Number = {6}, Pages = {489-497}, Year = {2015}, Month = {September}, ISSN = {0741-0395}, url = {http://dx.doi.org/10.1002/gepi.21910}, Abstract = {Chronic psychosocial stress adversely affects health and is associated with the development of disease [Williams, 2008]. Systematic epidemiological and genetic studies are needed to uncover genetic variants that interact with stress to modify metabolic responses across the life cycle that are the proximal contributors to the development of cardiovascular disease and precipitation of acute clinical events. Among the central challenges in the field are to perform and replicate gene-by-environment (G × E) studies. The challenge of measurement of individual experience of psychosocial stress is magnified in this context. Although many research datasets exist that contain genotyping and disease-related data, measures of psychosocial stress are often either absent or vary substantially across studies. In this paper, we provide an algorithm to create a synthetic measure of chronic psychosocial stress across multiple datasets, applying a consistent criterion that uses proxy indicators of stress components. We validated the computed scores of chronic psychosocial stress by observing moderately strong and significant correlations with the self-rated chronic psychosocial stress in the Multi-Ethnic Study of Atherosclerosis Cohort (Rho = 0.23, P < 0.0001) and with the measures of depressive symptoms in five datasets (Rho = 0.15-0.42, Ps = 0.005 to <0.0001) and by comparing the distributions of the self-rated and computed measures. Finally, we demonstrate the utility of this computed chronic psychosocial stress variable by providing three additional replications of our previous finding of gene-by-stress interaction with central obesity traits [Singh et al., 2015].}, Doi = {10.1002/gepi.21910}, Key = {fds276044} } @article{fds276048, Author = {Ogle, CM and Rubin, DC and Siegler, IC}, Title = {The relation between insecure attachment and posttraumatic stress: Early life versus adulthood traumas.}, Journal = {Psychol Trauma}, Volume = {7}, Number = {4}, Pages = {324-332}, Year = {2015}, Month = {July}, ISSN = {1942-9681}, url = {http://dx.doi.org/10.1037/tra0000015}, Abstract = {The present study examined the relations between insecure attachment and posttraumatic stress disorder (PTSD) symptoms among community-dwelling older adults with exposure to a broad range of traumatic events. Attachment anxiety and attachment avoidance predicted more severe symptoms of PTSD and explained unique variance in symptom severity when compared to other individual difference measures associated with an elevated risk of PTSD, including NEO neuroticism and event centrality. A significant interaction between the developmental timing of the trauma and attachment anxiety revealed that the relation between PTSD symptoms and attachment anxiety was stronger for individuals with current PTSD symptoms associated with early life traumas compared to individuals with PTSD symptoms linked to adulthood traumas. Analyses examining factors that account for the relation between insecure attachment and PTSD symptoms indicated that individuals with greater attachment anxiety reported stronger physical reactions to memories of their trauma and more frequent voluntary and involuntary rehearsal of their trauma memories. These phenomenological properties of trauma memories were in turn associated with greater PTSD symptom severity. Among older adults with early life traumas, only the frequency of involuntary recall partially accounted for the relation between attachment anxiety and PTSD symptoms. Our differential findings concerning early life versus adulthood trauma suggest that factors underlying the relation between attachment anxiety and PTSD symptoms vary according to the developmental timing of the traumatic exposure. Overall our results are consistent with attachment theory and with theoretical models of PTSD according to which PTSD symptoms are promoted by phenomenological properties of trauma memories.}, Doi = {10.1037/tra0000015}, Key = {fds276048} } @article{fds276050, Author = {Singh, A and Babyak, MA and Nolan, DK and Brummett, BH and Jiang, R and Siegler, IC and Kraus, WE and Shah, SH and Williams, RB and Hauser, ER}, Title = {Gene by stress genome-wide interaction analysis and path analysis identify EBF1 as a cardiovascular and metabolic risk gene.}, Journal = {European Journal of Human Genetics : Ejhg}, Volume = {23}, Number = {6}, Pages = {854-862}, Year = {2015}, Month = {June}, ISSN = {1018-4813}, url = {http://dx.doi.org/10.1038/ejhg.2014.189}, Abstract = {We performed gene-environment interaction genome-wide association analysis (G × E GWAS) to identify SNPs whose effects on metabolic traits are modified by chronic psychosocial stress in the Multi-Ethnic Study of Atherosclerosis (MESA). In Whites, the G × E GWAS for hip circumference identified five SNPs within the Early B-cell Factor 1 (EBF1) gene, all of which were in strong linkage disequilibrium. The gene-by-stress interaction (SNP × STRESS) term P-values were genome-wide significant (Ps = 7.14E-09 to 2.33E-08, uncorrected; Ps = 1.99E-07 to 5.18E-07, corrected for genomic control). The SNP-only (without interaction) model P-values (Ps = 0.011-0.022) were not significant at the conventional genome-wide significance level. Further analysis of related phenotypes identified gene-by-stress interaction effects for waist circumference, body mass index (BMI), fasting glucose, type II diabetes status, and common carotid intimal-medial thickness (CCIMT), supporting a proposed model of gene-by-stress interaction that connects cardiovascular disease (CVD) risk factor endophenotypes such as central obesity and increased blood glucose or diabetes to CVD itself. Structural equation path analysis suggested that the path from chronic psychosocial stress to CCIMT via hip circumference and fasting glucose was larger (estimate = 0.26, P = 0.033, 95% CI = 0.02-0.49) in the EBF1 rs4704963 CT/CC genotypes group than the same path in the TT group (estimate = 0.004, P = 0.34, 95% CI = -0.004-0.012). We replicated the association of the EBF1 SNPs and hip circumference in the Framingham Offspring Cohort (gene-by-stress term P-values = 0.007-0.012) as well as identified similar path relationships. This observed and replicated interaction between psychosocial stress and variation in the EBF1 gene may provide a biological hypothesis for the complex relationship between psychosocial stress, central obesity, diabetes, and cardiovascular disease.}, Doi = {10.1038/ejhg.2014.189}, Key = {fds276050} } @article{fds276046, Author = {Haberstick, BC and Smolen, A and Williams, RB and Bishop, GD and Foshee, VA and Thornberry, TP and Conger, R and Siegler, IC and Zhang, X and Boardman, JD and Frajzyngier, Z and Stallings, MC and Brent Donnellan, M and Halpern, CT and Harris, KM}, Title = {Population frequencies of the Triallelic 5HTTLPR in six Ethnicially diverse samples from North America, Southeast Asia, and Africa.}, Journal = {Behav Genet}, Volume = {45}, Number = {2}, Pages = {255-261}, Year = {2015}, Month = {March}, ISSN = {0001-8244}, url = {http://dx.doi.org/10.1007/s10519-014-9703-5}, Abstract = {Genetic differences between populations are potentially an important contributor to health disparities around the globe. As differences in gene frequencies influence study design, it is important to have a thorough understanding of the natural variation of the genetic variant(s) of interest. Along these lines, we characterized the variation of the 5HTTLPR and rs25531 polymorphisms in six samples from North America, Southeast Asia, and Africa (Cameroon) that differ in their racial and ethnic composition. Allele and genotype frequencies were determined for 24,066 participants. Results indicated higher frequencies of the rs25531 G-allele among Black and African populations as compared with White, Hispanic and Asian populations. Further, we observed a greater number of 'extra-long' ('XL') 5HTTLPR alleles than have previously been reported. Extra-long alleles occurred almost entirely among Asian, Black and Non-White Hispanic populations as compared with White and Native American populations where they were completely absent. Lastly, when considered jointly, we observed between sample differences in the genotype frequencies within racial and ethnic populations. Taken together, these data underscore the importance of characterizing the L-G allele to avoid misclassification of participants by genotype and for further studies of the impact XL alleles may have on the transcriptional efficiency of SLC6A4.}, Doi = {10.1007/s10519-014-9703-5}, Key = {fds276046} } @article{fds276045, Author = {Cho, J and Martin, P and Poon, LW and Georgia Centenarian Study}, Title = {Successful aging and subjective well-being among oldest-old adults.}, Journal = {The Gerontologist}, Volume = {55}, Number = {1}, Pages = {132-143}, Year = {2015}, Month = {February}, ISSN = {0016-9013}, url = {http://dx.doi.org/10.1093/geront/gnu074}, Abstract = {PURPOSE OF THE STUDY: This research integrates successful aging and developmental adaptation models to empirically define the direct and indirect effects of 2 distal (i.e., education and past life experiences) and 5 proximal influences (i.e., physical functioning, cognitive functioning, physical health impairment, social resources, and perceived economic status) on subjective well-being. The proximal influences involved predictors outlined in most extant models of successful aging (e.g., Rowe & Kahn, 1998 [Rowe, J. W., & Kahn, R. L. (1998). Successful aging. New York: Pantheon Books.]). Our model extends such models by including distal impact as well as interactions between distal and proximal impacts. DESIGN AND METHODS: Data were obtained from 234 centenarians and 72 octogenarians in the Georgia Centenarian Study. Structural equation modeling was conducted with Mplus 6.1. RESULTS: Results showed significant direct effects of physical health impairment and social resources on positive aspects of subjective well-being among oldest-old adults. We also found significant indirect effects of cognitive functioning and education on positive affect among oldest-old adults. Social resources mediated the relationship between cognitive functioning and positive affect; and cognitive functioning and social resources mediated the relationship between education and positive affect. In addition, physical health impairment mediated the relationship between cognitive functioning and positive affect; and cognitive functioning and physical health impairment mediated the relationship between education and positive affect. IMPLICATIONS: Integrating 2 different models (i.e., successful aging and developmental adaptation) provided a comprehensive view of adaptation from a developmental perspective.}, Doi = {10.1093/geront/gnu074}, Key = {fds276045} } @article{fds276053, Author = {Boyle, SH and Georgiades, A and Brummett, BH and Barefoot, JC and Siegler, IC and Matson, WR and Kuhn, CM and Grichnik, K and Stafford-Smith, M and Williams, RB and Kaddurah-Daouk, R and Surwit, RS}, Title = {Associations between central nervous system serotonin, fasting glucose, and hostility in African American females.}, Journal = {Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine}, Volume = {49}, Number = {1}, Pages = {49-57}, Year = {2015}, Month = {February}, ISSN = {0883-6612}, url = {http://dx.doi.org/10.1007/s12160-014-9626-7}, Abstract = {BACKGROUND: Previous research has shown an association between hostility and fasting glucose in African American women. Central nervous system serotonin activity is implicated both in metabolic processes and in hostility related traits. PURPOSE: The purpose of this study is to determine whether central nervous system serotonin influences the association between hostility and fasting glucose in African American women. METHODS: The study consisted of 119 healthy volunteers (36 African American women, 27 White women, 21 White males, and 35 African American males, mean age 34 ± 8.5 years). Serotonin related compounds were measured in cerebrospinal fluid. Hostility was measured by the Cook-Medley Hostility Scale. RESULTS: Hostility was associated with fasting glucose and central nervous system serotonin related compounds in African American women only. Controlling for the serotonin related compounds significantly reduced the association of hostility to glucose. CONCLUSIONS: The positive correlation between hostility and fasting glucose in African American women can partly be explained by central nervous system serotonin function.}, Doi = {10.1007/s12160-014-9626-7}, Key = {fds276053} } @article{fds276041, Author = {Rahman-Filipiak, A and Woodard, JL and Miller, LS and Martin, P and Davey, A and Poon, LW and Georgia Centenarian Study}, Title = {Octogenarian and centenarian performance on the Fuld Object Memory Evaluation.}, Journal = {Neuropsychol Dev Cogn B Aging Neuropsychol Cogn}, Volume = {22}, Number = {4}, Pages = {438-451}, Year = {2015}, ISSN = {1382-5585}, url = {http://dx.doi.org/10.1080/13825585.2014.968085}, Abstract = {The Fuld Object Memory Evaluation (FOME) has considerable utility for cognitive assessment in older adults, but there are few normative data, particularly for the oldest old. In this study, 80 octogenarians and 244 centenarians from the Georgia Centenarian Study completed the FOME. Total and trial-to-trial performance on the storage, retrieval, repeated retrieval, and ineffective reminder indices were assessed. Additional data stratified by age group, education, and cognitive impairment are provided in the Supplemental data. Octogenarians performed significantly better than centenarians on all FOME measures. Neither age group benefitted from additional learning trials beyond Trial 3 for storage and Trial 2 for retention and retrieval. Ineffective reminders showed no change across learning trials for octogenarians, while centenarians improved only between Trials 1 and 2. This minimal improvement past Trial 2 indicates that older adults might benefit from a truncated version of the test that does not include trials three through five, with the added benefit of reducing testing burden in this population.}, Doi = {10.1080/13825585.2014.968085}, Key = {fds276041} } @article{fds276043, Author = {Davey, A and Siegler, IC and Martin, P and Costa, PT and Poon, LW and Georgia Centenarian Study}, Title = {Personality Structure Among Centenarians: The Georgia Centenarian Study.}, Journal = {Experimental Aging Research}, Volume = {41}, Number = {4}, Pages = {361-385}, Year = {2015}, ISSN = {0361-073X}, url = {http://dx.doi.org/10.1080/0361073X.2015.1053752}, Abstract = {UNLABELLED: BACKGROUND/STUDY CONTEXT: We demonstrate that observer-rated factor structure of personality in centenarians is congruent with the normative structure. Prevalence of cognitive impairment, which has previously been linked to changes in personality in younger samples, is high in this age group, requiring observer ratings to obtain valid data in a population-based context. Likewise, the broad range of cognitive functioning necessitates synthesis of results across multiple measures of cognitive performance. METHODS AND RESULTS: Data from 161 participants in the Georgia Centenarian Study (GCS; MAge = 100.3 years, 84% women, 20% African American, 40% community-dwelling, 30% low cognitive functioning) support strong overall correspondence with reference structure (full sample: .94; higher cognitive functioning: .94; lower cognitive functioning: .90). Centenarians with lower cognitive functioning are higher on neuroticism and lower on openness to experience, agreeableness, and conscientiousness. Facet-level differences (higher N1-N6: anxiety, hostility, depression, self-consciousness, impulsiveness, vulnerability to stress; lower E1: warmth; lower O4-O6: actions, ideas, values; lower A1, A3, A4: trust, altruism, compliance; C1, C5: competence, self-discipline) are also observed. Multivariate factor-level models indicate only neuroticism of the five broad factors predicts membership in cognitively impaired group; facet-level models showed that lower-order scales from three of the five domains were significant. Centenarians with higher self-consciousness (N4), impulsiveness (N5), and deliberation (C6) but lower ideas (O5), compliance (A4), and self-discipline (C5) were more likely to be in the lower cognitive functioning category. CONCLUSION: Results present first normative population-based data for personality structure in centenarians and offer intriguing possibilities for the role of personality in cognitive impairment centered on neuroticism.}, Doi = {10.1080/0361073X.2015.1053752}, Key = {fds276043} } @article{fds276049, Author = {Brummett, BH and Babyak, MA and Kuhn, CM and Siegler, IC and Williams, RB}, Title = {A functional polymorphism in the HTR2C gene associated with stress responses: a validation study.}, Journal = {Biol Psychol}, Volume = {103}, Pages = {317-321}, Year = {2014}, Month = {December}, ISSN = {0301-0511}, url = {http://dx.doi.org/10.1016/j.biopsycho.2014.10.006}, Abstract = {Previously we have shown that a functional nonsynonymous single nucleotide polymorphism (SNP), rs6318 on the HTR2C gene located on the X-chromosome, is associated with hypothalamic-pituitary-adrenal axis response to a laboratory stress recall task. The present paper reports a validation of the cortisol response to stress in a second, independent sample. The study population consisted of 60 adult participants (73.3% males). Consistent with our prior findings, compared to Cys23 G allele carriers, persons homozygous for the Ser23C allele had a significantly greater average cortisol response (p=0.007) and area under the curve (p=0.021) over the course of an emotional stress recall protocol. Also parallel to our prior report, the change in cortisol from baseline to the average during the stress protocol was roughly twice as large among Ser23C homozygotes than among persons with Cys23 G. These findings validate our initial observation of association between rs6318 and cortisol response to an acute stressor, and extend the results to include females.}, Doi = {10.1016/j.biopsycho.2014.10.006}, Key = {fds276049} } @article{fds276052, Author = {Costa, PT and Weiss, A and Duberstein, PR and Friedman, B and Siegler, IC}, Title = {Personality facets and all-cause mortality among Medicare patients aged 66 to 102 years: a follow-on study of Weiss and Costa (2005).}, Journal = {Psychosom Med}, Volume = {76}, Number = {5}, Pages = {370-378}, Year = {2014}, Month = {June}, ISSN = {0033-3174}, url = {http://dx.doi.org/10.1097/PSY.0000000000000070}, Abstract = {OBJECTIVE: To investigate associations between personality facets and survival during an 8-year follow-up. METHODS: In 597 Medicare recipients (age, 66-102 years) followed up for approximately 8 years, personality domains and facets were assessed using the Revised NEO Personality Inventory (NEO-PI-R). This study builds on a previous study which used proportional hazards regression to test whether the NEO-PI-R factor and selected facet scores were associated with mortality risk. That study revealed that the neuroticism facet impulsiveness, agreeableness facet straightforwardness, and conscientiousness facet self-discipline were related to lower risk during 4 years of follow-up. We extended the follow-up period by 4 years, examined all 30 facets, and used accelerated failure time modeling as an additional analytic approach. Unlike proportional hazards regression, accelerated failure time modeling permits inferences about the median survival length conferred by predictors. Each facet was tested in a model that included health-related covariates and NEO-PI-R factor scores for dimensions that did not include that facet. RESULTS: Over the 8-year follow-up period, impulsiveness was not significant, each standard deviation of straightforwardness was associated with an 11% increase in median survival time and, when dichotomized, higher self-discipline was associated with a 34% increase in median survival time. Each standard deviation of altruism, compliance, tender-mindedness, and openness to fantasy was associated with a 9% to 11% increase in median survival time. CONCLUSIONS: After extending the follow-up period from 4 to 8 years, self-discipline remained a powerful predictor of survival and facets associated with imagination, generosity, and higher-quality interpersonal interactions become increasingly important.}, Doi = {10.1097/PSY.0000000000000070}, Key = {fds276052} } @article{fds276070, Author = {Ogle, CM and Rubin, DC and Siegler, IC}, Title = {Changes in neuroticism following trauma exposure.}, Journal = {Journal of Personality}, Volume = {82}, Number = {2}, Pages = {93-102}, Year = {2014}, Month = {April}, url = {http://www.ncbi.nlm.nih.gov/pubmed/23550961}, Abstract = {Using longitudinal data, the present study examined change in midlife neuroticism following trauma exposure. Our primary analyses included 670 participants (M(age) = 60.55; 65.22% male, 99.70% Caucasian) who completed the NEO Personality Inventory at ages 42 and 50 and reported their lifetime exposure to traumatic events approximately 10 years later. No differences in pre- and post-trauma neuroticism scores were found among individuals who experienced all of their lifetime traumas in the interval between the personality assessments. Results were instead consistent with normative age-related declines in neuroticism throughout adulthood. Furthermore, longitudinal changes in neuroticism scores did not differ between individuals with and without histories of midlife trauma exposure. Examination of change in neuroticism following life-threatening traumas yielded a comparable pattern of results. Analysis of facet-level scores largely replicated findings from the domain scores. Overall, our findings suggest that neuroticism does not reliably change following exposure to traumatic events in middle adulthood. Supplemental analyses indicated that individuals exposed to life-threatening traumas in childhood or adolescence reported higher midlife neuroticism than individuals who experienced severe traumas in adulthood. Life-threatening traumatic events encountered early in life may have a more pronounced impact on adulthood personality than recent traumatic events.}, Doi = {10.1111/jopy.12037}, Key = {fds276070} } @article{fds276065, Author = {Martin, P and Jazwinski, SM and Davey, A and Green, RC and Macdonald, M and Margrett, JA and Siegler, IC and Arnold, J and Woodard, JL and Johnson, MA and Kim, S and Dai, J and Li, L and Batzer, MA and Poon, LW and For The Georgia Centenarian Study}, Title = {APOE ϵ4, rated life experiences, and affect among centenarians.}, Journal = {Aging Ment Health}, Volume = {18}, Number = {2}, Pages = {240-247}, Year = {2014}, Month = {March}, url = {http://www.ncbi.nlm.nih.gov/pubmed/23998924}, Abstract = {OBJECTIVES: The purpose of this study was to assess the relationship between apolipoprotein E (APOE), life events and engagement, and subjective well-being (as measured by positive and negative affect) among centenarians. Based on the life stress paradigm, we predicted that higher levels of stress would allow APOE to influence positive and negative affect. METHOD: 196 centenarians and near-centenarians (98 years and older) of the Georgia Centenarian Study participated in this research. The APOE, positive and negative affect, the number of recent (last 2 years) and lifelong (more than 20 years prior to testing) events, as well as a number of life engagement tasks were assessed. RESULTS: Results suggested that centenarians carrying the APOE ϵ4 allele rated lower in positive affect, the number of lifelong events, and in engaged lifestyle, when compared to centenarians without the APOE ϵ4 allele (t = 3.43, p < .01; t = 3.19, p < .01; and t = 2.33, p < .05, respectively). Blockwise multiple regressions indicated that the APOE ϵ4 predicted positive but not negative affect after controlling for demographics. Gene-environment interactions were obtained for the APOE ϵ4 and lifelong events, suggesting that carriers of the APOE ϵ4 allele had higher scores of negative affect after having experienced more events, whereas noncarriers had reduced negative affect levels after having experienced more events. CONCLUSION: APOE ϵ4 is directly related to positive affect and is related to negative affect in interaction with life events.}, Doi = {10.1080/13607863.2013.827624}, Key = {fds276065} } @article{fds276067, Author = {Haberstick, BC and Lessem, JM and Hewitt, JK and Smolen, A and Hopfer, CJ and Halpern, CT and Killeya-Jones, LA and Boardman, JD and Tabor, J and Siegler, IC and Williams, RB and Mullan Harris, K}, Title = {MAOA genotype, childhood maltreatment, and their interaction in the etiology of adult antisocial behaviors.}, Journal = {Biol Psychiatry}, Volume = {75}, Number = {1}, Pages = {25-30}, Year = {2014}, Month = {January}, url = {http://www.ncbi.nlm.nih.gov/pubmed/23726513}, Abstract = {BACKGROUND: Maltreatment by an adult or caregiver during childhood is a prevalent and important predictor of antisocial behaviors in adulthood. A functional promoter polymorphism in the monoamine oxidase A (MAOA) gene has been implicated as a moderating factor in the relationship between childhood maltreatment and antisocial behaviors. Although there have been numerous attempts at replicating this observation, results remain inconclusive. METHODS: We examined this gene-environment interaction hypothesis in a sample of 3356 white and 960 black men (aged 24-34) participating in the National Longitudinal Study of Adolescent Health. RESULTS: Primary analysis indicated that childhood maltreatment was a significant risk factor for later behaviors that violate rules and the rights of others (p < .05), there were no main effects of MAOA genotype, and MAOA genotype was not a significant moderator of the relationship between maltreatment and antisocial behaviors in our white sample. Post hoc analyses identified a similar pattern of results among our black sample in which maltreatment was not a significant predictor of antisocial behavior. Post hoc analyses also revealed a main effect of MAOA genotype on having a disposition toward violence in both samples and for violent convictions among our black sample. None of these post hoc findings, however, survived correction for multiple testing (p > .05). Power analyses indicated that these results were not due to insufficient statistical power. CONCLUSIONS: We could not confirm the hypothesis that MAOA genotype moderates the relationship between childhood maltreatment and adult antisocial behaviors.}, Doi = {10.1016/j.biopsych.2013.03.028}, Key = {fds276067} } @article{fds276047, Author = {Brummett, BH and Babyak, MA and Williams, RB and Harris, KM and Jiang, R and Kraus, WE and Singh, A and Costa, PT and Georgiades, A and Siegler, IC}, Title = {A putatively functional polymorphism in the HTR2C gene is associated with depressive symptoms in white females reporting significant life stress.}, Journal = {Plos One}, Volume = {9}, Number = {12}, Pages = {e114451}, Year = {2014}, url = {http://dx.doi.org/10.1371/journal.pone.0114451}, Abstract = {Psychosocial stress is well known to be positively associated with subsequent depressive symptoms. Cortisol response to stress may be one of a number of biological mechanisms that links psychological stress to depressive symptoms, although the precise causal pathway remains unclear. Activity of the x-linked serotonin 5-HTR2C receptor has also been shown to be associated with depression and with clinical response to antidepressant medications. We recently demonstrated that variation in a single nucleotide polymorphism on the HTR2C gene, rs6318 (Ser23Cys), is associated with different cortisol release and short-term changes in affect in response to a series of stress tasks in the laboratory. Based on this observation, we decided to examine whether rs6318 might moderate the association between psychosocial stress and subsequent depressive symptoms. In the present study we use cross-sectional data from a large population-based sample of young adult White men (N = 2,366) and White women (N = 2,712) in the United States to test this moderation hypothesis. Specifically, we hypothesized that the association between self-reported stressful life events and depressive symptoms would be stronger among homozygous Ser23 C females and hemizygous Ser23 C males than among Cys23 G carriers. In separate within-sex analyses a genotype-by-life stress interaction was observed for women (p = .022) but not for men (p = .471). Homozygous Ser23 C women who reported high levels of life stress had depressive symptom scores that were about 0.3 standard deviations higher than female Cys23 G carriers with similarly high stress levels. In contrast, no appreciable difference in depressive symptoms was observed between genotypes at lower levels of stress. Our findings support prior work that suggests a functional SNP on the HTR2C gene may confer an increased risk for depressive symptoms in White women with a history of significant life stress.}, Doi = {10.1371/journal.pone.0114451}, Key = {fds276047} } @article{fds276064, Author = {Ogle, CM and Rubin, DC and Siegler, IC}, Title = {Cumulative exposure to traumatic events in older adults.}, Journal = {Aging Ment Health}, Volume = {18}, Number = {3}, Pages = {316-325}, Year = {2014}, url = {http://www.ncbi.nlm.nih.gov/pubmed/24011223}, Abstract = {OBJECTIVES: The present study examined the impact of cumulative trauma exposure on current posttraumatic stress disorder (PTSD) symptom severity in a nonclinical sample of adults in their 60s. The predictive utility of cumulative trauma exposure was compared to other known predictors of PTSD, including trauma severity, personality traits, social support, and event centrality. METHOD: Community-dwelling adults (n = 2515) from the crest of the Baby Boom generation completed the Traumatic Life Events Questionnaire, the PTSD Checklist, the NEO Personality Inventory, the Centrality of Event Scale, and rated their current social support. RESULTS: Cumulative trauma exposure predicted greater PTSD symptom severity in hierarchical regression analyses consistent with a dose-response model. Neuroticism and event centrality also emerged as robust predictors of PTSD symptom severity. In contrast, the severity of individuals' single most distressing life event, as measured by self-report ratings of the A1 PTSD diagnostic criterion, did not add explanatory variance to the model. Analyses concerning event categories revealed that cumulative exposure to childhood violence and adulthood physical assaults were most strongly associated with PTSD symptom severity in older adulthood. Moreover, cumulative self-oriented events accounted for a larger percentage of variance in symptom severity compared to events directed at others. CONCLUSION: Our findings suggest that the cumulative impact of exposure to traumatic events throughout the life course contributes significantly to posttraumatic stress in older adulthood above and beyond other known predictors of PTSD.}, Doi = {10.1080/13607863.2013.832730}, Key = {fds276064} } @article{fds276069, Author = {Ogle, CM and Rubin, DC and Siegler, IC}, Title = {The impact of the developmental timing of trauma exposure on PTSD symptoms and psychosocial functioning among older adults.}, Journal = {Dev Psychol}, Volume = {49}, Number = {11}, Pages = {2191-2200}, Year = {2013}, Month = {November}, url = {http://www.ncbi.nlm.nih.gov/pubmed/23458662}, Abstract = {The present study examined the impact of the developmental timing of trauma exposure on posttraumatic stress disorder (PTSD) symptoms and psychosocial functioning in a large sample of community-dwelling older adults (N = 1,995). Specifically, we investigated whether the negative consequences of exposure to traumatic events were greater for traumas experienced during childhood, adolescence, young adulthood, midlife, or older adulthood. Each of these developmental periods is characterized by age-related changes in cognitive and social processes that may influence psychological adjustment following trauma exposure. Results revealed that older adults who experienced their currently most distressing traumatic event during childhood exhibited more severe symptoms of PTSD and lower subjective happiness compared with older adults who experienced their most distressing trauma after the transition to adulthood. Similar findings emerged for measures of social support and coping ability. The differential effects of childhood compared with later life traumas were not fully explained by differences in cumulative trauma exposure or by differences in the objective and subjective characteristics of the events. Our findings demonstrate the enduring nature of traumatic events encountered early in the life course and underscore the importance of examining the developmental context of trauma exposure in investigations of the long-term consequences of traumatic experiences.}, Doi = {10.1037/a0031985}, Key = {fds276069} } @article{fds276059, Author = {Ogle, CM and Rubin, DC and Berntsen, D and Siegler, IC}, Title = {The Frequency and Impact of Exposure to Potentially Traumatic Events Over the Life Course.}, Journal = {Clinical Psychological Science : a Journal of the Association for Psychological Science}, Volume = {1}, Number = {4}, Pages = {426-434}, Year = {2013}, Month = {October}, ISSN = {2167-7026}, url = {http://hdl.handle.net/10161/9766 Duke open access}, Abstract = {We examined the frequency and impact of exposure to potentially traumatic events among a nonclinical sample of older adults (n = 3,575), a population typically underrepresented in epidemiological research concerning the prevalence of traumatic events. Current PTSD symptom severity and the centrality of events to identity were assessed for events nominated as currently most distressing. Approximately 90% of participants experienced one or more potentially traumatic events. Events that occurred with greater frequency early in the life course were associated with more severe PTSD symptoms compared to events that occurred with greater frequency during later decades. Early life traumas, however, were not more central to identity. Results underscore the differential impact of traumatic events experienced throughout the life course. We conclude with suggestions for further research concerning mechanisms that promote the persistence of post-traumatic stress related to early life traumas and empirical evaluation of psychotherapeutic treatments for older adults with PTSD.}, Doi = {10.1177/2167702613485076}, Key = {fds276059} } @article{fds276062, Author = {Harris, KM and Halpern, CT and Hussey, J and Whitsel, EA and Killeya-Jones, L and Tabor, J and Elder, G and Hewitt, J and Shanahan, M and Williams, R and Siegler, I and Smolen, A}, Title = {Social, behavioral, and genetic linkages from adolescence into adulthood.}, Journal = {Am J Public Health}, Volume = {103 Suppl 1}, Number = {Suppl 1}, Pages = {S25-S32}, Year = {2013}, Month = {October}, ISSN = {0090-0036}, url = {http://dx.doi.org/10.2105/AJPH.2012.301181}, Abstract = {The influence of genetic factors on health and behavior is conditioned by social, cultural, institutional, and physical environments in which individuals live, work, and play. We encourage studies supporting multilevel integrative approaches to understanding these contributions to health, and describe the Add Health study as an exemplar. Add Health is a large sample of US adolescents in grades 7 to 12 in 1994-1995 followed into adulthood with 4 in-home interviews and biomarker collections, including DNA. In addition to sampling multiple environments and measuring diverse social and health behavior, Add Health features a fully articulated behavioral genetic sample (3000 pairs) and ongoing genotyping of 12,000 archived samples. We illustrate approaches to understanding health through investigation of the interplay among biological, psychosocial, and physical, contextual, or cultural experiences.}, Doi = {10.2105/AJPH.2012.301181}, Key = {fds276062} } @article{fds276073, Author = {Siegler, IC and Brummett, BH and Martin, P and Helms, MJ}, Title = {Consistency and timing of marital transitions and survival during midlife: the role of personality and health risk behaviors.}, Journal = {Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine}, Volume = {45}, Number = {3}, Pages = {338-347}, Year = {2013}, Month = {June}, url = {http://www.ncbi.nlm.nih.gov/pubmed/23299546}, Abstract = {BACKGROUND: Marital status is associated with survival. PURPOSE: The aims of this study are to evaluate marital history and timing on mortality during midlife, test the role of pre-marital personality, and quantify the role of health risk behaviors. METHODS: Cox proportional hazard models were run with varying classifications of marital history and sets of covariates. RESULTS: In fully adjusted models compared to the currently married, lifetime marital history predicts premature mortality with never married at 2.33 times risk of death and ever married at 1.64 risk of death. Midlife marital history shows that not having a partner during midlife (hazard ratio (HR) = 3.10 formerly married; HR = 2.59 remaining single) has the highest risk of death. Controlling for personality and health risk behaviors reduces but does not eliminate the impact of marital status. CONCLUSION: Consistency of marital status during midlife suggests that lack of a partner is associated with midlife mortality.}, Doi = {10.1007/s12160-012-9457-3}, Key = {fds276073} } @article{fds276068, Author = {Martin, P and MacDonald, M and Margrett, J and Siegler, I and Poon, LW and Jazwinski, SM and Green, RC and Gearing, M and Markesbery, WR and Woodard, JL and Johnson, MA and Tenover, JS and Rodgers, WL and Hausman, DB and Rott, C and Davey, A and Arnold, J}, Title = {Correlates of functional capacity among centenarians.}, Journal = {J Appl Gerontol}, Volume = {32}, Number = {3}, Pages = {324-346}, Year = {2013}, Month = {April}, ISSN = {0733-4648}, url = {http://dx.doi.org/10.1177/0733464811420563}, Abstract = {This study investigated correlates of functional capacity among participants of the Georgia Centenarian Study. Six domains (demographics and health, positive and negative affect, personality, social and economic support, life events and coping, distal influences) were related to functional capacity for 234 centenarians and near centenarians (i.e., 98 years and older). Data were provided by proxy informants. Domain-specific multiple regression analyses suggested that younger centenarians, those living in the community and rated to be in better health were more likely to have higher functional capacity scores. Higher scores in positive affect, conscientiousness, social provisions, religious coping, and engaged lifestyle were also associated with higher levels of functional capacity. The results suggest that functional capacity levels continue to be associated with age after 100 years of life and that positive affect levels and past lifestyle activities as reported by proxies are salient factors of adaptation in very late life.}, Doi = {10.1177/0733464811420563}, Key = {fds276068} } @article{fds276071, Author = {Jiang, R and Brummett, BH and Hauser, ER and Babyak, MA and Siegler, IC and Singh, A and Astrup, A and Pedersen, O and Hansen, T and Holst, C and Sørensen, TIA and Williams, RB}, Title = {Chronic family stress moderates the association between a TOMM40 variant and triglyceride levels in two independent Caucasian samples.}, Journal = {Biol Psychol}, Volume = {93}, Number = {1}, Pages = {184-189}, Year = {2013}, Month = {April}, url = {http://www.ncbi.nlm.nih.gov/pubmed/23435269}, Abstract = {TOMM40 SNP rs157580 has been associated with triglyceride levels in genome-wide association studies (GWAS). Chronic caregiving stress moderates the association between triglyceride levels and a nearby SNP rs439401 that is associated with triglyceride levels in GWAS. Here, we report data from two independent Caucasian samples (242 U.S. women and men; 466 Danish men) testing the hypothesis that chronic family stress also moderates the association between rs157580 and triglyceride levels. The interaction of rs157580 and family stress in predicting triglyceride levels was statistically significant in the U.S. sample (p=0.004) and marginally significant (p=0.075) in the Danish sample. The G allele of rs157580 was associated with increased triglyceride levels among family stressed cases in both samples compared with A/A cases, but not among controls. Chronic family stress moderates the association of rs157580 variants with triglyceride levels and should be taken into account for disease risk assessment and potential intervention.}, Doi = {10.1016/j.biopsycho.2013.02.006}, Key = {fds276071} } @article{fds276221, Author = {Jiang, R and Brummett, BH and Babyak, MA and Siegler, IC and Williams, RB}, Title = {Brain-derived neurotrophic factor (BDNF) Val66Met and adulthood chronic stress interact to affect depressive symptoms.}, Journal = {J Psychiatr Res}, Volume = {47}, Number = {2}, Pages = {233-239}, Year = {2013}, Month = {February}, url = {http://www.ncbi.nlm.nih.gov/pubmed/23140671}, Abstract = {BACKGROUND: BDNF Val66Met by chronic stress interaction has been studied using childhood stress as a moderator, but has not been widely studied using chronic stress in adulthood. METHODS: Two independent samples were used: Duke-CG (238 Caucasians) and MESA (5524 Caucasians, African Americans and Hispanics). Chronic stress in Duke-CG was operationalized as having primary caregiving responsibility for a spouse or relative with diagnosed Alzheimer's disease or other major dementia; chronic stress in MESA was defined using chronic burden score constructed from self-reported problems of health (self and someone close), job, finance and relationships. CES-D scale was the measure of depression in both samples. The BDNF Val66Met by adulthood chronic stress interaction predicting CES-D was examined using linear regression, adjusted for covariates. RESULTS: The main effect of BDNF Val66Met genotype on CES-D scores was non-significant (ps > 0.607) but the adulthood chronic stress indicator was significant (ps < 0.001) in both samples. The BDNF Val66Met genotype by adulthood chronic stress interaction was also significant (ps < 0.039) in both samples. The impact of chronic stress in adulthood on CES-D scores was significantly larger in Val/Val genotype individuals than Met carriers. CONCLUSION: We found in two independent samples that depression levels increased significantly more as a function of adulthood chronic stress Val/Val genotype carriers than Met carriers. Individuals with the Val/Val genotype and chronic stress exposure could be targeted for interventions designed to reduce risk of depression if this finding is confirmed in future studies.}, Doi = {10.1016/j.jpsychires.2012.10.009}, Key = {fds276221} } @article{fds355734, Author = {Brummett, BH and Austin, SB and Welsh-Bohmer, KA and Williams, RB and Siegler, IC}, Title = {Long-Term Impact of Caregiving and Metabolic Syndrome with Perceived Decline in Cognitive Function 8 Years Later: A Pilot Study Suggesting Important Avenues for Future Research.}, Journal = {Open Journal of Medical Psychology}, Volume = {2}, Number = {1}, Pages = {23-28}, Year = {2013}, Month = {January}, url = {http://dx.doi.org/10.4236/ojmp.2013.21005}, Abstract = {The chronic stress of caregiving has been associated with increased risk for cognitive decline and dementia. One theoretical model suggests that a group of risk factors known as the metabolic syndrome MET_SYN (e.g. hypertension, poor glucose regulation, central obesity, and high triglyceride levels) that have demonstrated associations with both stress and cognitive decline, may mediate the association between caregiver stress and cognitive decline. It is also possible that caregiving may moderate the association between MET_SYN and cognitive decline. The present study examined these two potential models. The study sample consisted of 53 caregivers for a relative with dementia and 24 participants who did not have caregiving responsibilities at baseline. We examined associations among caregiving history (yes/no), self-reported decline in cognitive function (the AD8) at follow-up, and a MET_SYN factor comprised of increased systolic blood pressure (SBP), glycosylated hemoglobin concentration (HbA1c), waist circumference, and triglyceride levels at baseline when caregiving was assessed. MET_SYN was associated with AD8 (p = 0.010). Caregiving history was not directly associated with AD8 ratings, however, caregiving did moderate the association between MET_SYN and AD8 (p = 0.043) assessed 8 years later. In caregivers MET_SYN scores reflecting higher risk were associated with scores on the AD8 indicting decline, whereas, in controls MET_SYN was unrelated to AD8 assessment. Thus, it can be concluded that caregiver stress may increase the association between metabolic risk factors and decline in cognitive functioning up to 8 years later.}, Doi = {10.4236/ojmp.2013.21005}, Key = {fds355734} } @article{fds276057, Author = {Brummett, BH and Babyak, MA and Jiang, R and Shah, SH and Becker, RC and Haynes, C and Chryst-Ladd, M and Craig, DM and Hauser, ER and Siegler, IC and Kuhn, CM and Singh, A and Williams, RB}, Title = {A functional polymorphism in the 5HTR2C gene associated with stress responses also predicts incident cardiovascular events.