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The Case for Conscientiousness: Evidence and Implications for a Personality Trait Marker of Health and Longevity

  • Original Article
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Annals of Behavioral Medicine

Abstract

Purpose

Recent initiatives by major funding agencies have emphasized translational and personalized approaches (e.g., genetic testing) to health research and health management. While such directives are appropriate, and will likely produce tangible health benefits, we seek to highlight a confluence of several lines of research showing relations between the personality dimension of conscientiousness and a variety of health-related outcomes.

Methods

Using a modified health process model, we review the compelling evidence linking conscientiousness to health and disease processes, including longevity, diseases, morbidity-related risk factors, health-related psychophysiological mechanisms, health-related behaviors, and social environmental factors related to health.

Conclusion

We argue the accumulated evidence supports greater integration of conscientiousness into public health, epidemiological, and medical research, with the ultimate aim of understanding how facilitating more optimal trait standing might foster better health.

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References

  1. Adler N, Matthews K. Health psychology: Why do some people get sick and some stay well? Annu Rev Psychol. 1994;45:229-259.

    Article  PubMed  CAS  Google Scholar 

  2. Goldberg LR. The structure of phenotypic personality traits. Am Psychol. 1993;48:26-34.

    Article  PubMed  CAS  Google Scholar 

  3. Roberts BW, Jackson JJ, Fayard JV, Edmonds G. Conscientiousness. In: Leary M, Hoyle R, eds. Handbook of Individual Differences in Social Behavior. New York, NY: Guilford; 2009:369-381.

    Google Scholar 

  4. Costa PT, McCrae RR. Revised NEO Personality Inventory (NEO-PI-R) and NEO Five-Factor Inventory (NEO-FFI) Manual. Odessa, FL: Psychological Assessment Resources; 1992.

    Google Scholar 

  5. Goldberg LR. A broad-bandwidth, public-domain, personality inventory measuring the lower-level facets of several five-factor models. In: Mervielde I, Deary I, De Fruyt F, Ostendorf F, eds. Personality Psychology in Europe, vol. 7. Tilburg: Tilburg University Press; 1999:7-28.

    Google Scholar 

  6. Gough HG. Manual for the California Psychological Inventory. Palo Alto, CA: Consulting Psychologists Press; 1969.

    Google Scholar 

  7. Hill P, Roberts BW. The role of adherence in the relationship between conscientiousness and perceived health. Health Psychol. 2011;30:797-804.

    Article  PubMed  Google Scholar 

  8. Jackson DN. Jackson Personality Inventory Manual. Port Huron, MI: Research Psychologists Press; 1976.

    Google Scholar 

  9. Peabody D, De Raad B. The substantive nature of psycholexical personality factors: A comparison across languages. J Pers Soc Psychol. 2002;83:983-997.

    Article  PubMed  Google Scholar 

  10. Roberts BW, Bogg T, Walton KE, Chernyshenko OS, Stark SE. A lexical investigation of the lower-order structure of conscientiousness. J Res Pers. 2004;38:164-178.

    Article  Google Scholar 

  11. Tellegen A. Brief manual of the Multidimensional Personality Questionnaire. Unpublished manuscript. Minneapolis, MN: University of Minnesota; 1982.

  12. Ajzen I, Fishbein M. Understanding Attitudes and Predicting Social Behavior. Englewood Cliffs, NJ: Prentice-Hall; 1980.

    Google Scholar 

  13. Contrada RJ, Leventhal H, O’Leary A. Personality and health. In: Pervin LA, ed. Handbook of Personality: Theory and Research. New York, NY: Guilford; 1990:638-669.

    Google Scholar 

  14. Gallo LC, Matthews KA. Understanding the association between socioeconomic status and physical health: Do negative emotions play a role? Psychol Bull. 2003;129:10-51.

    Article  PubMed  Google Scholar 

  15. Prochaska JO, DiClemente CC. The Transtheoretical Approach: Crossing Traditional Boundaries of Change. Homewood, IL: Dorsey Press; 1984.

    Google Scholar 

  16. Repetti RL, Taylor SE, Seeman TE. Risky families: Family social environments and the mental and physical health of offspring. Psychol Bull. 2002;128:330-366.

