Personality is an important epidemiological factor for understanding health outcomes. This study investigated the associations of trait procrastination with hypertension and cardiovascular disease (HT/CVD) and maladaptive coping by testing an extension of the procrastination–health model among individuals with and without HT/CVD. Individuals with self-reported HT/CVD (N = 182) and healthy controls (N = 564), from a community sample, completed an online survey including measures of personality, coping, and health outcomes. Logistic regression analysis controlling for demographic and higher order personality factors found that older age, lower education level and higher procrastination scores were associated with HT/CVD. Moderated mediation analyses with bootstrapping revealed that procrastination was more strongly associated with maladaptive coping behaviours in participants with HT/CVD than the healthy controls, and the indirect effects on stress through maladaptive coping were larger for the HT/CVD sample. Results suggest procrastination is a vulnerability factor for poor adjustment to and management of HT/CVD.
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Allen, A. B., & Leary, M. R. (2010). Self-compassion, stress, and coping. Social and Personality Psychology Compass, 4, 107–118.
Alonso, A., Beunza, J., Delgado-Rodriguez, M., & Martinez-Gonzalez, M. (2005). Validation of self reported diagnosis of hypertension in a cohort of university graduates in Spain. BMC Public Health, 5, 94.
Argiropoulou, M. I., Siatis, A., Mathioudakis, K., Ziaka, R., Kalantzi-Azizi, A., & Roussos, P. (2013). Do university students from different cultures procrastinate for the same reasons, to the same extent or have the same consequences? An investigation of academic procrastination in Greece. Paper presented at the 8th Biennial Procrastination Research Conference, Sherbrooke, Quebec.
Artinian, N. T., Fletcher, G. F., Mozaffarian, D., Kris-Etherton, P., Van Horn, L., Lichtenstein, A. H., et al. (2010). Interventions to promote physical activity and dietary lifestyle changes for cardiovascular risk factor reduction in adults: A scientific statement from the American Heart Association. Circulation, 122, 406–441.
Blunt, A., & Pychyl, T. A. (2000). Task aversiveness and procrastination: A multi-dimensional approach to task aversiveness across stages of personal projects. Personality and Individual Differences, 24, 837–846.
Bogg, T., & Roberts, B. W. (2013). The case for conscientiousness: Evidence and implications for a personality trait marker of health and longevity. Annals of Behavioral Medicine, 45, 278–288.
Carver, C. S. (1997). You want to measure coping but your protocol’s too long: Consider the brief COPE. International Journal of Behavioral Medicine, 4, 92–100.
Carver, C. S., Scheier, M. F., & Weintraub, J. K. (1989). Assessing coping strategies: A theoretically based approach. Journal of Personality and Social Psychology, 56, 267–283.
Centers for Disease Control and Prevention. (2013). Hypertension. Retrieved February 2, 2014, from http://www.cdc.gov/nchs/fastats/hyprtens.htm
Christensen, S., Mogelvang, R., Heitmann, M., & Prescott, E. (2011). Level of education and risk of heart failure: a prospective cohort study with echocardiography evaluation. European Heart Journal, 32, 450–458.
Cohen, S., Janicki-Deverts, D., Doyle, W. J., Miller, G. E., Frank, E., Rabin, B. S., & Turner, R. B. (2012). Chronic stress, glucocorticoid receptor resistance, inflammation, and disease risk. Proceedings of the National Academy of Sciences, 109, 5995–5999.
Cohen, S., & Williamson, G. (1988). Perceived stress in a probability sample of the United States. In S. Spacapan & S. Oskamp (Eds.), The social psychology of health: Claremont Symposium on applied social psychology. Newbury Park, CA: Sage.
Dal Grande, E., Fullerton, S., & Taylor, A. (2012). Reliability of self-reported health risk factors and chronic conditions questions collected using the telephone in South Australia. Australia. BMC Medical Research Methodology, 12, 108.
Daskalopoulou, S. S., Khan, N. A., Quinn, R. R., Ruzicka, M., McKay, D. W., Hackam, D. G., et al. (2012). The 2012 Canadian Hypertension Education program recommendations for the management of hypertension: Blood pressure measurement, diagnosis, assessment of risk, and therapy. Canadian Journal of Cardiology, 28, 270–287.