}, Journal = {Plos One}, Volume = {8}, Number = {12}, Pages = {e82781}, Editor = {Ahuja, SK}, Year = {2013}, url = {http://hdl.handle.net/10161/8293 Duke open access}, Abstract = {Previously we have shown that a functional nonsynonymous single nucleotide polymorphism (rs6318) of the 5HTR2C gene located on the X-chromosome is associated with hypothalamic-pituitary-adrenal axis response to a stress recall task, and with endophenotypes associated with cardiovascular disease (CVD). These findings suggest that individuals carrying the rs6318 Ser23 C allele will be at higher risk for CVD compared to Cys23 G allele carriers. The present study examined allelic variation in rs6318 as a predictor of coronary artery disease (CAD) severity and a composite endpoint of all-cause mortality or myocardial infarction (MI) among Caucasian participants consecutively recruited through the cardiac catheterization laboratory at Duke University Hospital (Durham, NC) as part of the CATHGEN biorepository. Study population consisted of 6,126 Caucasian participants (4,036 [65.9%] males and 2,090 [34.1%] females). A total of 1,769 events occurred (1,544 deaths and 225 MIs; median follow-up time = 5.3 years, interquartile range = 3.3-8.2). Unadjusted Cox time-to-event regression models showed, compared to Cys23 G carriers, males hemizygous for Ser23 C and females homozygous for Ser23C were at increased risk for the composite endpoint of all-cause death or MI: Hazard Ratio (HR) = 1.47, 95% confidence interval (CI) = 1.17, 1.84, p = .0008. Adjusting for age, rs6318 genotype was not related to body mass index, diabetes, hypertension, dyslipidemia, smoking history, number of diseased coronary arteries, or left ventricular ejection fraction in either males or females. After adjustment for these covariates the estimate for the two Ser23 C groups was modestly attenuated, but remained statistically significant: HR = 1.38, 95% CI = 1.10, 1.73, p = .005. These findings suggest that this functional polymorphism of the 5HTR2C gene is associated with increased risk for CVD mortality and morbidity, but this association is apparently not explained by the association of rs6318 with traditional risk factors or conventional markers of atherosclerotic disease.}, Doi = {10.1371/journal.pone.0082781}, Key = {fds276057} } @article{fds276063, Author = {Brummett, BH and Babyak, MA and Singh, A and Jiang, R and Williams, RB and Harris, KM and Siegler, IC}, Title = {Socioeconomic indices as independent correlates of C-reactive protein in the National Longitudinal Study of Adolescent Health.}, Journal = {Psychosom Med}, Volume = {75}, Number = {9}, Pages = {882-893}, Year = {2013}, url = {http://www.ncbi.nlm.nih.gov/pubmed/24163384}, Abstract = {OBJECTIVES: To examine the association between socioeconomic status (SES) and C-reactive protein (CRP) to understand how SES may increase the risk of cardiovascular disease and thus identify targets for prevention measures. METHODS: Path models were used to examine direct and indirect associations of four indices of SES (objective early life built environment ratings, parental and participant education, and income) with CRP measured during early adulthood using data from the National Longitudinal Adolescent Health Study (n = 11,371; mean age = 29 years, range = 24-32 years; 53.8% women, 28.0% black participants). The present study examined potential mediation of the association of SES with CRP by way of body mass index (BMI), smoking, and alcohol consumption within white and black men and women. RESULTS: BMI was a mediator of the relation between parent education and CRP for white men (path coefficient [γ] = -0.05, p < .001) and women (γ = -0.05, p < .001). Smoking mediated the income-CRP (γ = -0.01, p < .01) and the education-CRP (γ = -0.07, p < .001) relation for white men. BMI mediated the relation between all measures of SES and CRP for white women (γ values between -0.02 and -0.05; p values < .01). None of the risk factors mediated the SES-CRP relation in black participants. CONCLUSIONS: These findings indicate that the association of SES with CRP is influenced by both the timing and type of SES measure examined. In addition, race and sex play a role in how potential mediators are involved with the SES-CRP relationship, such that BMI and smoking were mediators in white men, whereas BMI was the sole mediator in white women.}, Doi = {10.1097/PSY.0000000000000005}, Key = {fds276063} } @article{fds276232, Author = {Jonassaint, CR and Ashley-Koch, A and Whitfield, KE and Hoyle, RH and Richman, LS and Siegler, IC and Royal, CD and Williams, R}, Title = {The serotonin transporter gene polymorphism (5HTTLPR) moderates the effect of adolescent environmental conditions on self-esteem in young adulthood: a structural equation modeling approach.}, Journal = {Biol Psychol}, Volume = {91}, Number = {1}, Pages = {111-119}, Year = {2012}, Month = {September}, url = {http://www.ncbi.nlm.nih.gov/pubmed/22659377}, Abstract = {Here we examine the effects of both self-reported and independent observer-reported environmental risk indices, the serotonin transporter gene promoter (5HTTLPR) polymorphism, and their interaction on self-esteem. This trait was assessed during early and mid adolescence (mean age=14 and 16.5, respectively) and young adulthood (mean age=21.8) in a prospective cohort of 1214 unrelated participants in the Longitudinal Study of Adolescent Health (Add Health). Using structural equation modeling we identified a gene-environment (G×E) interaction using observer-report but not self-report measures of environmental stress exposure during adolescence: 5HTTLPR genotype and observer-reports of home and neighborhood quality (HNQ) during adolescence interacted to predict self-esteem levels in young adulthood (p<.004). Carriers of the s allele who lived in poor HNQ conditions during adolescence reported lower self-esteem in young adulthood than those with a good HNQ during adolescence. In contrast, among individuals with the l/l genotype, adolescent HNQ did not predict adulthood self-esteem. Genes may moderate the effect of adolescent environmental conditions on adulthood self-esteem.}, Doi = {10.1016/j.biopsycho.2012.05.004}, Key = {fds276232} } @article{fds276060, Author = {Siegler, IC and Davey, A}, Title = {Behavioral Stability and Change in Health Across the Adult Life Cycle}, Pages = {118-131}, Publisher = {WILEY-BLACKWELL}, Year = {2012}, Month = {July}, url = {http://dx.doi.org/10.1002/9781118392966.ch6}, Doi = {10.1002/9781118392966.ch6}, Key = {fds276060} } @article{fds276248, Author = {Fuemmeler, BF and Yang, C and Costanzo, P and Hoyle, RH and Siegler, IC and Williams, RB and Ostbye, T}, Title = {Parenting styles and body mass index trajectories from adolescence to adulthood.}, Journal = {Health Psychology}, Volume = {31}, Number = {4}, Pages = {441-449}, Year = {2012}, Month = {July}, url = {http://www.ncbi.nlm.nih.gov/pubmed/22545979}, Abstract = {OBJECTIVE: Parenting styles such as authoritarian, disengaged, or permissive are thought to be associated with greater adolescent obesity risk than an authoritative style. This study assessed the relationship between parenting styles and changes in body mass index (BMI) from adolescence to young adulthood. METHOD: The study included self-reported data from adolescents in the National Longitudinal Study of Adolescent Health. Factor mixture modeling, a data-driven approach, was used to classify participants into parenting style groups based on measures of acceptance and control. Latent growth modeling (LGM) identified patterns of developmental changes in BMI. After a number of potential confounders were controlled for, parenting style variables were entered as predictors of BMI trajectories. Analyses were also conducted for male and female individuals of 3 racial-ethnic groups (Hispanic, black, white) to assess whether parenting styles were differentially associated with BMI trajectories in these 6 groups. RESULTS: Parenting styles were classified into 4 groups: authoritarian, disengaged, permissive, and balanced. Compared with the balanced parenting style, authoritarian and disengaged parenting styles were associated with a less steep average BMI increase (linear slope) over time, but also less leveling off (quadratic) of BMI over time. Differences in BMI trajectories were observed for various genders and races, but the differences did not reach statistical significance. CONCLUSION: Adolescents who reported having parents with authoritarian or disengaged parenting styles had greater increases in BMI as they transitioned to young adulthood despite having a lower BMI trajectory through adolescence.}, Doi = {10.1037/a0027927}, Key = {fds276248} } @article{fds276180, Author = {Brummett, BH and Siegler, IC and Williams, RB and Dilworth-Anderson, P}, Title = {Associations of Social Support and 8-Year Follow-Up Depressive Symptoms: Differences in African American and White Caregivers.}, Journal = {Clinical Gerontologist}, Volume = {35}, Number = {4}, Pages = {289-302}, Year = {2012}, Month = {June}, ISSN = {0731-7115}, url = {http://www.ncbi.nlm.nih.gov/pubmed/23144529}, Abstract = {The present study used data from the Alzheimer's Study of Emotions in Caregivers (ASEC) to evaluate perceptions of social support assessed at baseline, as well as changes in social support assessed at a follow-up eight-years later, as predictors of symptoms of change in depression, with a focus on race as a potential moderator of these relationships. Specifically, multiple regression analyses adjusted for age, sex, income, education, race, living arrangement of care recipient at baseline, death of care recipient, the cultural justification for caregiving scale (CJCS), and baseline depressive symptoms were conducted to assess baseline social support ratings, as well as the change in social support over time as a predictor of depression at follow-up-with a focus on moderation by race. Baseline social support (F(1,77) = 7.60, p=.008) was associated with fewer depressive symptoms at follow-up for all participants. The change in social support over time was also related to depressive symptoms, with effects moderated by race (F(1,77) = 7.97, p = .007), such that when support decreased over time depressive symptoms at follow-up were higher for Whites, as compared with African Americans, whereas, when social support increased over time depressive symptoms tended to be similar for both groups. These findings indicate that research designed to plan interventions in caregivers must not ignore potential racial differences with regard to the effects of caregiving on mental health.}, Doi = {10.1080/07317115.2012.678569}, Key = {fds276180} } @article{fds276133, Author = {Poon, LW and Woodard, JL and Stephen Miller and L and Green, R and Gearing, M and Davey, A and Arnold, J and Martin, P and Siegler, IC and Nahapetyan, L and Kim, YS and Markesbery, W}, Title = {Understanding dementia prevalence among centenarians.}, Journal = {J Gerontol a Biol Sci Med Sci}, Volume = {67}, Number = {4}, Pages = {358-365}, Year = {2012}, Month = {April}, url = {http://www.ncbi.nlm.nih.gov/pubmed/22389466}, Abstract = {The goals of this article are to (a) establish the concurrent and clinical validity of the Global Deterioration scale in assessing cognitive functions and stages of dementia among centenarians, (b) identify the prevalence of all-cause dementia in representative samples of centenarians, and (c) demonstrate how variations in sample demographic characteristics could significantly affect estimates of dementia prevalence. A quarter of the 244 centenarians in a population-based sample had no objective evidence of memory deficits. Another quarter showed signs of transient confusion, and about half showed classical behavioral signs of dementia with about 15% in each of Global Deterioration scale stages 4-6 and about 5% in the most severe stage 7. Variations in age, gender, race, residence status, and education of the study sample as well as criteria used for dementia rating were found to affect prevalence.}, Doi = {10.1093/gerona/glr250}, Key = {fds276133} } @article{fds276134, Author = {Davey, A and Lele, U and Elias, MF and Dore, GA and Siegler, IC and Johnson, MA and Hausman, DB and Tenover, JL and Poon, LW and Georgia Centenarian Study}, Title = {Diabetes mellitus in centenarians.}, Journal = {Journal of the American Geriatrics Society}, Volume = {60}, Number = {3}, Pages = {468-473}, Year = {2012}, Month = {March}, url = {http://www.ncbi.nlm.nih.gov/pubmed/22283370}, Abstract = {OBJECTIVES: To describe the prevalence of diabetes mellitus (DM) in centenarians. DESIGN: Cross-sectional, population-based. SETTING: Forty-four counties in northern Georgia. PARTICIPANTS: Two hundred forty-four centenarians (aged 98-108, 15.8% male, 20.5% African American, 38.0% community dwelling) from the Georgia Centenarian Study (2001-2009). MEASUREMENTS: Nonfasting blood samples assessed glycosylated hemoglobin (HbA(1c)) and relevant clinical parameters. Demographic, diagnosis, and DM complication covariates were assessed. RESULTS: 12.5% of centenarians were known to have DM. DM was more prevalent in African Americans (27.7%) than whites (8.6%, P < .001). There were no differences between men (16.7%) and women (11.7%, P = .41) or between centenarians living in the community (10.2%) and in facilities (13.9%, P = .54). DM was more prevalent in overweight and obese (23.1%) than nonoverweight (7.1%, P = .002) centenarians. Anemia (78.6% vs 48.3%, P = .004) and hypertension (79.3% vs 58.6%, P = .04) were more prevalent in centenarians with DM than in those without, and centenarians with DM took more nonhypoglycemic medications (8.6 vs 7.0, P = .02). No centenarians with HbA(1c) of less than 6.5% had random serum glucose levels greater than 200 mg/dL. DM was not associated with 12-month all-cause mortality, visual impairment, amputations, cardiovascular disease, or neuropathy. Thirty-seven percent of centenarians reported onset before age 80 (survivors), 47% between age 80 and 97 (delayers), and 15% aged 98 and older (escapers). CONCLUSION: Diabetes mellitus is a risk factor for cardiovascular disease and mortality but is seen in persons who live into very old age. Aside from higher rates of anemia and use of more medications, few clinical correlates of DM were observed in centenarians.}, Doi = {10.1111/j.1532-5415.2011.03836.x}, Key = {fds276134} } @article{fds276220, Author = {Brummett, BH and Babyak, MB and Siegler, IC and Surwit, R and Georgiades, A and Boyle, SH and Williams, RB}, Title = {Systolic blood pressure and adiposity: examination by race and gender in a nationally representative sample of young adults.}, Journal = {Am J Hypertens}, Volume = {25}, Number = {2}, Pages = {140-144}, Year = {2012}, Month = {February}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21976277}, Abstract = {BACKGROUND: Adiposity, or more specifically, underlying body fat distribution, has been associated with systolic blood pressure (SBP), and it has been suggested that these associations vary between whites and blacks, as well as by gender. METHODS: Here, we use data from the National Longitudinal Study of Adolescent Health (Add Health), a US study of over 15,000 participants (median age 29.0 years), to characterize the associations between measures of body fat distribution-waist circumference (WC) and WC adjusted for body mass index (BMI) (WC(-bmi))-with SBP within white and black race and gender subgroups. RESULTS: Our findings suggest that, at lower levels of WC(-bmi), white women have significantly higher SBP as compared to black women, whereas black men have higher SBP than white men. Black women with WC(-bmi) >90 cm have higher SBP compared to white women with similar WC(-bmi), whereas among black and white men the associations are essentially similar across the full range of WC(-bmi). CONCLUSIONS: The present results suggest that associations among anthropometric measures of adiposity and blood pressure are nonlinear, and importantly, vary for whites and blacks by gender. In black women, SBP increased more as WC increased from low- to mid-range levels, whereas it was only at higher WC levels that black men exhibited higher SBP than white men.}, Doi = {10.1038/ajh.2011.177}, Key = {fds276220} } @article{fds276218, Author = {Brummett, BH and Kuhn, CM and Boyle, SH and Babyak, MA and Siegler, IC and Williams, RB}, Title = {Cortisol responses to emotional stress in men: association with a functional polymorphism in the 5HTR2C gene.}, Journal = {Biol Psychol}, Volume = {89}, Number = {1}, Pages = {94-98}, Year = {2012}, Month = {January}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21967853}, Abstract = {The serotonin 5HTR2C receptor has been shown to mediate HPA axis activation during stress. We hypothesized that a functional polymorphism (rs6318) of the 5HTR2C gene would be associated with HPA axis response to a laboratory stress protocol. The present sample consisted of 41 men (22 African Americans, 19 Caucasians). We found that at rest men with the more active rs6318 Ser23 C allele had similar cortisol values compared to those with the less active Cys23 G allele. During laboratory stress, however, men with the Ser23 C allele exhibited the predicted significantly higher cortisol levels (p<0.001), as well as larger increases in anger (p=0.08) and depressive mood (p=0.006) ratings, compared to the Cys23 G carriers. The increase in cortisol was significantly related to the increases in ratings of anger and depression assessed before and after the emotion induction, and these correlations became nonsignificant when rs6318 genotype was covaried. We conclude that genetic variation in 5HTR2C may be associated with HPA axis activation and stimulated by emotional stress, and also with both psychological and physiological endophenotypes that increase the risk of cardiovascular disease and type-2 diabetes.}, Doi = {10.1016/j.biopsycho.2011.09.013}, Key = {fds276218} } @article{fds276132, Author = {Hensley, B and Martin, P and Margrett, JA and MacDonald, M and Siegler, IC and Poon, LW and Jazwinski, SM and Green, RC and Gearing, M and Woodard, JL and Johnson, MA and Tenover, JS and Rodgers, WL and Hausman, DB and Rott, C and Davey, A and Arnold, J}, Title = {Life events and personality predicting loneliness among centenarians: findings from the Georgia Centenarian Study.}, Journal = {The Journal of Psychology}, Volume = {146}, Number = {1-2}, Pages = {173-188}, Year = {2012}, ISSN = {0022-3980}, url = {http://www.ncbi.nlm.nih.gov/pubmed/22303619}, Abstract = {Regarding the purpose of this study, the researchers analyzed the roles that both life events (life-time positive events and life-time negative events) and personality (Neuroticism, Extraversion, Trust, Competence, and Ideas) played in participants of the Georgia Centenarian Study. The researchers analyzed these variables to determine whether they predicted loneliness. Analyses indicated that life-time negative events significantly predicted loneliness. In essence, the higher was the number of life-time negative life events, the higher was the loneliness score. Moreover, Neuroticism, Competence, and Ideas were all significant predictors of loneliness. The higher was the level of Neuroticism and intellectual curiosity, the higher was the level of loneliness, whereas the lower was the level of Competence, the higher was the level of loneliness. In addition, both life-time positive and life-time negative life events were significant predictors of Neuroticism. The higher was the number of life-time positive events, the lower was the level of Neuroticism, and the higher was the number of life-time negative events, the greater was the level of Neuroticism. These results indicated that life-time negative events indirectly affect loneliness via Neuroticism. Last, our results indicated that the Competence facet mediated the relationship between lifetime negative life events and loneliness. Life-time negative life events significantly affected centenarians' perceived competence, and Competence in turn significantly affected the centenarians' loneliness. These results as a whole not only add to our understanding of the link between personality and loneliness, but also provide new insight into how life events predict loneliness.}, Doi = {10.1080/00223980.2011.613874}, Key = {fds276132} } @article{fds276136, Author = {Berntsen, D and Rubin, DC and Siegler, IC}, Title = {Two versions of life: emotionally negative and positive life events have different roles in the organization of life story and identity.}, Journal = {Emotion}, Volume = {11}, Number = {5}, Pages = {1190-1201}, Year = {2011}, Month = {October}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21875191}, Abstract = {Over 2,000 adults in their sixties completed the Centrality of Event Scale (CES) for the traumatic or negative event that now troubled them the most and for their most positive life event, as well as measures of current PTSD symptoms, depression, well-being, and personality. Consistent with the notion of a positivity bias in old age, the positive events were judged to be markedly more central to life story and identity than were the negative events. The centrality of positive events was unrelated to measures of PTSD symptoms and emotional distress, whereas the centrality of the negative event showed clear positive correlations with these measures. The centrality of the positive events increased with increasing time since the events, whereas the centrality of the negative events decreased. The life distribution of the positive events showed a marked peak in young adulthood whereas the life distribution for the negative events peaked at the participants' present age. The positive events were mostly events from the cultural life script-that is, culturally shared representations of the timing of major transitional events. Overall, our findings show that positive and negative autobiographical events relate markedly differently to life story and identity. Positive events become central to life story and identity primarily through their correspondence with cultural norms. Negative events become central through mechanisms associated with emotional distress.}, Doi = {10.1037/a0024940}, Key = {fds276136} } @article{fds276219, Author = {Brummett, BH and Babyak, MA and Siegler, IC and Shanahan, M and Harris, KM and Elder, GH and Williams, RB}, Title = {Systolic blood pressure, socioeconomic status, and biobehavioral risk factors in a nationally representative US young adult sample.}, Journal = {Hypertension}, Volume = {58}, Number = {2}, Pages = {161-166}, Year = {2011}, Month = {August}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21730296}, Abstract = {In the National Longitudinal Study of Adolescent Health, a US longitudinal study of >15 000 young adults, we examined the extent to which socioeconomic status is linked to systolic blood pressure (SBP) and whether biobehavioral risk factors mediate the association. More than 62% of the participants had SBP >120 mm Hg and 12% had SBP >140 mm Hg. More than 66% were classified as at least overweight (body mass index >25 kg/m(2)), with >36% meeting criteria for at least class I obesity (body mass index >30 kg/m(2)). Multivariate models showed that higher household income and being married were independently associated with lower SBP. Higher body mass index, greater waist circumference, smoking, and higher alcohol intake were each independently associated with higher SBP. Meditational analyses suggested that higher education level was associated with lower SBP by way of lower body mass, smaller waist circumference, and lower resting heart rate. When these indirect effects were accounted for, education was not significantly associated with SBP. In contrast, household income remained associated with SBP even with control for all of the covariates. Results reinforce current public health concerns about rates of obesity and high blood pressure among young adults and suggest that disparities in education level and household income may play an important role in the observed decrements in health. Identifying modifiable mechanisms that link socioeconomic status to SBP using data from a large representative sample may improve risk stratification and guide the development of effective interventions.}, Doi = {10.1161/HYPERTENSIONAHA.111.171272}, Key = {fds276219} } @article{fds276179, Author = {Barefoot, JC and Brummett, BH and Williams, RB and Siegler, IC and Helms, MJ and Boyle, SH and Clapp-Channing, NE and Mark, DB}, Title = {Recovery expectations and long-term prognosis of patients with coronary heart disease.}, Journal = {Arch Intern Med}, Volume = {171}, Number = {10}, Pages = {929-935}, Year = {2011}, Month = {May}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21357800}, Abstract = {BACKGROUND: Expectations of patients regarding their prospects for recovery have been shown to predict subsequent physical and social functioning. Evidence regarding the impact of expectations on clinical outcomes is limited. METHODS: At the inpatient service of a tertiary care hospital, we evaluated beliefs of patients undergoing coronary angiography about their prognosis as predictors of long-term survival and 1-year functional status. Baseline assessments, including a measure of expectations for recovery, were obtained during hospitalization with mortality follow-up for approximately 15 years. Patients with significant obstructive coronary artery disease were interviewed while in the hospital and enrolled in follow-up. Functional status was assessed at baseline and 1 year later with questionnaires reflecting physical capabilities. Analyses controlled for age, sex, disease severity, comorbidities, treatments, demographics, depressive symptoms, social support, and functional status. There were 1637 total deaths, 885 from cardiovascular causes, in the 2818 patients in these analyses. The outcomes were total mortality, cardiovascular mortality, and 1-year functional status. RESULTS: Expectations were positively associated with survival after controlling for background and clinical disease indicators. For a difference equivalent to an interquartile range of expectations, the hazard ratio (HR) for total mortality was 0.76 (95% confidence interval [CI], 0.71-0.82) and 0.76 (95% CI, 0.69-0.83) for cardiovascular mortality. The HRs were 0.83 (95% CI, 0.76-0.91) and 0.79 (95% CI, 0.70-0.89) with further adjustments for demographic and psychosocial covariates. Similar associations (P < .001) were observed for functional status. CONCLUSION: Recovery expectations at baseline were positively associated with long-term survival and functioning in patients with coronary artery disease.}, Doi = {10.1001/archinternmed.2011.41}, Key = {fds276179} } @article{fds276231, Author = {Brummett, BH and Siegler, IC and Ashley-Koch, A and Williams, RB}, Title = {Effects of 5HTTLPR on cardiovascular response to an emotional stressor.}, Journal = {Psychosom Med}, Volume = {73}, Number = {4}, Pages = {318-322}, Year = {2011}, Month = {May}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21364197}, Abstract = {OBJECTIVES: To replicate a prior main effect of the serotonin transporter gene promoter (5HTTLPR) genotype on cardiovascular reactivity (CVR) and explore caregiver stress as a potential moderator of 5HTTLPR effects on CVR. On the basis of prior findings, we hypothesized that the more transcriptionally active allele variants would be associated with increased CVR. METHODS: Expression of the serotonin transporter is affected by the genotype of the 5HTTLPR (S-short and L-long forms) as well as the genotype of the SNP rs25531 within this region. Based on the combined genotypes for these polymorphisms, we designated each allele as a Hi or Lo expressing allele according to expression levels-resulting in HiHi, HiLo, and LoLo groups. We examined the relationship between 5HTTLPR genotype and CVR in 164 caregivers and 158 noncaregivers. Main effects of 5HTTLPR on baseline adjusted blood pressure (systolic and diastolic blood pressures) and heart rate (HR) reactivity were examined, along with moderation by caregiving. RESULTS: The 5HTTLPR × Caregiver Stress interaction moderated both systolic blood pressure (p < .02) and HR (p < .02) reactivity. In controls, the Hi activity allelic variants were associated with greater systolic blood pressure and HR reactivity as compared with the Lo activity variants. In caregivers, 5HTTLPR genotype was not associated with CVR. CONCLUSIONS: Replication in this study's control group of our prior finding that 5HTTLPR alleles associated with Hi activity are associated with increased CVR to an emotion recall stressor strengthens the case that this association is real and could be partially responsible for the increased cardiovascular disease observed in persons carrying the 5HTTLPR L allele.}, Doi = {10.1097/PSY.0b013e3182118c16}, Key = {fds276231} } @article{fds276130, Author = {Margrett, JA and Daugherty, K and Martin, P and MacDonald, M and Davey, A and Woodard, JL and Miller, LS and Siegler, IC and Poon, LW}, Title = {Affect and loneliness among centenarians and the oldest old: the role of individual and social resources.}, Journal = {Aging Ment Health}, Volume = {15}, Number = {3}, Pages = {385-396}, Year = {2011}, Month = {April}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21491224}, Abstract = {OBJECTIVES: Affect and loneliness are important indicators of mental health and well-being in older adulthood and are linked to significant outcomes including physical health and mortality. Given a large focus on young-old adults within gerontological research, the primary aim of this study was to examine the ability of individual and social resources in predicting affect and loneliness within a sample of oldest-old individuals including centenarians, an understudied population. METHODS: Participants were assessed during the most recent cross-sectional data collection of the Georgia Centenarian Study. The eligible sample included 55 octogenarians (M = 83.70 years, SD = 2.68; range = 81-90) and 77 centenarians (M = 99.78 years, SD = 1.64; range = 98-109). Subjects scored 17 or greater on the Mini-Mental Status Exam and completed mental health assessments. RESULTS: Hierarchical regression analyses were conducted to examine the relation of affect and loneliness with demographic characteristics, physical and social functioning, cognition, and personality. Within this sample of cognitively intact oldest old, measures of executive control and cognitive functioning demonstrated limited association with mental health. Personality, specifically neuroticism, was strongly related to mental health indicators for both age groups and social relations were particularly important associates of centenarians' mental health. DISCUSSION: Findings indicate the distinctiveness of mental health indicators and the need to distinguish differential roles of individual and social resources in determining these outcomes among octogenarians and centenarians.}, Doi = {10.1080/13607863.2010.519327}, Key = {fds276130} } @article{fds276152, Author = {Jonassaint, CR and Siegler, IC and Barefoot, JC and Edwards, CL and Williams, RB}, Title = {Low life course socioeconomic status (SES) is associated with negative NEO PI-R personality patterns.}, Journal = {International Journal of Behavioral Medicine}, Volume = {18}, Number = {1}, Pages = {13-21}, Year = {2011}, Month = {March}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20012811}, Abstract = {BACKGROUND: Low socioeconomic status (SES) is associated with poor health. One potential pathway accounting for this relationship may be an association between low SES and personality characteristics that affect health. METHODS: Associations among parent's education, current SES (education and income), and personality were examined among 233 African Americans and Caucasian, male and female community volunteers. RESULTS: Using multivariate analysis of variance (MANOVA) to model neuroticism, extraversion, openness to experience, agreeableness, and conscientiousness simultaneously, participant's education, household income, and father's and mother's education each had significant main effects on personality. When examining the life course--the combination of both current and childhood SES--distinctive patterns emerged for each domain, depending upon whether mother's or father's education was used to index childhood SES. When using mother's education as a childhood SES index, a high life course SES (high participant's SES/high mother's education) was associated with high extraversion and openness. Using father's education as a childhood SES index, a low life course SES (low participant's SES/low father's education) was associated with disproportionately high neuroticism and low conscientiousness. These effects did not differ by race or sex. CONCLUSION: The implications of these findings for the role of personality in the SES-health relationship are discussed.}, Doi = {10.1007/s12529-009-9069-x}, Key = {fds276152} } @article{fds276178, Author = {Iqbal Kring and SI and Barefoot, J and Brummett, BH and Boyle, SH and Siegler, IC and Toubro, S and Hansen, T and Astrup, A and Pedersen, O and Williams, RB and Sørensen, TIA}, Title = {Associations between APOE variants and metabolic traits and the impact of psychological stress.}, Journal = {Plos One}, Volume = {6}, Number = {1}, Pages = {e15745}, Year = {2011}, Month = {January}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21283811}, Abstract = {OBJECTIVE: In a previous study, we observed that associations between APOE rs439401 and metabolic traits were moderated by chronic stress. Thus, in a population of stressed and non-stressed Danish men, we examined whether associations between APOE rs439401 and a panel of metabolic quantitative traits, all metabolic traits which may lead to T2D and CVD were moderated by psychological stress. METHODS: Obese young men (n = 475, BMI ≥ 31.0 kg/m(2)) and a randomly selected control group (n = 709) identified from a population of 141,800 men were re-examined in two surveys (S-46: mean age 46, S-49: mean age 49 years) where anthropometric and biochemical measures were available. Psychological stress factors were assessed by a self-administered 7-item questionnaire. Each item had the possible response categories "yes" and "no" and assessed familial problems and conflicts. Summing positive responses constituted a stress item score, which was then dichotomized into stressed and non-stressed. Logistic regression analysis, applying a recessive genetic model, was used to assess odds ratios (OR) of the associations between APOE rs439401 genotypes and adverse levels of metabolic traits. RESULTS: The APOE rs439401 TT-genotype associated positively with BMI (OR = 1.09 [1.01; 1.17]), waist circumference (OR = 1.09 [1.02; 1.17]) in stressed men at S-46. Positive associations were observed for fasting plasma glucose (OR = 1.42 [1.07; 1.87]), serum triglycerides (OR = 1.41 [1.05; 1.91]) and with fasting plasma insulin (OR = 1.48 [1.05; 2.08]) in stressed men at S-49. Rs439401 TT-genotype also associated positively with surrogate measures of insulin resistance (HOMA-IR; OR = 1.21 [1.03; 1.41]) and inversely with insulin sensitivity (Stumvoll index; OR = 0.90 [0.82; 0.99], BIGTT-S(I); OR = 0.60 [0.43; 0.85]) in stressed men. No significant associations were observed in non-stressed men, albeit the estimates showed similar but weaker trends as in stressed men. CONCLUSION: The present results suggest that the APOE rs439401 TT-genotype is associated with an adverse metabolic profile in a population of psychologically stressed Danish men.}, Doi = {10.1371/journal.pone.0015745}, Key = {fds276178} } @article{fds276129, Author = {Davey, A and Elias, MF and Siegler, IC and Lele, U and Martin, P and Johnson, MA and Hausman, DB and Poon, LW}, Title = {Cognitive function, physical performance, health, and disease: norms from the georgia centenarian study.}, Journal = {Experimental Aging Research}, Volume = {36}, Number = {4}, Pages = {394-425}, Year = {2010}, Month = {October}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20845120}, Abstract = {This study provides, for the first time, normative data on cognitive functioning and physical performance, health and health behaviors, and diseases from a population-based sample of 244 centenarians and near-centenarians (M age = 100.5 years, range 98-108, 84.8% women, 21.3% African American) from the Georgia Centenarian Study. Data are presented by the four key dimensions of gender, race, residence, and educational attainment. Results illustrate the profound range of functioning in this age group and indicate considerable differences as a function of each dimension. Bivariate models generally suggest that cognitive functioning and physical performance is higher for men than women; whites than African Americans; community than facility residents; and those with more than high school education than those with less than high school education. Multivariate models elaborate that differences in educational attainment generally account for the largest proportion of variance in cognitive functioning and residential status generally accounts for the largest proportion of variance in physical performance measures. Addition of health variables seldom increases variance accounted for in each domain beyond these four dimensions.}, Doi = {10.1080/0361073X.2010.509010}, Key = {fds276129} } @article{fds276177, Author = {Siegler, IC and Brummett, BH and Williams, RB and Haney, TL and Dilworth-Anderson, P}, Title = {Caregiving, residence, race, and depressive symptoms.}, Journal = {Aging Ment Health}, Volume = {14}, Number = {7}, Pages = {771-778}, Year = {2010}, Month = {September}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20635234}, Abstract = {The objective of this study is to evaluate the psychological responses to caregiving between black and white dementia caregivers measured by self-reports of depressive symptoms evaluating the impact of sub-components of the Center for Epidemiologic Studies Depression Scale (CES-D) and residential arrangements of the caregiving dyad. The method included 87 intergenerational family caregivers enrolled in the Duke Caregiver Study (50 white and 37 black). Total CES-D and the four sub-components were modeled as dependent measures in separate linear regressions. Three models were examined. The first model tested race, living arrangements, and their interaction. The second model adjusted for age, gender, education, income, health status, cultural justification for caregiving, crime concerns, systolic blood pressure, diastolic blood pressure, and glycosylated hemoglobin. A third model added adjustment for caregiver burden. The results showed that there was a significant race by residence interaction for CES-D, somatic symptoms and depressive affect such that when the dyads are living apart-with the care recipient in their own home or in an institutional setting-whites reported more depressive symptoms than blacks. When the dyads lived together, this was reversed, and blacks reported higher depressive symptoms than whites. To conclude, all the parameters such as race, living arrangements, and the components of depression need to be taken into account to understand the impact of caregiving on the emotional health of caregivers.}, Doi = {10.1080/13607861003713257}, Key = {fds276177} } @article{fds276230, Author = {Williams, RB and Surwit, RS and Siegler, IC and Ashley-Koch, AE and Collins, AL and Helms, MJ and Georgiades, A and Boyle, SH and Brummett, BH and Barefoot, JC and Grichnik, K and Stafford-Smith, M and Suarez, EC and Kuhn, CM}, Title = {Central nervous system serotonin and clustering of hostility, psychosocial, metabolic, and cardiovascular endophenotypes in men.}, Journal = {Psychosom Med}, Volume = {72}, Number = {7}, Pages = {601-607}, Year = {2010}, Month = {September}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20595415}, Abstract = {OBJECTIVE: To use measures of cerebrospinal fluid (CSF) 5-hydroxyindoleacetic acid (5HIAA) and genotype of a functional polymorphism of the monoamine oxidase A gene promoter (MAOA-uVNTR) to study the role of central nervous system (CNS) serotonin in clustering of hostility, other psychosocial, metabolic and cardiovascular endophenotypes. METHODS: In 86 healthy male volunteers, we evaluated CSF levels of the primary serotonin metabolite 5HIAA and MAOA-uVNTR genotype for association with a panel of 29 variables assessing hostility, other psychosocial, metabolic, and cardiovascular endophenotypes. RESULTS: The correlations of 5HIAA with these endophenotypes in men with more active MAOA-uVNTR alleles were significantly different from those of men with less active alleles for 15 of the 29 endophenotypes. MAOA-uVNTR genotype and CSF 5HIAA interacted to explain 20% and 22% of the variance, respectively, in scores on one factor wherein high scores reflected a less healthy psychosocial profile and a second factor wherein high score reflected increased insulin resistance, body mass index, blood pressure and hostility. In men with less active alleles, higher 5HIAA was associated with more favorable profiles of hostility, other psychosocial, metabolic and cardiovascular endophenotypes; in men with more active alleles, higher 5HIAA was associated with less favorable profiles. CONCLUSIONS: These findings indicate that, in men, indices of CNS serotonin function influence the expression and clustering of hostility, other psychosocial, metabolic and cardiovascular endophenotypes that have been shown to increase risk of developing cardiovascular disease. The findings are consistent with the hypothesis that increased CNS serotonin is associated with a more favorable psychosocial/metabolic/cardiovascular profile, whereas decreased CNS serotonin function is associated with a less favorable profile.}, Doi = {10.1097/PSY.0b013e3181eb9d67}, Key = {fds276230} } @article{fds276229, Author = {Kring, SII and Brummett, BH and Barefoot, J and Garrett, ME and Ashley-Koch, AE and Boyle, SH and Siegler, IC and Sørensen, TIA and Williams, RB}, Title = {Impact of psychological stress on the associations between apolipoprotein E variants and metabolic traits: findings in an American sample of caregivers and controls.}, Journal = {Psychosom Med}, Volume = {72}, Number = {5}, Pages = {427-433}, Year = {2010}, Month = {June}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20467002}, Abstract = {OBJECTIVE: To examine the association between apolipoprotein E (APOE) gene variants and waist circumference, fasting plasma glucose, serum insulin, serum high-density lipoprotein cholesterol, and serum triglycerides, all metabolic traits known as cardiovascular disease (CVD) endophenotypes, in a population of stressed individuals and controls. Abdominal obesity, insulin resistance, elevated serum lipid concentration, and APOE polymorphisms have been associated with CVD risk. Current evidence supports the hypothesis that gene-environment interactions modulate serum lipid concentrations. METHODS: The association between rs769450, rs405509, rs439401, and metabolic traits were analyzed in a U.S. sample of 126 white caregivers of a relative with Alzheimer';s disease or other major dementia and 122 white controls. The associations were analyzed, using multivariate analysis of variance adjusted for age, sex, and medications. RESULTS: Significant multivariate interactions were found, using both additive (p = .009) and dominant (p = .047) models between rs439401 (C/T) and caregiver stress in relation to a profile of metabolic variables. Univariate analyses found the TT genotype to be associated with more adverse levels of waist circumference (interaction, p = .026), triglycerides (interaction, p = .001) and high-density lipoprotein cholesterol (interaction, p = .001) among caregivers but with a more favorable profile of these endophenotypes among controls. There were no significant associations or interactions involving the other two single nucleotide polymorphisms. CONCLUSION: The APOE rs439401 TT genotype is associated with an adverse metabolic profile among chronically stressed individuals compared with individuals not similarly stressed in whom a more favorable profile is expressed. Confirmation of these results in further research would indicate that the TT genotype can be used to identify persons at high risk for CVD when subjected to chronic stress.}, Doi = {10.1097/PSY.0b013e3181de30ad}, Key = {fds276229} } @article{fds276207, Author = {Brummett, BH and Boyle, SH and Ortel, TL and Becker, RC and Siegler, IC and Williams, RB}, Title = {Associations of depressive symptoms, trait hostility, and gender with C-reactive protein and interleukin-6 response after emotion recall.}, Journal = {Psychosom Med}, Volume = {72}, Number = {4}, Pages = {333-339}, Year = {2010}, Month = {May}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20190126}, Abstract = {OBJECTIVE: To examine the effects of depressive symptoms and hostility on changes in C-reactive protein (CRP) and interleukin (IL)-6 in response to an acute laboratory stressor. Depressive symptoms moderate the effect of trait hostility on circulating levels of CRP and IL-6. METHODS: The study included 307 men and 218 women, affording the opportunity to examine moderation by gender. Regression analyses were performed to examine depressive symptoms, hostility ratings, gender, and their interactions as predictors of CRP and IL-6 response to an emotion recall task. Analyses were adjusted for age, race, body mass index, and prerecall task levels of either CRP or IL-6. RESULTS: The product term for Depressive Symptoms x Hostility x Gender was not significantly related to CRP nor IL-6 response. However, Depressive Symptoms x Hostility did interact to predict CRP response (p = .002); those with the combination of high symptoms of depression and hostility had the largest CRP response. The Depressive Symptoms x Gender interaction was also a predictor of both CRP (p = .001) and IL-6 (p = .04) response; for each inflammatory marker, depressive symptoms were significantly associated with higher CRP response in women, as compared with men. Hostility did not moderate depressive symptoms, nor gender for IL-6. CONCLUSIONS: Our findings extend prior research by suggesting that, broadly speaking, depression is related to inflammatory markers; however, this relationship seems complex. Depression seems to be related to inflammation more strongly among hostile individuals and more strongly among women than among men.}, Doi = {10.1097/PSY.0b013e3181d2f104}, Key = {fds276207} } @article{fds276176, Author = {Brummett, BH and Boyle, SH and Kuhn, CM and Siegler, IC and Williams, RB}, Title = {Socioeconomic status moderates associations between CNS serotonin and expression of beta2-integrins CD11b and CD11c.}, Journal = {J Psychiatr Res}, Volume = {44}, Number = {6}, Pages = {373-377}, Year = {2010}, Month = {April}, url = {http://www.ncbi.nlm.nih.gov/pubmed/19800635}, Abstract = {One of the first steps in the development of atherogenesis is adhesion of circulating monocytes to the vascular endothelium that is stimulated by beta(2)-integrins. Stress has been associated with enhanced expression of beta(2)-integrins on monocyte cell surface (Greeson et al., 2008). Central nervous system (CNS) serotonin regulates aspects of the stress response that can influence inflammatory processes that increase risk for atherosclerosis. This study examines effects of an environmental stressor (indexed by socioeconomic status (SES)) and CNS serotonin (indexed by CSF 5HIAA level), on the expression of beta(2)-integrins (CD11a, CD11b, and CD11c) on circulating monocytes in 131 volunteers. Participants completed a protocol consisting of a lumbar puncture for assessment of CSF 5HIAA levels (day 1) followed by an experimental protocol (day 2). Blood samples for the present analyses were obtained at baseline on day 2. The interaction of SES x 5HIAA was a significant predictor of levels of CD11b and CD11c expression (p=.02, and p=.05, respectively); the mean CD11b difference between Hi and Lo SES subjects was significant (p=.003) only in those with Lo levels of 5HIAA, while SES differences in CD11b among those with Mid and Hi levels of 5HIAA did not vary statistically. The pattern of findings was similar for CD11c. The present results suggest that the combination of high environmental stress and low CNS serotonin function could contribute to atherogenesis through processes that lead to increased expression of the beta(2)-integrins CD11b and CD11c on monocyte cell surfaces.