    Article  PubMed  Google Scholar 

  17. Friedman HS, Tucker JS, Tomlinson-Keasey C, et al. Does childhood personality predict longevity? J Pers Soc Psychol. 1993;65:176-185.

    Article  PubMed  CAS  Google Scholar 

  18. Christensen AJ, Moran PJ, Johnston DW, et al. Psychological aspects of end-stage renal disease. In: Johnston D, Johnston M, eds. Health Psychology: Comprehensive Clinical Psychology, vol. 8. Amsterdam: Elsevier Science Publishers; 2001:321-338.

    Google Scholar 

  19. Wilson RS, de Leon CFM, Bienias JL, et al. Personality and mortality in old age. J Gerontol B- Psychol. 2004;59B:110-116.

    Article  Google Scholar 

  20. Weiss A, Costa PT. Domain and facet personality predictors of all-cause mortality among Medicare patients aged 65 to 100. Psychosom Med. 2005;67:715-723.

    Article  Google Scholar 

  21. Kern ML, Friedman HS. Do conscientious individuals live longer? A quantitative review. Health Psychol. 2008;27:505-512.

    Article  PubMed  Google Scholar 

  22. Deary IJ, Batty GD, Pattie A, Gale CR. More intelligent, more dependable children live longer. Psychol Sci. 2008;19:874-880.

    Article  PubMed  Google Scholar 

  23. Fry PS, Debats DL. Perfectionism and the five-factor personality traits as predictors of mortality in older adults. J Health Psychol. 2009;14:513-524.

    Article  PubMed  Google Scholar 

  24. Roberts BW, Kuncel NR, Shiner R, et al. The power of personality: The comparative validity of personality traits, socioeconomic status, and cognitive ability for predicting important life outcomes. Perspect Psychol Sci. 2007;2:313-345.

    Article  Google Scholar 

  25. Goodwin RD, Friedman HS. Health status and the five-factor personality traits in a nationally representative sample. J Health Psychol. 2006;11:643-654.

    Article  PubMed  Google Scholar 

  26. Vollrath ME, Landolt MA, Gnehm HE, et al. Child and parental personality are associated with glycaemic control in Type 1 diabetes. Diabet Med. 2007;249:1028-1033.

    Article  Google Scholar 

  27. Chapman BP, Lyness JM, Duberstein P. Personality and medical illness burden among older adults in primary care. Psychosom Med. 2007;69:277-282.

    Article  PubMed  Google Scholar 

  28. Wilson RS, Schneider JA, Arnold SE, et al. Conscientiousness and the incidence of Alzheimer disease and mild cognitive impairment. Arch Gen Psychiat. 2007;64:1204-1212.

    Article  PubMed  Google Scholar 

  29. Jerant A, Chapman B, Duberstein P, Robbins J. Personality and medication non-adherence among older adults enrolled in a six-year trial. Brit J Health Psych. 2011;16:151-169.

    Article  Google Scholar 

  30. Duchek JM, Balota DA, Storandt M, Larsen R. The power of personality in discriminating between healthy aging and early-stage Alzheimer’s disease. J Gerontol B- Psychol. 2007;62B:353-361.

    Article  Google Scholar 

  31. Tse CS, Balota DA, Yap MJ, Duchek JM. Effects of healthy aging and early stage dementia of the Alzheimer’s type on components of response time distributions in three attention tasks. Neuropsychol. 2010;24:300-315.

    Article  Google Scholar 

  32. Hill PL, Turiano NA, Hurd MD, Mroczek DK. Conscientiousness and longevity: An examination of possible mediators. Health Psychol. 2011;30:536-541.

    Article  PubMed  Google Scholar 

  33. Sutin AR, Terracciano A, Deiana B, et al. Cholesterol, triglycerides, and the five-factor model of personality. Biol Psychol. 2010;84:86-191.

    Article  Google Scholar 

  34. Sutin AR, Terracciano A, Deiana B, et al. High neuroticism and low conscientiousness are associated with interleukin-6. Psychol Med. 2010;40:1485-1493.

    Article  PubMed  CAS  Google Scholar 

  35. Moffitt TE, Arseneault L, Belsky D, Dickson N, et al. A gradient of childhood self-control predicts health, wealth, and public safety. Proc Natl Acad Sci U S A. 2011;108:2693-2698.

