Hostname: page-component-78c5997874-dh8gc Total loading time: 0 Render date: 2024-11-10T10:04:42.201Z Has data issue: false hasContentIssue false

Association between personality traits and mental health outcomes in older adults with lifetime trauma exposure: a nationwide community sample

Published online by Cambridge University Press:  05 February 2016

Jee Eun Park
Affiliation:
Department of Neuropsychiatry, Seoul National University Hospital, Seoul, South Korea
Hye Won Suk
Affiliation:
Department of Psychology, Arizona State University, Arizona, USA
Su Jeong Seong
Affiliation:
Department of Neuropsychiatry, Seoul National University Bundang Hospital, Seongnam, South Korea
Ji Hoon Sohn
Affiliation:
Department of Neuropsychiatry, Seoul National University Hospital, Seoul, South Korea
Bong-Jin Hahm
Affiliation:
Department of Neuropsychiatry, Seoul National University Hospital, Seoul, South Korea
Dong-Woo Lee
Affiliation:
Department of Psychiatry, Inje University Sanggye Paik Hospital, Seoul, South Korea
Maeng Je Cho*
Affiliation:
Department of Neuropsychiatry, Seoul National University Hospital, Seoul, South Korea
*
Correspondence should be addressed to: Maeng Je Cho, MD, PhD Department of Psychiatry and Behavioral Science, Seoul National University College of Medicine & Hospital, 101, Daehak-ro, Jongno-gu, Seoul 110–744, South Korea. Phone: +82-2-2072-3155; Fax: +82-2-744-7241. Email: mjcho@snu.ac.kr.

Abstract

Background:

This study evaluated the impacts of earlier traumatic events on the mental health of older adults, in terms of mental disorders and mental well-being, according to sociodemographic variables, trauma-related characteristics, and personality traits in a nationally representative sample of older Koreans.

Methods:

A total of 1,621 subjects aged 60 to 74 years from a Korean national epidemiological survey of mental disorders responded face-to-face interviews. The Korean Composite International Diagnostic Interview was used to investigate lifetime trauma exposure (LTE) and psychiatric diagnoses. The EuroQol health classification system and life satisfaction scale were used to assess quality of life (QoL), and the Big Five Inventory-10 (BFI-10) to measure personality traits.

Results:

Five-hundred and seventy-seven subjects (35.6%) reported a history of LTE (mean age at trauma, 30.8 years old). Current mental disorders were more prevalent in elderly people with LTE, while better current QoL was more frequent in those without LTE. Among older people with LTE, lower extraversion and higher neuroticism increased the risk of current mood or anxiety disorders, whereas higher extraversion increased the probability of experiencing mental well-being after adjusting for sociodemographic and trauma-related variables.

Conclusion:

Personality traits, especially extraversion, and neuroticism, may be useful for predicting the mental health outcomes of LTE in older adults. Further longitudinal studies investigating the relationship between traumatic events and mental health outcomes are needed.