}, Doi = {10.1016/j.jpsychires.2009.09.004}, Key = {fds276176} } @article{fds276127, Author = {Hooker, K and Hoppmann, C and Siegler, IC}, Title = {Personality: Life span compass for health}, Journal = {Annual Review of Gerontology and Geriatrics}, Volume = {30}, Number = {1}, Pages = {201-232}, Publisher = {Springer Publishing Company}, Year = {2010}, Month = {January}, ISSN = {0198-8794}, url = {http://dx.doi.org/10.1891/0198-8794.30.201}, Abstract = {Personality is crucial for understanding health in later life. Yet classic conceptions of personality with emphasis on stability may have limited the empirical attention it deserved in relation to health. This chapter highlights the six foci of a personality model that integrates structures and processes within a level-ofanalysis framework that affords increased opportunities for health interventions and changes. The first level of the six-foci model includes traits, the broad and universal descriptions of a person that are relatively stable across time, and states, the moment-to-moment changes a person experiences. The second level of the six-foci model is composed of personal action constructs that emphasize the goal directedness of behavior and the self-regulatory processes involved in working toward goals. The third level of the six-foci model includes the life story, and processes of self-narration, such as remembering, reminiscing, and storytelling necessary for creating life stories. Brief reviews of relevant health research and suggestions for future research are highlighted in the overview. A compass metaphor portrays the dynamics and overall direction that personality provides for developmental health trajectories and lives. Results from the UNC Alumni Heart Study, a long-term longitudinal study of traits and risk factors for disease and health outcomes, are reviewed. The emerging literature on personality and its relationship to Alzheimer's disease is also examined. The last section of the chapter is a review of micro-longitudinal, state-like "in situ" studies of personality and health with dense measurements over more limited temporal spans. The time-sampling studies require new methodological approaches that are providing intriguing new evidence of how personality in context creates health and increases our understanding of development in adulthood. © 2010 Springer Publishing Company.}, Doi = {10.1891/0198-8794.30.201}, Key = {fds276127} } @article{fds276126, Author = {Margrett, J and Martin, P and Woodard, JL and Miller, LS and MacDonald, M and Baenziger, J and Siegler, IC and Davey, A and Poon, L and Georgia Centenarian Study, and Jazwinski, SM and Green, RC and Gearing, M and Markesbery, WR and Johnson, MA and Tenover, JS and Rodgers, WL and Hausman, DB and Rott, C and Arnold, J}, Title = {Depression among centenarians and the oldest old: contributions of cognition and personality.}, Journal = {Gerontology}, Volume = {56}, Number = {1}, Pages = {93-99}, Year = {2010}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20110723}, Abstract = {BACKGROUND: An estimated 20% of adults over the age of 55 experience clinical mental disorders such as depression and anxiety. For older adults, mental health concerns are often undetected, concomitant with physical challenges, and ultimately go untreated. These realities have significant implications for older adults' day-to-day functioning, particularly among the oldest old. OBJECTIVE: The present study examined the ability of cognition and personality in explaining depression within a sample of octogenarians and centenarians. METHODS: Participants were assessed during the most recent cross-sectional data collection of the Georgia Centenarian Study. The final eligible sample included 76 octogenarians (mean: 84.25 years, SD: 2.82; range: 81-90) and 158 centenarians and near centenarians (mean: 99.82 years, SD: 1.72; range: 98-109). RESULTS: Hierarchical regression analyses were conducted to examine the relation between key variables and depressive symptoms in the two age groups. Blocks entered into the analyses included: demographics (i.e. age group, residential status, sex, and ethnicity) and functioning, memory and problem-solving ability, and personality (i.e. extraversion and neuroticism). Models differed for octogenarians and centenarians. Decreased problem-solving ability was related to greater depressive symptoms among octogenarians. For centenarians, institutional residence and increased neurotic tendencies were related to greater depressive symptoms. CONCLUSION: Study findings demonstrate the need to examine a variety of factors which influence mental health in later life and to consider the unique contexts and differential experiences of octogenarians and centenarians.}, Doi = {10.1159/000272018}, Key = {fds276126} } @article{fds276128, Author = {Arnold, J and Dai, J and Nahapetyan, L and Arte, A and Johnson, MA and Hausman, D and Rodgers, WL and Hensley, R and Martin, P and Macdonald, M and Davey, A and Siegler, IC and Jazwinski, SM and Poon, LW}, Title = {Predicting successful aging in a population-based sample of georgia centenarians.}, Journal = {Curr Gerontol Geriatr Res}, Volume = {2010}, Pages = {989315}, Year = {2010}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20885919}, Abstract = {Used a population-based sample (Georgia Centenarian Study, GCS), to determine proportions of centenarians reaching 100 years as (1) survivors (43%) of chronic diseases first experienced between 0-80 years of age, (2) delayers (36%) with chronic diseases first experienced between 80-98 years of age, or (3) escapers (17%) with chronic diseases only at 98 years of age or older. Diseases fall into two morbidity profiles of 11 chronic diseases; one including cardiovascular disease, cancer, anemia, and osteoporosis, and another including dementia. Centenarians at risk for cancer in their lifetime tended to be escapers (73%), while those at risk for cardiovascular disease tended to be survivors (24%), delayers (39%), or escapers (32%). Approximately half (43%) of the centenarians did not experience dementia. Psychiatric disorders were positively associated with dementia, but prevalence of depression, anxiety, and psychoses did not differ significantly between centenarians and an octogenarian control group. However, centenarians were higher on the Geriatric Depression Scale (GDS) than octogenarians. Consistent with our model of developmental adaptation in aging, distal life events contribute to predicting survivorship outcome in which health status as survivor, delayer, or escaper appears as adaptation variables late in life.}, Doi = {10.1155/2010/989315}, Key = {fds276128} } @article{fds276153, Author = {Jonassaint, CR and Boyle, SH and Kuhn, CM and Siegler, IC and Copeland, WE and Williams, R}, Title = {Personality and inflammation: the protective effect of openness to experience.}, Journal = {Ethnicity & Disease}, Volume = {20}, Number = {1}, Pages = {11-14}, Year = {2010}, ISSN = {1049-510X}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20178176}, Abstract = {BACKGROUND: Prior research found reduced mortality in coronary heart patients with higher scores on the Openness to Experience domain and its facets. Decreased C-reactive protein level (CRP) levels may be one mechanism by which higher Openness to Experience leads to decreased mortality. Thus, the current study aimed to test the association between the Openness to Experience domain and its facets, as assessed by the NEO Personality Inventory-Revised, and CRP in a sample of 165 healthy Black and White, male and female community volunteers. METHODS: Blood samples were taken before and after a 40-minute mental stress protocol. BMI and education were significant predictors of CRP and, in addition to age, were included as covariates in all analyses. Race and sex were tested as possible moderating variables. RESULTS: In a mixed effects model the main effect of time (pre/post-stress), Openness to Experience (O) and their interaction were not significant predictors of CRP. However, results showed a significant race x O effect on CRP (P=.03). In Blacks, higher Openness to Experience domain (r=-.41, P<.01), aesthetics facet (r=-.30, P=.01), feelings facet (r= -.41, P<.01), and ideas facet (r=-.38, P<.01) scores were associated with lower mean CRP levels. In contrast, among White participants, neither the Openness to Experience domain nor its related facets were associated with CRP. DISCUSSION: The Openness to Experience domain and its facets may be associated with markers of the inflammatory process among Blacks but not Whites.}, Key = {fds276153} } @article{fds276125, Author = {Martin, P and Baenziger, J and Macdonald, M and Siegler, IC and Poon, LW}, Title = {Engaged Lifestyle, Personality, and Mental Status Among Centenarians.}, Journal = {Journal of Adult Development}, Volume = {16}, Number = {4}, Pages = {199-208}, Year = {2009}, Month = {December}, ISSN = {1068-0667}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21132076}, Abstract = {This study assessed engaged lifestyle activities (e.g., volunteering, traveling, and public speaking) for centenarians of the Georgia Centenarian Study. A total of 285 centenarians and near-centenarians (i.e., 98 years and older) and their proxy informants participated in this study. The Mini-Mental Status Examination (MMSE) was assessed for all centenarians, and proxy informants reported on lifestyle activities and personality traits of the centenarians. Results suggested that participants who had volunteered, traveled, and those who had given public talks and balanced their checkbooks were more likely to show relatively high mental status scores (i.e., MMSE > 17). Personality traits were found to be moderators in the relationship between engaged lifestyle and mental status: Participants with high levels of Emotional Stability, Extraversion, Openness, and Conscientiousness and with high levels of engaged lifestyle were more likely to show relatively high mental status scores (i.e., MMSE > 17), whereas participants with low levels of Emotional Stability, Extraversion, Openness, Agreeableness, and Conscientiousness and with low levels of engaged lifestyle were more likely to show relatively low mental status scores (i.e., MMSE < 18). The results suggest that engaged lifestyle, particularly in combination with personality traits, plays an important role in the level of cognitive functioning among oldest old adults.}, Doi = {10.1007/s10804-009-9066-y}, Key = {fds276125} } @article{fds276174, Author = {Georgiades, A and Lane, JD and Boyle, SH and Brummett, BH and Barefoot, JC and Kuhn, CM and Feinglos, MN and Williams, RB and Merwin, R and Minda, S and Siegler, IC and Suarez, EC and Surwit, RS}, Title = {Hostility and fasting glucose in African American women.}, Journal = {Psychosom Med}, Volume = {71}, Number = {6}, Pages = {642-645}, Year = {2009}, Month = {July}, url = {http://www.ncbi.nlm.nih.gov/pubmed/19553288}, Abstract = {OBJECTIVE: To examine whether the relationship of hostility (HOST) to fasting glucose indices is moderated by sex and race. HOST has been associated with abnormalities in glucose metabolism. Prior studies suggested that this association may be more prevalent in women and in African American (AA) individuals. METHODS: A total of 565 healthy AA and white (W) men and women (mean age = 33 +/- 6 years) were assessed. HOST was measured by the 27-item version of the Cook Medley HOST Scale. The moderating effects of sex and race were evaluated for the associations of HOST to fasting glucose, insulin, and insulin sensitivity (HOMA-IR). RESULTS: Analysis showed a moderating effect of sex and race on the association of HOST to fasting glucose (p = .03), but not for insulin (p = .12). Analysis of HOMA-IR revealed a trend (p = .06) for the interaction. Stratified analyses by race and sex revealed a positive association between HOST and fasting glucose only in AA women, which remained significant after controlling for age and body mass index. CONCLUSION: A relationship between HOST and fasting glucose was evident in AA women only, a group that has twice the risk of developing Type 2 diabetes compared with W women. Further studies are needed to elucidate the mechanisms by which HOST may affect glucose metabolism in AA women.}, Doi = {10.1097/PSY.0b013e3181acee3a}, Key = {fds276174} } @article{fds276175, Author = {Brummett, BH and Boyle, SH and Kuhn, CM and Siegler, IC and Williams, RB}, Title = {Positive affect is associated with cardiovascular reactivity, norepinephrine level, and morning rise in salivary cortisol.}, Journal = {Psychophysiology}, Volume = {46}, Number = {4}, Pages = {862-869}, Year = {2009}, Month = {July}, ISSN = {0048-5772}, url = {http://www.ncbi.nlm.nih.gov/pubmed/19470128}, Abstract = {Positive affect was examined as a predictor of (1) cardiovascular reactivity during a sadness and an anger recall task and recovery following the protocol, (2) epinephrine (EPI) and norepinephrine (NOREPI) reactivity and level during the recall protocol, and (3) the diurnal pattern of salivary cortisol. Sample was 328 individuals. Negative affect, age, race, sex, smoking status, income, and BMI were adjusted. During sadness recall, positive affect was inversely related to systolic blood pressure (p=.007) and diastolic blood pressure (p=.049) reactivity, and unrelated to heart rate (p=.226). Positive affect was unrelated to reactivity during anger recall (ps>.19), and was unrelated to recovery at the end of the recall protocol. Positive affect was inversely related to the mean level of NOREPI (p=.046), and unrelated to EPI (p=.149). Positive affect was inversely related to the increase in cortisol 30 min post awakening (p=.042), and unrelated to the evening decline in cortisol levels (p=.174). Positive emotions may be relevant to good health.}, Doi = {10.1111/j.1469-8986.2009.00829.x}, Key = {fds276175} } @article{fds276227, Author = {Brummett, BH and Boyle, SH and Siegler, IC and Kuhn, CM and Surwit, RS and Garrett, ME and Collins, A and Ashley-Koch, A and Williams, RB}, Title = {HPA axis function in male caregivers: effect of the monoamine oxidase-A gene promoter (MAOA-uVNTR).}, Journal = {Biol Psychol}, Volume = {79}, Number = {2}, Pages = {250-255}, Year = {2008}, Month = {October}, url = {http://www.ncbi.nlm.nih.gov/pubmed/18639608}, Abstract = {Caregiving stress is associated with negative health outcomes. Neuroendocrine functioning may be a mediator of such outcomes. The MAOA gene regulates activity of neurotransmitters involved with neuroendocrine responses to stress. Differences in polymorphisms of this gene have been shown to influence susceptibility to stress. Therefore, we examined allelic variation in MAOA-uVNTR, a functional polymorphism of MAOA, as a moderator of chronic stress effects on urinary cortisol excretion in 74 males enrolled in a case/control study of caregivers for relatives with dementia. Mixed models analysis of variance were used to examine MAOA-uVNTR genotype (3 repeats vs. 3.5/4 repeats) as a moderator of the impact of stress (caregiver vs. non-caregiver) on the urinary excretion pattern (overnight, daytime, evening) of cortisol. Caregivers with MAOA-uVNTR alleles associated with less transcriptional activity (3-repeats) displayed a pattern of cortisol excretion -- a decrease from overnight to daytime -- that was suggestive of HPA axis blunting, as compared to non-caregivers and those caregivers with the more active alleles (3.5/4 repeats) (cortisol p<.043). Individuals with less active MAOA-uVNTR alleles who are under chronic stress may be at increased risk for exhaustion of the HPA response to such stress.}, Doi = {10.1016/j.biopsycho.2008.06.004}, Key = {fds276227} } @article{fds276228, Author = {Brummett, BH and Muller, CL and Collins, AL and Boyle, SH and Kuhn, CM and Siegler, IC and Williams, RB and Ashley-Koch, A}, Title = {5-HTTLPR and gender moderate changes in negative affect responses to tryptophan infusion.}, Journal = {Behav Genet}, Volume = {38}, Number = {5}, Pages = {476-483}, Year = {2008}, Month = {September}, url = {http://www.ncbi.nlm.nih.gov/pubmed/18661222}, Abstract = {Expression of the serotonin transporter is affected by the genotype of the 5-HTTLPR (short and long forms) as well as the genotype of the SNP rs25531 within this region. Based on the combined genotypes for these polymorphisms, we designated each allele as a high or low expressing allele according to established expression levels-resulting in HiHi, HiLo, & LoLo genotype groups for analysis. We evaluated effects of gender and the promoter genotype on induction of negative affect by intravenous infusion of L: -tryptophan (TRP). The protocol consisted of a day-1 sham saline infusion and a day-2 active TRP infusion. Models assessed 5-HTTLPR composite genotype and gender as predictors of change in ratings of negative emotion during TRP infusion. During sham infusion there were no significant changes from baseline in mood ratings. During TRP infusion all negative affect ratings increased significantly from baseline (P's < .02). The genotype x gender interaction was a significant predictor of depression-dejection (P = .013), and trended towards predicting anger-hostility (P = .084). Males in the HiHi group had greater increases in negative affect during infusion, compared to all groups except LoLo females, who also showed increased negative affect.}, Doi = {10.1007/s10519-008-9219-y}, Key = {fds276228} } @article{fds276172, Author = {Brummett, BH and Boyle, SH and Kuhn, CM and Siegler, IC and Williams, RB}, Title = {Associations among central nervous system serotonergic function and neuroticism are moderated by gender.}, Journal = {Biological Psychology}, Volume = {78}, Number = {2}, Pages = {200-203}, Year = {2008}, Month = {May}, ISSN = {0301-0511}, url = {http://www.ncbi.nlm.nih.gov/pubmed/18417268}, Abstract = {Serotonergic dysregulation is associated with negative affect. Plasma prolactin responses to a tryptophan enhancement challenge are used as a measure of central nervous system serotonergic activity. We examined prolactin responses to a tryptophan challenge as they relate to the personality domains of neuroticism, extraversion, openness, agreeableness, and conscientiousness. Participants were 67 volunteers. Regression models assessed peak prolactin response to intravenous tryptophan infusion as a predictor of neuroticism, extraversion, openness, agreeableness, and conscientiousness. Prolactinxgender product terms were included to examine moderation by gender. Models were adjusted for baseline levels of prolactin, age, and race. Gender moderated the association between N and prolactin level (p<.03). Higher levels of N were associated with decreased levels of prolactin responses in females, whereas the opposite was true for males. Remaining personality domains were not related to prolactin levels. Findings add to literature suggesting the serotonin system functions differently, in important ways, in males and females.}, Doi = {10.1016/j.biopsycho.2008.03.002}, Key = {fds276172} } @article{fds276226, Author = {Brummett, BH and Boyle, SH and Siegler, IC and Zuchner, S and Ashley-Koch, A and Williams, RB}, Title = {Lipid levels are associated with a regulatory polymorphism of the monoamine oxidase-A gene promoter (MAOA-uVNTR).}, Journal = {Medical Science Monitor : International Medical Journal of Experimental and Clinical Research}, Volume = {14}, Number = {2}, Pages = {CR57-CR61}, Year = {2008}, Month = {February}, ISSN = {1234-1010}, url = {http://www.ncbi.nlm.nih.gov/pubmed/18227761}, Abstract = {BACKGROUND: The monoamine oxidase-A (MAOA) gene plays a vital role in the metabolism of neurotransmitters, e.g, serotonin, norepinephrine, and dopamine. A polymorphism in the promoter region (MAOA-uVNTR) affects transcriptional efficiency. Allelic variation in MAOA-uVNTR has been associated with body mass index (BMI). We extended previous work by examining relations among this polymorphism and serum lipid levels. MATERIAL/METHODS: The sample consisted of 74 males enrolled in a study of caregivers for relatives with dementia. Regression models, adjusted for age, race, group status (caregiver/control), and cholesterol lowering medication (yes/no), were used to examine associations between high verses low MAOA-uVNTR activity alleles and total cholesterol, HDL, LDL, VLDL, LDL/HDL ratio, triglycerides, and BMI. RESULTS: Higher total cholesterol (p<0.03), LDL/HDL ratio (p<0.01), triglycerides (p<0.02), and VLDL (p<0.02) were associated with low activity MAOA-uVNTR alleles. HDL and LDL were modestly related to MAOA-uVNTR activity, however, they did not reach the conventional significance level (p<0.07 and p<0.10, respectively). BMI (p<0.74) was unrelated to MAOA-uVNTR transcription. CONCLUSIONS: The present findings suggest that MAOA-uVNTR may influence lipid levels and individuals with less active alleles are at increased health risk.}, Key = {fds276226} } @article{fds276224, Author = {Williams, RB and Marchuk, DA and Siegler, IC and Barefoot, JC and Helms, MJ and Brummett, BH and Surwit, RS and Lane, JD and Kuhn, CM and Gadde, KM and Ashley-Koch, A and Svenson, IK and Suarez, EC and Schanberg, SM}, Title = {Childhood socioeconomic status and serotonin transporter gene polymorphism enhance cardiovascular reactivity to mental stress.}, Journal = {Psychosom Med}, Volume = {70}, Number = {1}, Pages = {32-39}, Year = {2008}, Month = {January}, url = {http://www.ncbi.nlm.nih.gov/pubmed/18158371}, Abstract = {OBJECTIVE: To test the hypothesis that low socioeconomic status (SES) and the 5HTTLPR L allele are associated with increased cardiovascular reactivity (CVR) to stress in a larger sample and that SES and 5HTTLPR genotypes interact to enhance CVR to stress. CVR to mental stress has been proposed as one mechanism linking stress to the pathogenesis of cardiovascular disease. The more transcriptionally efficient long (L) allele of a polymorphism of the serotonin transporter gene promoter (5HTTLPR) has been found associated with increased risk of myocardial infarction. We found the long allele associated with larger CVR to mental stress in a preliminary study of 54 normal volunteers. METHODS: Subjects included 165 normal community volunteers stratified for race, gender, and SES, who underwent mental stress testing. RESULTS: Childhood SES as indexed by Father's Education Level was associated with larger systolic blood pressure (SBP) (p < .05) and diastolic blood pressure (DBP) (p = .01) responses to mental stress. The L allele was associated with larger SBP (p = .04), DBP (p < .0001), and heart rate (p = .04) responses to mental stress compared with the short (S) allele. Subjects with the SS genotype and high Father's Education exhibited smaller SBP (5.2 mm Hg) and DBP (2.9 mm Hg) responses than subjects with LL genotype and low Father's Education (SBP = 13.3 mm Hg, p = .002; DBP = 9.7 mm Hg, p < .0001). CONCLUSIONS: Both the 5HTTLPR long allele and low SES, particularly during childhood, are associated with increased CVR to mental stress, which could account, at least in part, for the increased cardiovascular disease risk associated with these characteristics. If confirmed in further research, these characteristics could be used to identify persons who might benefit from preventive interventions.}, Doi = {10.1097/PSY.0b013e31815f66c3}, Key = {fds276224} } @article{fds276225, Author = {Brummett, BH and Boyle, SH and Siegler, IC and Kuhn, CM and Ashley-Koch, A and Jonassaint, CR and Züchner, S and Collins, A and Williams, RB}, Title = {Effects of environmental stress and gender on associations among symptoms of depression and the serotonin transporter gene linked polymorphic region (5-HTTLPR).}, Journal = {Behavior Genetics}, Volume = {38}, Number = {1}, Pages = {34-43}, Year = {2008}, Month = {January}, ISSN = {0001-8244}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17955359}, Abstract = {The short (s) variant of the serotonin transporter (5-HTT) gene linked functional polymorphic region (5-HTTLPR) is associated with depression. Stressful life events, gender, and race have been shown to moderate this association. We examined the relationship between 5-HTTLPR genotype and symptoms of depression in two samples. Study 1 = 288 participants from a study of caregiver stress; and Study 2 = 142 participants from a study examining psychosocial stressors, genetics, and health. Main effects of 5-HTTLPR on symptoms of depression were examined, along with moderation by stress (caregiving status or low childhood socioeconomic status (SES), gender, and race. The 5-HTTLPR x stress group x gender interaction was significant in both samples (P < 0.003, and P < 0.008, respectively). For females, the s allele, combined with caregiving stress (Study 1) or low childhood SES (Study 2), was associated with higher depression scores as compared to participants in the non-stressor group and those with the long (l) allele; whereas, in males, the l allele, combined with a stressor, was associated with higher depression scores as compared to those in the non-stressor group and those with the s allele. Findings from two independent samples suggest that the association of 5-HTTLPR with depression varies according to gender and stressful life events.}, Doi = {10.1007/s10519-007-9172-1}, Key = {fds276225} } @article{fds276171, Author = {Brummett, BH and Siegler, IC and Day, RS and Costa, PT}, Title = {Personality as a predictor of dietary quality in spouses during midlife.}, Journal = {Behavioral Medicine (Washington, D.C.)}, Volume = {34}, Number = {1}, Pages = {5-10}, Year = {2008}, ISSN = {0896-4289}, url = {http://www.ncbi.nlm.nih.gov/pubmed/18400684}, Abstract = {The authors evaluated the NEO Personality Inventory-Revised (NEO-PI-R) as a predictor of dietary quality in 850 married couples, focusing on associations among each participant's personality as a predictor of their own dietary quality and their spouses' dietary quality. Diet was based on a modified version of the US Department of Agriculture Healthy Eating Index. Openness was associated with self-ratings of dietary quality for wives (r = .28) and husbands (r = .27). Wives' levels of the characteristic openness were also related to their spouses' ratings of dietary quality (r = .22). The primary facets of openness accounting for the domain-level findings were O2-aesthetics and O4-actions. The remaining personality domains (neuroticism, extraversion, agreeableness, and conscientiousness) were not associated with self or spousal ratings of dietary quality (rs = .08-.09). Openness was associated with healthy eating habits--findings that may affect disease prevention during, midlife.}, Doi = {10.3200/BMED.34.1.5-10}, Key = {fds276171} } @article{fds276205, Author = {Richman, LS and Bennett, GG and Pek, J and Siegler, I and Williams, RB}, Title = {Discrimination, dispositions, and cardiovascular responses to stress.}, Journal = {Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association}, Volume = {26}, Number = {6}, Pages = {675-683}, Year = {2007}, Month = {November}, ISSN = {0278-6133}, url = {http://www.ncbi.nlm.nih.gov/pubmed/18020838}, Abstract = {OBJECTIVE: Recent research suggests that past exposure to discrimination may influence perceptions of, and physiological responses to, new challenges. The authors examined how race and trait levels of hostility and optimism interact with past exposure to discrimination to predict physiological reactivity and recovery during an anger recall task. DESIGN: A community sample of 165 normotensive Black and White adults participated in an anger recall task while having their cardiovascular function monitored. MAIN OUTCOME MEASURES: Blood pressure and heart rate indicators of physiological reactivity and recovery. RESULTS AND CONCLUSION: Participants had higher reactivity and slower recovery to the anger recall task when they had high past discrimination, low cynicism, or high optimism. The pattern of effects was similar for both racial groups, but Blacks had more acute reactivity and slower recovery than Whites. These results are consistent with the perspective of discrimination as a chronic stressor that is related to acute stress responses, particularly for Blacks.}, Doi = {10.1037/0278-6133.26.6.675}, Key = {fds276205} } @article{fds276222, Author = {Brummett, BH and Krystal, AD and Siegler, IC and Kuhn, C and Surwit, RS and Züchner, S and Ashley-Koch, A and Barefoot, JC and Williams, RB}, Title = {Associations of a regulatory polymorphism of monoamine oxidase-A gene promoter (MAOA-uVNTR) with symptoms of depression and sleep quality.}, Journal = {Psychosom Med}, Volume = {69}, Number = {5}, Pages = {396-401}, Year = {2007}, Month = {June}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17585061}, Abstract = {OBJECTIVE: To examine the relationships among the variable number of tandem repeats in the monoamine oxidase-A linked polymorphic region allelic variation (MAOA-uVNTR) and the symptoms of depression and sleep quality. The monoamine oxidase-A (MAOA) gene, which plays a vital role in degradation of neurotransmitters such as serotonin, norepinephrine, and dopamine, contains a polymorphism in its promoter region (MAOA-uVNTR) that affects transcriptional efficiency. MAOA-uVNTR genotype has been associated with both psychological and physical measures. METHODS: The sample consisted of 74 males enrolled in a case/control study of caregivers for relatives with dementia. Age- and race-adjusted linear regression models were used to examine the association between low versus high MAOA-uVNTR activity alleles, symptoms of depression (Center for Epidemiological Studies of Depression), and sleep quality ratings (Pittsburgh Sleep Quality Index). RESULTS: MAOA-uVNTR alleles associated with less transcriptional activity were related to increased symptoms of depression (p < .04; Cohen's d = 0.52) and poorer sleep quality (p < .04; Cohen's d = 0.31). CONCLUSIONS: Individuals with less active MAOA-uVNTR alleles may be at increased risk for depressive symptoms and poor sleep.}, Doi = {10.1097/PSY.0b013e31806d040b}, Key = {fds276222} } @article{fds276141, Author = {Jonassaint, CR and Boyle, SH and Williams, RB and Mark, DB and Siegler, IC and Barefoot, JC}, Title = {Facets of openness predict mortality in patients with cardiac disease.}, Journal = {Psychosom Med}, Volume = {69}, Number = {4}, Pages = {319-322}, Year = {2007}, Month = {May}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17510289}, Abstract = {OBJECTIVE: To examine the NEO Personality Inventory (NEO PI) Openness to Experience (O) domain and its facets as predictors of cardiac deaths and all-cause mortality. METHODS: The NEO PI was administered to a sample of 977 coronary catheterization patients with significant coronary artery disease. Over an average 15-year follow-up period, 266 cardiac deaths and 463 total deaths occurred. The relationships of O scores to mortality were examined with Cox proportional hazard models. Each model included age, left ventricular ejection fraction, severity of congestive heart failure, and number of diseased vessels as covariates. RESULTS: The O domain score was not associated with all-cause mortality and only approached significance for decreased cardiac deaths (p = .055). However, a higher score for Openness to Feelings was associated with a decreased risk of cardiac death (p < .01) and all-cause mortality (p < .01). High Openness to Actions was also associated with decreased cardiac mortality (p < .01) and all-cause mortality (p = .03) risk. Higher Openness to Aesthetics and Ideas were only associated with decreased cardiac death risk (both p values <.04). In contrast, Openness to Fantasy and Values were not associated with longevity. Previous evidence suggested that educational achievement may account for the effects of Openness to Experience on mortality; however, controlling for educational achievement did not change the results. CONCLUSION: These findings suggest that greater emotional awareness and high curiosity, as indicated by the NEO PI Feelings and Actions facets, are associated with increased patient longevity independently of other risk factors and educational achievement.}, Doi = {10.1097/PSY.0b013e318052e27d}, Key = {fds276141} } @article{fds276223, Author = {Brummett, BH and Krystal, AD and Ashley-Koch, A and Kuhn, CM and Züchner, S and Siegler, IC and Barefoot, JC and Ballard, EL and Gwyther, LP and Williams, RB}, Title = {Sleep quality varies as a function of 5-HTTLPR genotype and stress.}, Journal = {Psychosom Med}, Volume = {69}, Number = {7}, Pages = {621-624}, Year = {2007}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17766685}, Abstract = {OBJECTIVE: To test the hypothesis that allelic variation in 5HTT gene-linked polymorphic region (5-HTTLPR) genotype was associated with sleep quality (Pittsburgh Sleep Quality Index, PSQI) as a main effect and as moderated by the chronic stress of caregiving. Serotonin (5HT) is involved in sleep regulation and the 5HT transporter (5HTT) regulates 5HT function. A common 44-base pair deletion (s allele) polymorphism in the 5-HTTLPR is associated with reduced 5HTT transcription efficiency and 5HT uptake in vitro. METHODS: Subjects were 142 adult primary caregivers for a spouse or parent with dementia and 146 noncaregiver controls. Subjects underwent genotyping and completed the PSQI. RESULTS: Variation in 5-HTTLPR genotype was not related to sleep quality as a main effect (p > .36). However, there was a caregiver X 5-HTTLPR interaction (p < .009), such that the s allele was associated with poorer sleep quality in caregivers as compared with controls. CONCLUSIONS: Findings suggest that the s allele may moderate sleep disturbance in response to chronic stress.}, Doi = {10.1097/PSY.0b013e31814b8de6}, Key = {fds276223} } @article{fds276123, Author = {Johnson, MA and Davey, A and Hausman, DB and Park, S and Poon, LW and Jazwinski, SM and Green, RC and Gearing, M and Markesbery, WR and Woodard, JL and Tenover, JS and Siegler, IC and Martin, P and MacDonald, M and Rott, C and Rodgers, WL and Arnold, J}, Title = {Dietary differences between centenarians residing in communities and in skilled nursing facilities: The Georgia centenarian study}, Journal = {Age (Dordrecht, Netherlands)}, Volume = {28}, Number = {4}, Pages = {333-341}, Publisher = {Springer Nature}, Year = {2006}, Month = {December}, ISSN = {0161-9152}, url = {http://dx.doi.org/10.1007/s11357-006-9021-9}, Abstract = {The purpose of this study was to examine the dietary habits among centenarians residing in community settings (n=105) and in skilled nursing facilities (n=139). The sample was a population-based multi-ethnic sample of adults aged 98 years and older (N=244) from northern Georgia in the US. Compared to centenarians in skilled nursing facilities, those residing in the community were more than twice as likely to be able to eat without help and to receive most of their nourishment from typical foods, but they had a lower frequency of intake of all of the food groups examined, including dairy, meat, poultry and fish, eggs, green vegetables, orange/yellow vegetables, citrus fruit or juice, non-citrus fruit or juice, and oral liquid supplements. A food summary score was created (the sum of the meeting recommendations for five food groups). In multiple regression analyses, the food summary scores were positively associated with residing in a nursing facility and negatively associated with eating without help and receiving most nourishment from typical foods. These data suggest that centenarians residing in communities may have limited access to foods that are known to provide nutrients essential to health and well-being. Also, centenarians who are able to eat without help and/or who eat mainly typical foods may have inadequate intakes of recommended food groups. Given the essential role of foods and nutrition to health and well-being throughout life, these findings require further exploration through the detailed dietary analyses of centenarians living in various settings. © 2006 American Aging Association.}, Doi = {10.1007/s11357-006-9021-9}, Key = {fds276123} } @article{fds276124, Author = {Martin, P and da Rosa, G and Siegler, IC and Davey, A and Macdonald, M and Poon, LW and Georgia Centenarian Study}, Title = {Personality and longevity: findings from the Georgia Centenarian Study.}, Journal = {Age (Dordrecht, Netherlands)}, Volume = {28}, Number = {4}, Pages = {343-352}, Year = {2006}, Month = {December}, ISSN = {0161-9152}, url = {http://www.ncbi.nlm.nih.gov/pubmed/22253500}, Abstract = {Centenarians are thought of as unique and exceptional survivors. This study evaluated specific personality traits and configurations of traits among participants of the Georgia Centenarian Study. Two hundred and eighty five centenarians and their nominated proxies participated in this study. Self ratings and proxy informant ratings were obtained for different traits and facets of the Big-5 personality typology. Results suggested that centenarians overall had low levels of Neuroticism, but high levels of Extraversion, Competence, and Trust. When compared to centenarian self ratings, proxies provided significantly higher ratings for Neuroticism, Hostility, and Vulnerability, but lower ratings for Competence and Trust. Among Centenarians, the personality configuration of low Neuroticism, high Competence, and high Extraversion traits is over-represented relative to chance. The results confirm that centenarians show several unique single traits, but that a special combination of traits (i.e., low levels of Neuroticism, high Competence, and high Extraversion) are also notable in this group of exceptional survivors.}, Doi = {10.1007/s11357-006-9022-8}, Key = {fds276124} } @article{fds276170, Author = {Brummett, BH and Helms, MJ and Dahlstrom, WG and Siegler, IC}, Title = {Prediction of all-cause mortality by the Minnesota Multiphasic Personality Inventory Optimism-Pessimism Scale scores: study of a college sample during a 40-year follow-up period.}, Journal = {Mayo Clinic Proceedings}, Volume = {81}, Number = {12}, Pages = {1541-1544}, Year = {2006}, Month = {December}, ISSN = {0025-6196}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17165632}, Abstract = {OBJECTIVE: To examine a measure of explanatory style, the Optimism-Pessimism (PSM) scale derived from college-entry Minnesota Multiphasic Personality Inventory scores, as a predictor of all-cause mortality. SUBJECTS AND METHODS: A total of 7007 students entering the University of North Carolina at Chapel Hill completed the Minnesota Multiphasic Personality Inventory during the mid-1960s. Of those students, 6958 had scores on the PSM scale and data for all-cause mortality through 2006. Scores on the PSM scale were evaluated as predictors of mortality using the Cox proportional hazards regression model, adjusted for sex. During the 40-year follow-up period, 476 deaths occurred. RESULTS: Pessimistic individuals who scored in the upper tertile of the distribution had decreased rates of longevity (hazard ratio, 1.42; 95% confidence Interval, 1.13-1.77) compared with optimistic individuals who scored in the bottom tertile of the distribution. CONCLUSION: In a model that adjusted only for sex, a measure of optimistic vs pessimistic explanatory style was a significant predictor of survival during a 40-year follow-up period such that optimists had Increased longevity.}, Doi = {10.4065/81.12.1541}, Key = {fds276170} } @article{fds276122, Author = {Mortensen, LH and Siegler, IC and Barefoot, JC and Grønbaek, M and Sørensen, TIA}, Title = {Prospective associations between sedentary lifestyle and BMI in midlife.}, Journal = {Obesity (Silver Spring, Md.)}, Volume = {14}, Number = {8}, Pages = {1462-1471}, Year = {2006}, Month = {August}, ISSN = {1930-7381}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16988090}, Abstract = {OBJECTIVE: A strong positive cross-sectional relationship between BMI and a sedentary lifestyle has been consistently observed in numerous studies. However, it has been questioned whether high BMI is a determinant or a consequence of a sedentary lifestyle. RESEARCH METHODS AND PROCEDURES: Using data from four follow-ups of the University of North Carolina Alumni Heart Study, we examined the prospective associations between BMI and sedentary lifestyle in a cohort of 4595 middle-aged men and women who had responded to questionnaires at the ages of 41 (standard deviation 2.3), 44 (2.3), 46 (2.0), and 54 (2.0). RESULTS: BMI was consistently related to increased risk of becoming sedentary in both men and women. The odds ratios of becoming sedentary as predicted by BMI were 1.04 (95% confidence limits, 1.00, 1.07) per 1 kg/m(2) from ages 41 to 44, 1.10 (1.07, 1.14) from ages 44 to 46, and 1.12 (1.08, 1.17) from ages 46 to 54. Controlling for concurrent changes in BMI marginally attenuated the effects. Sedentary lifestyle did not predict changes in BMI, except when concurrent changes in physical activity were taken into account (p < 0.001). The findings were not confounded by preceding changes in BMI or physical activity, age, smoking habits, or sex. DISCUSSION: Our findings suggest that a high BMI is a determinant of a sedentary lifestyle but did not provide unambiguous evidence for an effect of sedentary lifestyle on weight gain.}, Doi = {10.1038/oby.2006.166}, Key = {fds276122} } @article{fds276217, Author = {Brummett, BH and Babyak, MA and Williams, RB and Barefoot, JC and Costa, PT and Siegler, IC}, Title = {NEO personality domains and gender predict levels and trends in body mass index over 14 years during midlife}, Journal = {Journal of Research in Personality}, Volume = {40}, Number = {3}, Pages = {222-236}, Publisher = {Elsevier BV}, Year = {2006}, Month = {June}, ISSN = {0092-6566}, url = {http://dx.doi.org/10.1016/j.jrp.2004.12.002}, Abstract = {Mixed models were used to examine NEO-PI scores as predictors of body mass index (BMI) over a 14 year period during midlife. Average BMI levels during midlife were positively related to Neuroticism and negatively related to Openness, Agreeableness, and Conscientiousness. Relations for three domains were modified by gender. Neuroticism was significantly related to BMI in females only. Extraversion was positively related to BMI in males, whereas, this relation was non-significant in females. The relation between Conscientiousness and BMI was significant in males and females, however, the magnitude of the negative association was stronger in females. Conscientiousness also predicted change in BMI during midlife such that participants who were lower in Conscientiousness tended to show larger gains in BMI with age. © 2005 Elsevier Inc. All rights reserved.}, Doi = {10.1016/j.jrp.2004.12.002}, Key = {fds276217} } @article{fds276216, Author = {Brummett, BH and Babyak, MA and Siegler, IC and Vitaliano, PP and Ballard, EL and Gwyther, LP and Williams, RB}, Title = {Associations among perceptions of social support, negative affect, and quality of sleep in caregivers and noncaregivers.}, Journal = {Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association}, Volume = {25}, Number = {2}, Pages = {220-225}, Year = {2006}, Month = {March}, ISSN = {0278-6133}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16569114}, Abstract = {The authors used structural equation modeling to examine associations among perceptions of negative affect, social support, and quality of sleep in a sample of caregivers (n = 175) and noncaregiver control participants (n = 169). The authors hypothesized that caregiver status would be related to sleep quality directly and also indirectly by way of negative affect and social support. This hypothesis was partially supported in that caregiving was found to be indirectly related to sleep quality. However, after accounting for the indirect effects of negative affect and social support, the direct effect of caregiving on sleep quality was no longer statistically significant. The structural model accounted for approximately 43% of the variance in sleep quality. The present findings may be useful in the development of successful sleep interventions for caregivers.}, Doi = {10.1037/0278-6133.25.2.220}, Key = {fds276216} } @article{fds276121, Author = {Vitaliano, PP and Echeverria, D and Yi, J and Phillips, PEM and Young, H and Siegler, IC}, Title = {Psychophysiological mediators of caregiver stress and differential cognitive decline.}, Journal = {Psychology and Aging}, Volume = {20}, Number = {3}, Pages = {402-411}, Year = {2005}, Month = {September}, ISSN = {0882-7974}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16248700}, Abstract = {The authors examined relationships between chronic stress and cognitive decline and whether such relationships were mediated by psychophysiological factors. Ninety-six caregivers of spouses with Alzheimer's disease (AD) were compared with 95 similar noncaregiver spouses. All were free of diabetes. Although the groups started similarly, over 2 years caregivers declined by a small but significant amount (1 raw score point and 4 percentile points, each p<.05) on Shipley Vocabulary. In contrast, noncaregivers did not change. Higher hostile attribution (beta=-.09; p<.05) and metabolic risk (beta=-.10; p<.05) in caregivers mediated the cognitive decline. This is the first study of cognitive decline and mediators in caregivers. This work has implications for caregiver and care-recipient health and for research on cognition, psychophysiology, diabetes, and AD.}, Doi = {10.1037/0882-7974.20.3.402}, Key = {fds276121} } @article{fds276168, Author = {Dilworth-Anderson, P and Brummett, BH and Goodwin, P and Williams, SW and Williams, RB and Siegler, IC}, Title = {Effect of race on cultural justifications for caregiving.