Dewitte, S., & Schouwenburg, H. C. (2002). Procrastination, temptations, and incentives: The struggle between the present and the future in procrastinators and the punctual. European Journal of Personality, 16, 469–489.
Dimsdale, J. E. (2008). Psychological stress and cardiovascular disease. Journal of the American College of Cardiology, 51, 1237–1246.
Fairchild, A., & MacKinnon, D. (2009). A general model for testing mediation and moderation effects. Prevention Science, 10, 87–99.
Ferrari, J. R. (1992). Psychometric validation of two procrastination inventories for adults: Arousal and avoidance measures. Journal of Psychopathology and Behavioral Assessment, 14, 97–110.
Ferrari, J. R., & Díaz-Morales, J. F. (2014). Procrastination and mental health coping: A brief report related to students. Individual Differences Research, 12, 8–11.
Ferrari, J. R., & Tice, D. M. (2000). Procrastination as a self-handicap for men and women: A task-avoidance strategy in a laboratory setting. Journal of Research in Personality, 34, 73–83.
Flett, G. L., Blankstein, K. R., & Martin, T. R. (1995). Procrastination, negative self-evaluation, and stress in depression and anxiety: A review and preliminary model. In J. R. Ferrari, J. H. Johnson, & W. G. McCown (Eds.), Procrastination, and task avoidance: Theory, research, and treatment (pp. 137–167). New York: Plenum.
Flett, G. L., Stainton, M., Hewitt, P., Sherry, S., & Lay, C. (2012). Procrastination automatic thoughts as a personality construct: An analysis of the procrastinatory cognitions inventory. Journal of Rational-Emotive and Cognitive-Behavior Therapy, 4, 223–236.
Friedman, H. S. (2000). Long-term relations of personality and health: Dynamisms, mechanisms, tropisms. Journal of Personality, 68, 1089–1107.
Germer, C. K., & Neff, K. D. (2013). Self-compassion in clinical practice. Journal of Clinical Psychology, 69, 856–867.
Giles, W. H., Croft, J. B., Keenan, N. L., Lane, M. J., & Wheeler, F. C. (1995). The validity of self-reported hypertension and correlates of hypertension awareness among blacks and whites within the stroke belt. American Journal of Preventive Medicine, 11, 163–169.
Gulliksson, M., Burell, G., Vessby, B., Lundin, L., Toss, H., & Svärdsudd, K. (2011). Randomized controlled trial of cognitive behavioral therapy vs standard treatment to prevent recurrent cardiovascular events in patients with coronary heart disease: Secondary prevention in uppsala primary health care project (suprim). Archives of Internal Medicine, 171, 134–140.
Gustavson, D. E., Miyake, A., Hewitt, J. K., & Friedman, N. P. (2014). Genetic relations among procrastination, impulsivity, and goal-management ability: Implications for the evolutionary origin of procrastination. Psychological Science, 6, 1178–1188.
Hampson, S. E., Goldberg, L. R., Vogt, T. M., & Dubanoski, J. P. (2007). Mechanisms by which childhood personality traits influence adult health status: Educational attainment and healthy behaviors. Health Psychology, 26, 121–125.
Hayes, A. F. (2013). An introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford Press.
John, O. P., & Srivastava, S. (1999). The Big Five trait taxonomy: History, measurement, and theoretical perspectives. In L. A. Pervin & O. P. John (Eds.), Handbook of Personality: Theory and Research (2nd ed.). New York: The Guilford Press.
Jokela, M., Pulkki-Råback, L., Elovainio, M., & Kivimäki, M. (2013). Personality traits as risk factors for stroke and coronary heart disease mortality: pooled analysis of three cohort studies. Journal of Behavioral Medicine, 1–9.
Joshi, R., & Turnbull, F. (2009). Validity of self-reported cardiovascular disease. Internal Medicine Journal, 39, 5–6.