    Article  PubMed  CAS  Google Scholar 

  36. Hamer M, Malan L. Psychophysiological risk markers of cardiovascular disease. Neurosci Biobehav R. 2010;35:76-83.

    Article  Google Scholar 

  37. Lee-Baggeley D, Preece M, DeLongis A. Coping with interpersonal stress: Role of Big Five traits. J Pers. 2005;74:9-46.

    Google Scholar 

  38. Vollrath M. Personality and hassles among university students: A three-year longitudinal study. Eur J Psychol. 2000;14:199-215.

    Google Scholar 

  39. Penley JA, Tomaka J. Associations among the Big Five, emotional responses, and coping with acute stress. Pers Indiv Differ. 2002;32:1215-1228.

    Article  Google Scholar 

  40. Connor-Smith JK, Flachsbart C. Relations between personality and coping: A meta-analysis. J Pers Soc Psychol. 2007;93:1080-1107.

    Article  PubMed  Google Scholar 

  41. Heponiemi T, Keltikangas-Jarvinen L, Kettunen J, Puttonen S. BIS–BAS sensitivity and cardiac autonomic stress profiles. Psychophysiology. 2004;41:37-45.

    Article  PubMed  Google Scholar 

  42. Allen MT, Hogan AM, Laird LK. The relationships of impulsivity and cardiovascular responses: The role of gender and task type. Int J Psychophysiol. 2009;73:369-376.

    Article  PubMed  Google Scholar 

  43. O’Cleirigh C, Ironson G, Weiss A, Costa PT. Conscientiousness predicts disease progression (CD4 number and viral load) in people living with HIV. Health Psychol. 2007;26:473-480.

    Article  PubMed  Google Scholar 

  44. Mokdad AH, Marks JS, Stroup DF, Gerberding JL. Actual causes of death in the United States, 2000. JAMA. 2004;291:1238-1245.

    Article  PubMed  Google Scholar 

  45. Bogg T, Roberts BW. Conscientiousness and health-related behaviors: A meta-analysis of the leading behavioral contributors to mortality. Psychol Bull. 2004;130:887-919.

    Article  PubMed  Google Scholar 

  46. Meyer GJ, Finn SE, Eyde LD, et al. Psychological testing and psychological assessment. Am Psychol. 2001;56:128-165.

    Article  PubMed  CAS  Google Scholar 

  47. Adler NE, Boyce T, Chesney MA, et al. Socioeconomic status and health: The challenge of the gradient. Am Psychol. 1994;49:15-24.

    Article  PubMed  CAS  Google Scholar 

  48. Ostrove JM, Adler NE, Kuppermann M, Washington AE. Objective and subjective assessments of socioeconomic status and their relationship to self-rated health in an ethnically diverse sample of pregnant women. Health Psychol. 2000;19:613-618.

    Article  PubMed  CAS  Google Scholar 

  49. Lodi-Smith J, Jackson J, Bogg T, et al. Mechanisms of health: Education and health-related behaviours partially mediate the relationship between conscientiousness and self-reported physical health. Psychol Health. 2010;25:305-319.

    Article  PubMed  Google Scholar 

  50. Tucker JS, Friedman HS, Wingard DL, Schwartz JE. Marital history at midlife as a predictor of longevity: Alternative explanations to the protective effect of marriage. Health Psychol. 1996;15:94-101.

    Article  PubMed  CAS  Google Scholar 

  51. House JS, Landis KR, Umberson D. Social relationships and health. Science. 1988;241:540-545.

    Article  PubMed  CAS  Google Scholar 

  52. Tucker JS, Schwartz JE, Clark KM, Friedman HS. Age-related changes in the associations of social network ties with mortality risk. Psychol Aging. 1999;14:564-571.

    Article  PubMed  CAS  Google Scholar 

  53. Hampson SE, Goldberg LR, Vogt TM, Dubanoski JP. Mechanisms by which childhood personality traits influence adult health status: Educational attainment and healthy behaviors. Health Psychol. 2007;26:121-125.

    Article  PubMed  Google Scholar 

  54. Roberts BW, Caspi A, Moffitt TE. Work experiences and personality development in young adulthood. J Pers Soc Psychol. 2003;84:582-593.

    Article  PubMed  Google Scholar 

  55. Roberts BW, Bogg T. A longitudinal study of the relationships between conscientiousness and the social environmental factors and substance use behaviors that influence health. J Pers. 2004;72:325-353.