}, Journal = {The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences}, Volume = {60}, Number = {5}, Pages = {S257-S262}, Year = {2005}, Month = {September}, ISSN = {1079-5014}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16131626}, Abstract = {OBJECTIVE: Our objective in this study was to explore the effects of caregiver characteristics on cultural reasons given for providing care to dependent elderly family members. METHODS: The sample included 48 African American and 121 White caregivers. Using multivariate analyses, we used caregiver characteristics (e.g., race, gender, education) to predict scores on the Cultural Justifications for Caregiving Scale (CJCS). RESULTS: Confirmatory factor analysis showed that the CJCS was appropriate for both African American and White caregivers. African Americans had stronger cultural reasons for providing care than Whites, education levels were inversely related to CJCS scores, and the influences of gender and age on cultural reasons were moderated by race. Compared to females, African American males had lower CJCS scores, whereas White males had higher CJCS scores. Younger as compared to older White caregivers had higher CJCS scores. DISCUSSION: This study supports the long-standing cultural tradition of African American families providing care to dependent elders. Cultural reasons for caregiving need to be interpreted within the context of race and gender socialization. Social roles, such as husband or wife, son or daughter, can also help determine how individuals within a particular cultural group experience cultural expectations and obligations. Information from this study can inform culturally appropriate caregiving interventions.}, Doi = {10.1093/geronb/60.5.s257}, Key = {fds276168} } @article{fds276167, Author = {Boyle, SH and Williams, RB and Mark, DB and Brummett, BH and Siegler, IC and Barefoot, JC}, Title = {Hostility, age, and mortality in a sample of cardiac patients.}, Journal = {The American Journal of Cardiology}, Volume = {96}, Number = {1}, Pages = {64-66}, Year = {2005}, Month = {July}, ISSN = {0002-9149}, url = {http://www.ncbi.nlm.nih.gov/pubmed/15979435}, Abstract = {This study examined hostility as a predictor of survival in a sample of 1,328 patients who had documented coronary artery disease. After controlling for disease severity, there was a significant interaction between age and hostility. Hostility was significantly associated with poorer survival but only in younger (<61.2 years) patients.}, Doi = {10.1016/j.amjcard.2005.02.046}, Key = {fds276167} } @article{fds276166, Author = {Brummett, BH and Boyle, SH and Siegler, IC and Williams, RB and Mark, DB and Barefoot, JC}, Title = {Ratings of positive and depressive emotion as predictors of mortality in coronary patients.}, Journal = {International Journal of Cardiology}, Volume = {100}, Number = {2}, Pages = {213-216}, Year = {2005}, Month = {April}, ISSN = {0167-5273}, url = {http://www.ncbi.nlm.nih.gov/pubmed/15823627}, Abstract = {BACKGROUND: An extensive body of research has demonstrated an association between negative affective states and health outcomes. Positive emotions may also influence physical health, however, their examination has received far less attention. METHODS: Positive and depressive emotion ratings were examined as independent and joint predictors of survival in a sample of 866 cardiac catheterization patients. The mean follow-up was 11.4 years, during which 415 deaths occurred. The mean age of the sample was 60.3 years and 74.3% of the sample were males. RESULTS: Both positive and depressive ratings were associated with survival (hazard ratio=0.80, 95% CI=0.66-0.97, p<0.025 and hazard ratio=1.32, 95% CI=1.13-1.54, p<0.001, respectively), adjusted for risk factors. Positive emotion ratings were no longer significantly related to mortality when the two emotion measures were simultaneously included in a survival model. CONCLUSION: The current findings are consistent with a theory that suggests that the relation between positive emotion and mortality may be partly mediated by depressive emotion.}, Doi = {10.1016/j.ijcard.2004.06.016}, Key = {fds276166} } @article{fds276198, Author = {Bosworth, HB and Bastian, LA and Grambow, SC and McBride, CM and Skinner, CS and Fish, L and Rimer, BK and Siegler, IC}, Title = {Initiation and discontinuation of hormone therapy for menopausal symptoms: results from a community sample.}, Journal = {Journal of Behavioral Medicine}, Volume = {28}, Number = {1}, Pages = {105-114}, Year = {2005}, Month = {February}, ISSN = {0160-7715}, url = {http://www.ncbi.nlm.nih.gov/pubmed/15887880}, Abstract = {Factors related to initiation and discontinuation of hormonal therapy (HT) for treatment of menopausal symptoms were examined in a community sample of 533 peri/postmenopausal women aged 45-54 by telephone three times. Over 40 variables including: sociodemographic characteristics, clinical reasons to start HT use, HT contraindications, HT attitudes/knowledge, and health behaviors were examined in logistic regression models comparing women who discontinued HT to women who continued using HT over 9 months (discontinuers) and women who initiated HT versus women who never used HT over 9 months (initiators). Increased understanding of HT, confidence, mental health symptoms, perception that menopause is natural, and having gynecological surgery were related to decreased likelihood of HT discontinuation. Increased understanding about risks of HT, vasomotor symptoms, mood symptoms, and having gynecological surgery were related to increased likelihood of HT Initiation. These findings highlight the importance of physicians discussing HT with their patients, particularly because of recent clinical trial developments.}, Doi = {10.1007/s10865-005-2721-2}, Key = {fds276198} } @article{fds276234, Author = {Applegate, KL and Keefe, FJ and Siegler, IC and Bradley, LA and McKee, DC and Cooper, KS and Riordan, P}, Title = {Does personality at college entry predict number of reported pain conditions at mid-life? A longitudinal study.}, Journal = {The Journal of Pain : Official Journal of the American Pain Society}, Volume = {6}, Number = {2}, Pages = {92-97}, Year = {2005}, Month = {February}, ISSN = {1526-5900}, url = {http://www.ncbi.nlm.nih.gov/pubmed/15694875}, Abstract = {UNLABELLED: The purpose of this study was to evaluate whether personality traits, as assessed by the Minnesota Multiphasic Personality Inventory (MMPI), at time of college entry can predict the number of reported pain conditions at an approximate 30-year follow-up for 2332 subjects, 1834 men and 498 women, who were administered the MMPI on entry to the University of North Carolina (Chapel Hill) between 1964 and 1966. In 1997, a follow-up was conducted in which subjects were administered a self-report questionnaire regarding whether they had experienced 1 or more chronic pain conditions. Analyses of the relationship between the MMPI clinical scales at college entrance and the report of number of chronic pain conditions at follow-up were conducted. Among male participants, elevations of Scales 1 (Hypochondriasis), 3 (Hysteria), and 5 (Masculinity/Femininity) predicted increases in number of chronic pain conditions at follow-up. For female participants, elevations in Scales 1, 3, and 6 (Paranoia) predicted increases in number of chronic pain conditions at follow-up. The current study suggests that a statistically significant relationship exists between MMPI responses at college entry and reports of chronic pain conditions at mid-life. PERSPECTIVE: This study found a small, but significant relationship between elevations on MMPI scales measuring hypochondriasis and hysteria and the report of chronic pain conditions at follow-up. The study is important because it is the first to examine how personality assessed in younger adults relates to the number of chronic pain conditions reported 30 years later.}, Doi = {10.1016/j.jpain.2004.11.001}, Key = {fds276234} } @article{fds276169, Author = {Brummett, BH and Siegler, IC and Rohe, WM and Barefoot, JC and Vitaliano, PP and Surwit, RS and Feinglos, MN and Williams, RB}, Title = {Neighborhood characteristics moderate effects of caregiving on glucose functioning.}, Journal = {Psychosom Med}, Volume = {67}, Number = {5}, Pages = {752-758}, Year = {2005}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16204434}, Abstract = {OBJECTIVE: Adverse neighborhood environments and caregiving for a relative with dementia are both stressors that have been associated with poor health. The present study examined the extent to which three self-report measures of neighborhood characteristics interact with caregiving status (caregiver versus noncaregiver) to modify an important stress related health outcome: plasma glucose. METHODS: The study sample consisted of 147 community recruited caregivers and 147 participants who did not have caregiving responsibilities. We hypothesized that negative neighborhood characteristics would magnify effects of caregiving on plasma glucose levels. Regression analyses were conducted to examine the interaction of three neighborhood characteristic measures with caregiving status in predicting fasting plasma glucose (FPG) and glycosylated hemoglobin concentration (HbA1c), with control for age, race, gender, relation to care recipient (spouse or relative), body mass index, income, and education. RESULTS: Of the three neighborhood measures, the one reflecting crime concerns significantly moderated the effect of caregiving on FPG (p < .002) and HbA1c (p < .001). For participants with better neighborhood characteristics, caregivers and noncaregivers were similar with respect to indicators of glucose metabolism; however, for participants with worse neighborhood characteristics, caregivers had higher levels of FPG and HbA1c, as compared with noncaregivers. CONCLUSIONS: Poor health outcomes, such as impaired glucose control, may be found among caregivers who fear neighborhood crime.}, Doi = {10.1097/01.psy.0000174171.24930.11}, Key = {fds276169} } @article{fds276215, Author = {Brummett, BH and Mark, DB and Siegler, IC and Williams, RB and Babyak, MA and Clapp-Channing, NE and Barefoot, JC}, Title = {Perceived social support as a predictor of mortality in coronary patients: effects of smoking, sedentary behavior, and depressive symptoms.}, Journal = {Psychosom Med}, Volume = {67}, Number = {1}, Pages = {40-45}, Year = {2005}, url = {http://www.ncbi.nlm.nih.gov/pubmed/15673622}, Abstract = {OBJECTIVE: Numerous studies have shown network assessments of social contact predict mortality in patients with coronary artery disease (CAD). Fewer studies have demonstrated an association between perceived social support and longevity in patient samples. It has been suggested that 1 of the mechanisms linking social support with elevated risk for mortality is the association between social support and other risk factors associated with decreased longevity such as smoking, failure to exercise, and depressive symptoms. The present study examined an assessment of perceived support as a predictor of all-cause and CAD mortality and examined the hypothesis that smoking, sedentary behavior, and depressive symptoms may mediate and/or moderate this association. METHODS: Ratings of social support and the risk factors of smoking, sedentary behavior, and depressive symptoms were examined as predictors of survival in 2711 patients with CAD, and associations between support and these risk factors were assessed. Smoking, sedentary behavior, and depressive symptoms were examined as mediators and/or moderators of the association between social support and mortality. RESULTS: Social support, smoking, sedentary behavior, and depressive symptoms were predictors of mortality (p's <.01). Results also indicated that sedentary behavior, but not smoking status or depressive symptoms, may substantially mediate the relationship between support and mortality. No evidence for moderation was found. CONCLUSIONS: The relation between social support and longevity may be partially accounted for by the association between support and sedentary behavior.}, Doi = {10.1097/01.psy.0000149257.74854.b7}, Key = {fds276215} } @article{fds276135, Author = {Rubin, DC and Siegler, IC}, Title = {Facets of personality and the phenomenology of autobiographical memory}, Volume = {18}, Number = {7}, Pages = {913-930}, Publisher = {WILEY}, Year = {2004}, Month = {November}, url = {http://hdl.handle.net/10161/10114 Duke open access}, Abstract = {The relationship between individual differences in autobiographical memory and personality was examined by having 118 undergraduates complete the NEO Personality Inventory after rating 15 word-cued autobiographical memories on 20 scales. The Openness to Feelings facet (O3) correlated with measures of belief in the accuracy of memories, recollection, sensory imagery and emotion. Four other facets had correlations with belief (A3 - Altruism, E1 - Warmth, E4 - Activity, E6 - Positive Emotions). These facets also deal with emotional components of personality. In multiple regressions, measures of belief and measures of recollection were predicted by different variables, and for measures of belief, the O3 facet increased the variance accounted for beyond that of just the cognitive variables. Our results are consistent with and extend studies of the effects of depression and emotional suppression on autobiographical memory. Copyright © 2004 John Wiley & Sons, Ltd.}, Doi = {10.1002/acp.1038}, Key = {fds276135} } @article{fds276214, Author = {Brummett, BH and Babyak, MA and Mark, DB and Clapp-Channing, NE and Siegler, IC and Barefoot, JC}, Title = {Prospective study of perceived stress in cardiac patients.}, Journal = {Annals of Behavioral Medicine}, Volume = {27}, Number = {1}, Pages = {22-30}, Year = {2004}, Month = {February}, ISSN = {0883-6612}, url = {http://www.ncbi.nlm.nih.gov/pubmed/14979860}, Abstract = {BACKGROUND: Psychological stress is known to have a negative effect on the health and well-being of coronary artery disease (CAD) patients. Although the study of stress CAD samples has received considerable attention, few studies have examined the effects of gender and age, had multiple follow-ups over an extended period, and had extensive baseline assessment batteries. PURPOSE: In this study, demographic, clinical, social, and personality variables were evaluated as predictors of nine repeated assessments of stress over a 2-year period in 322 CAD patients (33.2% female). METHODS: At baseline, perceived social support, coping style, and social conflict were associated with stress ratings. Mixed models were used to evaluate predictors of reported stress during the subsequent 2 years. RESULTS: The results showed that higher stress was present in patients who were female and young. Follow-up stress was also found in patients with moderate income, congestive heart failure, high social conflict, low social support, and negative coping style. CONCLUSIONS: These findings may help clinicians identify patients who are likely to experience higher levels of stress over a prolonged period following a diagnosis of CAD and may also suggest which patients may benefit most from stress reduction interventions.}, Doi = {10.1207/s15324796abm2701_4}, Key = {fds276214} } @article{fds276164, Author = {Boyle, SH and Williams, RB and Mark, DB and Brummett, BH and Siegler, IC and Helms, MJ and Barefoot, JC}, Title = {Hostility as a predictor of survival in patients with coronary artery disease.}, Journal = {Psychosom Med}, Volume = {66}, Number = {5}, Pages = {629-632}, Year = {2004}, url = {http://www.ncbi.nlm.nih.gov/pubmed/15385683}, Abstract = {OBJECTIVE: This article presents a reanalysis of an earlier study that reported a nonsignificant relation between the 50-item Cook-Medley Hostility Scale (CMHS) and survival in a sample of coronary patients. Since publication of those results, there have been significant developments in the measurement of hostility that suggest that an abbreviated scale may be a better predictor of health outcomes. This study examined the ability of the total CMHS and an abbreviated form of the CMHS (ACM) to predict survival in a sample of patients with documented coronary artery disease (CAD) with increased statistical power. METHODS: Nine hundred thirty-six patients (83% were male; mean age = 51.48) with CAD who were followed for an average of 14.9 years. The ACM consisted of the combination of the cynicism, hostile attribution, hostile affect, and aggressive responding subscales that were identified in an earlier study (Barefoot et al. [1989]) by a rational analysis of the item content. The relation between hostility and survival was examined with Cox proportional hazard models (hazard ratios [HRs] based on a two standard deviation difference). RESULTS: Controlling for disease severity, the ACM was a significant predictor for both CHD mortality (HR = 1.33, p <.009) and total mortality (HR = 1.28, p <.02). The total CMHS was only a marginally significant predictor of either outcome (p values < 0.06). CONCLUSION: The results of this study suggest that hostility is associated with poorer survival in CAD patients, and it may be possible to refine measures of hostility in order to improve prediction of health outcomes.}, Doi = {10.1097/01.psy.0000138122.93942.4a}, Key = {fds276164} } @article{fds276120, Author = {Burroughs, AR and Visscher, WA and Haney, TL and Efland, JR and Barefoot, JC and Williams, RB and Siegler, IC}, Title = {Community recruitment process by race, gender, and SES gradient: lessons learned from the Community Health and Stress Evaluation (CHASE) Study experience.}, Journal = {Journal of Community Health}, Volume = {28}, Number = {6}, Pages = {421-437}, Year = {2003}, Month = {December}, ISSN = {0094-5145}, url = {http://www.ncbi.nlm.nih.gov/pubmed/14620965}, Abstract = {Recruitment of community participants for clinical research studies is a challenging task. When possible, community-based recruitment efforts should involve members of the targeted community in the planning, community preparation, and actual recruitment process. It becomes even more difficult to recruit study participants from the community when the research involves an invasive procedure, or when diverse target groups require that a variety of recruitment methods be used. The Community Health and Stress Evaluation (CHASE) Study was designed to determine the role of psychosocial and biobehavioral factors in the etiology of coronary heart disease. It involved both an invasive medical procedure (a spinal tap) and the collection of survey and medical information from Black and White persons in different socioeconomic status (SES) groups. Interestingly, we experienced the greatest difficulty in recruiting lower SES white persons, while groups that typically are "difficult to find" (such as Blacks) were actually easiest to recruit for the study. This paper describes the background of the CHASE study, the community recruitment methods used, and the results of the recruitment efforts by race, gender and SES gradient. We present an evaluation of the community recruitment component, why we think differences occurred, and the lessons learned from the experiences that may be applied to similar studies.}, Doi = {10.1023/a:1026029723762}, Key = {fds276120} } @article{fds276213, Author = {Brummett, BH and Babyak, MA and Siegler, IC and Mark, DB and Williams, RB and Barefoot, JC}, Title = {Effect of smoking and sedentary behavior on the association between depressive symptoms and mortality from coronary heart disease.}, Journal = {The American Journal of Cardiology}, Volume = {92}, Number = {5}, Pages = {529-532}, Year = {2003}, Month = {September}, ISSN = {0002-9149}, url = {http://www.ncbi.nlm.nih.gov/pubmed/12943871}, Abstract = {It has been suggested that one of the mechanisms linking depression with elevated mortality risk is the association between depressive symptoms and other established coronary artery disease (CAD) risk factors, such as smoking and failure to exercise. The present study examined this hypothesis using repeated assessments of smoking and exercise from patients with CAD in whom depressive symptoms had been shown to predict decreased survival. Initially, associations between depressive symptoms and the risk factors of smoking and sedentary behavior were assessed. Next, patterns of smoking and sedentary behavior were examined as mediators and/or moderators of the association between depressive symptoms and mortality. Depressive symptoms were positively related to smoking (p <0.01) and sedentary behavior (p <0.01). Depressive symptoms, smoking, and sedentary behavior were independent predictors of mortality. Results indicated that smoking and/or sedentary behavior may partially mediate the relation between depressive symptoms and mortality. No evidence for moderation was found.}, Doi = {10.1016/s0002-9149(03)00719-7}, Key = {fds276213} } @article{fds276117, Author = {Yen, S and Siegler, IC}, Title = {Self-blame, social introversion, and male suicides: Prospective data from a longitudinal study}, Journal = {Archives of Suicide Research : Official Journal of the International Academy for Suicide Research}, Volume = {7}, Number = {1}, Pages = {17-27}, Publisher = {Informa UK Limited}, Year = {2003}, Month = {April}, url = {http://dx.doi.org/10.1080/13811110301569}, Abstract = {This study examines the use of 7 Minnesota Multiphasic Personality Inventory (MMPI; Hathaway & Briggs, 1940) subscales in their ability to differentiate between male suicide completers and 1) clinically depressed men, and 2) a deceased control group consisting of men who have died of medical causes. Data were collected from a nonclinical student population that was followed longitudinally. The 7 scales, chosen to reflect aspects of coping and emotional resources include two of the original scales, Defensiveness (K), Social Introversion (Si), and supplementary scales: Ego Strength (Es; Barron, 1953), Blaming Self (Bs; Finney, 1965), Impulsivity (Imp; Gough, 1957), Suppression and Outburst of Hostility (Soh; Finney, 1965), and Motivation to Change (Mtc; Volsky, Magom, Norman & Hoyt, 1965). Results indicated that suicide completers had significantly higher scores on Bs and Si when compared with deceased controls. These scales were near significant in differentiating between suicide completers and depressed controls. The results of this study suggest that those who eventually commit suicide may endorse greater tendencies toward self-blame and social introversion during early adulthood.}, Doi = {10.1080/13811110301569}, Key = {fds276117} } @article{fds276119, Author = {Meissner, HI and Rimer, BK and Davis, WW and Eisner, EJ and Siegler, IC}, Title = {Another round in the mammography controversy.}, Journal = {Journal of Women'S Health (2002)}, Volume = {12}, Number = {3}, Pages = {261-276}, Year = {2003}, Month = {April}, ISSN = {1540-9996}, url = {http://www.ncbi.nlm.nih.gov/pubmed/12804357}, Abstract = {PURPOSE: The October 2001 publication of a meta-analysis questioning the scientific basis for recommending screening mammography sparked yet a new flame of controversy about this issue. We conducted a national survey in March 2002 to provide information about women's perspectives on the issues, including the evidence regarding the efficacy of mammography and, ultimately, their intentions to continue screening. METHODS: We added 12 questions to a national telephone omnibus survey in March 2002 to assess women's reactions to the ongoing debate. Responses were collected over three waves of the twice-weekly survey to obtain data from 733 women between the ages of 40 and 69. The sample was weighted to the U.S. population for census region, age, race, ethnicity, and educational attainment. RESULTS: Consistent with prior studies, most women were getting regular mammograms (78%) (95% confidence interval [CI] 75%-81%), >90% believed that mammography is effective in detecting breast cancer (95%) (95% CI 93%-97%) and in reducing breast cancer mortality (93%) (95% CI 91%-96%), and only about 22% (95% CI 19%-25%) said they were confused. Logistic regression analyses revealed sociodemographic differences among women who had heard about the controversy and who reported some confusion about mammograms. Women with lower levels of education, younger women, and those residing in nonmetropolitan areas were significantly less likely to be aware of the controversy. Although a majority of women said they were not confused about mammography, minority women and women with lower education levels were more likely to report being confused. There were no significant demographic differences in intentions to get future mammograms. Women who were concerned about getting breast cancer were much more likely to be planning to have future mammograms than women who were not at all concerned (odds ratio [OR] 3.63; 95% CI 2.37, 5.56). Likewise, respondents who said that they had enough information to make decisions whether to get future mammograms were much more likely to plan on getting screened than women who said they did not have enough information (OR 2.47; 95% CI 1.14, 5.40). CONCLUSIONS: These results do not suggest that controversy leads to lower rates of adherence. They do indicate that some women lack the information needed to make informed decisions about mammography.}, Doi = {10.1089/154099903321667609}, Key = {fds276119} } @article{fds276149, Author = {Williams, RB and Marchuk, DA and Gadde, KM and Barefoot, JC and Grichnik, K and Helms, MJ and Kuhn, CM and Lewis, JG and Schanberg, SM and Stafford-Smith, M and Suarez, EC and Clary, GL and Svenson, IK and Siegler, IC}, Title = {Serotonin-related gene polymorphisms and central nervous system serotonin function.}, Journal = {Neuropsychopharmacology}, Volume = {28}, Number = {3}, Pages = {533-541}, Year = {2003}, Month = {March}, ISSN = {0893-133X}, url = {http://www.ncbi.nlm.nih.gov/pubmed/12629534}, Abstract = {Central nervous system (CNS) serotonergic function affects a wide range of biological and behavioral functions affecting health and disease. Our objective in this study was to determine whether functional polymorphisms of the genes that encode for the serotonin transporter promoter (5HTTLPR) and monoamine oxidase A (MAOA-uVNTR) are associated with CNS serotonin turnover-indexed by cerebrospinal fluid levels of 5-hydroxyindoleacetic acid (5-HIAA)-in a community sample of healthy adults. Subjects were 165 community volunteers without current medical or psychiatric illness, stratified with respect to ethnicity, gender, and socioeconomic status who underwent inpatient evaluation in the General Clinical Research Center of a university medical center. A significant ethnicity x genotype interaction (P=0.008) indicated that, compared to the long/long and long/short genotypes, the 5HTTLPR short/short genotype was associated with higher CSF 5-HIAA levels in African Americans, but with lower levels in Caucasians. A gender x genotype interaction (P=0.04) indicated that 5HTTLPR short/short genotype was associated with higher 5-HIAA levels in women but with lower levels in men. MAOA-uVNTR 3.5 and 4 repeat alleles were associated with higher 5-HIAA (P=0.03) levels in men, but were unrelated to 5-HIAA levels in women. These findings suggest that effects of serotonin-related gene polymorphisms on CNS serotonergic function vary as a function of both ethnicity and gender. Further research will be required to determine the mechanism(s) underlying these differential effects. In the meanwhile, both ethnicity and gender should be taken into account in research evaluating effects of these and related polymorphisms on CNS serotonergic function, as well as the broad range of biological and behavioral functions that are regulated by CNS serotonergic function.}, Doi = {10.1038/sj.npp.1300054}, Key = {fds276149} } @article{fds276162, Author = {Brummett, BH and Siegler, IC and McQuoid, DR and Svenson, IK and Marchuk, DA and Steffens, DC}, Title = {Associations among the NEO Personality Inventory, Revised and the serotonin transporter gene-linked polymorphic region in elders: effects of depression and gender.}, Journal = {Psychiatric Genetics}, Volume = {13}, Number = {1}, Pages = {13-18}, Publisher = {Ovid Technologies (Wolters Kluwer Health)}, Year = {2003}, Month = {March}, url = {http://dx.doi.org/10.1097/00041444-200303000-00002}, Abstract = {OBJECTIVE: The short variant of the serotonin transporter gene-linked functional polymorphic region (5-HTTLPR) has been associated with personality traits related to anxiety, hostility, and depression. We attempted to replicate findings suggesting a positive relation between the short allele variant of 5-HTTLPR and Neuroticism, and a negative association between the short allele variant and Agreeableness. METHODS: Participants in the present study were 103 geriatric depressed patients and 99 non-depressed age matched controls. Depression status and gender were examined as potential modifiers of the association between 5-HTTLPR and personality. RESULTS: Neuroticism was associated with allele frequency such that individuals with the short variant of the allele (ss or sl, group S) were significantly lower on Neuroticism ( P<0.04) compared with individuals with the long allele variant (group L), a pattern opposite to that of previous reports. The association did not vary by clinical group (depressed or controls) but was conditional on gender ( P<0.01): the mean Neuroticism for males in group S was 48.2, whereas the mean Neuroticism for males in group L was 55.9; and the mean Neuroticism for females did not differ by allele group. In the total sample, Agreeableness was not associated with allele frequency; however, there was a significant allele groupxclinical groupxgender interaction ( P<0.01). CONCLUSIONS: The present findings failed to replicate prior work suggesting that the short variant of the 5-HTTLPR allele is associated with higher Neuroticism and lower Agreeableness.}, Doi = {10.1097/00041444-200303000-00002}, Key = {fds276162} } @article{fds276118, Author = {Costa, PT and Siegler, IC}, Title = {Overview}, Journal = {Advances in Cell Aging and Gerontology}, Volume = {15}, Pages = {vii-xix}, Publisher = {Elsevier}, Year = {2003}, Month = {January}, ISSN = {1566-3124}, url = {http://dx.doi.org/10.1016/S1566-3124(03)15001-8}, Doi = {10.1016/S1566-3124(03)15001-8}, Key = {fds276118} } @article{fds276163, Author = {Brummett, BH and Barefoot, JC and Vitaliano, PP and Siegler, IC}, Title = {Associations among social support, income, and symptoms of depression in an educated sample: the UNC Alumni Heart Study.}, Journal = {International Journal of Behavioral Medicine}, Volume = {10}, Number = {3}, Pages = {239-250}, Year = {2003}, ISSN = {1070-5503}, url = {http://www.ncbi.nlm.nih.gov/pubmed/14525719}, Abstract = {It has been suggested that the inverse association between social support and depression may be stronger in persons with lower income. This study tested the support x income hypothesis in a sample of 2,472 individuals enrolled in the UNC Alumni Heart Study. The income was examined as a moderator of the relation between support and self-reported ratings of symptoms of depression. The appraisal subscale of the Interpersonal Support Evaluation Scale, household income level, and their interaction were modeled as predictors of depression ratings. The support x income interaction term was significantly associated with symptoms of depression, F (2, 2471)=4.71, p=.007. Social support was more strongly associated inversely with depression ratings in persons with lower income as compared to those with higher income. The present results extend previous work regarding the moderating effect of income to a sample of relatively high education and income level.}, Doi = {10.1207/s15327558ijbm1003_04}, Key = {fds276163} } @article{fds276165, Author = {Siegler, IC and Costa, PT and Brummett, BH and Helms, MJ and Barefoot, JC and Williams, RB and Dahlstrom, WG and Kaplan, BH and Vitaliano, PP and Nichaman, MZ and Day, RS and Rimer, BK}, Title = {Patterns of change in hostility from college to midlife in the UNC Alumni Heart Study predict high-risk status.}, Journal = {Psychosom Med}, Volume = {65}, Number = {5}, Pages = {738-745}, Year = {2003}, url = {http://www.ncbi.nlm.nih.gov/pubmed/14508014}, Abstract = {OBJECTIVE: To examine hostility measured in college and patterns of change in hostility from college to midlife as predictors of high health-related risk later in midlife. METHODS: Logistic regression models were used to test hostility/risk associations. RESULTS: College hostility predicted being a current smoker, consuming more than two drinks of alcohol, low social support, achieving less than expected in career and in relationships, risk for depression, and appraisal of life changing for the worse in terms of family events at midlife. Change in hostility did not predict smoking and drinking; however, it did significantly predict social isolation, lower income (only for women), obesity, avoidance of exercise, high-fat diet, and negative changes in economic life, work life, and physical health events-all risk indicators measured during the next decade. Appraisals of social support, lowered expectations, risk for depression, and reports of family life changing for the worse were predicted at both time periods. When change in hostility was modeled with college hostility, all risk indicators were significantly predicted by college hostility. CONCLUSIONS: High hostility in college and change in hostility from college to midlife predicts a full range of health risk indicators. When compared with the average population decline in hostility, gains in hostility at midlife are related to increased risk while declines in hostility are related to reduced risk. Higher midlife hostility is associated with increased odds of being in the higher risk group. Future research should focus on developing interventions to reduce hostility.}, Doi = {10.1097/01.psy.0000088583.25140.9c}, Key = {fds276165} } @article{fds276197, Author = {Bosworth, HB and Bastian, LA and Rimer, BK and Siegler, IC}, Title = {Coping styles and personality domains related to menopausal stress.}, Journal = {Women'S Health Issues : Official Publication of the Jacobs Institute of Women'S Health}, Volume = {13}, Number = {1}, Pages = {32-38}, Year = {2003}, ISSN = {1049-3867}, url = {http://www.ncbi.nlm.nih.gov/pubmed/12598057}, Abstract = {PURPOSE: Examine the role of coping styles and personality domains in relationship to stress associated with menopause. DATA/INFORMATION: Data are from 170 women ages 45 to 54 who completed a mailed questionnaire and a telephone interview that assessed women's stress associated with menopause, coping style, personality, menopausal symptoms, depressive symptoms, and use of hormone replacement therapy. RESULTS: Rating menopause as stressful was associated with higher levels of neuroticism, seeking social support, and avoidance, and lower levels of agreeableness in unadjusted analyses. In a multivariate model, menopausal symptoms, seeking social support, and neuroticism accounted for 21% of the variance in rating menopause as stressful. CONCLUSIONS: Health care providers treating women going through menopause should be aware that the stress response to the menopause transition is multifactorial and is associated with women's individual personalities and coping styles.}, Doi = {10.1016/s1049-3867(02)00192-5}, Key = {fds276197} } @article{fds276150, Author = {Bastian, LA and McBride, CM and Fish, L and Lyna, P and Farrell, D and Lipkus, IM and Rimer, BK and Siegler, IC}, Title = {Evaluating participants' use of a hormone replacement therapy decision-making intervention.}, Journal = {Patient Education and Counseling}, Volume = {48}, Number = {3}, Pages = {283-291}, Year = {2002}, Month = {December}, ISSN = {0738-3991}, url = {http://www.ncbi.nlm.nih.gov/pubmed/12477613}, Abstract = {BACKGROUND: Associations between optimal use of a tailored decision-aid and levels of accuracy of perceived breast cancer risk, confidence in decision-making, and satisfaction with decisions about HRT were evaluated in a randomized intervention trial with a community sample of women aged 45-54. METHODS: Data are from 289 women randomized to receive a computer-tailored three-step decision-aid. RESULTS: Forty-seven percent of participants reported optimal use of the intervention materials. African American women and those with low confidence in decision-making were less likely to use the intervention optimally than white women and those with higher confidence (P<0.05). Optimal use of the decision-aid was associated with increased accuracy of perceived risk and confidence to make a decision. DISCUSSION: When used optimally, self-directed decision-aids can improve women's ability to make decisions about HRT. Additional refinement of these aids is needed. For some subgroups of women, adjuncts such as telephone counseling also might be considered.}, Doi = {10.1016/s0738-3991(02)00048-4}, Key = {fds276150} } @article{fds276115, Author = {Barefoot, JC and Grønbaek, M and Feaganes, JR and McPherson, RS and Williams, RB and Siegler, IC}, Title = {Alcoholic beverage preference, diet, and health habits in the UNC Alumni Heart Study.}, Journal = {American Journal of Clinical Nutrition}, Volume = {76}, Number = {2}, Pages = {466-472}, Year = {2002}, Month = {August}, ISSN = {0002-9165}, url = {http://www.ncbi.nlm.nih.gov/pubmed/12145024}, Abstract = {BACKGROUND: Moderate alcohol intake is related to better health, and additional benefits may be associated with wine. However, beverage preference may be confounded by lifestyle factors related to health. OBJECTIVE: The goal was to describe the associations between alcoholic-beverage preferences and indicators of a healthy diet and other health habits. DESIGN: This cross-sectional study included data from 2864 men and 1571 women enrolled in the UNC Alumni Heart Study. Self-reports of drinking habits were used as predictors of health behaviors and of intakes of nutrients and food groups. RESULTS: Subjects who preferred wine had healthier diets than did those who preferred beer or spirits or had no preference. Wine drinkers reported eating more servings of fruit and vegetables and fewer servings of red or fried meats. The diets of wine drinkers contained less cholesterol, saturated fat, and alcohol and more fiber. Wine drinkers were less likely to smoke. Compared with all drinkers, those who drank no alcohol consumed fewer vegetables but more fiber. Nondrinkers were less likely to exercise regularly and had a higher mean body mass index. Controlling for income and education had little effect on these associations. CONCLUSIONS: The apparent health benefits of wine compared with other alcoholic beverages, as described by others, may be a result of confounding by dietary habits and other lifestyle factors. Confounding by lifestyle variables could also be a factor in the previously observed health differences between drinkers and nondrinkers, although the evidence for this association is not as strong.}, Doi = {10.1093/ajcn/76.2.466}, Key = {fds276115} } @article{fds276196, Author = {McBride, CM and Bastian, LA and Halabi, S and Fish, L and Lipkus, IM and Bosworth, HB and Rimer, BK and Siegler, IC}, Title = {A tailored intervention to aid decision-making about hormone replacement therapy.}, Journal = {American Journal of Public Health}, Volume = {92}, Number = {7}, Pages = {1112-1114}, Year = {2002}, Month = {July}, ISSN = {0090-0036}, url = {http://www.ncbi.nlm.nih.gov/pubmed/12084693}, Doi = {10.2105/ajph.92.7.1112}, Key = {fds276196} } @article{fds276195, Author = {Siegler, IC and Bastian, LA and Steffens, DC and Bosworth, HB and Costa, PT}, Title = {Behavioral medicine and aging.}, Journal = {Journal of Consulting and Clinical Psychology}, Volume = {70}, Number = {3}, Pages = {843-851}, Year = {2002}, Month = {June}, ISSN = {0022-006X}, url = {http://www.ncbi.nlm.nih.gov/pubmed/12090387}, Abstract = {A brief history of behavioral medicine and aging is followed by a series of perspectives that help to understand how age is used as a variable in this research, the relative importance of age to declines in cognitive functioning, and the impact of behavioral risk indicators on healthy survival. The authors discuss Alzheimer's disease and the role of age in clinical practice. Also discussed are potential problems in age-related research, ways to improve the knowledge base in behavioral medicine and aging, and thoughts about future challenges to enhance work in behavioral medicine and aging.}, Doi = {10.1037//0022-006x.70.3.843}, Key = {fds276195} } @article{fds276233, Author = {Surwit, RS and Williams, RB and Siegler, IC and Lane, JD and Helms, M and Applegate, KL and Zucker, N and Feinglos, MN and McCaskill, CM and Barefoot, JC}, Title = {Hostility, race, and glucose metabolism in nondiabetic individuals.}, Journal = {Diabetes Care}, Volume = {25}, Number = {5}, Pages = {835-839}, Year = {2002}, Month = {May}, ISSN = {0149-5992}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11978677}, Abstract = {OBJECTIVE: The present study was designed to determine whether hostility is differentially related to measures of glucose metabolism in African-Americans and Caucasians. RESEARCH DESIGN AND METHODS: The relationship of hostility, as measured by a subset of the Cook-Medley hostility scale (CMHOST) inventory items, to various parameters of glucose metabolism were examined in a young, healthy sample of male and female African-American and Caucasian volunteers. Fasting blood samples were collected during an inpatient admission, at which time the CMHOST was also administered. RESULTS: In the entire sample, the CMHOST was found to be significantly correlated with fasting glucose and insulin sensitivity, as measured by the homeostatic model assessment (HOMA). However, the relationship of hostility to these parameters of glucose metabolism was different in African-American and Caucasian subjects. Hostility was significantly related to fasting glucose in African-Americans and to insulin sensitivity and fasting insulin in Caucasian subjects. The relationship of hostility to insulin sensitivity and fasting insulin was partially dependent on BMI in Caucasians, but the relationship of hostility to fasting glucose was unrelated to BMI in African-Americans. CONCLUSIONS: Our data suggest that the relationship of hostility to measures of glucose metabolism is mediated differently in these two ethnic groups. Therefore, hostility seems to be part of a constellation of risk-related behaviors related to BMI in Caucasians but independently related to fasting glucose in African-Americans.}, Doi = {10.2337/diacare.25.5.835}, Key = {fds276233} } @article{fds276116, Author = {Vitaliano, PP and Scanlan, JM and Zhang, J and Savage, MV and Hirsch, IB and Siegler, IC}, Title = {A path model of chronic stress, the metabolic syndrome, and coronary heart disease.}, Journal = {Psychosomatic Medicine}, Volume = {64}, Number = {3}, Pages = {418-435}, Year = {2002}, ISSN = {0033-3174}, url = {http://www.ncbi.nlm.nih.gov/pubmed/12021416}, Abstract = {OBJECTIVE: We tested a theoretical stress model cross-sectionally and prospectively that examined whether relationships of chronic stress, psychophysiology, and coronary heart disease (CHD) varied in older adult men (N = 47), older adult women not using hormone replacement therapy (HRT) (N = 64), and older adult women using HRT (N = 41). METHOD: Structural equations examined relationships of CHD with 1) chronic stress (caring for a spouse with Alzheimer's disease and patient functioning), 2) vulnerability (anger and hostility), 3) social resources (supports), 4) psychological distress (burden, sleep problems, and low uplifts), 5) poor health habits (high-caloric, high-fat diet and limited exercise), and 6) the metabolic syndrome (MS) (blood pressure, obesity, insulin, glucose, and lipids). RESULTS: Caregiver men had a greater prevalence of CHD (13/24) than did noncaregiver men (6/23) (p <.05) 27 to 30 months after study entry. This was influenced by pathways from caregiving to distress, distress to the MS, and the MS to CHD. In men, poor health habits predicted the MS 15 to 18 months later, and the MS predicted new CHD cases over 27 to 30 months. In women, no "caregiving-CHD" relationship occurred; however, 15 to 18 months after study entry women not using HRT showed "distress-MS" and "MS-CHD" relationships. In women using HRT, associations did not occur among distress, the MS, and CHD, but poor health habits and the MS were related. CONCLUSIONS: In older men, pathways occurred from chronic stress to distress to the metabolic syndrome, which in turn predicted CHD. Older women not using HRT showed fewer pathways than men; however, over time, distress, the MS, and CHD were related. No psychophysiological pathways occurred in older women using HRT.}, Doi = {10.1097/00006842-200205000-00006}, Key = {fds276116} } @article{fds276142, Author = {Steffens, DC and Svenson, I and Marchuk, DA and Levy, RM and Hays, JC and Flint, EP and Krishnan, KRR and Siegler, IC}, Title = {Allelic differences in the serotonin transporter-linked polymorphic region in geriatric depression.}, Journal = {American Journal of Geriatric Psychiatry}, Volume = {10}, Number = {2}, Pages = {185-191}, Year = {2002}, ISSN = {1064-7481}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11925279}, Abstract = {Previous studies have examined the role of genetic variations in the serotonin transporter-linked polymorphic region (5HTTLPR) in affective disorders. The authors studied 182 older depressed subjects and 107 elderly control subjects and obtained DNA for genotyping at the 5HTTLPR. There were no significant differences in allele frequencies generally or for number of short alleles for the group as a whole, but interesting gender effects emerged. Among men, 23% of depressed men had two short alleles, compared with only 5% of control subjects. Among women, 67% of depressed women with more than one episode had at least one short allele, compared with 41% of single-episode female patients. Also, 74% of women with a positive family history of psychiatric illness in any female relative had at least one short allele, whereas 53% had at least one short allele who did not have such a family history. Our results add to the literature linking this gene to affective illness. The negative association of allele frequency and depression may be related to the relatively small sample size. The findings raise the possibility that this genetic locus may exert differential effects based on gender, increasing risk in men, and increasing risk of recurrence in women.