Juster, R.-P., McEwen, B. S., & Lupien, S. J. (2010). Allostatic load biomarkers of chronic stress and impact on health and cognition. Neuroscience and Biobehavioral Reviews, 35, 2–16.
Jylhä, M. (2009). What is self-rated health and why does it predict mortality? Towards a unified conceptual model. Social Science and Medicine, 69, 307–316.
Kristenson, M., Olsson, A., & Kucinskiene, Z. (2005). Good self- rated health is related to psychosocial resources and a strong cortisol response to acute stress: The LiVicordia study of Middle- Aged Men. International Journal of Behavioral Medicine, 12, 153–160.
Lay, C. H. (1986). At last, my research article on procrastination. Journal of Research in Personality, 20, 474–495.
Lay, C. H. (1992). Trait procrastination and the perception of person-task characteristics. Journal of Social Behavior and Personality, 7, 483–494.
Lay, C. H. (1997). Explaining lower-order traits through higher order factors: The case of trait procrastination, conscientiousness, and the specificity dilemma. European Journal of Personality, 11, 267–278.
McCown, W. G., Blake, I., & Keiser, R. (2012). Content analyses of the beliefs of academic procrastinators. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 30, 213–222.
McEwen, B. S. (2007). Physiology and neurobiology of stress and adaptation: Central role of the brain. Physiological Reviews, 87, 873–904.
Mora, P. A., Orsak, G., DiBonaventura, M. D., & Leventhal, E. A. (2013). Why do comparative assessments predict health? The role of self-assessed health in the formation of comparative health judgments. Health Psychology, 32, 1175–1178.
Neff, K. D. (2003). Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2, 85–101.
Plaufcan, M. R., Wamboldt, F. S., & Holm, K. E. (2012). Behavioral and characterological self-blame in chronic obstructive pulmonary disease. Journal of Psychosomatic Research, 72, 78–83.
Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, & Computers, 36, 717–731.
Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, Instruments, & Computers, 40, 879–891.
Pychyl, T. A., Coplan, R. J., & Reid, P. A. M. (2002). Parenting and procrastination: gender differences in the relations between procrastination, parenting style and self-worth in early adolescence. Personality and Individual Differences, 33, 271–285.
Rice, K. G., Richardson, C. M. E., & Clark, D. (2012). Perfectionism, procrastination, and psychological distress. Journal of Counseling Psychology, 59, 288–302.
Rod, N. H., Grønbæk, M., Schnohr, P., Prescott, E., & Kristensen, T. S. (2009). Perceived stress as a risk factor for changes in health behaviour and cardiac risk profile: a longitudinal study. Journal of Internal Medicine, 266, 467–475.
Schouwenburg, H. C., & Groenewoud, J. T. (2001). Study motivation under social temptation: Effects of trait procrastination. Personality and Individual Differences, 30, 229–240.
Shanmugasegaram, S., Flett, G., Madan, M., Oh, P., Marzolini, S., Reitav, J., et al. (2014). Perfectionism, Type D personality, and illness-related coping styles in cardiac rehabilitation patients. Journal of Health Psychology, 19, 417–426.
Sirois, F. M. (2001). The wellness behaviors checklist. Unpublished manuscript. Carleton University, Ottawa.
Sirois, F. M. (2004). Procrastination and intentions to perform health behaviors: The role of self-efficacy and the consideration of future consequences. Personality and Individual Differences, 37, 115–128.
Sirois, F. M. (2007a). ‘‘I’ll look after my health, later’’: A replication and extension of the procrastination–health model with community-dwelling adults. Personality and Individual Differences, 43, 15–26.
Sirois, F. M. (2007b). Procrastination and motivations for household safety behaviours: An expectancy-value theory perspective. In L. V. Brown (Ed.), Psychology of Motivation (pp. 153–165). Nova Science Publishers.
Sirois, F. M. (2014a). Out of sight, out of time? A meta-analytic investigation of procrastination and time perspective. European Journal of Personality, 28, 511–520.
Sirois, F. M. (2014b). Procrastination and stress: Exploring the role of self-compassion. Self and Identity, 13, 128–145.