    Article  PubMed  Google Scholar 

  56. Lodi-Smith J, Roberts BW. Social investment and personality: A meta-analysis of the relationship of personality traits to investment in work, family, religion, and volunteerism. Pers Soc Psychol Rev. 2007;11:68-86.

    Article  PubMed  Google Scholar 

  57. Roberts BW, Smith J, Jackson JJ, Edmonds G. Compensatory conscientiousness and health in older couples. Psychol Sci. 2009;20:553-559.

    Article  PubMed  Google Scholar 

  58. Roberts BW, Walton KE, Viechtbauer W. Patterns of mean-level change in personality traits across the life course: A meta-analysis of longitudinal studies. Psychol Bull. 2006;132:1-25.

    Article  PubMed  Google Scholar 

  59. Welch D, Poulton R. Personality influences on change in smoking behavior. Health Psychol. 2009;28:292-299.

    Article  PubMed  Google Scholar 

  60. Littlefield AK, Sher KJ, Wood PK. Is “maturing out” of problematic alcohol involvement related to personality change? J Abnorm Psychol. 2009;118:360-374.

    Article  PubMed  Google Scholar 

  61. Littlefield AK, Sher KJ, Wood PK. A personality-based description of maturing out of alcohol problems: Extension with a five-factor model and robustness to modeling challenges. Addict Beh. 2010;35:948-954.

    Article  Google Scholar 

  62. Bogg T, Finn PR, Monsey KE. A year in the college life: Evidence for the social investment hypothesis via trait self-control and alcohol consumption. J Res Pers. 2012;46:694-699.

    Article  PubMed  Google Scholar 

  63. Bogg T. Conscientiousness, the transtheoretical model of change, and exercise: A neo-socioanalytic integration of trait and social-cognitive frameworks in the prediction of behavior. J Pers. 2008;76:775-802.

    Article  PubMed  Google Scholar 

  64. Bogg T, Voss MW, Wood D, Roberts BW. A hierarchical investigation of personality and behavior: Examining neo-socioanalytic models of health-related outcomes. J Res Pers. 2008;42:183-207.

    Article  Google Scholar 

  65. O’Connor DB, Conner MT, Jones FA, McMillan BRW, Ferguson E. Exploring the benefits of conscientiousness: An investigation of the role of daily stressors and health behaviors. Ann Behav Med. 2009;37:184-196.

    Article  PubMed  Google Scholar 

  66. Hampson SE. Personality processes: Mechanisms by which personality traits “get outside the skin”. Annu Rev Psychol. 2012;63:315-339.

    Article  PubMed  Google Scholar 

  67. Roberts BW, Jackson JJ. Sociogenomic personality psychology. J Pers. 2008;76:1523-1544.

    Article  PubMed  Google Scholar 

  68. Robinson GE, Grozinger CM, Whitfield CW. Sociogenomics: A social life in molecular terms. Nat Rev Genet. 2005;6:257-271.

    Article  PubMed  CAS  Google Scholar 

  69. Dragan WŁ, Oniszczenko W. An association between dopamine D4 receptor and transporter gene polymorphisms and personality traits, assessed using NEO-FFI in a Polish female population. Pers Indiv Differ. 2007;43:531-540.

    Article  Google Scholar 

  70. Reif A, Jacob CP, Rujescu D, et al. Influence of functional variant of neuronal nitric oxide synthase on impulsive behaviors in humans. Arch Gen Psychiat. 2009;66:41-50.

    Article  PubMed  CAS  Google Scholar 

  71. Tochigi M, Umekage T, Katoa C, et al. Serotonin 2A receptor gene polymorphism and personality traits: No evidence for significant association. Psychiatr Genet. 2005;15:67-69.

    Article  PubMed  Google Scholar 

  72. Tochigi M, Otowa T, Hibin H, et al. Combined analysis of association between personality traits and three functional polymorphisms in the tyrosine hydroxylase, monoamine oxidase A, and catechol-O-methyltransferase genes. Neurosci Res. 2006;54:180-185.

    Article  PubMed  CAS  Google Scholar 

  73. Cole AR, Astell A, Green C, Sutherland C. Molecular connexions between dementia and diabetes. Neurosci Biobehav Rev. 2007;31:1046-1063.