Type
Research Article
Copyright
Copyright © International Psychogeriatric Association 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Aghajani, M. et al., (2014). Neuroticism and extraversion are associated with amygdala resting-state functional connectivity. Cognitive Affective & Behavioral Neuroscience, 14, 836848.Google Scholar
Ajdukovic, D. et al., (2013). Recovery from posttraumatic stress symptoms: a qualitative study of attributions in survivors of war. PLoS One, 8, e70579.Google Scholar
American Psychiatric Association. (1994). Diagnostic and Statistical Manual of Mental Disorders, 4th edn. Washington, DC: American Psychiatric Press.Google Scholar
Bei, B. et al., (2013). A prospective study of the impact of floods on the mental and physical health of older adults. Aging & Mental Health, 17, 9921002.Google Scholar
Brady, K. T., Killeen, T. K., Brewerton, T. and Lucerini, S. (2000). Comorbidity of psychiatric disorders and posttraumatic stress disorder. Journal of Clinical Psychiatry, 61 (Suppl. 7), 2232.Google ScholarPubMed
Breslau, N., Lucia, V. C. and Davis, G. C. (2004). Partial PTSD versus full PTSD: an empirical examination of associated impairment. Psychological Medicine, 34, 12051214.Google Scholar
Campbell-Sills, L., Cohan, S. L. and Stein, M. B. (2006). Relationship of resilience to personality, coping, and psychiatric symptoms in young adults. Behaviour Research and Therapy, 44, 585599.Google Scholar
Chen, Y. L. et al., (2011). Risk factors for PTSD after typhoon Morakot among elderly people in Taiwanese aboriginal communities. International Psychogeriatrics, 23, 16861691.Google Scholar
Cho, M. J. et al., (1999). Development of the Korean version of composite international diagnostic interview (K-CIDI). Journal of Korean Neuropsychiatric Association, 41, 123137.Google Scholar
Creamer, M., Burgess, P. and McFarlane, A. C. (2001). Post-traumatic stress disorder: findings from the Australian national survey of mental health and well-being. Psychological Medicine, 31, 12371247.Google Scholar
Durai, U. N. et al., (2011). Exposure to trauma and posttraumatic stress disorder symptoms in older veterans attending primary care: comorbid conditions and self-rated health status. Journal of the American Geriatrics Society, 59, 10871092.Google Scholar
EuroQol group. (1990). EuroQol–a new facility for the measurement of health-related quality of life. Health Policy, 16, 199208.Google Scholar
Freitag, S., Braehler, E., Schmidt, S. and Glaesmer, H. (2013). The impact of forced displacement in world war II on mental health disorders and health-related quality of life in late life - a German population-based study. International Psychogeriatrics, 25, 310319.Google Scholar
Jaksic, N., Brajkovic, L., Ivezic, E., Topic, R. and Jakovljevic, M. (2012). The role of personality traits in posttraumatic stress disorder (PTSD). Psychiatria Danubina, 24, 256266.Google Scholar
Jeon, H. J. et al., (2007). Partial versus full PTSD in the Korean community: prevalence, duration, correlates, comorbidity, and dysfunctions. Depression and Anxiety, 24, 577585.CrossRefGoogle ScholarPubMed
Jeste, D. V., Blazer, D. G. and First, M. (2005). Aging-related diagnostic variations: need for diagnostic criteria appropriate for elderly psychiatric patients. Biological Psychiatry, 58, 265271.Google Scholar
Kim, M. H., Cho, Y. S., Uhm, W. S., Kim, S. and Bae, S. C. (2005). Cross-cultural adaptation and validation of the Korean version of the EQ-5D in patients with rheumatic diseases. Quality of Life Research, 14, 14011406.Google Scholar
Krause, N. (2004). Lifetime trauma, emotional support, and life satisfaction among older adults. The Gerontologist, 44, 615623.Google Scholar
McCrae, R. R. and Costa, P. T. (1987). Validation of the five-factor model of personality across instruments and observers. Journal of Personality and Social Psychology, 52, 8190.CrossRefGoogle ScholarPubMed
McQuaid, J. R., Pedrelli, P., McCahill, M. E., and Stein, M. B. (2001). Reported trauma, post-traumatic stress disorder and major depression among primary care patients. Psychological Medicine, 31, 12491257.Google Scholar
Park, J. E. et al., (2014). Age-related differences in the influence of major mental disorders on suicidality: a Korean nationwide community sample. Journal of Affective Disorder, 162, 96101.Google Scholar
Pervin, L. A. and John, O. P. (1999). Handbook of Personality: Theory and Research, 2nd edn., New York: Guilford.Google Scholar
Petkus, A. J., Gum, A. M., King-Kallimanis, B. and Wetherell, J. L. (2009). Trauma history is associated with psychological distress and somatic symptoms in homebound older adults. American Journal of Geriatric Psychiatry, 17, 810818.Google Scholar
Rammstedt, B. and John, O. P. (2007). Measuring personality in one minute or less: a 10-item short version of the big five inventory in english and German. Journal of Research in Personality, 41, 203212.Google Scholar
Rutter, M. (1985). Resilience in the face of adversity. Protective factors and resistance to psychiatric disorder. British Journal of Psychiatry, 147, 598611.CrossRefGoogle ScholarPubMed
Sareen, J., Cox, B. J., Stein, M. B., Afifi, T. O., Fleet, C. and Asmundson, G. J. (2007). Physical and mental comorbidity, disability, and suicidal behavior associated with posttraumatic stress disorder in a large community sample. Psychosomatic Medicine, 69, 242248.Google Scholar
Spahni, S., Morselli, D., Perrig-Chiello, P. and Bennett, K. M. (2015). Patterns of psychological adaptation to spousal bereavement in old age. Gerontology, 10.1159/000371444.Google Scholar
Spitzer, C., Barnow, S., Volzke, H., John, U., Freyberger, H. J. and Grabe, H. J. (2008). Trauma and posttraumatic stress disorder in the elderly: findings from a German community study. Journal of Clinical Psychiatry, 69, 693700.Google Scholar
World Health Organization. (1997a). Composite International Diagnostic Interview (CIDI), Version 2.1. Geneva: World Health Organization.Google Scholar
World Health Organization. (1997b). Procedures for the Development of New Language Versions of the WHO Composite International Diagnostic Interview (WHO-CIDI). Geneva: World Health Organization.Google Scholar