}, Doi = {10.1176/appi.ajgp.10.2.185}, Key = {fds276142} } @article{fds276194, Author = {Bosworth, HB and Siegler, IC}, Title = {Terminal change in cognitive function: an updated review of longitudinal studies.}, Journal = {Experimental Aging Research}, Volume = {28}, Number = {3}, Pages = {299-315}, Year = {2002}, ISSN = {0361-073X}, url = {http://www.ncbi.nlm.nih.gov/pubmed/12079580}, Abstract = {We provide an update to Siegler's (1975) review of the terminal change literature. Articles identified through MEDLINE, CANCERLIT, PUBMED, and PSYCINFO from 1975 to 2000 were examined. Lower levels of cognitive function are related to increased risk of mortality; however, the relationship between rate of cognitive change and mortality is less clear. Although there has been an increase in the number of studies since our last review, prior studies have been limited by a lack of medical data, consideration of dementia, small sample sizes, and poor cognitive measures. The emphasis on Alzheimer's disease and the growth of epidemiology of aging in the past 25 years have provided well-characterized population studies with serial cognitive measures that provide an opportunity to test the theory of terminal change.}, Doi = {10.1080/03610730290080344}, Key = {fds276194} } @article{fds276212, Author = {Brummett, BH and Babyak, MA and Mark, DC and Williams, RB and Siegler, IC and Clapp-Channing, N and Barefoot, JC}, Title = {Predictors of smoking cessation in patients with a diagnosis of coronary artery disease.}, Journal = {Journal of Cardiopulmonary Rehabilitation}, Volume = {22}, Number = {3}, Pages = {143-147}, Year = {2002}, ISSN = {0883-9212}, url = {http://www.ncbi.nlm.nih.gov/pubmed/12042680}, Abstract = {PURPOSE: This study aimed to examine demographic, psychosocial, and clinical variables as predictors of smoking cessation in patients with coronary artery disease. METHODS: Smoking status and psychosocial variables were obtained at baseline. Participants were followed up at 3 months then annually up to 6 years for smoking status. Participants were recruited from the population of patients undergoing coronary angiography from 1986 through 1990. Patients were included in the study if they reported smoking at baseline and had valid data for demographic and clinical measures of interest. Depending on the psychosocial measure analyzed, sample size ranged from 525 to 303. Age, gender, education, marital status, disease severity, cardiac procedure, hostility, and four ratings of distress were evaluated as predictors of smoking cessation. RESULTS: Of the full sample, 40% (n = 210) quit smoking without relapse. Education (odds ratio [OR] 0.61; 95% confidence interval [CI] 0.44-0.84; P <.003), disease severity (OR 0.58; 95% CI 0.40-0.84; P <.004), and coronary artery bypass surgery (OR 0.60; 95% CI 0.43-0.85; P <.004) were associated with a lower likelihood of relapse. Higher levels of hostility (OR 2.36; 95% CI 1.46-3.84; P <.001), concern about health (OR 1.90; 95% CI 1.33-2.74; P <.001), tension (OR 1.60; 95% CI 1.12-2.30; P <.012), and depressive feelings (OR 1.60; 95% CI 1.12-2.27; P <.010) were associated with a higher risk of continuing to smoke. CONCLUSIONS: These findings describe demographic, clinical, and psychological mechanisms that might underlie successful smoking cessation and also may guide the identification of patients in need of special intervention.}, Doi = {10.1097/00008483-200205000-00003}, Key = {fds276212} } @article{fds276192, Author = {Calhoun, PS and Bosworth, HB and Siegler, IC and Bastian, LA}, Title = {The relationship between hostility and behavioral risk factors for poor health in women veterans.}, Journal = {Preventive Medicine}, Volume = {33}, Number = {6}, Pages = {552-557}, Year = {2001}, Month = {December}, ISSN = {0091-7435}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11716650}, Abstract = {BACKGROUND: While previous research has generally supported a relationship between hostility and health risk behaviors, the majority of this research has been conducted in predominately male, highly educated, Caucasian samples. The current study was designed to further examine the relationship between hostility and health risk behaviors in a sample of women. METHODS: Measures of health risk behavior and scores from the Cook-Medley hostility scale were obtained from 409 women veterans. Linear and logistic regression analyses were used to examine the relationship between hostility and health behaviors including tobacco smoking, alcohol use, body-mass index, caffeine use, and level of physical activity, after sociodemographic factors were accounted for. RESULTS: In a cohort of women veterans using VA health care, ages 35-81, hostility was significantly associated with tobacco smoking (OR = 2.10; 95% CI = 1.34 to 3.30), caffeine use (OR = 2.12; 95% CI = 1.16 to 3.85), and the number of alcoholic beverages consumed by women who drink alcohol. Hostility was not associated with body mass index (OR = 1.15; 95% CI = 0.77 to 1.72) or a lack of physical exercise (OR = 0.89; 95% CI = 0.55 to 1.43). CONCLUSIONS: Results are generally consistent with previous research and support the relationship between hostility and health risk behaviors. Awareness that hostility contributes to risk behaviors and disease may help in the design of interventions aimed at risk reduction.}, Doi = {10.1006/pmed.2001.0921}, Key = {fds276192} } @article{fds276193, Author = {Weng, HH and McBride, CM and Bosworth, HB and Grambow, SC and Siegler, IC and Bastian, LA}, Title = {Racial differences in physician recommendation of hormone replacement therapy.}, Journal = {Preventive Medicine}, Volume = {33}, Number = {6}, Pages = {668-673}, Year = {2001}, Month = {December}, ISSN = {0091-7435}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11716665}, Abstract = {PURPOSE: Previous studies have suggested that black women may be less likely than white women to be offered and to take hormone replacement therapy (HRT). Thus, race and other factors associated with physician recommendation of HRT that may influence women's decisions about HRT were examined. METHODS: Data were from a baseline assessment of participants in a randomized controlled trial designed to evaluate the efficacy of a tailored decision-aid on HRT decision-making. We telephone interviewed 581 Durham women ages 45-54. The association of race and other factors with reported physician recommendation of HRT was tested using chi(2) and logistic regression analysis. RESULTS: Overall, 45% of women surveyed reported that their physician recommended HRT; black women were significantly less likely than white women to report being advised about HRT (35% vs. 48%, respectively, P < 0.005). Additional factors associated with being recommended HRT included older age, being postmenopausal, having had a hysterectomy, having thought about the benefits of HRT, and being satisfied with information about HRT. CONCLUSIONS: Black women are less likely than white women to receive physician recommendation of HRT. Racial differences in patient-provider communication about HRT exist and thus require greater diligence on the part of health care providers to minimize such a gap.}, Doi = {10.1006/pmed.2001.0943}, Key = {fds276193} } @article{fds276211, Author = {ENRICHD Investigators}, Title = {Enhancing recovery in coronary heart disease (ENRICHD): baseline characteristics.}, Journal = {The American Journal of Cardiology}, Volume = {88}, Number = {3}, Pages = {316-322}, Year = {2001}, Month = {August}, ISSN = {0002-9149}, url = {http://dx.doi.org/10.1016/s0002-9149(01)01652-6}, Doi = {10.1016/s0002-9149(01)01652-6}, Key = {fds276211} } @article{fds276159, Author = {Vitaliano, PP and Scanlan, JM and Zhang, J and Savage, MV and Brummett, B and Barefoot, J and Siegler, IC}, Title = {Are the salutogenic effects of social supports modified by income? A test of an "added value hypothesis".}, Journal = {Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association}, Volume = {20}, Number = {3}, Pages = {155-165}, Year = {2001}, Month = {May}, ISSN = {0278-6133}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11403213}, Abstract = {Older adults (54 men, 113 women; M age = 69.5 years) were examined to test the hypothesis that social supports would be more salutogenic (health promoting) for persons with lower incomes than for persons with higher incomes. Interactions of income and social supports (mean of 3 emotional scales of the Interpersonal Support Evaluation List) at study entry predicted changes 15-18 months later in a cardiovascular composite (linear combination of high-density lipoproteins-mean arterial pressure; p < .05), and natural killer cell activity (p < .05). For both outcomes, emotional supports were salutogenic for persons with lower incomes (< or =$29,000/year), but not for persons with higher incomes (>$29,000/year). In contrast, interactions of the Tangible Support Scale with income did not occur. Persons with lower incomes may derive benefits from social supports that go beyond tangible assistance.}, Doi = {10.1037//0278-6133.20.3.155}, Key = {fds276159} } @article{fds276191, Author = {Bosworth, HB and Feaganes, JR and Vitaliano, PP and Mark, DB and Siegler, IC}, Title = {Personality and coping with a common stressor: cardiac catheterization.}, Journal = {Journal of Behavioral Medicine}, Volume = {24}, Number = {1}, Pages = {17-31}, Year = {2001}, Month = {February}, ISSN = {0160-7715}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11296468}, Abstract = {The association between coping and personality was examined in a sample of 204 cardiac catheterization patients who were asked to evaluate the use of specific coping strategies used to deal with their cardiac catheterization. Personality, as measured by the NEO Five-Factor Inventory (FFI), was moderately correlated with coping measures. In multivariate analyses, after considering confounding factors, Neuroticism was positively and Extraversion was negatively related to avoidance coping and Neuroticism was negatively associated with counting one's blessings as a coping strategy. Personality was not related to either problem solving or seeking social support coping strategies for individuals experiencing a cardiac catheterization. However, important covariates were associated with coping strategies. Not being married was negatively correlated with use of seeking social support and not having a confidant was negatively related with seeking social support and positively with avoidance. These results suggest that there are specific relationships between personality and coping, but these relationships are, for the most part, moderate in persons coping with a cardiac catheterization, and that coping processes are associated with individual differences in available social resources.}, Doi = {10.1023/a:1005682303815}, Key = {fds276191} } @article{fds276161, Author = {Siegler, IC and Brummett, BH}, Title = {Erratum: Association among NEO personality assessment and well-being at midlife: Facet-level analyses (Psychology and Aging (2000) 15:4 (710-714))}, Journal = {Psychology and Aging}, Volume = {16}, Number = {1}, Pages = {144}, Year = {2001}, Month = {January}, ISSN = {0882-7974}, url = {http://dx.doi.org/10.1037/h0087880}, Doi = {10.1037/h0087880}, Key = {fds276161} } @article{fds276114, Author = {Bastian, LA and Owens, SS and Kim, H and Barnett, LR and Siegler, IC}, Title = {Cigarette smoking in veteran women: the impact of job strain.}, Journal = {Women'S Health Issues : Official Publication of the Jacobs Institute of Women'S Health}, Volume = {11}, Number = {2}, Pages = {103-109}, Year = {2001}, ISSN = {1049-3867}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11275513}, Abstract = {To evaluate the health effects of role overload, the relationship between multiple role (i.e., worker, spouse, caretaker) strain and current cigarette smoking was examined. A cross-sectional survey of women veterans, aged 36-85 years, was performed measuring home and job strain and health behaviors. Of the 275 women who rated both their work and home strains, 25% (n = 69) currently smoke cigarettes. Higher work strain, but not higher home strain, was associated with smoking adjusting for age, education, income, weight, and marital status. A stressful work environment may trigger persistent smoking and should be addressed during smoking cessation counseling.}, Doi = {10.1016/s1049-3867(00)00077-3}, Key = {fds276114} } @article{fds276148, Author = {Williams, RB and Marchuk, DA and Gadde, KM and Barefoot, JC and Grichnik, K and Helms, MJ and Kuhn, CM and Lewis, JG and Schanberg, SM and Stafford-Smith, M and Suarez, EC and Clary, GL and Svenson, IK and Siegler, IC}, Title = {Central nervous system serotonin function and cardiovascular responses to stress.}, Journal = {Psychosomatic Medicine}, Volume = {63}, Number = {2}, Pages = {300-305}, Year = {2001}, ISSN = {0033-3174}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11292279}, Abstract = {OBJECTIVE: The objective of this study was to evaluate the impact of indices of central nervous system (CNS) serotonin function on cardiovascular reactivity to mental stress. METHODS: Lumbar puncture was performed on 54 healthy volunteers to obtain cerebrospinal fluid (CSF) for determination of 5-hydroxyindoleacetic acid (5HIAA) levels. Genotypes were determined with respect to a functional polymorphism of the serotonin transporter gene promoter region (5HTTLPR). Subjects then underwent mental stress testing. RESULTS: Persons with one or two long (l) 5HTTLPR alleles had CSF levels of the major serotonin metabolite, 5HIAA, that were 50% higher than those of persons with the s/s 5HTTLPR genotype. Persons with one or two l alleles or higher CSF 5HIAA levels also exhibited greater blood pressure and heart rate responses to a mental stress protocol. CONCLUSIONS: These findings suggest the 5HTTLPR polymorphism affects CNS serotonin function, and they are consistent with the general hypothesis that CNS serotonin function is involved in the regulation of potentially health-damaging biobehavioral characteristics. In particular, the l allele could contribute, through its association with increased cardiovascular reactivity to stress, to increased risk of cardiovascular disease.}, Doi = {10.1097/00006842-200103000-00016}, Key = {fds276148} } @article{fds276189, Author = {Bosworth, HB and Bastian, LA and Kuchibhatla, MN and Steffens, DC and McBride, CM and Skinner, CS and Rimer, BK and Siegler, IC}, Title = {Depressive symptoms, menopausal status, and climacteric symptoms in women at midlife.}, Journal = {Psychosomatic Medicine}, Volume = {63}, Number = {4}, Pages = {603-608}, Year = {2001}, ISSN = {0033-3174}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11485114}, Abstract = {OBJECTIVE: Previous studies have found increased rates of depression in women aged 45 to 54 years, but the factors that influence these rates are not understood. It was assessed whether higher rates of depressive symptoms were associated with menopausal status, climacteric symptoms, and use of hormone replacement therapy. DESIGN: Cross-sectional survey. SETTING: Community sample. METHODS: Data are from 581 women ages 45 to 54 years who were interviewed by telephone between October 1998 and February 1999. MEASURES: Depression was measured with the abbreviated CES-D, a depressive symptoms screening measure. Women's reported perception of menopausal stage, frequency of periods in the preceding 12 months, and history of oophorectomy were used to classify their menopausal status into four categories: (1) no indication of menopause; (2) close to menopause; (3) had begun menopause; and (4) had completed menopause. RESULTS: There were 168 women (28.9%) who reported a high level (> or = 10) of depressive symptoms when the abbreviated CES-D was used. In a logistic-regression analysis, significant factors associated with increased depressive symptoms included physical inactivity, inadequate income, use of estrogen/progesterone combination, and presence of climacteric symptoms (trouble sleeping, mood swings, or memory problems). Menopausal status was not associated with depressive symptoms. CONCLUSIONS: In this sample of women age 45 to 54 years, climacteric symptoms but not menopausal status were associated with higher rates of depressive symptoms.}, Doi = {10.1097/00006842-200107000-00013}, Key = {fds276189} } @article{fds276190, Author = {Brummett, BH and Barefoot, JC and Siegler, IC and Clapp-Channing, NE and Lytle, BL and Bosworth, HB and Williams, RB and Mark, DB}, Title = {Characteristics of socially isolated patients with coronary artery disease who are at elevated risk for mortality.}, Journal = {Psychosomatic Medicine}, Volume = {63}, Number = {2}, Pages = {267-272}, Year = {2001}, ISSN = {0033-3174}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11292274}, Abstract = {OBJECTIVES: Social isolation has been linked to poor survival in patients with coronary artery disease (CAD). Few studies have closely examined the psychosocial characteristics of CAD patients who lack social contact. METHODS: Social isolation was examined as a predictor of mortality in 430 patients with significant CAD. More isolated patients were compared with their less isolated counterparts on factors that might help explain the association between isolation and survival. RESULTS: The mortality rate was higher among isolated individuals. Those with three or fewer people in their social support network had a relative risk of 2.43 (p = .001) for cardiac mortality and 2.11 (p = .001) for all-cause mortality, controlling for age and disease severity. Adjustments for income, hostility, and smoking status did not alter the risk due to social isolation. With the exception of lower income, higher hostility ratings, and higher smoking rates, isolated patients did not differ from nonisolated patients on demographic indicators, disease severity, physical functioning, or psychological distress. Isolated patients reported less social support and were less pleased with the way they got along with network members, but they did not report less satisfaction with the amount of social contact received. CONCLUSIONS: Patients with small social networks had an elevated risk of mortality, but this greater risk was not attributable to confounding with disease severity, demographics, or psychological distress. These findings have implications for mechanisms linking social isolation to mortality and for the application of psychosocial interventions.}, Doi = {10.1097/00006842-200103000-00010}, Key = {fds276190} } @article{fds276210, Author = {ENRICHD Investigators}, Title = {Enhancing Recovery in Coronary Heart Disease (ENRICHD) study intervention: rationale and design.}, Journal = {Psychosomatic Medicine}, Volume = {63}, Number = {5}, Pages = {747-755}, Year = {2001}, ISSN = {0033-3174}, Abstract = {OBJECTIVE: Depression and low social support are risk factors for medical morbidity and mortality after acute MI. The ENRICHD study is a multicenter, randomized, controlled clinical trial of a cognitive-behavioral treatment for depression and low social support in post-MI patients. A total of 2481 patients were recruited (26% with low social support, 39% with depression, and 34% with low social support and depression). Our objective is to describe the rationale, design, and delivery of the ENRICHD intervention. METHODS: Key features of the intervention include the integration of cognitive-behavioral and social learning approaches to the treatment of depression and a diverse set of problems that can contribute to low social support; rapid initiation of treatment after MI; a combination of individual and group modalities; adjunctive pharmacotherapy for severe or intractable depression; training, certification, and supervision of therapists; and quality assurance procedures. RESULTS: The trial's psychosocial and medical outcomes will be presented in future reports. CONCLUSIONS: The ENRICHD protocol targets two complex psychosocial risk factors with a multifaceted intervention, which is delivered in an individualized manner to accommodate a demographically, medically, and psychiatrically diverse patient population. Additional research will be needed to identify optimal matches between patient characteristics and specific components of the intervention.}, Key = {fds276210} } @article{fds276112, Author = {Herbst, JH and McCrae, RR and Costa, PT and Feaganes, JR and Siegler, IC}, Title = {Self-perceptions of stability and change in personality at midlife: the UNC Alumni Heart Study.}, Journal = {Assessment}, Volume = {7}, Number = {4}, Pages = {379-388}, Year = {2000}, Month = {December}, ISSN = {1073-1911}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11151963}, Abstract = {The finding of personality stability in adulthood may be counterintuitive to people who perceive a great deal of change in their own personality. The purpose of this study is to determine whether self-reported perceived changes in personality are associated with actual changes based on a 6- to 9-year follow-up of 2,242 middle-aged male and female participants of the UNC Alumni Heart Study (UNCAHS). Respondents completed the Revised NEO Personality Inventory on two occasions and were asked to reflect back over a 6-year period and assess changes in their personality. The majority of respondents (n = 1,177; 52.5%) reported they had "stayed the same," while 863 (38.5%) reported they had "changed a little" and 202 (9%) reported they had "changed a good deal." Coefficients of personality profile agreement computed to evaluate global personality change for the three perceived change groups were essentially equivalent. Further, directional analyses of domain-specific changes in personality showed that perceived changes were weak predictors of residual gain scores. In an absolute sense, perceptions of stability or change were discordant in 8 of 15 (53%) comparisons. Self-perceptions of change are not an adequate substitute for objective assessments.}, Doi = {10.1177/107319110000700406}, Key = {fds276112} } @article{fds276113, Author = {Costa, PT and Herbst, JH and McCrae, RR and Siegler, IC}, Title = {Personality at midlife: stability, intrinsic maturation, and response to life events.}, Journal = {Assessment}, Volume = {7}, Number = {4}, Pages = {365-378}, Year = {2000}, Month = {December}, ISSN = {1073-1911}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11151962}, Abstract = {Although developmental theories and popular accounts suggest that midlife is a time of turmoil and change, longitudinal studies of personality traits have generally found stability of rank order and little or no change in mean levels. Using data from 2,274 men and women in their 40s retested after 6 to 9 years, the present study examined two hypotheses: (a) that retest correlations should be no higher than about .60 and (b) that there should be small decreases in Neuroticism, Extraversion, and Openness, and small increases in Agreeableness and Conscientiousness. The study also explored the effects of recalled life events on subsequent personality scores. Results did not support the first hypothesis; uncorrected retest correlations uniformly exceeded .60. This was true for all personality traits, including facets of Agreeableness and Conscientiousness not previously included in longitudinal studies. The hypothesized decreases in Neuroticism, Extraversion, and Openness were found, but Conscientiousness showed a small decrease instead of the predicted increase. Life events in general showed very little influence on the levels of personality traits, although some effects were seen for changes in job and marital status that warrant further research.}, Doi = {10.1177/107319110000700405}, Key = {fds276113} } @article{fds276155, Author = {Siegler, IC and Brummett, BH}, Title = {Associations among NEO personality assessments and well-being at midlife: facet-level analyses.}, Journal = {Psychology and Aging}, Volume = {15}, Number = {4}, Pages = {710-714}, Year = {2000}, Month = {December}, ISSN = {0882-7974}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11144330}, Abstract = {The association between well-being and personality was examined in 2,379 middle-aged adults. Measures that parallel C. D. Ryffs (1989) psychological model were selected to assess well-being. The 30 facet scales of the NEO-PI-R were used to measure personality. More than 83% of the facet-well-being correlations within the domains of Neuroticism, Extraversion, and Conscientiousness reached statistical significance, whereas, less than half of the correlations within the domains of Agreeableness and Openness were significant. The facets within each domain demonstrated different patterns of associations with the well-being measures, indicating that facet-level assessments yield additional information.}, Doi = {10.1037//0882-7974.15.4.710}, Key = {fds276155} } @article{fds276160, Author = {Brummett, BH and Barefoot, JC and Siegler, IC and Steffens, DC}, Title = {Relation of subjective and received social support to clinical and self-report assessments of depressive symptoms in an elderly population.}, Journal = {Journal of Affective Disorders}, Volume = {61}, Number = {1-2}, Pages = {41-50}, Year = {2000}, Month = {December}, ISSN = {0165-0327}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11099739}, Abstract = {BACKGROUND: The authors sought to evaluate the associations between depressive symptoms and social support in a sample drawn from a relatively understudied population - depressed elderly patients. The present study also used a multi-measure approach to assess both depressive symptomatology and social support. METHODS: In this prospective study of 115 patients we examined: (1) the baseline relations among a self-report measure of depressive symptoms, two clinical assessments of depressive symptoms, and subjective and received social support, and (2) the ability of social support to predict changes in clinical assessments of depressive symptoms at 6 months and 1 year. Education level, financial concerns, activities of daily living ratings, and gender were controlled for. RESULTS: Baseline subjective support was negatively related to self-reports of depressive symptoms, but unrelated to clinical assessments at baseline or follow-up. Conversely, received support was unrelated to self-reported depressive symptoms, but positively related to both clinical assessments at baseline. However, higher ratings of received support at baseline predicted decreases in clinical ratings of depressive symptoms at 6 months and 1 year. LIMITATIONS: These data were gathered in a primarily Caucasian sample, thus the findings may not generalize to more diverse ethnic populations. Potential confounding due to treatment mode and setting was not controlled in the present analyses. CONCLUSIONS: These results have important implications for interpreting clinical data in elderly depressed patients. Specifically, when depressive symptoms are assessed using clinician ratings, the most informative aspect of social support with respect to future clinical status appears to be received, rather than perceived, support measures.}, Doi = {10.1016/s0165-0327(99)00191-3}, Key = {fds276160} } @article{fds276242, Author = {Poon, LW and Johnson, MA and Davey, A and Dawson, DV and Siegler, IC and Martin, P}, Title = {Psycho-social predictors of survival among centenarians}, Journal = {Facts, Research and Intervention in Geriatrics}, Volume = {2000}, Pages = {77-89}, Year = {2000}, Month = {December}, Abstract = {In this paper, we identified predictors of extreme survival among a group of 137 centenarians (75.9% women) participating in the Georgia Centenarian Study, of whom 21 were still living as of March 15, 1999. At the time of initial testing, centenarians had a mean age of 100.8 years with a range from 99 to 110 years. Cox regression models were used to identify significant predictors of mortality. Results suggest that men, Whites, and those with greater PADL impairments had higher risks of mortality. Two surprising findings also emerged. Those with greater triceps skinfold measures, and those with lower verbal IQs had lower risks of mortality. Among centenarians, the latter two findings may actually reflect better nutritional status and lower blood pressure, respectively. Thus, even in extreme old age, individual characteristics continue to exert systematic influences on survival.}, Key = {fds276242} } @article{fds276156, Author = {Brummett, BH and Maynard, KE and Haney, TL and Siegler, IC and Barefoot, JC}, Title = {Reliability of interview-assessed hostility ratings across mode of assessment and time.}, Journal = {Journal of Personality Assessment}, Volume = {75}, Number = {2}, Pages = {225-236}, Year = {2000}, Month = {October}, ISSN = {0022-3891}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11020141}, Abstract = {These studies addressed 2 questions concerning interview-based hostility assessments: whether they are affected if the interview is conducted face-to-face versus telephone and whether they are stable across an extended time period. In Study 1A, 54 students were interviewed face-to-face and by telephone in a laboratory setting. Half the sample was reinterviewed in the laboratory 6 weeks later. The other half was reinterviewed by telephone at home. With 1 exception, all intraclass correlation coefficients (ICCs) comparing interview modes were above .62. In Study 1B, 48 adults were interviewed face-to-face in a laboratory and by telephone in their homes with a 2-week intervening interval. The ICC comparing interview modes was .78. In Study 2, 100 adults were interviewed face-to-face in a laboratory and approximately 4 years later by telephone in their homes. The ICC across interviews was .69. Thus, support was found for the stability of interview-based hostility assessments across interview methods and extended periods of time.}, Doi = {10.1207/S15327752JPA7502_4}, Key = {fds276156} } @article{fds276185, Author = {Lipkus, IM and Kuchibhatla, M and McBride, CM and Bosworth, HB and Pollak, KI and Siegler, IC and Rimer, BK}, Title = {Relationships among breast cancer perceived absolute risk, comparative risk, and worries.}, Journal = {Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology}, Volume = {9}, Number = {9}, Pages = {973-975}, Year = {2000}, Month = {September}, ISSN = {1055-9965}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11008917}, Abstract = {When trying to predict breast cancer screening, it may be important to understand the relationships between perceived breast cancer risks and worries about getting breast cancer. This study examines the extent to which women's worries about breast cancer correlate with perceptions of both absolute (assessment of own) and comparative (self versus other) 10-year and lifetime risks. As part of a larger randomized intervention trial concerning hormone replacement therapy, 581 women participated in a telephone baseline survey to assess their perceptions of breast cancer risks and worries. Worries about getting breast cancer in the next 10 years and in one's lifetime were related positively to both absolute and comparative 10-year and lifetime risks. The magnitude of these relationships did not differ by time frame. Worry about breast cancer is a function of both how a woman views her own risk and how she compares her risk with that of other women. Some practitioners may encourage women to get screened for breast cancer by using emotional appeals, such as heightening women's worries about breast cancer by using risk information. Our data suggest that they should give careful consideration how best to combine, if at all, information about absolute and comparative risks. For example, if the motivation to screen is based on a sequential assessment of risk beginning with comparative and then absolute risk, creating communications that heighten perceived risk on both of these risk dimensions may be needed to evoke sufficient worry to initiate breast cancer screening.}, Key = {fds276185} } @article{fds276157, Author = {Barefoot, JC and Brummett, BH and Clapp-Channing, NE and Siegler, IC and Vitaliano, PP and Williams, RB and Mark, DB}, Title = {Moderators of the effect of social support on depressive symptoms in cardiac patients.}, Journal = {The American Journal of Cardiology}, Volume = {86}, Number = {4}, Pages = {438-442}, Year = {2000}, Month = {August}, ISSN = {0002-9149}, url = {http://www.ncbi.nlm.nih.gov/pubmed/10946039}, Abstract = {Social support and depression have been shown to affect the prognosis of coronary patients, and social support has been found to influence depression in community and patient samples. We investigated the characteristics of coronary patients whose depressive symptomatology was most likely to improve with social support. We predicted that social support would be most beneficial for the most severely depressed, the old, the poor, the most severely ill, and those with poor functional status. Patients (n = 590) with documented coronary artery disease were assessed for depressive symptoms, social support, and functional status while in hospital. They were reassessed for depression 1 month later during a home visit. Depression scores were lower at follow-up (p = 0.001), and improvement was more marked among those reporting more support (p <0.001). The social support effect was strongest among those with high levels of depression at baseline (p <0.001) and those with lower income (p = 0.01). Unexpectedly, social support was more strongly associated with improvement in younger patients (p = 0.01). Social support did not interact with gender, disease severity, or functional status. These findings are partially consistent with the notion that social support is most effective for those who are most vulnerable and/or have few coping resources. These findings also have implications for the design and interpretation of psychosocial interventions.}, Doi = {10.1016/s0002-9149(00)00961-9}, Key = {fds276157} } @article{fds276111, Author = {McPherson, RS and Feaganes, JR and Siegler, IC}, Title = {Measurement of dietary intake in the UNC Alumni Heart Study. University of North Carolina.}, Journal = {Preventive Medicine}, Volume = {31}, Number = {1}, Pages = {56-67}, Year = {2000}, Month = {July}, ISSN = {0091-7435}, url = {http://www.ncbi.nlm.nih.gov/pubmed/10896844}, Abstract = {BACKGROUND: Research needs to identify diet and disease associations to provide direction about effecting change in individuals with dietary behaviors that increase risk of chronic disease. Inclusion of dietary assessment in the University of North Carolina Alumni Heart Study (UNCAHS) provides the opportunity to prospectively investigate dietary intake and chronic disease associations with measures of personality and behavioral risk factors. METHODS: Development of the UNCAHS food frequency questionnaire and nutrient intake of 4,443 middle-aged men and women is provided stratified by total fat and vitamin A intake within demographic and health behavior categories. RESULTS: Alumni consume diets close to that recommended by current dietary guidelines. Both men and women have low calcium intake. Thirty-nine percent of the alumni consume diets with 30% of kilocalories from fat or less and 88% meet the RDA for vitamin A. Never smokers had lower fat diets and greater intakes of vitamin A than former or current smokers. Over 54% of alumni currently took vitamin/mineral supplements. CONCLUSIONS: UNCAHS participants will be tracked as they approach older ages with apparently less risk for diet-related chronic diseases than many Americans. The psychosocial correlates of these eating behaviors will be evaluated as disease endpoints occur.}, Doi = {10.1006/pmed.2000.0679}, Key = {fds276111} } @article{fds276109, Author = {Fredrickson, BL and Maynard, KE and Helms, MJ and Haney, TL and Siegler, IC and Barefoot, JC}, Title = {Hostility predicts magnitude and duration of blood pressure response to anger.}, Journal = {Journal of Behavioral Medicine}, Volume = {23}, Number = {3}, Pages = {229-243}, Year = {2000}, Month = {June}, ISSN = {0160-7715}, url = {http://www.ncbi.nlm.nih.gov/pubmed/10863676}, Abstract = {The hypothesis that hostile and nonhostile individuals would differ in both magnitude and duration of cardiovascular reactivity to relived anger was tested. Participants were 66 older adults (mean age, 62; 38 women and 28 men; 70% Caucasian American, 30% African American). Each took part in a structured interview scored using the Interpersonal Hostility Assessment Technique. Later each relived a self-chosen anger memory while heart rate and systolic and diastolic blood pressures were measured continuously using an Ohmeda Finapres monitor. Hostile participants had larger and longer-lasting blood pressure responses to anger. African Americans also showed longer-lasting blood pressure reactivity to anger. Health and measurement implications are discussed.}, Doi = {10.1023/a:1005596208324}, Key = {fds276109} } @article{fds276110, Author = {Williams, JE and Paton, CC and Siegler, IC and Eigenbrodt, ML and Nieto, FJ and Tyroler, HA}, Title = {Anger proneness predicts coronary heart disease risk: prospective analysis from the atherosclerosis risk in communities (ARIC) study.}, Journal = {Circulation}, Volume = {101}, Number = {17}, Pages = {2034-2039}, Year = {2000}, Month = {May}, url = {http://www.ncbi.nlm.nih.gov/pubmed/10790343}, Abstract = {BACKGROUND: Increased research attention is being paid to the negative impact of anger on coronary heart disease (CHD). METHODS AND RESULTS: This study examined prospectively the association between trait anger and the risk of combined CHD (acute myocardial infarction [MI]/fatal CHD, silent MI, or cardiac revascularization procedures) and of "hard" events (acute MI/fatal CHD). Participants were 12 986 black and white men and women enrolled in the Atherosclerosis Risk In Communities study. In the entire cohort, individuals with high trait anger, compared with their low anger counterparts, were at increased risk of CHD in both event categories. The multivariate-adjusted hazard ratio (HR) (95% CI) was 1.54 (95% CI 1.10 to 2.16) for combined CHD and 1.75 (95% CI 1.17 to 2.64) for "hard" events. Heterogeneity of effect was observed by hypertensive status. Among normotensive individuals, the risk of combined CHD and of "hard" events increased monotonically with increasing levels of trait anger. The multivariate-adjusted HR of CHD for high versus low anger was 2.20 (95% CI 1.36 to 3.55) and for moderate versus low anger was 1.32 (95% CI 0.94 to 1.84). For "hard" events, the multivariate-adjusted HRs were 2.69 (95% CI 1.48 to 4.90) and 1.35 (95% CI 0.87 to 2.10), respectively. No statistically significant association between trait anger and incident CHD risk was observed among hypertensive individuals. CONCLUSIONS: Proneness to anger places normotensive middle-aged men and women at significant risk for CHD morbidity and death independent of the established biological risk factors.}, Doi = {10.1161/01.cir.101.17.2034}, Key = {fds276110} } @article{fds276188, Author = {Brummett, BH and Barefoot, JC and Feaganes, JR and Yen, S and Bosworth, HB and Williams, RB and Siegler, IC}, Title = {Hostility in marital dyads: associations with depressive symptoms.}, Journal = {Journal of Behavioral Medicine}, Volume = {23}, Number = {1}, Pages = {95-105}, Year = {2000}, Month = {February}, ISSN = {0160-7715}, url = {http://www.ncbi.nlm.nih.gov/pubmed/10749013}, Abstract = {We examined the relations of hostility (of self and spouse) with self-ratings of depressive symptoms in 898 spouse pairs. Self-ratings of hostility were initially examined as predictors of depression. Next, spouse self-ratings of hostility were added to the model. Finally, the interaction of self x spouse hostility was investigated. These relations were explored for three components of hostility (Cynicism, Aggressive Responding, and Hostile Affect). Age and education were controlled in all models and effects were examined separately for women and men. Self-ratings of Hostile Affect were positively related to depressive symptoms for both women and men. Self-ratings of Cynicism were also significantly related to depression, but only for men. All three components of spouse's hostility were positively related to one's own symptoms of depression for women. For men, however, spouse's hostility was not related to symptoms of depression. These findings highlight the need to study psychosocial risk factors in social units and have potential implications for intervention.}, Doi = {10.1023/a:1005424405056}, Key = {fds276188} } @article{fds276186, Author = {Clark, LM and Bosworth, HB and Welsh-Bohmer, KA and Dawson, DV and Siegler, IC}, Title = {Relation between informant-rated personality and clinician-rated depression in patients with memory disorders.}, Journal = {Neuropsychiatry, Neuropsychology, and Behavioral Neurology}, Volume = {13}, Number = {1}, Pages = {39-47}, Year = {2000}, Month = {January}, ISSN = {0894-878X}, url = {http://www.ncbi.nlm.nih.gov/pubmed/10645735}, Abstract = {OBJECTIVE: The goal of this study was to examine the convergent validity of informant-rated changes in depressive and related personality traits with clinician-assessed depression in memory-disordered patients. BACKGROUND: Depressive symptoms are frequent complications in persons with dementias such as Alzheimer disease, and caregiver informants consistently report changes in depression and related neurotic traits on the NEO Personality Inventory (NEO-PI) in dementia patients. METHODS: In 78 patients undergoing evaluation of memory complaints at an Alzheimer disease clinic, depression was characterized by clinical diagnosis, a clinician-rated scale, and informant ratings of premorbid versus current depression, anxiety, vulnerability, and neuroticism on the NEO-PI. RESULTS: The diagnostic groups differed in meaningful patterns on the NEO-PI measures. Those with a diagnosis of major depression differed from never-depressed patients in all personality areas, although those with depressed mood differed only on NEO-PI depression. The clinician-rated depression scale correlated modestly with current personality and change from baseline personality. CONCLUSIONS: The NEO-PI provides a useful measure of informants' perspectives on depressive personality changes in patients with memory disorders but does not correspond fully with a clinical syndrome of depression.}, Key = {fds276186} } @article{fds276108, Author = {Dawson, DV and Welsh-Bohmer, KA and Siegler, IC}, Title = {Premorbid personality predicts level of rated personality change in patients with Alzheimer disease.}, Journal = {Alzheimer Disease and Associated Disorders}, Volume = {14}, Number = {1}, Pages = {11-19}, Year = {2000}, ISSN = {0893-0341}, url = {http://www.ncbi.nlm.nih.gov/pubmed/10718200}, Abstract = {Multiple studies of individuals with Alzheimer disease have substantiated significant levels of informant-rated change in several domains and facets of the Neuroticism-Extraversion-Openness Personality Inventory, including increases in Neuroticism and decreases in Extraversion and Conscientiousness relative to premorbid personality traits. Decline in Openness was cited in some reports, and replicable changes were identified in several facets. Current and premorbid personality of 50 patients with Alzheimer disease were rated by informants using the Neuroticism-Extraversion-Openness Personality Inventory. Multiple regression analysis was used to assess possible relationships of levels of reported change with covariates, including premorbid rating, education, duration of dementia, age, gender, and Mini-Mental State Examination score. Premorbid rating was the only significant predictor of reported change for Neuroticism, Extraversion, Conscientiousness, and the facets Anxiety (N1), Assertiveness (E3), and Activity (E4). Rated change in Depression was also found to be related to duration of dementia, change in Vulnerability was influenced by gender, and reported change in both Openness and Ideas showed a relationship to level of education.}, Doi = {10.1097/00002093-200001000-00002}, Key = {fds276108} } @article{fds276140, Author = {Von Dras and DD and Siegler, IC and Barefoot, JC and Williams, RB and Mark, DB}, Title = {Coronary catherization patient and wife's perceptions of social support: effects due to characteristics of recipient, provider, and their interaction.}, Journal = {International Journal of Aging & Human Development}, Volume = {50}, Number = {2}, Pages = {97-125}, Year = {2000}, ISSN = {0091-4150}, url = {http://www.ncbi.nlm.nih.gov/pubmed/10791611}, Abstract = {This investigation explored relationships between coronary catherization patient and wife's characteristics and their perceptions of social support. Participants were 124 male patients undergoing diagnostic catherization to detect coronary artery disease (CAD) and their wives. Patients and wives' mean ages were fifty-nine and fifty-six years, respectively. While visiting the hospital both patient and wife independently completed a brief questionnaire that assessed psychological and physical health characteristics and perceptions of social support. Congruent with the interdependent and overlapping contexts, and reciprocal relationships assumptions of Revenson's (1994) ecological/contextual framework, results suggested characteristics of patients and wives (e.g., age, mental health, social functioning, hostility, depression, general perceived health) to interactively moderate their perceptions of social support. Overall, perceptions of social support were found to be influenced by characteristics of the perceiver, the support provider, and their interaction. Concerns for supportive and helpful caregiving are discussed.}, Doi = {10.2190/CU9W-0XKW-R4AN-G1TD}, Key = {fds276140} } @article{fds276158, Author = {Barefoot, JC and Brummett, BH and Helms, MJ and Mark, DB and Siegler, IC and Williams, RB}, Title = {Depressive symptoms and survival of patients with coronary artery disease.