    Article  PubMed  CAS  Google Scholar 

  74. Roberts BW, DelVecchio WF. The rank-order consistency of personality traits from childhood to old age: A quantitative review of longitudinal studies. Psychol Bull. 2000;126:3-25.

    Article  PubMed  CAS  Google Scholar 

  75. Smith ML, Glass GV, Miller TI. The Benefits of Psychotherapy. Baltimore, MD: Johns Hopkins University Press; 1980.

    Google Scholar 

  76. Clark DM, Ehlers A, McManus F, Hackmann A, et al. Cognitive therapy versus fluoxetine in generalized social phobia: A randomized placebo-controlled trial. J Consult Clin Psychol. 2003;71:1058-1067.

    Article  PubMed  Google Scholar 

  77. De Fruyt F, Van Leeuwen KG, Bagby RM, Rolland JP, Rouillon F. Assessing and interpreting personality change and continuity in patients treated for major depression. Psychol Assess. 2006;18:71-80.

    Article  PubMed  Google Scholar 

  78. Krasner MS, Epstein RM, Beckman H, Suchman AL, Chapman B, et al. Association of an educational program in mindful communication with burnout, empathy, and attitudes among primary care physicians. JAMA. 2009;302:1284-1293.

    Article  PubMed  CAS  Google Scholar 

  79. Magidson J, Roberts BW, Collado-Rodriguez A, Lejuez CW. Theory-driven intervention for changing personality: Expectancy value theory, behavioral activation and conscientiousness. Dev Psychol. doi:10.1037/a0030583

  80. Eccles J. Who am I and what am I going to do with my life? Personal and collective identities as motivators of action. Ed Psychol. 2009;44:78-89.

    Google Scholar 

  81. Dimidjian S, Barrera MR, Martell C, Muñoz RF, Lewinsohn PM. The origins and current status of behavioral activation treatments for depression. Annu Rev Clin Psychol. 2011;7:1-38.

    Article  PubMed  Google Scholar 

  82. Armitage CJ. Is there utility in the transtheoretical model? Brit J Health Psychol. 2009;14:195-210.

    Article  Google Scholar 

  83. Heckhausen H. Motivation and Action. Berlin: Springer; 1991.

    Book  Google Scholar 

  84. Gollwitzer PM. Goal achievement: The role of intentions. Eur Rev Soc Psychol. 1993;4:141-185.

    Article  Google Scholar 

  85. Miller WR, Rollnick S. Motivational Interviewing: Preparing People for Change. 2nd ed. New York, NY: Guilford Press; 2002.

    Google Scholar 

  86. Gosling SD, Rentfrow PJ, Swann WB. A very brief measure of the Big-Five personality domains. J Res Pers. 2003;37:504-528.

    Article  Google Scholar 

  87. John OP, Srivastava S. The Big Five trait taxonomy: History, measurement, and theoretical perspectives. In: Pervin LA, John OP, eds. Handbook of Personality: Theory and Research. 2nd ed. New York, NY: The Guilford Press; 1999:102-138.

    Google Scholar 

  88. Goldberg LR. The development of markers for the Big-Five factor structure. J Pers Soc Psychol. 1992;59:1216-1229.

    Google Scholar 

  89. Saucier G. Mini-markers: A brief version of Goldberg’s unipolar Big-Five markers. J Pers Assess. 1994;63:506-516.

    Article  PubMed  CAS  Google Scholar 

  90. Lahey BB. Public health significance of neuroticism. Am Psychol. 2009;64:241-256.

    Article  PubMed  Google Scholar 

  91. Mroczek DK, Spiro A. Personality change influences mortality in older men. Psychol Sci. 2007;18:371-376.

    Article  PubMed  Google Scholar 

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Acknowledgments

Preparation of this article was supported, in part, by National Institute on Alcohol Abuse and Alcoholism grant R00 AA017877 to T. Bogg, and National Institute on Aging grant R01 AG21178 to B. W. Roberts.

Conflict of interest

The authors have no conflicts of interest to disclose.

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Correspondence to Tim Bogg Ph.D..

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Bogg, T., Roberts, B.W. The Case for Conscientiousness: Evidence and Implications for a Personality Trait Marker of Health and Longevity. ann. behav. med. 45, 278–288 (2013). https://doi.org/10.1007/s12160-012-9454-6

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