}, Journal = {Psychosomatic Medicine}, Volume = {62}, Number = {6}, Pages = {790-795}, Year = {2000}, ISSN = {0033-3174}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11138998}, Abstract = {OBJECTIVE: Multiple studies have shown that high levels of depressive symptoms increase the mortality risk of patients with established coronary disease. This investigation divided depressive symptoms into groups to assess their relative effectiveness in predicting survival. METHODS: Questionnaires about the presence of depressive symptoms were administered to 1250 patients with significant coronary disease while they were hospitalized for diagnostic coronary angiography. Follow-up for mortality due to cardiac disease was conducted annually for up to 19.4 years. Factor analysis was used to divide items on the Zung Self-Rating Depression Scale into four groups: Well-Being, Negative Affect, Somatic, and Appetite. In addition, responses to a single item regarding feelings of hopelessness were available for 920 patients. RESULTS: Well-Being and Somatic symptoms significantly predicted survival (p < or = .01). Negative Affect items were also related to survival (p = .0001) and interacted with age. A 2-SD difference in the Negative Affect term was associated with a relative risk of 1.29 for patients >50 years old and 1.70 for younger ones. Only Negative Affect remained significant in a model with the other symptom groups. Hopelessness also predicted survival with a relative risk of 1.5. Both the Hopelessness and Negative Affect items remained as independent predictors in the same model. All models controlled for severity of disease and treatment. With one exception (income and Hopelessness), results were essentially unchanged by additional controls for age, gender, and income. CONCLUSIONS: Depressive symptoms differentially predicted survival, with depressive affect and hopelessness being particularly important. These effects were independent of disease severity and somatic symptoms and may be especially important in younger patients.}, Doi = {10.1097/00006842-200011000-00008}, Key = {fds276158} } @article{fds276187, Author = {Bosworth, HB and Siegler, IC and Olsen, MK and Brummett, BH and Barefoot, JC and Williams, RB and Clapp-Channing, NE and Mark, DB}, Title = {Social support and quality of life in patients with coronary artery disease.}, Journal = {Quality of Life Research}, Volume = {9}, Number = {7}, Pages = {829-839}, Year = {2000}, ISSN = {0962-9343}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11297025}, Abstract = {The relationship between perceived social support and domain-specific health-related quality of life (HRQOL) was examined in a sample of cardiac catheterization patients after considering age, gender, race, education, and coronary artery disease (CAD) severity. Data was collected on 4,278 cardiac catheterization patients (63% males) and included 1,215 patients with non-significant CAD and 3,063 patients who had significant CAD ( > or = 75% stenosis of at least one major coronary artery). Among the patients with significant CAD, 2,721 were classified as low disease severity and 342 were considered high disease severity. Regression models indicated that a lack of social support was associated with significantly lower levels of HRQOL across all eight SF-36 HRQOL domains after considering disease severity and other demographic factors. The models also indicated that social support and other relevant variables interacted across various HRQOL domains. Physical function and physical role function were lower with age, whereas mental health, emotional role function, and vitality were higher with age. Females reported lower HRQOL than males across all domains. Minority patients reported lower levels of HRQOL than white patients across four domains. Increased disease severity was related to lower levels among four of the eight HRQOL domains. The observed interactions of social support with minority status, disease severity, and education suggest that a subset of individuals may suffer lower levels of HRQOL. These individuals may subsequently require the greatest degree of care and potentially benefit most from intervention.}, Doi = {10.1023/a:1008960308011}, Key = {fds276187} } @article{fds276184, Author = {Bosworth, HB and Siegler, IC and Brummett, BH and Barefoot, JC and Williams, RB and Clapp-Channing, NE and Mark, DB}, Title = {The association between self-rated health and mortality in a well-characterized sample of coronary artery disease patients.}, Journal = {Medical Care}, Volume = {37}, Number = {12}, Pages = {1226-1236}, Year = {1999}, Month = {December}, ISSN = {0025-7079}, url = {http://www.ncbi.nlm.nih.gov/pubmed/10599604}, Abstract = {BACKGROUND: The relationship between self-rated health and mortality after adjustment for sociodemographic variables, physician-rated comorbidities, disease severity, health-related quality of life (HRQOL), and psychosocial measures (depression, social support, and functional ability) was examined in the Mediators of Social Support (MOSS) study. SUBJECTS: The sample consisted of 2,885 individuals (mean age, 62.5 years) who had significant heart disease based upon heart catheterization. RESULTS. Using Cox proportional survival analysis, individuals who rated their health as "fair" or "poor" had a significantly greater likelihood of all-cause mortality (OR = 2.13; CI = 1.40-3.23; OR = 4.92; CI = 3.24-7.46, respectively) across follow-up (mean, 3.5 years) than those who rated their health as "very good" after considering sociodemographic factors. After adjustment for comorbidities, disease severity, HRQOL, psychosocial factors, and demographic variables, only those who rated their health as poor had a significant greater risk of mortality (OR = 2.96, CI = 1.80-4.85). A similar pattern was observed for coronary artery disease (CAD)-related mortality; increased adjustment of variables weakened the relationship between self-rated health and mortality. Individuals who rated their health as poor had a significantly greater risk of CAD-related mortality than did those who rated their health as very good (poor vs. very good OR = 3.58, CI = 2.13-6.02) after adjustment for all available mortality risk factors. CONCLUSIONS: This study indicates that it is important to include self-rated health when studying risk factors for mortality. Not adjusting for relevant factors may provide an overestimation of the effects of self-rated health on mortality in a sample of CAD patients.}, Doi = {10.1097/00005650-199912000-00006}, Key = {fds276184} } @article{fds276241, Author = {Vitaliano, PP and Scanlan, JM and Moe, K and Siegler, IC and Prinz, PN and Ochs, HD}, Title = {Stress, sleep problems, and immune function in persons with cancer histories}, Journal = {Cancer Research Therapy and Control}, Volume = {10}, Number = {3}, Pages = {167-182}, Year = {1999}, Month = {December}, Abstract = {Problem. Data suggest that chronic stress, cancer history, sleep problems and clinical depression are associated with reduced natural killer cell activity (NKA), but few studies have examined whether in combination these variables have synergistic relationships with NKA. Because spouse caregivers of persons with Alzheimer's disease are chronically stressed, we assessed whether interactions of caregiving, cancer history, sleep problems and clinical depression/depressed mood would be associated with reduced NKA in 80 spouse caregivers and 85 age- and sex- matched non-caregiver controls. Methods. In the overall study the mean age was 69.5 years, the percent women was 67% and the percent Caucasian was 99%. Participants were assessed at study entry (Time 1) and 15 - 18 months later (Time 2). Using medical records/ICD-9 codes, we determined that persons with a cancer history (n = 43) had not been treated with immune altering medications for at least one year before NKA assessments. NKA was assessed by a chromium-release assay and all concentrations were averaged. Results. At Times 1 and 2, direct (univariate) relationships were weak or absent for caregiver status, cancer history, sleep problems, and clinical depression/depressed mood. In contrast, at both times synergistic (multivariate) relationships occurred for NKA with the three-way interaction of caregiver status, cancer history and sleep problems (p < .05). Hence, caregivers with cancer histories and sleep problems had lower NKA values (Time l, M ± SD = 22.9 ±2.8; Time 2, M= 27.7 ±4.1) than did individuals without all three factors (Time 1, M of 7 other strata combined = 33.1 ±1.2; Time 2, M = 33.7 ±1.1), p < .05. Over time, sleep problems at Time 1 were predictive of reduced NKA at Time 2 (r = -.65, p < .01), but this only occurred in caregivers with cancer histories. Conclusions. Synergistic effects may occur for NKA with sleep problems, chronic stress and cancer history, independent of depressed mood/clinical depression. © 1999 OPA (Overseas Publishers Association) N.V. Published by license under the Harwood Academic Publishers imprint, part of the Gordon and Breach Publishing Group.}, Key = {fds276241} } @article{fds276182, Author = {Bosworth, HB and Schaie, KW and Willis, SL and Siegler, IC}, Title = {Age and distance to death in the Seattle Longitudinal Study}, Journal = {Research on Aging}, Volume = {21}, Number = {6}, Pages = {723-738}, Publisher = {SAGE Publications}, Year = {1999}, Month = {November}, ISSN = {0164-0275}, url = {http://dx.doi.org/10.1177/0164027599216001}, Abstract = {A series of hierarchical regression models was used to determine if time to death was a significant independent variable for level and seven-year change in intellectual performance for 1,214 community-dwelling adults. Distance to death explained a significant amount of the variance of intellectual performance at individuals' last measurement but not of the decline in performance after controlling for age, education, gender, and survivorship. The inclusion of time to death improved the proportion of unique variance explained by about 1% to 3% and between 4% and 10.4% of the total variance explained. Decedents had lower levels of verbal meaning, spatial ability, reasoning ability, and psychomotor speed at last measurements and greater amounts of seven-year decline on verbal meaning and psychomotor speed. The inclusion of distance to death may help improve the explanation of variability in performance associated with increased age.}, Doi = {10.1177/0164027599216001}, Key = {fds276182} } @article{fds276183, Author = {Bosworth, HB and Siegler, IC and Brummett, BH and Barefoot, JC and Williams, RB and Vitaliano, PP and Clapp-Channing, N and Lytle, BL and Mark, DB}, Title = {The relationship between self-rated health and health status among coronary artery patients.}, Journal = {Journal of Aging and Health}, Volume = {11}, Number = {4}, Pages = {565-584}, Year = {1999}, Month = {November}, ISSN = {0898-2643}, url = {http://www.ncbi.nlm.nih.gov/pubmed/10848078}, Abstract = {OBJECTIVES: This study examined the descriptive relationship of self-rated health (SRH) with various psychosocial measures, sociodemographic variables, coronary artery disease (CAD) diagnostic/clinical measures, and medically abstracted comorbidities. METHODS: The sample was 2,855 individuals from the Mediators of Social Support (MOSS) study who had at least 75% narrowing in more than one vessel, as indicated by a cardiac catheterization. RESULTS: After adjusting for sociodemographic factors, individuals who rated their health as poor/fair had significantly worse performance on all psychosocial measures and were more likely to be female, non-White, and of a lower socioeconomic status than those who rated their health as being good or better. There were few differences on SRH across various diagnostic/clinical measures of health. DISCUSSION: A single item measure of SRH may be useful; the generalizability of the item must be considered. In this sample of CAD patients, SRH was related more to psychosocial factors than to clinical and disease indicators.}, Doi = {10.1177/089826439901100405}, Key = {fds276183} } @article{fds276240, Author = {Osborn, BH and Couchman, GM and Siegler, IC and Bastian, LA}, Title = {Osteoporosis risk factors: Association with use of hormone replacement therapy and with worry about osteoporosis}, Journal = {Women'S Health Issues : Official Publication of the Jacobs Institute of Women'S Health}, Volume = {9}, Number = {6}, Pages = {278-285}, Publisher = {Elsevier BV}, Year = {1999}, Month = {November}, ISSN = {1049-3867}, url = {http://dx.doi.org/10.1016/S1049-3867(99)00017-1}, Abstract = {Objectives: To determine whether postmenopausal women with risk factors for osteoporosis are more likely to use hormone replacement therapy (HRT) or to worry about osteoporosis than women without risk factors. Method: Cross-sectional survey of postmenopausal women at the Women Veteran Comprehensive Health Center. Statistical analysis was performed using the chi-square test and logistic regression analysis. Results: Of the 230 postmenopausal women who answered the questionnaire (mean age 55.7 years), 167 (72%) reported ever having used HRT and 113 (49%) worried about osteoporosis. Factors that were significantly associated (P < .05) with ever having used HRT were race, marital status, hysterectomy, worry about osteoporosis, and being aware that HRT reduces the risk of osteoporosis; however, no other risk factors for osteoporosis were associated with HRT use, nor was having the diagnosis of osteoporosis. Women who worried about osteoporosis were significantly more likely to be under age 60; to have a family history of osteoporosis, poor self-rated current health, and osteoporosis as a medical condition; to be aware that HRT reduces the risk of osteoporosis; and to have used HRT (P < .05). Conclusions: Among risk factors for osteoporosis, only family history was associated with worry about osteoporosis, while white race was the only risk factor associated with HRT use in our cohort of postmenopausal woman veterans. This may represent a lack of awareness and knowledge about osteoporosis and its sequelae and about the benefits of HRT. An understanding of patient awareness of risk factors for osteoporosis and their motivations to take HRT can be valuable when counseling women on their decision to use HRT or other medications to prevent osteoporosis. Copyright (C) 1999 Elsevier Science Inc.}, Doi = {10.1016/S1049-3867(99)00017-1}, Key = {fds276240} } @article{fds276206, Author = {Barefoot, JC and Maynard, KE and Beckham, JC and Brummett, BH and Hooker, K and Siegler, IC}, Title = {Trust, health, and longevity.}, Journal = {Journal of Behavioral Medicine}, Volume = {21}, Number = {6}, Pages = {517-526}, Year = {1998}, Month = {December}, ISSN = {0160-7715}, url = {http://www.ncbi.nlm.nih.gov/pubmed/9891252}, Abstract = {Scores on the Rotter Interpersonal Trust Scale were evaluated as predictors of psychological well-being, functional health, and longevity in a sample of 100 men and women who were between 55 and 80 years old at baseline (mean age 66.8). Cross-sectionally, high levels of trust were associated with better self-rated health and more life satisfaction. Follow-up over approximately 8 years found baseline levels of trust to be positively related to subsequent functional health, but not to subsequent life satisfaction. Mortality follow-up after 14 years demonstrated that those with high levels of trust had longer survival (p = .03), a finding that was somewhat weakened by controlling for baseline health ratings. These findings illustrate the health protective effects of high levels of trust and suggest the potential usefulness of the trust concept for understanding successful aging.}, Doi = {10.1023/a:1018792528008}, Key = {fds276206} } @article{fds276100, Author = {Vitaliano, PP and Scanlan, JM and Siegler, IC and McCormick, WC and Knopp, RH}, Title = {Coronary heart disease moderates the relationship of chronic stress with the metabolic syndrome.}, Journal = {Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association}, Volume = {17}, Number = {6}, Pages = {520-529}, Year = {1998}, Month = {November}, ISSN = {0278-6133}, url = {http://www.ncbi.nlm.nih.gov/pubmed/9848802}, Abstract = {Metabolic syndrome levels (MSLs) were compared in caregivers (CGs) of spouses with Alzheimer's disease who had diagnoses of coronary heart disease (CHD; n = 27) with non CGs with CHD diagnoses (n = 18), and CGs (n = 44) to non CGs (n = 52) free of CHD. MSLs were greater for CGs than non CGs, but only in persons with CHD (CHD, B for CG status = -.41; non CHD, B = .12; p < .05) at study entry (Time 1 = T1) and CHD, B = -.32; non CHD, B = .14; p < .05) 15-18 months later (Time 2 = T2). In the CHD group, MSLs were associated with poorer health habits at T1 (r = .39, p < .01), uplifts (r = -.37, p < .01) at T2, and CG status (p < .05) at T1 and T2. Relationships of CG status and MSLs declined in the presence of poor health habits at T1 and uplifts at T2. Poorer health habits and fewer uplifts may be associated with elevated MSLs in CGs with CHD.}, Doi = {10.1037//0278-6133.17.6.520}, Key = {fds276100} } @article{fds276101, Author = {Siegler, IC and Vitaliano, PP}, Title = {Introduction to the special section: in search of a double paradigm.}, Journal = {Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association}, Volume = {17}, Number = {6}, Pages = {483-485}, Year = {1998}, Month = {November}, ISSN = {0278-6133}, url = {http://www.ncbi.nlm.nih.gov/pubmed/9848797}, Doi = {10.1037/h0092708}, Key = {fds276101} } @article{fds276107, Author = {Clark, LM and McDonald, WM and Welsh-Bohmer, KA and Siegler, IC and Dawson, DV and Tupler, LA and Krishnan, KR}, Title = {Magnetic resonance imaging correlates of depression in early- and late-onset Alzheimer's disease.}, Journal = {Biological Psychiatry}, Volume = {44}, Number = {7}, Pages = {592-599}, Year = {1998}, Month = {October}, ISSN = {0006-3223}, url = {http://www.ncbi.nlm.nih.gov/pubmed/9787883}, Abstract = {BACKGROUND: Depressive symptoms are frequent complications of Alzheimer's disease (AD). We hypothesized that AD patients with depression would be more likely than nondepressed AD patients to show deep white-matter, subcortical gray-matter, and periventricular hyperintensities on magnetic resonance imaging (MRI). METHODS: In a retrospective study of 31 AD patients, depression was characterized by clinical diagnosis (DSM-III-R major depression, depressive symptoms, or no depression), a clinician-rated depression scale, and informant ratings of premorbid (before memory disorder) as well as current depression using the NEO Personality Inventory (NEO-PI), and related to qualitative and quantitative ratings of MRI hyperintensities. RESULTS: In contrast to reports in nondemented elderly patients, there was no relationship between clinical diagnosis of major depressive episode and hyperintensities; however, clinician-rated depressive symptoms were higher in subjects with large anterior hyperintensities. In the early-onset AD group only, MRI abnormalities were related to greater premorbid depression, and less increase in depression after the onset of dementia, as rated by informants on the NEO-PI. CONCLUSIONS: Results highlight the need to consider early- and late-onset AD separately when assessing relationships between personality and MRI abnormalities, and to consider premorbid personality style when drawing conclusions about the etiology of depressive features seen in AD.}, Doi = {10.1016/s0006-3223(98)00106-1}, Key = {fds276107} } @article{fds276106, Author = {Exline, JL and Siegler, IC and Bastian, LA}, Title = {Differences in providers' beliefs about benefits and risks of hormone replacement therapy in managed care.}, Journal = {Journal of Women'S Health}, Volume = {7}, Number = {7}, Pages = {879-884}, Year = {1998}, Month = {September}, ISSN = {1059-7115}, url = {http://www.ncbi.nlm.nih.gov/pubmed/9785314}, Abstract = {Our objective was to determine if physician beliefs about the benefits and risks of hormone replacement therapy (HRT) differ by physician gender or specialty in a managed care setting. In a cross-sectional survey of providers in a health maintenance organization in North Carolina, 105 gynecologists, internists, and family physicians and physician assistants were surveyed, and 74 providers completed and returned the survey (70.5% response rate). Providers' beliefs about the benefits and risks of HRT differed by specialty and gender of physician. Gynecologists are significantly less concerned about the potential risks of HRT on breast cancer (p = 0.004) and thromboembolic events (p = 0.005) compared with family physicians and internists. Female providers across the three specialty categories were significantly different from their male colleagues in their beliefs about the benefits of HRT with regard to the reduction in risk of heart disease (79% versus 64%, p = 0.001), osteoporosis (83% versus 75%, p = 0.045), and Alzheimer's disease (45% versus 26%, p = 0.026). There was a trend toward female physicians being more convinced about the risks of breast cancer than their male colleagues (p = 0.08). Our results suggest that providers in a managed care setting vary in their beliefs about the benefits and risks of HRT, and this may affect provider-patient discussions about HRT.}, Doi = {10.1089/jwh.1998.7.879}, Key = {fds276106} } @article{fds276103, Author = {Barefoot, JC and Heitmann, BL and Helms, MJ and Williams, RB and Surwit, RS and Siegler, IC}, Title = {Symptoms of depression and changes in body weight from adolescence to mid-life.}, Journal = {Int J Obes Relat Metab Disord}, Volume = {22}, Number = {7}, Pages = {688-694}, Year = {1998}, Month = {July}, url = {http://www.ncbi.nlm.nih.gov/pubmed/9705031}, Abstract = {OBJECTIVE: To investigate the relationship of symptoms of depression to weight changes in healthy individuals of normal weight across a follow-up of over 20 y. PARTICIPANTS AND DESIGN: College students (3885 men and 841 women) were administered a self-report depression measure in the mid-1960s. Their baseline body mass index (BMI) was calculated from their college medical records. Participants were contacted by mail in the late 1980s and asked to report their current height and weight as well as their smoking and exercise habits. Another measure of depressive symptoms was obtained from 3560 individuals at follow-up. Multiple regression models were used to relate changes in weight to depression scores while controlling for background (gender, baseline BMI and the gender by BMI interaction) and behavioral (exercise and smoking) predictors. RESULTS: The relationship between depressive symptoms and body weight change took the form of an interaction with baseline BMI (P < 0.001). Those with high baseline depression scores gained less weight than their nondepressed counterparts if they were initially lean, but more if they were initially heavy. This trend was especially strong in those with high depression scores at both baseline and follow-up. CONCLUSIONS: The findings support the hypothesis that depression exaggerates pre-existing weight change tendencies. This pattern would not have been detected by an examination of main effects alone, illustrating the need to move toward more complicated interactive models in the study of psychological factors and weight.}, Doi = {10.1038/sj.ijo.0800647}, Key = {fds276103} } @article{fds276102, Author = {Bastian, L and Couchman, G and Rimer, BK and McBride, CM and Sutton, L and Siegler, IC}, Title = {Promoting informed decision making: hormone replacement therapy.}, Journal = {Cancer Treatment and Research}, Volume = {97}, Pages = {129-147}, Year = {1998}, ISSN = {0927-3042}, url = {http://www.ncbi.nlm.nih.gov/pubmed/9711414}, Doi = {10.1007/978-0-585-30498-4_10}, Key = {fds276102} } @article{fds276104, Author = {Vitaliano, PP and Scanlan, JM and Ochs, HD and Syrjala, K and Siegler, IC and Snyder, EA}, Title = {Psychosocial stress moderates the relationship of cancer history with natural killer cell activity.}, Journal = {Annals of Behavioral Medicine}, Volume = {20}, Number = {3}, Pages = {199-208}, Year = {1998}, ISSN = {0883-6612}, url = {http://www.ncbi.nlm.nih.gov/pubmed/9989327}, Abstract = {Data suggest that both cancer history and psychosocial stress may be associated with reductions in natural killer cell activity (NKA). Therefore, we tested whether individual differences in cancer history, chronic/perceived stress, and their interactions would be associated with decreased levels of NKA. We tested these hypotheses in 80 spouse caregivers of victims of Alzheimer's Disease (AD) (persons known to report high levels of psychosocial stress) and in 85 age- and sex-matched spouses of non-demented controls. Participants were assessed at study entry (Time 1) and 15-18 months later (Time 2). Individuals with cancer histories (N = 43) had not been treated with immune altering medications within the last year. At both Times 1 and 2, cross-sectional main effects were weak or absent for cancer history, perceived stress (e.g. high hassles, low uplifts), and caregiver status; however, interactions occurred between cancer history and perceived stress, such that persons with cancer histories and high hassles/low uplifts had the lowest NKA values (p < .05). These results occurred even after controlling for age, gender, beta-blocker use, hormone replacement therapy, alcohol, and exercise. At Time 1, an interaction also occurred between caregiver status and cancer history--caregivers with cancer histories had lower NKA than did controls with cancer histories and caregivers/controls without cancer histories (p < .05). At Time 2, this interaction only showed a trend (p < .08), primarily because caregivers with cancer histories experienced increases in NKA (p < .05) from Time 1 to Time 2, whereas in the other three groups NKA did not change. Importantly, in caregivers with cancer histories, high perceived stress at Time 1 predicted low NKA at Time 2 (p < .05). This research suggests that the combinations of biological vulnerabilities and chronic/perceived stress may have interactive effects resulting in reduced NKA.}, Doi = {10.1007/BF02884961}, Key = {fds276104} } @article{fds276181, Author = {Bosworth, HB and Bastian, LA and Siegler, IC}, Title = {Benefits and drawbacks to hormone replacement therapy among nursing home patients.}, Journal = {Women'S Health Issues : Official Publication of the Jacobs Institute of Women'S Health}, Volume = {8}, Number = {1}, Pages = {53-59}, Year = {1998}, ISSN = {1049-3867}, url = {http://www.ncbi.nlm.nih.gov/pubmed/9504039}, Doi = {10.1016/s1049-3867(97)00094-7}, Key = {fds276181} } @article{fds276208, Author = {Brummett, BH and Maynard, KE and Babyak, MA and Haney, TL and Siegler, IC and Helms, MJ and Barefoot, JC}, Title = {Measures of hostility as predictors of facial affect during social interaction: evidence for construct validity.}, Journal = {Annals of Behavioral Medicine}, Volume = {20}, Number = {3}, Pages = {168-173}, Year = {1998}, ISSN = {0883-6612}, url = {http://www.ncbi.nlm.nih.gov/pubmed/9989323}, Abstract = {We assessed the construct validity of several self-report measures and an interview-based measure of hostility (Interpersonal Hostility Assessment Technique [IHAT]) by evaluating their associations with a behavioral indicator of hostile emotions (facial expressions during social interaction). Participants in the study were 123 volunteers (44% males and 56% females) who were recruited from local community organizations. Self-report measures (Cook-Medley Hostility Scale, Rotter Interpersonal Trust Scale, Buss-Durkee Hostility Inventory, and Spielberger Anger Expression Scale) were represented by factor scores reflecting Overt Hostility, Covert Hostility, and Hostile Beliefs. A canonical correlation analysis identified significant associations between a set of facial affect scores reflecting animosity and various measures of hostility. Specifically, increases in anger and disgust expressions and decreases in happy facial expressions were associated with high IHAT scores and high scores on self-report measures of Hostile Beliefs and Covert Hostility. Women were more expressive than men, especially concerning positive affect, and women had lower scores on self-report measures of Hostile Beliefs and Overt Hostility. IHAT scores were uncorrelated with any of the self-report factors which suggests the two assessment techniques are tapping different aspects of the hostility construct.}, Doi = {10.1007/BF02884957}, Key = {fds276208} } @article{fds276209, Author = {Brummett, BH and Babyak, MA and Barefoot, JC and Bosworth, HB and Clapp-Channing, NE and Siegler, IC and Williams, RB and Mark, DB}, Title = {Social support and hostility as predictors of depressive symptoms in cardiac patients one month after hospitalization: a prospective study.}, Journal = {Psychosomatic Medicine}, Volume = {60}, Number = {6}, Pages = {707-713}, Year = {1998}, ISSN = {0033-3174}, url = {http://www.ncbi.nlm.nih.gov/pubmed/9847029}, Abstract = {OBJECTIVE: Hospitalization for cardiac disease is associated with an increased risk for depression, which itself confers a poorer prognosis. Few prospective studies have examined the determinants of depression after hospitalization in cardiac patients, and even fewer have examined depression within the weeks after hospital discharge. The present study assessed the prospective relations among perceptions of social support and trait hostility in predicting symptoms of depressive symptoms at 1 month after hospitalization for a diagnostic angiography in 506 coronary artery disease (CAD) patients. METHOD: A series of structural equation models 1) estimated the predictive relations of social support, hostility, and depressive symptoms while in the hospital to symptoms of depression 1 month after hospitalization, and 2) compared these relations across gender, predicted risk classification, and age. RESULTS: Social support assessed during hospitalization was independently negatively associated with depressive symptoms 1 month after hospitalization, after controlling for baseline symptoms of depression, gender, disease severity, and age. Hostility was an indirect predictor of postdischarge depressive symptomology by way of its negative relation with social support. This pattern of relations did not differ across gender, predicted risk classification, and age. CONCLUSIONS: Our findings suggest that a patient's perceived social support during hospitalization is a determinant of depressive symptoms 1 month later. The relation of social support and hostility to subsequent depressive symptoms was similar across a variety of populations.}, Doi = {10.1097/00006842-199811000-00008}, Key = {fds276209} } @article{fds276099, Author = {Bastian, LA and Couchman, GM and Rimer, BK and McBride, CM and Feaganes, JR and Siegler, IC}, Title = {Perceptions of menopausal stage and patterns of hormone replacement therapy use.}, Journal = {Journal of Women'S Health}, Volume = {6}, Number = {4}, Pages = {467-475}, Year = {1997}, Month = {August}, ISSN = {1059-7115}, url = {http://www.ncbi.nlm.nih.gov/pubmed/9279835}, Abstract = {In 1994, as part of their participation in the University of North Carolina Alumni Heart Study, 1101 women aged 45-51 years answered questions about their menopausal status and current use of hormone replacement therapy (HRT). Little is known about the use of HRT in younger women. We were interested in determining both patterns of HRT use and patient characteristics associated with HRT use in this cohort of women approaching the average age of menopause. After excluding women with breast, endometrial, and ovarian cancer, we studied 1080 women. These women identified themselves as: "There is no indication that I am near menopause" (stage 1, n = 326), "I think I may be close to or in the beginning stages of menopause but am not sure" (stage 2, n = 410), "I have begun menopause" (stage 3, n = 202), and "I have been through menopause" (stage 4, n = 142). The overall rate of HRT use was 22% (0% in stage 1, 8% in stage 2, 52% in stage 3, and 76% in stage 4). Both patterns of HRT use and patient characteristics associated with HRT use differed based on the woman's perception of her menopausal stage. In logistic regression models, where HRT use was the outcome variable, independent predictors of HRT use included stage of menopause, having had a hysterectomy, having had a bilateral oophorectomy, no family history of breast cancer, having had a pelvic examination in the last year, being married, and not participating regularly in physical exercise. A woman's perception of her stage in the process of reproductive aging correlates with her use of HRT. Informed decision making about HRT use should be tailored to the individual's perception of her menopausal stage.}, Doi = {10.1089/jwh.1997.6.467}, Key = {fds276099} } @article{fds276203, Author = {Williams, RB and Barefoot, JC and Blumenthal, JA and Helms, MJ and Luecken, L and Pieper, CF and Siegler, IC and Suarez, EC}, Title = {Psychosocial correlates of job strain in a sample of working women.}, Journal = {Archives of General Psychiatry}, Volume = {54}, Number = {6}, Pages = {543-548}, Year = {1997}, Month = {June}, ISSN = {0003-990X}, url = {http://www.ncbi.nlm.nih.gov/pubmed/9193195}, Abstract = {BACKGROUND: This study identifies potential mediators of job strain effects on health by determining whether psychosocial factors known to predict an increased risk of cardiovascular disease and all-cause mortality are higher among women who report high levels of job strain. METHODS: Measures of job strain and other psychosocial risk factors were obtained in a sample of 152 female employees of a local corporation. Canonical correlation and analyses of covariance were used to assess relationships between job demands and decision latitude and other psychosocial risk factors. RESULTS: A significant (P = .002) solution to the canonical correlation analysis showed that high job demands and low decision latitude were correlated with a pattern of psychosocial factors consisting of (1) increased levels of negative emotions like anxiety, anger, depression, and hostility; (2) reduced levels of social support; and (3) a preponderance of negative compared with positive feelings in dealings with coworkers and supervisors. This pattern was confirmed by analyses of covariance that adjusted for demographic and specific job characteristics. CONCLUSIONS: The canonical correlation analysis results provide empirical support for the job strain construct. The most important finding is that health-damaging psychosocial factors like job strain, depression, hostility, anxiety, and social isolation tend to cluster in certain individuals.}, Doi = {10.1001/archpsyc.1997.01830180061007}, Key = {fds276203} } @article{fds276139, Author = {Von Dras and DD and Siegler, IC and Williams, RB and Clapp-Channing, N and Haney, TL and Mark, DB}, Title = {Surrogate assessment of coronary artery disease patients' functional capacity.}, Journal = {Social Science & Medicine}, Volume = {44}, Number = {10}, Pages = {1491-1502}, Year = {1997}, Month = {May}, ISSN = {0277-9536}, url = {http://www.ncbi.nlm.nih.gov/pubmed/9160439}, Abstract = {An investigation of the surrogate assessment of coronary artery disease (CAD) patients' functional capacity was conducted using 193 patient and surrogate rater dyads. Mean age of patients and surrogate raters were 60.4 and 54.4 years, respectively. Patients and surrogates independently completed a brief questionnaire that assessed health and psychosocial factors. The Duke Activity Status Index (DASI) was contained in the patients' questionnaire, while a similar form modified to assess patients' functional capacity was imbedded in the surrogates' questionnaire. Results indicated similar psychometric characteristics and clinical validity for patients' self-report and surrogates' ratings, suggesting that the Surrogate Rating Form of the Duke Activity Status Index (DASI-SRF) is a reliable and valid proxy method of assessing patient's functional capacity when this information may not be obtained directly from the patient. Further, while there were no effects of surrogates' health and psychological characteristics on their ratings of patients' functional capacity, in comparison with other surrogates, spouses were more likely to rate patients higher in functional capacity. Exploration of the patient/care provider relationship via concurrent use of the DASI and DASI-SRF is discussed.}, Doi = {10.1016/s0277-9536(96)00269-9}, Key = {fds276139} } @article{fds276098, Author = {Von Dras and DD and Siegler, IC}, Title = {Stability in extraversion and aspects of social support at midlife.}, Journal = {Journal of Personality and Social Psychology}, Volume = {72}, Number = {1}, Pages = {233-241}, Year = {1997}, Month = {January}, ISSN = {0022-3514}, url = {http://www.ncbi.nlm.nih.gov/pubmed/9008383}, Abstract = {This investigation used participants from the University of North Carolina Alumni Heart Study in an exploration of extraversion and aspects of social support at midlife. Results indicated that extraversion measured at college entry and at midlife was positively correlated with social activity and perceived social support measured later in middle adulthood. Multiple regression correlational analyses suggested that both the stable and changing components of extraversion influence structural and functional aspects of social support. Further, the changing component of extraversion was found to be significantly associated with greater social activity, perceived social support, and an increased likelihood of seeking support when faced with a stressful problem in middle adulthood. Overall, the development of sociability and outgoingness in interpersonal relationships during adolescence and young adulthood is suggested to be an important antecedent of the structural characteristics and functional dynamics of social support at midlife.}, Doi = {10.1037//0022-3514.72.1.233}, Key = {fds276098} } @article{fds276202, Author = {Szczepanski, R and Napolitano, M and Feaganes, JR and Barefoot, JC and Luecken, L and Swoap, RS and Kuhn, C and Suarez, E and Siegler, IC and Williams, RB and Blumenthal, JA}, Title = {Relation of mood ratings and neurohormonal responses during daily life in employed women.}, Journal = {International Journal of Behavioral Medicine}, Volume = {4}, Number = {1}, Pages = {1-16}, Year = {1997}, ISSN = {1070-5503}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16250739}, Abstract = {Diurnal variations in urinary norepinephrine, epinephrine, cortisol, and self-reported mood states were examined in 101 employed women. Urine was collected on 2 consecutive workdays at 3 time periods: (1) overnight, (2) daytime, and (3) evening. Self-reports of 14 mood states were combined to correspond with the urinary collection periods. Factor analyses revealed 3 mood factors: Pressured (rushed, busy, stressed, hassled, and tense), Distressed (afraid, depressed, bored, and nervous), and Contented (satisfied, thoughtful, excited, and calm). The Distressed factor was significantly associated with norepinephrine excretion (p <.001). The Pressured factor was significantly associated with cortisol, epinephrine, and norepinephrine excretion (p <.001) independent of age, ethnicity, marital status, parental status, department within the company and activity level. Secretion of urinary hormones and the Pressured factor followed the same diurnal pattern. Specifically, as women's self-ratings of feeling pressured initially increased and then decreased over the course of the workday, urinary hormones also peaked and then dropped. Once time of day was statistically controlled, however, the mood factors were no longer significantly related to the urinary hormones.}, Doi = {10.1207/s15327558ijbm0401_1}, Key = {fds276202} } @article{fds276204, Author = {Luecken, LJ and Suarez, EC and Kuhn, CM and Barefoot, JC and Blumenthal, JA and Siegler, IC and Williams, RB}, Title = {Stress in employed women: impact of marital status and children at home on neurohormone output and home strain.}, Journal = {Psychosomatic Medicine}, Volume = {59}, Number = {4}, Pages = {352-359}, Year = {1997}, ISSN = {0033-3174}, url = {http://www.ncbi.nlm.nih.gov/pubmed/9251153}, Abstract = {OBJECTIVE: To evaluate the biological and psychological effects of role overload, we examined the effects of marital (or partnership) status and parental status (defined as having children at home) on daily excretion of urinary catecholamines and cortisol in a sample of 109 employed women. Other measures included work and home strain, and social support. METHODS: Urine collection was conducted on two consecutive workdays in three separate aliquots, a) overnight, b) daytime, and c) evening. Repeated-measures analysis of covariance with age and caffeine consumption as covariates was conducted on levels of epinephrine, norepinephrine, and cortisol in the three aliquots averaged across the 2 days. RESULTS: We found a significant main effect of parental status on 24-hour cortisol excretion, (p < .01) such that women with at least one child living at home excreted significantly more cortisol, independent of marital status or social support. Women with children at home also reported higher home strain (p < .001) but not work strain. A significant period of day effect for catecholamine levels was found (norepinephrine, p < .001; epinephrine, p < .0001) with all subjects showing an increase during the workday and little or no decline in levels during the evening. Catecholamine levels were unrelated to marital status, parental status, or social support. CONCLUSIONS: These findings indicate that working women with children at home, independent of marital status or social support, excrete greater amounts of cortisol and experience higher levels of home strain than those without children at home.}, Doi = {10.1097/00006842-199707000-00003}, Key = {fds276204} } @article{fds276201, Author = {Barefoot, JC and Helms, MJ and Mark, DB and Blumenthal, JA and Califf, RM and Haney, TL and O'Connor, CM and Siegler, IC and Williams, RB}, Title = {Depression and long-term mortality risk in patients with coronary artery disease.}, Journal = {The American Journal of Cardiology}, Volume = {78}, Number = {6}, Pages = {613-617}, Year = {1996}, Month = {September}, ISSN = {0002-9149}, url = {http://www.ncbi.nlm.nih.gov/pubmed/8831391}, Abstract = {Previous research has established that patients with coronary artery disease (CAD) have an increased risk of death if they are depressed at the time of hospitalization. Follow-up periods have been short in these studies; therefore, the present investigation examined this phenomenon over an extended period of time. Patients with established CAD (n = 1,250) were assessed for depression with the Zung Self-Rating Depression Scale (SDS) and followed for subsequent mortality. Follow-up ranged up to 19.4 years. SDS scores were associated with increased risk of subsequent cardiac death (p = 0.002) and total mortality (p < 0.001) after controlling for initial disease severity and treatment. Patients with moderate to severe depression had a 69% greater odds of cardiac death and a 78% greater odds of mortality from all causes than nondepressed patients. Increased risk was not confined to the initial months after hospitalization. Patients with high SDS scores at baseline still had a higher risk of cardiac death > 5 years later (p < 0.005). Compared with the nondepressed, patients with moderate to severe depression had an 84% greater risk 5 to 10 years later and a 72% greater risk after > 10 years. Patients with mild depression had intermediate levels of risk in all models. The heightened long-term risk of depressed patients suggests that depression may be persistent or frequently recurrent in CAD patients and is associated with CAD progression, triggering of acute events, or both.}, Doi = {10.1016/s0002-9149(96)00380-3}, Key = {fds276201} } @article{fds276151, Author = {Hughes, DC and Fillenbaum, GG and Woodbury, MA and Siegler, IC}, Title = {Psychometric characteristics of the Mini-Mental State Examination in a community population - A grade of membership analysis: Part I}, Journal = {International Journal of Geriatric Psychiatry}, Volume = {11}, Number = {5}, Pages = {439-455}, Publisher = {WILEY}, Year = {1996}, Month = {May}, ISSN = {0885-6230}, url = {http://dx.doi.org/10.1002/(SICI)1099-1166(199605)11:5<439::AID-GPS334>3.0.CO;2}, Abstract = {The Mini-Mental State Examination (MMSE), a brief, widely used measure of cognitive status, was designed to assess functioning in five areas (orientation, registration, attention and calculation, recall and language). Using a grade of membership analysis, which does not rely on a multivariate normal distribution or assume an underlying continuum for dichotomously scored variables, we examined data from a sample of 1317 community residents 18 years of age and older who made two or more errors on the MMSE. Our findings suggest that for these primarily cognitively intact persons, the items of the MMSE varied in level of difficulty; multiple distinct areas of cognitive functioning were not identified. The results of confirmatory testing using clinic populations with cognitive deficit are given in the accompanying article.}, Doi = {10.1002/(SICI)1099-1166(199605)11:5<439::AID-GPS334>3.0.CO;2}, Key = {fds276151} } @article{fds276096, Author = {Siegler, IC and Feaganes, JR and Rimer, BK}, Title = {Awareness of and responses to changes in the National Cancer Institute's guidelines for mammography in women aged 35-49}, Journal = {Journal of Women'S Health}, Volume = {5}, Number = {1}, Pages = {33-41}, Publisher = {MARY ANN LIEBERT, INC}, Year = {1996}, Month = {January}, url = {http://dx.doi.org/10.1089/jwh.1996.5.33}, Abstract = {In 1994, as part of their participation in the University of North Carolina UNC Alumni Heart Study (UNCAHS), 1134 women aged 35-49 years answered five questions designed to assess the impact of the National Cancer Institute's (NCI) changing recommendations about screening mammography for women aged 40-49. The popular press and media frequently covered this topic in November and December 1993. The majority of the women had heard of the NCI's changed recommendations (84%). The main sources of information were newspapers (72%) and radio/TV (70%). Of the 84% of the women who had heard of the recommended changes, 27% reported an intention to reduce their frequency of mammography and 73% reported no changes in their planned behavior. Knowledge of the recommended changes was associated with personality factors, self-rated health, and income, whereas intention to change behavior was associated with the individual's risk of breast cancer and level of achievement striving. The results indicate that women's responses to important health information can be predicted by their personality. Increased hostility, neuroticism, depression, impulsiveness, and vulnerability lead to a reduced likelihood of awareness of changes in the recommendations, and increased extraversion-activity, openness to ideas, competence, and self-discipline lead to an increased likelihood of being aware of the changes in guidelines. The effects of neuroticism, vulnerability, and depression on awareness of changes in NCI guidelines are independent of the effect of sufficiency of income and self-rated health. However, the effects of hostility, impulsiveness, extraversion-activity, openness to ideas, competence, and self-discipline are mediated by the effects of sufficiency of income and self-rated health. Among women who noted the changes in the recommendations, decisions among this well-educated group of women were predicted by their personal risk of breast cancer. In addition, those higher in achievement striving were less likely to change their intention to have regular mammograms.}, Doi = {10.1089/jwh.1996.5.33}, Key = {fds276096} } @article{fds276146, Author = {Lipkus, IM and Dalbert, C and Siegler, IC}, Title = {The importance of distinguishing the belief in a just world for self versus for others: Implications for psychological well-being}, Journal = {Personality & Social Psychology Bulletin}, Volume = {22}, Number = {7}, Pages = {666-677}, Publisher = {SAGE Publications}, Year = {1996}, Month = {January}, url = {http://dx.doi.org/10.1177/0146167296227002}, Abstract = {Studies have shown that the belief in a just world (BJW) is related to psychological well-being. The authors suggest that studies exploring this relationship might benefit by making the distinction between the BJW for self versus for others or in general. In two studies, the authors assessed subjects' perceptions of depression, stress, and life satisfaction for self and for others. Subjects also completed measures of the five-factor model of personality. As predicted, the BJW for self most strongly and consistently predicted decreases in depression and stress, and increases in life satisfaction. When the five personality dimensions were included in the analyses, the BJW for self and for others continued to predict life satisfaction but not depression and stress. The implications of these results concerning the relationship between the BJW and psychological well-being, and how the just world is conceptualized, are discussed.}, Doi = {10.1177/0146167296227002}, Key = {fds276146} } @article{fds276095, Author = {Von Dras and DD and Williams, RB and Kaplan, BH and Siegler, IC}, Title = {Correlates of perceived social support and equality of interpersonal relationships at mid-life.}, Journal = {International Journal of Aging & Human Development}, Volume = {43}, Number = {3}, Pages = {199-217}, Year = {1996}, ISSN = {0091-4150}, url = {http://www.ncbi.nlm.nih.gov/pubmed/9031005}, Abstract = {An investigation into the correlates of perceived social support and the equality of interpersonal relationships at mid-life was conducted using a sample of 3954 adults from the University of North Carolina Alumni Heart Study (UNCAHS). Participants ranged in age from forty to fifty years. Results suggested that while the number of family roles and social activities are the same for men and women, women perceive a greater availability of social support and report they give more than they take in relationships with family. There was no association found between the perceived availability of social support and global indices of equality of interpersonal relationships; suggesting an independence between these two psychological aspects of social support. Further, multiple regression correlational analyses indicated gender, level of social activity, and self-esteem as significant predictors of perceived social support; with self-esteem being the best single predictor. Relatedly, gender and number of children were found to be significant predictors of the perceived equality of relationships with family. These findings suggest differences in mid-life men and women's psychological perception of the availability of social support, and the give and take of relationships with family.}, Doi = {10.2190/M0GP-7R75-AQJ6-Q17H}, Key = {fds276095} } @article{fds276097, Author = {Morton, E and Tambor, E and Rimer, BK and Tessaro, I and Farrell, D and Siegler, IC}, Title = {Impact of National Cancer Institute revised mammography screening guidelines on women 40-49.}, Journal = {Women'S Health Issues : Official Publication of the Jacobs Institute of Women'S Health}, Volume = {6}, Number = {5}, Pages = {246-254}, Year = {1996}, ISSN = {1049-3867}, url = {http://www.ncbi.nlm.nih.gov/pubmed/8870503}, Doi = {10.1016/1049-3867(96)00036-9}, Key = {fds276097} } @article{fds324824, Author = {Dawson, DV and Siegler, IC}, Title = {Approaches to the nonparametric analysis of limited longitudinal data sets.}, Journal = {Experimental Aging Research}, Volume = {22}, Number = {1}, Pages = {33-57}, Year = {1996}, url = {http://dx.doi.org/10.1080/03610739608253996}, Abstract = {The traditional goals of longitudinal studies are many: consideration of stability and change; description of patterns of development and behavior; and understanding of the processes involved in disease, including disease onset, recovery, response to treatment, natural history of the aging process, and identification of factors that predict age-related outcomes. Researchers in aging seek to unravel the impact and interaction of physical and psychological processes on human development, health, and disease. From the point of view of statistical analysis, the critical aspect of data obtained from longitudinal studies is the inherent correlational structure of multiple measurements made on a single subject or other experimental unit, which must be appropriately treated in the analysis of the data. We discuss a series of nonparametric approaches that are both analytically accessible and particularly well suited to the analysis of sparse or otherwise limited longitudinal data.}, Doi = {10.1080/03610739608253996}, Key = {fds324824} } @article{fds276145, Author = {Lipkus, IM and Siegler, IC}, Title = {Do comparative self-appraisals during young adulthood predict adult personality?}, Journal = {Psychology and Aging}, Volume = {10}, Number = {2}, Pages = {229-237}, Year = {1995}, Month = {June}, ISSN = {0882-7974}, url = {http://www.ncbi.nlm.nih.gov/pubmed/7662182}, Abstract = {Archival data from the University of North Carolina Alumni Heart Study were used to assess whether positive, neutral, and negative social comparisons assessed during college predicted the expression of personality during adulthood. College students in 1966 rated themselves relative to peers on several personal attributes. For men and women, these attributes produced 3 similar yet distinct variables reflecting gregariousness, achievement striving, and expressiveness. These students were contacted 20 years later and completed the NEO Personality Inventory and M. Rosenberg's (1965) self-esteem measure. In general, persons with comparatively positive self-evaluations during college viewed themselves as possessing more positive and less negative personality traits during adulthood and were also less likely to report poorer self-esteem during middle adulthood. The implications of social comparison processes for personality development are discussed.}, Doi = {10.1037//0882-7974.10.2.229}, Key = {fds276145} } @article{fds276250, Author = {Siegler, IC and Feaganes, JR and Rimer, BK}, Title = {Predictors of adoption of mammography in women under age 50.}, Journal = {Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association}, Volume = {14}, Number = {3}, Pages = {274-278}, Year = {1995}, Month = {May}, ISSN = {0278-6133}, url = {http://www.ncbi.nlm.nih.gov/pubmed/7641669}, Abstract = {Women in the University of North Carolina Alumni Heart Study reported their knowledge of and attitudes toward mammography as well as their adoption of mammography by 1991. Personality measured in 1988-1989 at the age of 42 was associated with the pattern of adoption of mammography reported 2 years later. Adoption of regular mammograms was predicted by conscientiousness, extraversion, and lower depression but not by anxiety. After adjusting for 8 traditional predictors of mammography shown to be significant in this population, the previous personality factors did not maintain their significance. When the women were divided into those who reported breast problems and those who did not, the same set of adjustment factors reduced, but did not eliminate, the association of conscientiousness with adoption of mammography for women without breast problems.}, Doi = {10.1037//0278-6133.14.3.274}, Key = {fds276250} } @article{fds276094, Author = {Siegler, IC and Costa, PT}, Title = {Personality and breast cancer screening behaviors}, Journal = {Annals of Behavioral Medicine}, Volume = {16}, Number = {4}, Pages = {347-351}, Year = {1994}, Month = {December}, Abstract = {This review examines findings on the relationship between personality and breast cancer screening behaviors. Because the literature is limited, data from the University of North Carolina Alumni Heart Study (UNCAHS) are presented showing the associations between personality measured by the NEO Personality Inventory (NEO-PI) and mammography and breast self-examination.}, Key = {fds276094} } @article{fds276251, Author = {Siegler, IC and Dawson, DV and Welsh, KA}, Title = {Caregiver ratings of personality change in Alzheimer's disease patients: a replication.}, Journal = {Psychology and Aging}, Volume = {9}, Number = {3}, Pages = {464-466}, Year = {1994}, Month = {September}, ISSN = {0882-7974}, url = {http://www.ncbi.nlm.nih.gov/pubmed/7999331}, Abstract = {Caregivers of 26 patients with Alzheimer's disease (AD) rated current and premorbid personality patterns with the NEO Personality Inventory. Results replicated previous findings on the degree of change reported in a previous group of patients with mixed memory disorder diagnoses. After a diagnosis of AD, the patients were rated as significantly more neurotic, less extraverted, less open, and less conscientious. There were no rated differences of changes in the personality domain of Agreeableness. These results strengthen the usefulness of caregiver ratings of personality change of patients with memory problems who cannot be useful informants on their own behalf.}, Doi = {10.1037//0882-7974.9.3.464}, Key = {fds276251} } @article{fds276144, Author = {Lipkus, IM and Barefoot, JC and Feaganes, J and Williams, RB and Siegler, IC}, Title = {A short MMPI scale to identify people likely to begin smoking.}, Journal = {Journal of Personality Assessment}, Volume = {62}, Number = {2}, Pages = {213-222}, Year = {1994}, Month = {April}, ISSN = {0022-3891}, url = {http://www.ncbi.nlm.nih.gov/pubmed/8189332}, Abstract = {An item analysis of the Minnesota Multiphasic Personality Inventory (MMPI) was conducted to develop questionnaires that best discriminated (a) individuals who ever smoked versus those who never smoked and (b) ex-smokers from current smokers. The analyses were based on a sample of subjects who took the MMPI during 1964-1967 and reported their smoking status during 1987. Although no items distinguished individuals who quit versus continued to smoke, several items discriminated people who ever smoked from nonsmokers. These items formed two factors: Extraversion and Unconventionalism. These results provide support for the importance of extraversion, impulsivity, and antisocial tendencies as personality predictors of smoking initiation. The utility of this MMPI scale is discussed.}, Doi = {10.1207/s15327752jpa6202_4}, Key = {fds276144} } @article{fds276143, Author = {Lipkus, IM and Barefoot, JC and Williams, RB and Siegler, IC}, Title = {Personality measures as predictors of smoking initiation and cessation in the UNC Alumni Heart Study.}, Journal = {Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association}, Volume = {13}, Number = {2}, Pages = {149-155}, Year = {1994}, Month = {March}, ISSN = {0278-6133}, url = {http://www.ncbi.nlm.nih.gov/pubmed/8020458}, Abstract = {MMPI data collected from a sample of college men and women during 1964-1967 were used to predict smoking initiation and cessation over a 20-year follow-up period. People who subsequently began smoking were more rebellious, impulsive, sensation seeking, and hostile; were less likely to present a positive self-image; and were socially extraverted while in college. People who continued to smoke 20 years later were more hostile and sensation seeking. The personality variables that predicted smoking initiation and cessation were the same for men and women. Discussion centers on the potential role of hostility as a predictor of smoking cessation.}, Doi = {10.1037//0278-6133.13.2.149}, Key = {fds276143} } @article{fds276147, Author = {Lane, JD and Pieper, CF and Barefoot, JC and Williams, RB and Siegler, IC}, Title = {Caffeine and cholesterol: interactions with hostility.}, Journal = {Psychosomatic Medicine}, Volume = {56}, Number = {3}, Pages = {260-266}, Year = {1994}, ISSN = {0033-3174}, url = {http://www.ncbi.nlm.nih.gov/pubmed/8084973}, Abstract = {The consumption of caffeinated beverages has been linked to elevated serum cholesterol and an increased risk of coronary disease, although the relationships are inconsistent across studies and remain controversial. The effect of caffeine on cholesterol and coronary disease risk may be modulated by other factors. Using cohort data from a subsample of the University of North Carolina Alumni Heart Study, we investigated whether the relationships between caffeinated beverage consumption and serum lipid and lipoprotein levels in middle-aged men and women were modulated by levels of trait hostility. After adjustment for other risk factors, higher caffeinated beverage intake was associated with higher low-density lipoprotein cholesterol levels and a higher ratio of total to high-density lipoprotein cholesterol, both indicative of greater coronary disease risk. The interactive effects of hostility and caffeine intake were ambiguous, although there were trends for caffeine intake to have stronger effects on low-density lipoprotein and on total cholesterol in people with less hostility. Additional studies of personality characteristics and other factors that can modulate the cholesterol-raising effects of coffee drinking may be warranted because they might clarify the health consequences associated with coffee drinking and lead to the identification of individuals who would benefit most from changes in their coffee drinking.}, Doi = {10.1097/00006842-199405000-00013}, Key = {fds276147} } @article{fds276244, Author = {Lipkus, IM and Siegler, IC}, Title = {The belief in a just world and perceptions of discrimination.}, Journal = {The Journal of Psychology}, Volume = {127}, Number = {4}, Pages = {465-474}, Year = {1993}, Month = {July}, ISSN = {0022-3980}, url = {http://www.ncbi.nlm.nih.gov/pubmed/8254564}, Abstract = {We examined the relationship between the belief in a just world and frequency of self-reported acts of personal discrimination. American adults with a strong belief in a just world reported fewer acts of personal discrimination against themselves than those with a weak belief in a just world. Among the various domains of discrimination, the belief in a just world correlated most strongly with religious discrimination. People with a strong belief in a just world felt that they would be less likely to provide special programs and funding based solely on a person's age; they did not feel that age discrimination was prevalent in American society.}, Doi = {10.1080/00223980.1993.9915583}, Key = {fds276244} } @article{fds276249, Author = {Barefoot, JC and Beckham, JC and Haney, TL and Siegler, IC and Lipkus, IM}, Title = {Age differences in hostility among middle-aged and older adults.}, Journal = {Psychology and Aging}, Volume = {8}, Number = {1}, Pages = {3-9}, Year = {1993}, Month = {March}, ISSN = {0882-7974}, url = {http://www.ncbi.nlm.nih.gov/pubmed/8461112}, Abstract = {Multiple measures of hostility were administered to middle-aged and older volunteers. There was a positive association between age and self-report measures reflecting hostile beliefs about others, including cynicism and suspiciousness. There was a weak inverse relationship between age and self-report measures of the overt expression of anger and aggression, but no association between age and measures of covert hostility was found. There was a positive relationship between age and an assessment of hostile behavior that was based on the respondent's interaction style during an interview. The magnitude of these age trends did not differ between men (n = 50) and women (n = 75). These findings illustrate the multidimensional nature of hostility. They also have practical implications for older people because hostility is associated with psychological well-being and has been shown to have consequences for health and longevity.}, Doi = {10.1037//0882-7974.8.1.3}, Key = {fds276249} } @article{fds276239, Author = {Frazier, LD and Hooker, K and Siegler, IC}, Title = {Longitudinal studies of aging in social and psychological gerontology}, Journal = {Reviews in Clinical Gerontology}, Volume = {3}, Number = {4}, Pages = {415-426}, Publisher = {Cambridge University Press (CUP)}, Year = {1993}, Month = {January}, url = {http://dx.doi.org/10.1017/S0959259800003658}, Doi = {10.1017/S0959259800003658}, Key = {fds276239} } @article{fds276093, Author = {Zonderman, AB and Siegler, IC and Barefoot, JC and Williams, RB and Costa, PT}, Title = {Age and gender differences in the content scales of the Minnesota Multiphasic Personality Inventory.}, Journal = {Experimental Aging Research}, Volume = {19}, Number = {3}, Pages = {241-257}, Year = {1993}, ISSN = {0361-073X}, url = {http://www.ncbi.nlm.nih.gov/pubmed/8223825}, Abstract = {We examined time of measurement, gender, and age differences on the nine content scales of the Minnesota Multiphasic Personality Inventory using data collected by three separate studies during the 1950s, 1960s and 1980s. No evidence was found for differences in the content scales due to time of measurement that also could not have been explained by demographic differences. Differences due to gender were found on only one of the nine scales, Masculinity-Femininity, and age differences were found on the Neuroticism, Extraversion, and Agreeableness scales. Younger men and women had significantly higher scores on the Neuroticism and Extraversion scales, and these differences were consistent in both magnitude and direction across sample and gender. Our results suggest that it is likely that openness reaches its lifetime stable level by the time typical adolescents enter college, because we found no significant age differences in intellectual interests. Neuroticism, extraversion, and agreeableness on the other hand, are likely to show instability throughout, and probably after, adolescence and early adulthood, because we found significant age differences in the content dimensions associated with these factors in separate analyses of three samples.}, Doi = {10.1080/03610739308253936}, Key = {fds276093} } @article{fds276238, Author = {Hooker, K and Siegler, IC}, Title = {Life goals, satisfaction, and self-rated health: preliminary findings.}, Journal = {Experimental Aging Research}, Volume = {19}, Number = {1}, Pages = {97-110}, Year = {1993}, ISSN = {0361-073X}, url = {http://www.ncbi.nlm.nih.gov/pubmed/8444269}, Abstract = {Several recent studies have suggested that a better understanding of health and psychological well-being in later life requires insights into the life goals and motivations of research participants. However, goal importance has not been examined separately from goal achievement. This distinction is important for a more fine-grained analysis of how goals may relate to adaptive outcomes among older adults. Data from surviving respondents of the Duke Second Longitudinal Study were analyzed in order to replicate and extend results from previous studies. Interestingly, a differential pattern of predictors was found for health and satisfaction. The rated importance of goals accounted for a significant portion of the variance in health, but was not predictive of satisfaction, whereas rated achievement of goals was predictive of health and satisfaction. Results are discussed in relation to theories of motivation in later life.}, Doi = {10.1080/03610739308253925}, Key = {fds276238} } @article{fds276252, Author = {Siegler, IC and Peterson, BL and Barefoot, JC and Harvin, SH and Dahlstrom, WG and Kaplan, BH and Costa, PT and Williams, RB}, Title = {Using college alumni populations in epidemiologic research: the UNC Alumni Heart Study.}, Journal = {Journal of Clinical Epidemiology}, Volume = {45}, Number = {11}, Pages = {1243-1250}, Year = {1992}, Month = {November}, ISSN = {0895-4356}, url = {http://www.ncbi.nlm.nih.gov/pubmed/1432005}, Abstract = {The UNC Alumni Heart Study (UNCAHS) is a prospective study of the role of psychosocial factors, in particular hostility, in the development of coronary heart disease. The target population is composed of persons who completed the Minnesota Multiphasic Personality Inventory while attending the University of North Carolina in the mid-1960s. Logistic regression analyses were used to determine whether hostility, demographic and other variables were significant determinants of the subjects' locatability and participation. It was found that MMPI hostility scores at initial testing were unrelated to either potential or actual locatability or participation. Thus there is no evidence that hostility is the source of selection bias in the UNCAHS. Selection into the study was predicted by age, sex, degree status and variables concerned with the conditions under which the MMPI was administered. It is concluded that follow-up studies of college cohorts may have study-specific sources of selection bias.}, Doi = {10.1016/0895-4356(92)90165-j}, Key = {fds276252} } @article{fds304117, Author = {Siegler, IC and Peterson, BL and Barefoot, JC and Williams, RB}, Title = {Hostility during late adolescence predicts coronary risk factors at mid-life.}, Journal = {American Journal of Epidemiology}, Volume = {136}, Number = {2}, Pages = {146-154}, Year = {1992}, Month = {July}, ISSN = {0002-9262}, url = {http://www.ncbi.nlm.nih.gov/pubmed/1415138}, Abstract = {Hostility, as measured by the Cook-Medley Hostility Scale of the Minnesota Multiphasic Personality Inventory, has been found to predict higher rates of both coronary heart disease and all-cause mortality. To evaluate one mechanism whereby hostility might contribute to health problems, the authors used regression models to determine whether hostility measured in college (1964-1966) predicted coronary risk factors assessed 21-23 years later (1987-1990) in 4,710 men and women. Of this group, 828 had lipids measured (1988-1991). Persons with higher hostility scores in college were significantly more likely at follow-up to consume more caffeine (r = 0.043), to have a larger body mass index (r = 0.055), to have higher lipid ratios (r = 0.092), and to be current smokers (r = 0.069) than those with lower hostility scores during college. Cross-sectional analyses found significant associations of contemporaneous hostility scores with the same four risk factors, as well as with alcohol consumption and hypertension (rs ranging from 0.043 to 0.117). These associations are large enough to have possible public health significance. We conclude that hostility may contribute to health problems through its influences on several coronary risk factors across the adult life span.}, Doi = {10.1093/oxfordjournals.aje.a116481}, Key = {fds304117} } @article{fds276154, Author = {Williams, RB and Barefoot, JC and Califf, RM and Haney, TL and Saunders, WB and Pryor, DB and Hlatky, MA and Siegler, IC and Mark, DB}, Title = {Prognostic importance of social and economic resources among medically treated patients with angiographically documented coronary artery disease.}, Journal = {Jama}, Volume = {267}, Number = {4}, Pages = {520-524}, Year = {1992}, Month = {January}, ISSN = {0098-7484}, url = {http://www.ncbi.nlm.nih.gov/pubmed/1729574}, Abstract = {OBJECTIVE: To evaluate the hypothesis that diminished social and economic resources impact adversely on cardiovascular mortality in patients with coronary artery disease. DESIGN: Inception cohort study of patients undergoing cardiac catheterization from 1974 through 1980 and followed up through 1989. SETTING: Tertiary care university medical center. PATIENTS: Consecutive sample of 1965 medically treated patients with stenosis 75% or greater of at least one major coronary artery. Five hundred patients were not enrolled due to logistic problems; 33 refused; 64 had missing data on key medical variables. The final study population included 1368 patients, 82% male, with a median age of 52 years. MAIN OUTCOME MEASURE: Survival time until cardiovascular death. RESULTS: Independent of all known baseline invasive and noninvasive medical prognostic factors, patients with annual household incomes of $40,000 or more had an unadjusted 5-year survival of 0.91, compared with 0.76 in patients with incomes of $10,000 or less (Cox model adjusted hazard ratio, 1.9; 95% confidence interval, 1.57 to 2.32; P = .002). Similarly, unmarried patients without a confidant had an unadjusted 5-year survival rate of 0.50, compared with 0.82 in patients who were married, had a confidant, or both (adjusted hazard ratio, 3.34; 95% confidence interval, 1.84 to 6.20; P less than .0001). CONCLUSIONS: Low levels of social and economic resources identify an important high-risk group among medically treated patients with coronary artery disease, independent of important medical prognostic factors. Additional study will be required to see if interventions to increase these resources improve prognosis.}, Doi = {10.1001/jama.1992.03480040068032}, Key = {fds276154} } @article{fds276237, Author = {Siegler, IC and Longino, CF and Johnson, C}, Title = {The Georgia Centenarian Study: comments from friends.}, Journal = {International Journal of Aging & Human Development}, Volume = {34}, Number = {1}, Pages = {77-82}, Year = {1992}, ISSN = {0091-4150}, url = {http://www.ncbi.nlm.nih.gov/pubmed/1737662}, Doi = {10.2190/5FP0-3GL2-3RYU-Q8F9}, Key = {fds276237} } @article{fds276254, Author = {Siegler, IC and Peterson, BL and Barefoot, JC and Williams, RB}, Title = {Hostility during late adolescence predicts coronary risk factors at midlife}, Journal = {American Journal of Epidemiology}, Volume = {138}, Number = {2}, Pages = {146-154}, Year = {1992}, ISSN = {0002-9262}, url = {http://www.ncbi.nlm.nih.gov/pubmed/1415138}, Abstract = {Hostility, as measured by the Cook-Medley Hostility Scale of the Minnesota Multiphasic Personality Inventory, has been found to predict higher rates of both coronary heart disease and all-cause mortality. To evaluate one mechanism whereby hostility might contribute to health problems, the authors used regression models to determine whether hostility measured in college (1964-1966) predicted coronary risk factors assessed 21-23 years later (1987-1990) in 4,710 men and women. Of this group, 828 had lipids measured (1988-1991). Persons with higher hostility scores in college were significantly more likely at follow-up to consume more caffeine (r = 0.043), to have a larger body mass index (r = 0.055), to have higher lipid ratios (r = 0.092), and to be current smokers (r = 0.069) than those with lower hostility scores during college. Cross-sectional analyses found significant associations of contemporaneous hostility scores with the same four risk factors, as well as with alcohol consumption and hypertension (rs ranging from 0.043 to 0.117). These associations are large enough to have possible public health significance. We conclude that hostility may contribute to health problems through its influences on several coronary risk factors across the adult life span.}, Key = {fds276254} } @article{fds276138, Author = {Barefoot, JC and Peterson, BL and Dahlstrom, WG and Siegler, IC and Anderson, NB and Williams, RB}, Title = {Hostility patterns and health implications: correlates of Cook-Medley Hostility Scale scores in a national survey.}, Journal = {Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association}, Volume = {10}, Number = {1}, Pages = {18-24}, Year = {1991}, ISSN = {0278-6133}, url = {http://www.ncbi.nlm.nih.gov/pubmed/2026126}, Abstract = {Correlated Cook-Medley Hostility Scale (Ho) scores with sociodemographic variables in a national survey of 2,536 adults. Multiple regression models revealed that Ho scores were associated with race (p less than .0001), years of education (p less than .001), sex (p less than .001), occupation (p = .0002), and income (p = .0025). Higher scores were found in non-Whites, men, and those of lower socioeconomic status. There was a Race x Income interaction (p less than .005), such that the greatest Ho score differences between the races occurred among those with the lowest incomes. Age was related to Ho scores in a curvilinear fashion: higher scores in the youngest and oldest age groups than in the middle-aged groups (p = .025). Marital status was unrelated to Ho scores. These patterns of hostility are similar to the patterns of health indicators in the population. Because hostility has been found to be associated with adverse health outcomes, hostility may account for some of the demographic variations in health status. However, it is argued that research must first establish the generality of the hostility-health relationship across subgroups of the population.}, Doi = {10.1037//0278-6133.10.1.18}, Key = {fds276138} } @article{fds276247, Author = {Siegler, IC and Welsh, KA and Dawson, DV and Fillenbaum, GG and Earl, NL and Kaplan, EB and Clark, CM}, Title = {Ratings of personality change in patients being evaluated for memory disorders.}, Journal = {Alzheimer Disease and Associated Disorders}, Volume = {5}, Number = {4}, Pages = {240-250}, Year = {1991}, ISSN = {0893-0341}, url = {http://www.ncbi.nlm.nih.gov/pubmed/1781966}, Abstract = {Caregivers of 35 mildly to moderately memory-impaired patients rated current and premorbid personalities with the NEO Personality Inventory. We then examined changes in the five domains of personality tapped by the NEO. There were significant changes in four of the five domains of normal personality functioning toward less conscientiousness, lower extraversion, higher neuroticism, and lower openness. The difference toward lower agreeableness was not significant when controlling for multiple comparisons. Spearman rank correlation coefficients indicated that changes in conscientiousness and vulnerability were not related to rated premorbid personality patterns and thus appear to describe shifts for all patients evaluated for memory disorders. These data suggest that personality inventories may be helpful in characterizing caregivers' observations of memory-impaired patients and thus represent a critical source of information for the clinician in charge of care.}, Doi = {10.1097/00002093-199100540-00003}, Key = {fds276247} } @article{fds276236, Author = {Siegler, IC}, Title = {Paradigms in developmental health psychology--from theory to application: introduction to a special issue.}, Journal = {Journal of Gerontology}, Volume = {45}, Number = {4}, Pages = {P113-P115}, Year = {1990}, Month = {July}, ISSN = {0022-1422}, url = {http://www.ncbi.nlm.nih.gov/pubmed/2365967}, Abstract = {This brief introduction sets the background for, describes, and reviews the eight manuscripts that comprise this special issue of the Journal of Gerontology: Psychological Sciences. Given the topic of health, behavior, and aging it is noteworthy that these papers speak to concerns shared by all members of The Gerontological Society of America--from the very definition of aging itself to how older persons live their lives.}, Doi = {10.1093/geronj/45.4.p113}, Key = {fds276236} } @article{fds276246, Author = {Koenig, HG and Siegler, IC and Meador, KG and George, LK}, Title = {Religious coping and personality in later life}, Journal = {International Journal of Geriatric Psychiatry}, Volume = {5}, Number = {2}, Pages = {123-131}, Publisher = {WILEY}, Year = {1990}, Month = {January}, ISSN = {0885-6230}, url = {http://dx.doi.org/10.1002/gps.930050210}, Abstract = {A stratified random subsample of 100 older adults from long‐term participants of the Second Duke Longitudinal Study was interviewed concerning how they coped with three stressful event periods. Responses to open‐ended coping questions were categorized as religious or non‐religious in nature. Mean scores on 16 personality traits were compared between religious copers. Few differences were observed in personality scores between these groups. Compared with non‐religious copers, religious copers scored lower on factor E (less aggressive or hostile, more humble, submissive); there was also a tendency towards being higher on factor G (more responsible, conscientious, and moralistic). Over a six‐year period between wave 1 and wave 4, stability or change in personality was not related to coping style. No evidence was found for negative personality traits among older religious copers that have commonly been reported in younger religious individuals. Copyright © 1990 John Wiley & Sons, Ltd.}, Doi = {10.1002/gps.930050210}, Key = {fds276246} } @article{fds276253, Author = {Siegler, IC and Zonderman, AB and Barefoot, JC and Williams, RB and Costa, PT and McCrae, RR}, Title = {Predicting personality in adulthood from college MMPI scores: implications for follow-up studies in psychosomatic medicine.}, Journal = {Psychosomatic Medicine}, Volume = {52}, Number = {6}, Pages = {644-652}, Year = {1990}, ISSN = {0033-3174}, url = {http://www.ncbi.nlm.nih.gov/pubmed/2287703}, Abstract = {To assess the long-term predictive utility of Minnesota Multiphasic Personality Inventory (MMPI) content scales, 1,960 individuals who had completed the MMPI in college in 1964 or 1965 were administered two measures of adult personality, the NEO Personality Inventory (NEO-PI) and the Cook and Medley MMPI Hostility scale, in 1988. A comparison group of 274 men and women in the Baltimore Longitudinal Study of Aging were given both MMPI and NEO-PI between 1981 and 1987. Predictive correlations between MMPI scales and NEO-PI factors were qualitatively similar to concurrent correlations, but approximately half as large in magnitude. Theoretically, these correlations were interpreted to mean that about half the variance in basic dimensions of personality is stable from college age into middle adulthood. Practically, the relatively modest correlations suggest that predictive studies of medical outcomes probably require large samples, and that baseline data from adults (e.g., over age 30) may be more useful for future studies. The combination of stability and change suggests that the decade of the 20s may be a particularly fruitful time to conduct research on interventions to alter personality and their effects on health outcomes.}, Doi = {10.1097/00006842-199011000-00006}, Key = {fds276253} } @article{fds276200, Author = {Barefoot, JC and Peterson, BL and Harrell, FE and Hlatky, MA and Pryor, DB and Haney, TL and Blumenthal, JA and Siegler, IC and Williams, RB}, Title = {Type A behavior and survival: a follow-up study of 1,467 patients with coronary artery disease.}, Journal = {The American Journal of Cardiology}, Volume = {64}, Number = {8}, Pages = {427-432}, Year = {1989}, Month = {September}, ISSN = {0002-9149}, url = {http://www.ncbi.nlm.nih.gov/pubmed/2773785}, Abstract = {Patients with documented coronary artery disease, admitted to Duke Medical Center between 1974 and 1980, were assessed for type A behavior pattern and were followed until 1984. The relation of type A behavior to survival was tested using data from coronary angiography to control for disease severity. Cox model regression analyses demonstrated an interaction (p less than 0.01) between type A behavior and an index of disease severity in the prediction of cardiovascular death. Among those with relatively poor left ventricular function, type A patients had better survival than type B. This difference was not present among patients with better prognoses. Type A behavior did not predict the subsequent incidence of nonfatal myocardial infarctions. Differential risk modification and differential selection into postinfarction status are possible explanations for the findings. These results need not conflict with the proposition that type A behavior plays a role in the pathogenesis of coronary artery disease.}, Doi = {10.1016/0002-9149(89)90416-5}, Key = {fds276200} } @article{fds276235, Author = {McCrae, RR and Costa, PT and Dahlstrom, WG and Barefoot, JC and Siegler, IC and Williams, RB}, Title = {A caution on the use of the MMPI K-correction in research on psychosomatic medicine.}, Journal = {Psychosomatic Medicine}, Volume = {51}, Number = {1}, Pages = {58-65}, Year = {1989}, ISSN = {0033-3174}, url = {http://www.ncbi.nlm.nih.gov/pubmed/2928461}, Abstract = {The MMPI K scale is widely used to screen for invalid responses and to adjust substantive scale scores for defensiveness. In a normal volunteer sample, correlations of MMPI clinical scales and the Cook-Medley Hostility (HO) scale with self-reports and peer ratings on the NEO Personality Inventory (NEO-PI) were decreased rather than increased by K-correction. Similarly, in a medical sample, structured interview-based ratings of Potential for Hostility were better predicted by uncorrected HO scores than by K-corrected HO scores. Finally, in a prospective study of mortality among lawyers, uncorrected HO scores were a significant predictor of all-cause mortality; K-corrected scores were not. The data suggest that, under some circumstances, the K scale may measure substantive traits rather than defensiveness, and should be used and interpreted with caution. Its use is probably contraindicated for most research on psychiatrically normal subjects.}, Doi = {10.1097/00006842-198901000-00006}, Key = {fds276235} } @article{fds315579, Author = {Koenig, HG and Siegler, IC and George, LK}, Title = {Religious and Non-Religious Coping: Impact on Adaptation in Later Life}, Journal = {Journal of Religion and Aging}, Volume = {5}, Number = {4}, Pages = {73-94}, Publisher = {The Haworth Press}, Year = {1989}, ISSN = {0738-6184}, url = {http://dx.doi.org/10.1300/J491v05n04_07}, Abstract = {Religious behaviors are commonly used by older persons to cope with stressful life-events and situations. In the present study, adaptation and coping were examined in a stratified random sample of 100 persons age 55 to 80 participating in the Second Duke Longitudinal Study of Aging. Twelve established social psychological measures of adaptation and coping were utilized for this purpose. Mean scores were compared between persons using religious behaviors and those using other coping behaviors. Social class, amount of life-stress experienced, and type of stressors were also compared between religious and non-religious copers. No significant difference was observed between religious and non-religious copers on any of the 12 measures of coping and adaptation. Stratifying the sample by sex did not alter these results. A small proportion of the sample (7%) were distinguished by the degree to which religion had permeated their coping behaviors and outlook on life. Despite being. © Taylor © Francis Group, LLC.}, Doi = {10.1300/J491v05n04_07}, Key = {fds315579} } @article{fds276245, Author = {Koenig, HG and George, LK and Siegler, IC}, Title = {The use of religion and other emotion-regulating coping strategies among older adults.}, Journal = {Gerontologist}, Volume = {28}, Number = {3}, Pages = {303-310}, Year = {1988}, Month = {June}, ISSN = {0016-9013}, url = {http://www.ncbi.nlm.nih.gov/pubmed/3396911}, Doi = {10.1093/geront/28.3.303}, Key = {fds276245} } @article{fds276137, Author = {Barefoot, JC and Siegler, IC and Nowlin, JB and Peterson, BL and Haney, TL and Williams, RB}, Title = {Suspiciousness, health, and mortality: a follow-up study of 500 older adults.}, Journal = {Psychosomatic Medicine}, Volume = {49}, Number = {5}, Pages = {450-457}, Year = {1987}, ISSN = {0033-3174}, url = {http://www.ncbi.nlm.nih.gov/pubmed/3671634}, Abstract = {Scores on Factor L of the 16 PF, a measure of suspiciousness that is closely related to the Cook and Medley hostility scale, predicted survival in a sample of 500 older men and women during a follow-up of approximately 15 years. Those individuals with scores indicating higher levels of suspiciousness had greater mortality risk. This association remained significant after controlling for age, sex, physician's ratings of functional health, smoking, cholesterol, and alcohol intake. In addition, Factor L was associated with physician's ratings of health at the initiation of follow-up. These findings add to the weight of evidence that implicates a set of negative interpersonal attitudes in the domain of hostility, anger, cynicism, and mistrust as a prospective marker of individuals at risk for adverse health outcomes.}, Doi = {10.1097/00006842-198709000-00002}, Key = {fds276137} } @article{fds276199, Author = {Hooker, K and Blumenthal, JA and Siegler, I}, Title = {Relationships between motivation and hostility among type A and type B middle-aged men}, Journal = {Journal of Research in Personality}, Volume = {21}, Number = {2}, Pages = {103-113}, Year = {1987}, ISSN = {0092-6566}, url = {http://dx.doi.org/10.1016/0092-6566(87)90001-8}, Abstract = {Relationships between aspects of personality and the Type A behavior pattern (TABP) were examined in a sample of 60 middle-aged men. TABP classification was determined by the Structured Interview (SI) and the Jenkins Activity Survey (JAS), while aspects of personality functioning were measured by the Thematic Apperception Test (TAT) and the Jackson Personality Research Form (PRF). It was hypothesized that Type A men would score higher than Type B men on the motivational drives of need for achievement and need for power, and that there would be proportionately more Type As than Bs displaying the Inhibited Power Motive Syndrome (IPMS). The Aggression and Defendence scales of the PRF were combined to form a measure of hostility (PRF-hostility) and relationships between need for power, hostility, and TABP were examined. Results showed that these motivational variables were not directly related to TABP. However, there was a strong interaction such that Type As high in need for power tended to score highly on PRF-hostility and Type Bs high in need for power tended to rate themselves as low on PRF-hostility. This suggests that need for power may play a role in the expression of hostility, and that this differs for Type A and Type B middle-aged men. © 1987.}, Doi = {10.1016/0092-6566(87)90001-8}, Key = {fds276199} } @article{fds276091, Author = {Manton, KG and Siegler, IC and Woodbury, MA}, Title = {Patterns of intellectual development in later life.}, Journal = {Journal of Gerontology}, Volume = {41}, Number = {4}, Pages = {486-499}, Year = {1986}, Month = {July}, ISSN = {0022-1422}, url = {http://www.ncbi.nlm.nih.gov/pubmed/3722733}, Abstract = {Temporal changes in 16 measures of cognitive and intellectual functioning (11 Wechsler Adult Intelligence Scale subtests, 3 Wechsler Memory Test subscales, 2 measures of reaction time) were studied in the full data set from the First Duke Longitudinal Study of Aging. Patterns of change in these 16 measures were identified through a 'grade-of-membership' analysis -- a general model for identifying patterns in temporal variation that does not require parametric assumptions about the trajectory of change or assumptions about the homogeneity of the sampled population. The analyses showed that the temporal variation of the 16 measures could be described by five latent patterns that reflected the complex patterning of intellectual functioning in extreme late life. The relation of these five patterns of intellectual ability to age was examined, as were the relationships to measures of mental and physical health. These results underline the needs for comprehensive models of health and functioning in later life that describe changes in a multidimensional form.}, Doi = {10.1093/geronj/41.4.486}, Key = {fds276091} } @article{fds276088, Author = {Clive, J and Woodbury, MA and Siegler, IC}, Title = {FUZZY AND CRISP SET-THEORETIC BASED CLASSIFICATION OF HEALTH AND DISEASE: A QUALITATIVE AND QUANTITATIVE COMPARISON.}, Journal = {Proceedings of the Hawaii International Conference on System Science}, Pages = {450-462}, Year = {1983}, Month = {December}, Abstract = {Conventional cluster analyses of patient populations are intended to assist in the identification and characterization of groups which may represent etiological or pathological subtypes within a particular disease class. These methods have been criticized as being insensitive to subtle patient differences, which may be masked as a result of the all or nothing concept of cluster membership intrinsic to crisp set-theoretic based grouping algorithms. This paper compares and contrasts the applications of crisp and fuzzy set-theoretic based clustering procedures to a set of data describing the cognitive and intellectual functioning of a group of subjects participating in a longitudinal study of aging. Emphasis is placed on qualitative and quantitative aspects, corresponding, respectively, to the clinical interpretation of cluster definitions, and the robustness or sensitivity of the classification procedures to changes in patient profiles over time.}, Key = {fds276088} } @article{fds276089, Author = {Siegler, IC and George, LK}, Title = {The normal psychology of the aging male: Sex differences in coping and perceptions of life events}, Journal = {Journal of Geriatric Psychiatry}, Volume = {16}, Number = {2}, Pages = {197-209}, Year = {1983}, Month = {December}, Abstract = {The data illustrate some important methodological considerations about the study of life events and the study of developmental data. As the data on the distribution of life events indicate, when individuals retell their life stories, events are rarely discrete. Psychologically, an event expands to include those predictors that later became apparent and the time taken to put the event into perspective. This calls into question the interpretation given to many life event questionnaires that seek to consider an event within narrow time framework. Positive and negative events appear to have differential consequences.}, Key = {fds276089} } @article{fds276092, Author = {Clive, J and Woodbury, MA and Siegler, IC}, Title = {Fuzzy and crisp set-theoretic-based classification of health and disease. A qualitative and quantitative comparison.}, Journal = {Journal of Medical Systems}, Volume = {7}, Number = {4}, Pages = {317-332}, Year = {1983}, Month = {August}, ISSN = {0148-5598}, url = {http://www.ncbi.nlm.nih.gov/pubmed/6644199}, Abstract = {Conventional cluster analyses of patient populations are intended to assist in the identification and characterization of groups that may represent etiological or pathological subtypes within a particular disease class. These methods have been criticized as being insensitive to subtle patient differences, which may be masked as a result of the all-or-nothing concept of cluster membership intrinsic to crisp set-theoretic-based grouping algorithms. As an alternative to conventional clustering procedures, several investigators have studied the use of fuzzy classification methods. In general, these measure a patient's clinical status in terms of a real number defined on the closed unit interval, reflecting the extent or degree to which a particular grouping entity characterizes the patient. This paper compares and contrasts the applications of crisp and fuzzy set-theoretic-based clustering procedures to a set of data describing the cognitive and intellectual functioning of a group of subjects participating in a longitudinal study of aging. Emphasis is placed on both qualitative and quantitative aspects corresponding, respectively, to the clinical interpretation of cluster definitions, and the robustness or sensitivity of the classification procedures to changes in patient profiles over time. The fuzzy set-theoretic-based model was found to be more sensitive to changes in subject level of functioning over time, to provide superior quantitative protrayals of patterns of aging, and to reflect properties of the aging process derived from other research.}, Doi = {10.1007/BF01080688}, Key = {fds276092} } @article{fds276090, Author = {Siegler, IC and George, LK}, Title = {Sex differences in coping and perceptions of life events.}, Journal = {Journal of Geriatric Psychiatry}, Volume = {16}, Number = {2}, Pages = {197-122}, Year = {1983}, ISSN = {0022-1414}, url = {http://www.ncbi.nlm.nih.gov/pubmed/6677679}, Abstract = {These data illustrate some important methodological considerations about the study of life events and the study of developmental data. As the data on the distribution of life events indicate, when individuals retell their life stories, events are rarely discrete. Psychologically, an event expands to include those predictors that later became apparent and the time taken to put the event into perspective. This calls into question the interpretation given to many life event questionnaires that seek to consider an event within a narrow time framework. Positive and negative events appear to have differential consequences. Our exploration of coping with positive events was an interesting one. Most of our respondents did not perceive that they had a coping task to accomplish when the event was perceived as a positive one. Many of the events reported by our respondents were events in the lives of others. Although this was more often the case for women than for men, interpersonal events and events in which the major impact fell on a family member were quite common in later life. In attempting to understand the impact of sociohistorical events as a context for development, it has often been assumed that overall negative events such as wars and economic depressions will have predominantly negative impacts. Our data suggest that sociohistorical events form the context for events in the family life cycle that happen independently of what is happening in the larger society. Events related to family formation happened against different backgrounds of sociohistorical events. These data also suggest that we look for cohort effects in nonlinear ways that would reflect generational communality of an event. This study also has limits. Our sample was small, and as the respondents had maximum freedom to pick the events to be discussed, we only know that we had a sample of three positive and three negative event contexts. We did not ask individuals 500 many positive and negative events they had during their lives and how the events mentioned fit into that ranking. The interviews were rich in the individuals' perceptions of the important aspects of their lives and indicated a realistic group of persons who had managed to cope reasonably well with the events in their lives. The cohorts in the study are of the age that traditional gender differences are founded on. Looking at the content of the issues to be coped with and the requirements of the situation suggest that life experience is what is predictive of coping skills.(ABSTRACT TRUNCATED AT 400 WORDS)}, Key = {fds276090} } @article{fds276086, Author = {Siegler, IC and McCarty, SM and Logue, PE}, Title = {Wechsler Memory Scale Scores, selective attrition, and distance from death.}, Journal = {Journal of Gerontology}, Volume = {37}, Number = {2}, Pages = {176-181}, Year = {1982}, Month = {March}, ISSN = {0022-1422}, url = {http://www.ncbi.nlm.nih.gov/pubmed/7057002}, Doi = {10.1093/geronj/37.2.176}, Key = {fds276086} } @article{fds276087, Author = {McCarty, SM and Siegler, IC and Logue, PE}, Title = {Cross-sectional and longitudinal patterns of three Wechsler Memory Scale Subtests.}, Journal = {Journal of Gerontology}, Volume = {37}, Number = {2}, Pages = {169-175}, Year = {1982}, Month = {March}, ISSN = {0022-1422}, url = {http://www.ncbi.nlm.nih.gov/pubmed/6976984}, Abstract = {This study evaluated cross-sectional and longitudinal age relationships, after age 60, for three subtests of the Wechsler Memory Scale: logical memory, associate learning, and visual reproduction. Cross-sectional regression analyses indicated that age, sex, race, and education accounted for approximately 20 to 35% of the variance in test scores, with education the strongest predictor. Longitudinally, consistent linear declines were found only for hard associates and visual reproduction. Visual reproduction was related more consistently and strongly to age than the two verbal subtests. The effects of selective attrition from the study were discussed.}, Doi = {10.1093/geronj/37.2.169}, Key = {fds276087} } @article{fds276085, Author = {Siegler, IC and Cunningham, WR}, Title = {Methodological comments: From a symposium methodological considerations for aging research: Introduction to a symposium and methodological commentary}, Journal = {Experimental Aging Research}, Volume = {8}, Number = {1}, Pages = {59-60}, Publisher = {Informa UK Limited}, Year = {1982}, Month = {January}, url = {http://dx.doi.org/10.1080/03610738208258396}, Abstract = {This article introduces a set of papers which illustrate the application of multivariate techniques to problems in aging research. Multivariate research strategies raise new issues in the choice of sample size that are discussed. The papers reviewed in this introduction are concerned with factorial invariance, the measurement of change, and various regression techniques useful in modeling developmental data. © 1982 Taylor & Francis Group, LLC.}, Doi = {10.1080/03610738208258396}, Key = {fds276085} } @article{fds315577, Author = {Hyer, L and Matteson, MA and Siegler, IC}, Title = {Locus of Control and Long-term Care}, Journal = {Journal of Applied Gerontology}, Volume = {1}, Number = {1}, Pages = {147-160}, Publisher = {SAGE Publications}, Year = {1982}, Month = {January}, ISSN = {0733-4648}, url = {http://dx.doi.org/10.1177/073346488200100118}, Abstract = {Locus of control is a variable of high interest in the assessment and behavior of the elderly in long-term care (LTC) facilities. This study uses a situation-specific locus of control (LOC) index and controls for the influential variables in an LTC setting: age, education, sex, depression, and cognitive decline. Having an in ternal LOC proved to influence various adjustment measures, including behavior rating, perception of environment, and psychiatric factors. The value and use of such a specialized LOC measure in LTC settings are stressed and discussed. © 1982, Sage Publications. All rights reserved.}, Doi = {10.1177/073346488200100118}, Key = {fds315577} } @article{fds304116, Author = {Woodbury, MA and Manton, KG and Siegler, IC}, Title = {Markov Network Analysis: suggestions for innovations in covariance structure analysis.}, Journal = {Experimental Aging Research}, Volume = {8}, Number = {3-4}, Pages = {135-140}, Year = {1982}, ISSN = {0361-073X}, url = {http://www.ncbi.nlm.nih.gov/pubmed/6984834}, Abstract = {Studies of aging offer special methodological challenges to the researcher in that he must often examine the change of multiple correlated variables over time. We present a set of procedures that are specifically designed to model change in such multivariate situations. These procedures, which we will call Markov Network Analysis, are directly applicable to modeling change from longitudinal or serial data. In such cases, the parameters of the model have dynamic interpretations, e.g., as coefficients in positive or negative feedback loops. In cross-sectional data, one cannot directly estimate the dynamic coefficients but the model does show how certain dynamic interpretations can be made. Statistically, maximum likelihood estimation procedures are developed and presented. In the development of the statistical model, it is shown how the bias of sequential hypothesis testing, a frequent occurrence in the estimation of complex covariance structure models, may be reduced.}, Doi = {10.1080/03610738208260270}, Key = {fds304116} } @article{fds276084, Author = {George, LK and Siegler, IC and Okun, MA}, Title = {Separating age, cohort, and time of measurement: analysis of variance or multiple regression.}, Journal = {Experimental Aging Research}, Volume = {7}, Number = {3}, Pages = {297-314}, Year = {1981}, ISSN = {0361-073X}, url = {http://www.ncbi.nlm.nih.gov/pubmed/7318857}, Abstract = {This paper empirically compares the relative advantages of analysis of variance (ANOVA) and multiple regression (MR) approaches to the separation of age, cohort, and time of measurement effects in sequential research designs. The comparison utilizes four synthetic data sets, designed to have specific characteristics. The results support Adam's recent claim that standard ANOVA procedures, as described by Schaie, do not permit the development of accurate decision rules for age-period-cohort analysis. A modified dummy variable regression procedure developed by Mason, et al. is demonstrated to permit accurate attribution of variance among age, cohort, and time of measurement effects in the developmental model.}, Doi = {10.1080/03610738108259812}, Key = {fds276084} } @article{fds276083, Author = {Botwinick, J and Siegler, IC}, Title = {Intellectual ability among the elderly: Simultaneous cross-sectional and longitudinal comparisons}, Journal = {Developmental Psychology}, Volume = {16}, Number = {1}, Pages = {49-53}, Publisher = {American Psychological Association (APA)}, Year = {1980}, Month = {January}, ISSN = {0012-1649}, url = {http://dx.doi.org/10.1037/0012-1649.16.1.49}, Abstract = {Made simultaneous cross-sectional and longitudinal comparisons of WAIS performances of 70 Ss. The comparisons were such that approximately 4 yrs separated the age groups both cross-sectionally and longitudinally. The groups were aged 60-63, 64-67, 68-71, and 72-75 yrs. The results indicate no significant age differences with the cross-sectional comparison but significant age differnces with the longitudinal comparisons. The latter differences, however, were small. It is concluded that when the age spans of cross-sectional and longitudinal comparisons are equivalent and when equivalent S selection factors are applied to these 2 designs, the results are similar. (12 ref) (PsycINFO Database Record (c) 2006 APA, all rights reserved). © 1980 American Psychological Association.}, Doi = {10.1037/0012-1649.16.1.49}, Key = {fds276083} } @article{fds276072, Author = {Palmore, E and Cleveland, WP and Nowlin, NB and Ramm, D and Siegler, IC}, Title = {Stress and adaptation in later life.}, Journal = {Journal of Gerontology}, Volume = {34}, Number = {6}, Pages = {841-851}, Year = {1979}, Month = {November}, ISSN = {0022-1422}, url = {http://www.ncbi.nlm.nih.gov/pubmed/512304}, Abstract = {The effects of five major life events, and of three types of resources, on the physical and social-psychological adaptation of 375 participants in a longitudinal study were examined. As expected, medical events had the most impact on physical adaptation, but they had surprisingly little impact on social-psychological adaptation. Retirement had the most negative social-psychological effects, but had little effect on physical adaptation. The other three events had even less effects, although multiple events tended to cumulate in impact. Better physical resources helped only physical adaptation, and better psychological and social resources mainly helped satisfaction. It appears that most of these potential stressors have less serious long-term outcomes than the crisis orientation would suggest.}, Doi = {10.1093/geronj/34.6.841}, Key = {fds276072} } @article{fds276081, Author = {Siegler, IC and Botwinick, J}, Title = {A long-term longitudinal study of intellectual ability of older adults: the matter of selective subject attrition.}, Journal = {Journal of Gerontology}, Volume = {34}, Number = {2}, Pages = {242-245}, Year = {1979}, Month = {March}, ISSN = {0022-1422}, url = {http://www.ncbi.nlm.nih.gov/pubmed/438478}, Abstract = {Two hundred and forty-six subjects aged 60 to 94 were tested with the WAIS at test session 1, the start of a longitudinal study which lasted approximately 20 years. The subject attrition from the first session to the last (session No. 11) was progressive and selective, leaving mainly the intellectually superior ones in the study. Two facts appeared particularly important: One, little intellectual decline was seen in these superior subjects until very late in life. Two, analyses based on such superior subjects without reference to the larger body of subject populations can lead to spurious generalizations about aging in general. Age decline in intellectual ability seen in more representative populations may not be apparent when analyzing data of select samples.}, Doi = {10.1093/geronj/34.2.242}, Key = {fds276081} } @article{fds276082, Author = {Gatz, M and Siegler, IC and Dibner, SS}, Title = {Individual and community: normative conflicts in the development of a new therapeutic community for older persons.}, Journal = {International Journal of Aging & Human Development}, Volume = {10}, Number = {3}, Pages = {249-263}, Year = {1979}, ISSN = {0091-4150}, url = {http://www.ncbi.nlm.nih.gov/pubmed/521183}, Abstract = {This paper examines the role of ideology in the establishment of a new therapeutic community for geriatric patients in a state mental hospital. Contradictory role expectations, reflected both in staff-staff and in staff-patient relationship, interfered with the program's achieving its stated goals. In order to apply a humanistic approach to programs for elderly patients, realistic goals-encompassing the range of patient competence-must be set within a reasonable time framework, and the program must provide for an appropriate range of structure.}, Doi = {10.2190/j1yf-ryxv-bcd8-p9pr}, Key = {fds276082} } @article{fds276080, Author = {Okun, MA and Siegler, IC and George, LK}, Title = {Cautiousness and verbal learning in adulthood.}, Journal = {Journal of Gerontology}, Volume = {33}, Number = {1}, Pages = {94-97}, Year = {1978}, Month = {January}, ISSN = {0022-1422}, url = {http://www.ncbi.nlm.nih.gov/pubmed/618972}, Abstract = {Twenty-two young (age 17-21)and 22 old (age 60-74) men and women participated in an investigation designed to determine the extent to which age differences in omission errors and performance in a serial learning task are accounted for by cautiousness. Age differences were found on the measures of cautiousness, and verbal learning, with young adults making more correct responses and proportionately fewer omission errors on the learning task and taking greater risks on the risk-taking tasks. The results indicated that cautiousness measures accounted for age differences in omission errors but not in performance.}, Doi = {10.1093/geronj/33.1.94}, Key = {fds276080} } @article{fds276078, Author = {Okun, MA}, Title = {Sex differences in serial learning for aged persons with high verbal ability.}, Journal = {Experimental Aging Research}, Volume = {3}, Number = {2}, Pages = {165-169}, Year = {1977}, Month = {March}, url = {http://dx.doi.org/10.1080/03610737708257096}, Abstract = {Serial rote learning was examined in men and women with high verbal ability aged 60-74 years. No sex differences were found in total errors, commission errors, or omissions errors. The results are in accord with the findings reported in a study by Wilkie and Eisdorfer (1977) and suggest that high verval ability may, in part, mediate sex differences in serial learning.}, Doi = {10.1080/03610737708257096}, Key = {fds276078} } @article{fds276079, Author = {Okun, MA and Siegler, IC}, Title = {The perception of outcome-effort covariation in younger and older men}, Journal = {Educational Gerontology}, Volume = {2}, Number = {1}, Pages = {27-32}, Publisher = {Informa UK Limited}, Year = {1977}, Month = {January}, url = {http://dx.doi.org/10.1080/0360127770020104}, Abstract = {The subjects, 21 younger (average CA = 18.95, SD = 1.13) and 21 older (average CA = 68.62, SD = 4.75) men, participated in a bogus convergent-thinking task in which they rated their effort expenditure after experiencing varying degrees of success. It was proposed that younger, but not older men would exhibit outcome-effort covariation. As predicted, results indicated that younger, but not older men perceived that they tried harder when they succeeded relative to when they failed. The findings imply that the older men’s lack of outcome-effort covariation has inimical consequences for their learning in contexts where initial failure experiences are likely. “Attribution retraining” was suggested as a potential intervention strategy. Research with older adults is advocated to examine whether causal ascription of failure to lack of effort is related to persistence at the task. © 1977 Taylor & Francis Group, LLC.}, Doi = {10.1080/0360127770020104}, Key = {fds276079} } @article{fds276077, Author = {Okun, MA and Siegler, IC}, Title = {Relation between preference for intermediate risk and adult age in men: A cross-cultural validation}, Journal = {Developmental Psychology}, Volume = {12}, Number = {6}, Pages = {565-566}, Publisher = {American Psychological Association (APA)}, Year = {1976}, Month = {November}, ISSN = {0012-1649}, url = {http://dx.doi.org/10.1037/0012-1649.12.6.565}, Abstract = {Investigated the generalizability of the N. P. Chaubey (see record 1974-27278-001) finding of an inverse relation between adult age and magnitude of preference for intermediate risk in Asian Indian males. 11 17-21 yr old undergraduates and 11 60-74 yr old volunteers from the community individually completed a task which was oriented about the Verbal Ability Test. Ss chose their preferred difficulty level and were afforded points based on their performance. An index of the preference for intermediate risk was derived by obtaining the absolute value of the difference between the probability of success at which the S chose to work and .50. Analysis of variance applied to data based on the risk index revealed that older Ss exhibited significantly less preference for intermediate risk than did younger Ss. Results of this study considered in conjunction with those of the Chaubey study indicate that the preference for intermediate risk in males has a strong, reliable, replicable relation to adult age. It is suggested that future research study intermediate risk in females. (PsycINFO Database Record (c) 2006 APA, all rights reserved). © 1976 American Psychological Association.}, Doi = {10.1037/0012-1649.12.6.565}, Key = {fds276077} } @article{fds276076, Author = {Smyer, MA and Siegler, IC}, Title = {Learning to live in a therapeutic community: a study of elderly inpatients.}, Journal = {International Journal of Aging & Human Development}, Volume = {7}, Number = {3}, Pages = {231-235}, Year = {1976}, ISSN = {0091-4150}, url = {http://www.ncbi.nlm.nih.gov/pubmed/1002328}, Abstract = {Fifty-two elderly mental patients in a state hospital were transferred to a new milieu ward. In order to evaluate patient success in the unit, three outcome categories were defined nine months after the unit opened: discharge to the community, adjustment to the setting, and return to the previous ward. Despite the unit's emphasis on performance criteria for success, staff evaluations of the patients' personality rather than the patients' achievement of the behavioural criteria, accounted for success in the setting.}, Doi = {10.2190/HFYD-YE6P-YBLM-UH4H}, Key = {fds276076} } @article{fds276074, Author = {Siegler, IC}, Title = {The terminal drop hypothesis: fact or artifact?}, Journal = {Experimental Aging Research}, Volume = {1}, Number = {1}, Pages = {169-185}, Year = {1975}, Month = {September}, ISSN = {0361-073X}, url = {http://www.ncbi.nlm.nih.gov/pubmed/802856}, Abstract = {Findings from eight longitudinal investigations were reviewed in order to evaluate the terminal drop hypothesis. The concept of terminal drop was seen to be more useful when partitioned into its component parts: the relationship between the level of cognitive performance with survival and with distance from death, and the relationship between changes in cognitive performance and death. Health status and age at death emerged as important intervening variables in understanding the terminal drop concept.}, Doi = {10.1080/03610737508257957}, Key = {fds276074} } @article{fds276075, Author = {Eisner, HC and Siegler, IC and Eisele, FR}, Title = {Contemporary views on behavioral development: A review of the 1973 meetings of the international society for the study of behavioral development}, Journal = {Human Development}, Volume = {17}, Number = {3}, Pages = {231-234}, Publisher = {S. Karger AG}, Year = {1974}, Month = {January}, ISSN = {0018-716X}, url = {http://dx.doi.org/10.1159/000271346}, Doi = {10.1159/000271346}, Key = {fds276075} } %% Papers Published @article{fds138405, Title = {Ilene C. Siegler, Ph.D., MPH}, Year = {2001}, Key = {fds138405} } @article{fds138406, Title = {Dawson, D.V., Welsh-Bohmer, K., & Siegler, I.C. (2001). Informant rated personality change in Alzheimer disease patients: Replication, influence of premorbid profile, and covariate relationships. Research and Practice in Alzheimer's Disease, 5, 27-32}, Year = {2001}, Key = {fds138406} } @article{fds138407, Title = {Siegler, I.C., Bastian, L.A., & Bosworth, H.B. (2001). Health, behavior, and aging. In A. Baum, T.R. Revenson, & J.E. Singer (Eds.), Handbook of health psychology. (pp. 469-476). Mahwah, NJ: Erlbaum.}, Year = {2001}, Key = {fds138407} } @article{fds138408, Title = {In Press: Siegler, I.C., Bastian, L.A., Steffens, D.C., Bosworth, H.B., & Costa, P.T. (in press). Behavioral medicine and aging: Middle age, aging and the oldest-old. Journal of Consulting and Clinical Psychology.}, Year = {2001}, Key = {fds138408} } @article{fds138409, Title = {Vitaliano, P.O., Scanlan, J.M., Zhang, J., Savage, M.V., Hirsch, I.B., & Siegler, I.C. (in press). A path model of chronic stress, the Metabolic Syndrome, and coronary heart disease. Psychosomatic Medicine.}, Year = {2001}, Key = {fds138409} } @article{fds138410, Title = {Bosworth, H.B., & Siegler, I.C. (in press). Terminal change in cognitive function: An updated review of longitudinal studies. Experimental Aging Research.}, Year = {2001}, Key = {fds138410} } @article{fds138455, Title = {Bosworth, H.B., Feaganes, J.R., Vitaliano, P.P., Mark, D.B., & Siegler, I.C. (2001). Personality and coping with a common stressor: Cardiac catheterization. Journal of Behavioral Medicine 24, 17-31.}, Year = {2001}, Key = {fds138455} } @article{fds138456, Title = {Williams, R.B., Marchuk, D.A., Gadde, K.M., Barefoot, J.C., Grichnik, K., Helms, M.J., Kuhn, C.M., Lewis, J.G., Schanberg, S.M., Stafford-Smith, M., Suarez, E.C., Clary, G.L., Svenson, I.K., & Siegler, I.C. (2001). Central nervous system serotonin function and cardiovascular responses to stress. Psychosomatic Medicine, 63, 300-305.}, Year = {2001}, Key = {fds138456} } @article{fds138457, Title = {Brummett, B.H., Barefoot, J.C., Siegler, I.C., Clapp-Channing, N.E., Lytle, B., Bosworth, H.B., Williams, R.B., & Mark, D.B. (2001). Characteristics of socially isolated cardiac patients at elevated risk for mortality. Psychosomatic Medicine, 63, 267-272.}, Year = {2001}, Key = {fds138457} } @article{fds138458, Title = {Vitaliano, P.P., Scanlan, J.M., Zhang, J., Savage, M.V., Brummett, B., Barefoot, J., & Siegler I.C. (2001). Are the salutogenic effects of social support modified by income? A test of an "added value hypothesis". Health Psychology, 20(3), 155-165.}, Year = {2001}, Key = {fds138458} } @article{fds138459, Title = {Bosworth, H.B., Bastian, L.A., Kuchitbhatta, M., Steffens, D.C., McBride, C.M., Skinner, C.S., Rimer, B.K., & Siegler, I.C. (2001). Depressive symptoms, menopausal status, and climacteric symptoms in women at mid-life. Psychosomatic Medicine, 63, 603-608.}, Year = {2001}, Key = {fds138459} } @article{fds138460, Title = {Siegler, I.C., Bosworth, H.B., & Poon, L.W. (in press). Disease, health and aging. In R.M. Lerner, MA Easterbrooks, & J Mistri (Eds.), Comprehensive handbook of psychology, vol. 6. Developmental Psychology. New York: Wiley and Son.}, Year = {2001}, Key = {fds138460} } @article{fds138461, Title = {Siegler IC, Bosworth, H. B., & Elias, M. F. (in press). Adult development and aging in health psychology. In A.M. Nezu, C.M. Nezu, & P.A. Geller (Eds.) Comprehensive handbook of psychology, v. 9 Health psychology. New York: Wiley and Son.}, Year = {2001}, Key = {fds138461} } @article{fds138462, Title = {Yen, S., & Siegler, I.C. (in press). Relationship between self-blame, social introversion and suicide: Prospective data from a longitudinal study. Archives of Suicide Research.}, Year = {2001}, Key = {fds138462} } @article{fds138463, Title = {Bastian, L.A., Owens, S.S., Kim, H., Barnett, L.R., & Siegler, I.C. (in press). Cigarette smoking in veteran women: The impact of multiple role strain. Women's Health Issues.}, Year = {2001}, Key = {fds138463} } @article{fds138464, Title = {Steffens, D.C., Svenson, I., Marchuk, D.A., Levy, R.M., Hays, J.C., Flint, E.P., Krishnan, K.R.R., & Siegler, I.C. (in press). Allelic differences in the serotonin transporter-linked polymorphic region in geriatric depression. American Journal of Geriatric Psychiatry.}, Year = {2001}, Key = {fds138464} } @article{fds138465, Title = {Calhoun, P., Bosworth, H.B., Siegler, I.C., & Bastian, L.A. (in press). The relationship between hostility and behavioral risk factors for poor health in women veterans. Preventive Medicine.}, Year = {2001}, Key = {fds138465} } @article{fds138466, Title = {Weng, H.H., McBride, C.M., Bosworth, H.B., Grambow, S.C., Siegler, I.C., & Bastian, L.A. (in press). Racial differences in physician recommendation of hormone replacement therapy. Preventive Medicine.}, Year = {2001}, Key = {fds138466} } @article{fds138467, Title = {McBride, C.M., Bastian, L.A., Halabi, S., Fish, L., Lipkus, I.M., Bosworth, H.B., Rimer, B.K., & Siegler, I.C. (in press). Efficacy of a tailored intervention to aid decision-making about hormone replacement therapy. American Journal of Public Health.}, Year = {2001}, Key = {fds138467} } @article{fds138468, Title = {Barefoot, J.C., Gronbaek, M., Feaganes, J.R., McPherson, R.S., Williams, R.B., & Siegler, I.C. (in press). Alcoholic beverage preference, diet, and health habits in the UNC Alumni Heart Study. American Journal of Clinical Nutrition.}, Year = {2001}, Key = {fds138468} } @article{fds138397, Title = {2. Barefoot, J,C., Heitmann, B.L., Helms, M.J., Williams, R.B., Surwit, R.S., & Siegler, I.C. (1998). Symptoms of depression and changes in body weight from adolescence to mid-life. International Journal of Obesity, 22, 688-694.}, Year = {1998}, Key = {fds138397} } @article{fds138398, Title = {4. Bastian, L.A., Couchman, G.M., Nanda, K., & Siegler, I.C. (1998). Hormone replacement therapy: Benefits, risks and management.. Clinic Atlas on Office Gynecology, 1, 79-87.}, Year = {1998}, Key = {fds138398} } @article{fds138399, Title = {6. Vitaliano, P.P., Scanlan, J.M., Siegler, I.C., McCormick, W.C., & Knopp, R.H. (1998). Coronary heart disease moderates the relationship of chronic stress with the metabolic syndrome. Health Psychology, 17, 520-529.}, Year = {1998}, Key = {fds138399} } @article{fds138400, Title = {9. Barefoot, J.C., Maynard, K.E., Beckham, J.C., Brummett, B.H., Hooker, K., & Siegler, I.C. (1998). Trust, Health, and Longevity. Journal of Behavioral Medicine, 21, 517-526.}, Year = {1998}, Key = {fds138400} } @article{fds138401, Title = {Chapters:}, Year = {1998}, Key = {fds138401} } @article{fds138402, Title = {1. Siegler, I.C. (1998). Alzheimer's disease: Impact in women. In E. Blechman & K. Brownell (Eds.), Behavioral medicine for women: A comprehensive handbook (pp. 551-553). New York: Guilford Press.}, Year = {1998}, Key = {fds138402} } @article{fds138403, Title = {5. Siegler, I.C., Bastian, L.A., & Bosworth, H.B. (in press). Health, behavior, and aging. In A. Baum, T.R. Revenson, & J.E. Singer (Eds.), Handbook of health psychology. Hillsdale, NJ: Erlbaum.}, Year = {1998}, Key = {fds138403} } @article{fds138404, Title = {1/13/99}, Year = {1998}, Key = {fds138404} } @article{fds138442, Title = {1. Bosworth, H.B, Bastian, L.A., & Siegler, I.C. (1998). Benefits and drawbacks to hormone replacement therapy use among nursing home patients. Women's Health Issues, 8, 53-59.}, Year = {1998}, Key = {fds138442} } @article{fds138443, Title = {3. Exline, J.L., Siegler, I.C., & Bastian, L.A. (1998). Differences in providers' beliefs about the benefits and risks of hormone replacement therapy in managed care. Journal of Women's Health, 7, 879-884.}, Year = {1998}, Key = {fds138443} } @article{fds138444, Title = {5. Clark, L.M., McDonald, W.M., Welsh-Bohmer, K.A., Siegler, I.C., Dawson, D.V., Tupler, L.A., & Krishnan, R.R. (1998). Magnetic resonance imaging correlates of depression in early- and late-onset Alzheimer's disease. Biological Psychiatry, 44, 592-599.}, Year = {1998}, Key = {fds138444} } @article{fds138445, Title = {7. Siegler, I.C., & Vitaliano, P.P. (1998). In search of a double paradigm: Introduction to Special Section on Aging and Health. Health Psychology, 17, 483-485.}, Year = {1998}, Key = {fds138445} } @article{fds138446, Title = {8. Vitaliano, P.P., Scanlan, J.M., Ochs, H.D., Syrjala, K., Siegler, I.C., & Snyder, E.A. (1998). Psychosocial stress moderates the relationship of cancer history with natural killer cell activity. Annals of Behavioral Medicine 20, 1-11.}, Year = {1998}, Key = {fds138446} } @article{fds138447, Title = {10. Brummett, B.H., Babyak, M.A., Barefoot, J.C., Bosworth, H.B., Clapp-Channing, N.E., Siegler, I.C., Williams, Jr., R.B., & Mark, D.B. (1998). Social support, hostility and depressive symptoms in cardiac patients one month following hospitalization: A Prospective study. Psychosomatic Medicine, 60, 707-713.}, Year = {1998}, Key = {fds138447} } @article{fds138448, Title = {11. Brummett, B.H., Maynard, K.E., Babyak, M.A., Haney, T.L., Siegler, I.C., Helms, M.J., & Barefoot, J.C. (in press). Measures of hostility as predictors of facial affect during social interaction: Evidence for construct validity. Annals of Behavioral Medicine.}, Year = {1998}, Key = {fds138448} } @article{fds138449, Title = {12. Von Dras, D. D., Siegler, I. C., Barefoot, J. C., Williams, R. B. & Mark D. B. (in press) Coronary catherization patient and wife's perception of social support: Effects due to characteristics of recipient, provider and their interaction. International Journal of Aging and Human Development.}, Year = {1998}, Key = {fds138449} } @article{fds138450, Title = {2. Bastian, L.A., Couchman, G., Rimer, B.K., McBride, C.M., Sutton, L., & Siegler, I.C. (1998). Promoting informed decision making: Hormone replacement therapy. In C. Bennett (Ed.), Cancer policy: Cancer treatment and research (pp. 129-147). Norwell, MA: Kluwer Academic Publishers.}, Year = {1998}, Key = {fds138450} } @article{fds138451, Title = {3. Siegler, I.C., Kaplan, B.H., Von Dras, D.D., & Mark D.B. (1999). Cardiovascular health: A challenge for midlife. In S. Willis & J. Reid (Eds.), Life in the middle (pp. 147-157). San Diego, CA: Academic Press.}, Year = {1998}, Key = {fds138451} } @article{fds138452, Title = {4. Costa, P.T., McCrae, R.R., & Siegler, I.C. (1999). Continuity and change over the adult life cycle: Personality and personality disorders. In C.R. Cloninger (Ed.), Personality and psychopathology (pp. 129-153). Washington, DC: American Psychiatric Press.}, Year = {1998}, Key = {fds138452} } @article{fds138453, Title = {6. Siegler, I.C. & K.A. Matthews. (in press). Introduction to aging and health. In S.H. Qualls & R. Abeles (Eds.), Dialogues on psychology and aging. Washington, DC: American Psychiatric Press.}, Year = {1998}, Key = {fds138453} } @article{fds138454, Title = {7. Siegler, I.C. (in press). Aging and health from the aging point of view. S.H. Qualls & N. Abeles (Eds.), Diaglogues on psychology and aging. Washington, DC: American Psychological Association.}, Year = {1998}, Key = {fds138454} } @article{fds138392, Title = {Von Dras, D.D., Siegler, I.C., Williams, Jr., R.B., Clapp-Channing, N., Haney, T., & Mark, D.B. (1997). Surrogate assessment of coronary artery disease patients' functional capacity. Social Science & Medicine, 44, 1491-1502.}, Year = {1997}, Key = {fds138392} } @article{fds138393, Title = {Bosworth, H.B, Bastian, L.A., & Siegler, I.C. (in press). Benefits and drawbacks to hormone replacement therapy use among nursing home patients. Women's Health Issues.}, Year = {1997}, Key = {fds138393} } @article{fds138394, Title = {Chapters:}, Year = {1997}, Key = {fds138394} } @article{fds138395, Title = {Siegler, I.C. (1997). Promoting health and minimizing stress. In M.E. Lachman & J. James (Eds.), Multiple paths of midlife development, (pp. 243-255). Chicago, IL: University of Chicago Press.}, Year = {1997}, Key = {fds138395} } @article{fds138396, Title = {Siegler, I.C., Kaplan, B.H., Von Dras, D.D., & Mark D.B. (in press). Cardiovascular health: A challenge for midlife. In S. Willis & J. Reid (Eds.), Middle aging: Development in the third quarter of life. Orlando, FL: Academic Press.}, Year = {1997}, Key = {fds138396} } @article{fds138430, Title = {Siegler, I.C., Blumenthal, J.A., Barefoot, J.C., Peterson, B.L., Saunders, W.B., Dahlstrom, W.G., Costa Jr., P.T., Suarez, E.C., Helms, M.J., Maynard, K.E., & Williams, R.B. (1997). Personality factors differentially predict exercise behavior in men and women. Women's Health: Research on Gender, Behavior and Policy, 3, 61-70.}, Year = {1997}, Key = {fds138430} } @article{fds138431, Title = {Von Dras, D.D. & Siegler, I.C. (1997). Stability in extraversion and aspects of social support at mid-life. Journal of Personality and Social Psychology, 72, 233-241.}, Year = {1997}, Key = {fds138431} } @article{fds138432, Title = {Williams, R.B., Barefoot, J.C., Blumenthal, J.A., Helms, M.J., Luecken, L., Pieper, C.F., Siegler, I.C., & Suarez, E.C. (1997). Psychosocial correlates of job strain in a sample of working women. Archives of General Psychiatry, 11, 36-42.}, Year = {1997}, Key = {fds138432} } @article{fds138433, Title = {Szczepanski, R., Napolitano, M., Feaganes, J.R., Kuhn, C., Swoap, R., Suarez, E.C., Barefoot, J.C., Siegler, I.C., Williams, R.B., & Blumenthal, J.A. (1997). Relation of mood ratings and neurohormonal responses during daily life in employed females. International Journal of Behavioral Medicine, 4, 1-16.}, Year = {1997}, Key = {fds138433} } @article{fds138434, Title = {Luecken, L.J., Suarez, E.C., Kuhn, C.M., Barefoot, J.C., Blumenthal, J. A., Siegler, I.C., & Williams, R.B. (1997). Stress and employed women. I. Impact of marital status and children at home on neurohormone output and home strain. Psychosomatic Medicine, 59, 352-359.}, Year = {1997}, Key = {fds138434} } @article{fds138435, Title = {Bastian, L.A., Couchman, G.M., Rimer, B.K., McBride, C.M., Feaganes, J.R., & Siegler, I.C. (1997). Perceptions of menopausal stage and patterns of hormone replacement therapy use. Journal of Women's Health, 6, 467-475}, Year = {1997}, Key = {fds138435} } @article{fds138436, Title = {Bastian, L.A., Couchman, G.M., Nanda, K., & Siegler, I.C. (in press). Hormone replacement therapy: Benefits, risks and management. In Appleby & Montella (Eds.) Clinic Atlas on Office Gynecology. Philadelphia: WB Saunders Company}, Year = {1997}, Key = {fds138436} } @article{fds138437, Title = {Vitaliano, P.P., Scanlan, J.M., Ochs, H.D., Syrjala, K., Siegler, I.C., & Snyder, E.A. (in press). Psychosocial stress moderates the relationship of cancer history with natural killer cell activity. Annals of Behavioral Medicine.}, Year = {1997}, Key = {fds138437} } @article{fds138438, Title = {Siegler, I.C. (1997). The role of physical health in understand societal mechanisms for maintaining competence in old age. In S. Willis, K.W. Schaie, & M. Hayward (Ed.), Societal mechanisms for maintaining competence in old age, (pp. 131-135). New York: Springer Publishing Company.}, Year = {1997}, Key = {fds138438} } @article{fds138439, Title = {Siegler, I.C. (1997). Alzheimer's disease: Impact in women. In E. Blechman & K. Brownell (Eds.), Behavioral medicine for women: A comprehensive handbook, PP 551-553. New York: Guilford Press.}, Year = {1997}, Key = {fds138439} } @article{fds138440, Title = {Costa, P.T., McCrae, R.R., & Siegler, I.C. (in press). Continuity and change over the adult life cycle: Personality and personality disorders. In C.R. Cloninger (Ed.), Personality and psychopathology. Washington, DC: American Psychiatric Press.}, Year = {1997}, Key = {fds138440} } @article{fds138441, Title = {Bastian, L.A., Couchman, G., Rimer, B.K., McBride, C.M., Sutton, L., & Siegler, I.C. (in press). Hormonal replacement therapy and informed-decision making about cancer risks. In C. Bennett (Ed.), Cancer policy: Cancer treatment and research. Norwell, MA.: Kluwer Academic Publishers.}, Year = {1997}, Key = {fds138441} } @article{fds138388, Title = {Dawson, D.V. & Siegler, I.C. (1996). Approaches to the nonparametric analysis of limited longitudinal data sets. Experimental Aging Research, 22, 33-57.}, Year = {1996}, Key = {fds138388} } @article{fds138389, Title = {Morton, E., Tambor, E., Rimer, B.K., Tessaro, I., Farrell, D., & Siegler, I.C. (1996). Impact of National Cancer Institute revised mammography screening guidelines on women 40-49. Women's Health Issues, 6, 246-254.}, Year = {1996}, Key = {fds138389} } @article{fds138390, Title = {Chapters:}, Year = {1996}, Key = {fds138390} } @article{fds138391, Title = {Keefe, F.J., Beaupre, P., Weiner, D., & Siegler, I.C. (1996). Pain in older adults: A cognitive-behavioral perspective. In B.R. Ferrell & B. Ferrell (Eds.), Pain in the elderly, (pp. 11-19). Seattle, WA: IASP Press.}, Year = {1996}, Key = {fds138391} } @article{fds138424, Title = {Siegler, I.C., Feaganes, J.R., & Rimer, B.K. (1996). Awareness of and responses to changes in the National Cancer Institute's guidelines for mammography in women aged 35-49. Journal of Women's Health, 5, 33-41.}, Year = {1996}, Key = {fds138424} } @article{fds138425, Title = {Lipkus, I.M., Dalbert, C., & Siegler, I.C. (1996). The importance of distinguishing the belief in a just world for self versus others: Implications for psychological well-being. Personality and Social Psychology Bulletin, 22, 666-677.}, Year = {1996}, Key = {fds138425} } @article{fds138426, Title = {Hughes, D.C., Fillenbaum, G.G., Woodbury, M.A., & Siegler, I.C. (1996). Psychometric characteristics of the mini-mental state examination in a community populationùA grade of membership analysisùPart I. International Journal of Geriatric Psychiatry, II, 439-455.}, Year = {1996}, Key = {fds138426} } @article{fds138427, Title = {Von Dras, D.D., Williams, R.B., Kaplan, B.H., & Siegler, I.C. (1996). Correlates of perceived social support and equality of interpersonal relationships at midlife. International Journal of Aging and Human Development, 43, 199-217.}, Year = {1996}, Key = {fds138427} } @article{fds138428, Title = {Barefoot, J.C., Helms, M.J., Mark, D.B., Blumenthal, J.A., Califf, R.M., Haney, T.L ., O'Connor, C.M., Siegler, I.C., & Williams, R.B. (1996). Depression and long-term mortality risk in patients with coronary artery disease. American Journal Cardiology, 78, 613-617.}, Year = {1996}, Key = {fds138428} } @article{fds138429, Title = {Siegler, I.C., Poon, L.W., Madden, D.J., & Welsh, K.A. (1996). Psychological aspects of normal aging. In E.W. Busse & D.G. Blazer (Eds.), Textbook of Geriatric psychiatry (pp. 105-127) (2nd ed.). Washington, DC: American Psychiatric Press.}, Year = {1996}, Key = {fds138429} } @article{fds138381, Title = {Siegler IC, Feaganes JR, Rimer BK: Predictors of adoption of mammography in women under age 50. Health Psychology 14: 274-278, 1995.}, Year = {1995}, Key = {fds138381} } @article{fds138422, Title = {Lipkus, I.M. & Siegler, I.C. (1995). Do comparative self-appraisals during young adulthood predict adult personality? Psychology and Aging, 10, 229-237.}, Year = {1995}, Key = {fds138422} } @article{fds138423, Title = {Siegler, I.C., Feaganes, J.R., & Rimer, B.K. (1995). Predictors of adoption of mammography in women under age 50. Health Psychology, 14, 274-278.}, Year = {1995}, Key = {fds138423} } @article{fds138384, Title = {Costa PT, McCrae RR, Siegler IC: Continuity and change over the adult life course: Personality and personality disorders. In: Cloninger RC (ed), Personality and Psychopathology. Washington DC: American Psychiatric Press, in press.}, Year = {1994}, Key = {fds138384} } @article{fds138385, Title = {Siegler IC: Psychosocial risk factor measurement methodology. In: Daugherty S (ed), Council on Epidemiology and Prevention Committee on Criteria and Methods Bibliography. Dallas: American Heart Association, in press.}, Year = {1994}, Key = {fds138385} } @article{fds138386, Title = {Siegler IC, Dawson DV, Welsh KA: Caregiver ratings of personality change in Alzheimer's disease patients: A replication. Psychology and Aging 9: 464-466, 1994.}, Year = {1994}, Key = {fds138386} } @article{fds138387, Title = {Siegler, I.C., & Costa, P.T. (1994). Personality and breast cancer screening behaviors. Annals of Behavioral Medicine, 16, 347-351.}, Year = {1994}, Key = {fds138387} } @article{fds138413, Title = {Siegler IC, Dawson DV, Welsh KA: Caregivers ratings of personality change in Alzheimer's Disease patients: A replication. Psychology and Aging 9: 464-466, 1994.}, Year = {1994}, Key = {fds138413} } @article{fds138417, Title = {Siegler IC: Hostility and Risk: Demographic and lifestyle variables. In: Siegman AW, Smith AW (eds), Anger Hostility and the Heart. Hillsdale, NJ: Lawrence A Earlbaum. pp 199-214, 1994.}, Year = {1994}, Key = {fds138417} } @article{fds138418, Title = {Lipkus IM, Barefoot JC, Williams RB, Siegler IC: Biopsychosocial factors and impaired quality of life: Risks for cardiovascular disease in spouse caregivers of persons with Alzheimer's Disease. In: Abeles RP, Gift HC, Ory MG (eds), Aging and the Quality of Life. New York: Springer, in press.}, Year = {1994}, Key = {fds138418} } @article{fds138419, Title = {Lane JD, Pieper CF, Barefoot JC, Williams RB, Siegler IC: Caffeine and cholestrol: Interactions with hostility. Psychosomatic Medicine, in press.}, Year = {1994}, Key = {fds138419} } @article{fds138420, Title = {Siegler IC, Costa PT: Personality and breast cancer screening behaviors. Lipkus IM, Siegler IC: Do comparative self-appraisals during young adulthood predict adult personality? Psychology and Aging, in press.}, Year = {1994}, Key = {fds138420} } @article{fds138421, Title = {Lipkus, I.M., Barefoot, J.C., Williams, R.B., & Siegler, I.C. (1994). Personality measures as predictors of smoking initiation and cessation. Health Psychology, 13(4), 149-155.}, Year = {1994}, Key = {fds138421} } @article{fds138382, Title = {Barefoot, J.C., Beckham, J.C., Haney, T.L., Siegler, I.C., & Lipkus, I.M. (1993). Age differences in hostility among middle aged and older adults. Psychology and Aging, 8(1), 3-9.}, Year = {1993}, Key = {fds138382} } @article{fds138383, Title = {Lipkus, I.M. & Siegler, I.C. (1993). The belief in a just world and perceptions of discrimination. Journal of Psychology: Interdisciplinary & Applied, 127(4), 465-474.}, Year = {1993}, Key = {fds138383} } @article{fds138414, Title = {Hooker, K. & Siegler I.C. (1993). Life goals, satisfaction and self-rated health. Experimental Aging Research, 19, 97-110.}, Year = {1993}, Key = {fds138414} } @article{fds138415, Title = {Zonderman, A.B., Siegler, I.C., Barefoot, J.C., Williams, R.B., Jr, & Costa, P.T., Jr. (1993). Age and gender differences in MMPI content scales. Experimental Aging Research, 19(3), 241-257.}, Year = {1993}, Key = {fds138415} } @article{fds138416, Title = {Frazier, L.D., Hooker, K., & Siegler, I.C. (1993). Longitudinal studies of aging in social and psychological gerontology. Reviews in Clinical Gerontology, 3, 415-426.}, Year = {1993}, Key = {fds138416} } @article{fds138380, Title = {Siegler IC, Peterson BL, Barefoot JC, Williams RB: Hostility during late adolescence predicts coronary risk factors at midlife. American Journal of Epidemiology 138 (2): 146-154, 1992.}, Year = {1992}, Key = {fds138380} } @article{fds138412, Title = {Siegler IC, Peterson BL, Barefoot JC, Harvin SH, Dahlstrom WG, Kaplan BH, Costa PT, Williams RB: Using college alumni populations in epidemiologic research: The UNC Alumni Heart Study. Journal of Clinical Epidemiology 45 (11): 1243-1250, 1992.}, Year = {1992}, Key = {fds138412} } @article{fds138411, Title = {Siegler IC, Zonderman AB, Barefoot JC, Williams RB, Costa PT, McCrae RR: Predicting personality from college MMPI scores: Implications for follow-uyp studies in psychosomatic medicine. Psychosomatic Medicine 52: 644-652, 1990.}, Year = {1990}, Key = {fds138411} } %% Chapters in Books @misc{fds354605, Author = {Siegler, IC and Ogle, CM}, Title = {Lifecourse perspective and health}, Pages = {9-11}, Booktitle = {Cambridge Handbook of Psychology, Health and Medicine: Third Edition}, Year = {2019}, Month = {June}, ISBN = {9780511543579}, Key = {fds354605} } | |
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