Sirois, F. M., & Gick, M. L. (2002). An investigation of the health beliefs and motivations of complementary medicine clients. Social Science and Medicine, 55, 1025–1037.
Sirois, F. M., & Kitner, R. (in press). Less adaptive or more maladaptive? A meta-analytic investigation of procrastination and coping. European Journal of Personality.
Sirois, F. M., Kitner, R., & Hirsch, J. K. (in press). Self-compassion, affect, and health behaviors. Health Psychology.
Sirois, F. M., Melia-Gordon, M. L., & Pychyl, T. A. (2003). “I’ll look after my health, later”: An investigation of procrastination and health. Personality and Individual Differences, 35, 1167–1184.
Sirois, F. M., & Pychyl, T. (2013). Procrastination and the priority of short-term mood regulation: Consequences for future self. Social and Personality Psychology Compass, 7, 115–127.
Sirois, F. M., & Tosti, N. (2012). Lost in the moment? An investigation of procrastination, mindfulness, and well-being. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 30, 237–248.
Sirois, F. M., Voth, J., & Pychyl, T. A. (2009). “I’ll look after my health, later”: A prospective study of the linkages of procrastination to health and well-being in undergraduate students. Paper presented at the 6th Biennial conference of Counselling the Procrastinator in Academic Settings, York University, Toronto, ON.
Smith, T. W. (2006). Personality as risk and resilience in physical health. Current Directions in Psychological Science, 15, 227–231.
Stainton, M., Lay, C. H., & Flett, G. L. (2000). Trait procrastinators and behavior/trait-specific cognitions. Journal of Social Behavior and Personality, 15, 297–312.
Stead, R., Shanahan, M. J., & Neufeld, R. W. J. (2010). “I’ll go to therapy, eventually”: Procrastination, stress and mental health. Personality and Individual Differences, 49, 175–180.
Steel, P. (2007). The nature of procrastination: A meta-analytic and theoretical review of quintessential self-regulatory failure. Psychological Bulletin, 133, 65–94.
Suls, J., & Rittenhouse, J. D. (1990). Models of linkages between personality and disease. In H. S. Friedman (Ed.), Personality and disease (pp. 38–63). New York: Wiley.
Sutin, A. R., Scuteri, A., Lakatta, E. G., Tarasov, K. V., Ferrucci, L., Costa, P. T., et al. (2010). Trait antagonism and the progression of arterial thickening: Women with antagonistic traits have similar carotid arterial thickness as men. Hypertension, 56, 617–622.
Sutin, A. R., Zonderman, A. B., Ferrucci, L., & Terracciano, A. (2013). Personality traits and chronic disease: Implications for adult personality development. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 68, 912–920.
Tamayo-Fonseca, N., Quesada, J. A., Nolasco, A., Melchor, I., Moncho, J., Pereyra-Zamora, P., et al. (2013). Self-rated health and mortality: a follow-up study of a Spanish population. Public Health, 127, 1097–1104.
Tice, D. M., & Baumeister, R. F. (1997). Longitudinal study of procrastination, performance, stress, and health: The costs and benefits of dawdling. Psychological Science, 8, 454–458.
Van Eerde, W. (2003). A meta-analytically derived nomological network of procrastination. Personality and Individual Differences, 35, 1401–1418.
Voth, J., & Sirois, F. M. (2009). The role of self-blame and responsibility in adjustment to inflammatory bowel disease. Rehabilitation Psychology, 54, 99–108.
World Health Organization. (2011). Global status report on noncommunicable diseases 2010. Geneva: Switzerland.
World Health Organization. (2013a). A global brief on hypertension. Geneva: Switzerland.
World Health Organization. (2013b). Cardiovascular diseases (CVDs): Fact sheet N°317. Retrieved February 2, 2014, from http://www.who.int/mediacentre/factsheets/fs317/en/
The data collection was supported by a research Grant (# 410-2005-0094) from the Social Sciences and Humanities Research Council (Canada) awarded to the author. Preparation of this paper was supported by funding from the Canada Research Chairs program awarded to the author.
Conflict of interest
Fuschia Sirois declare that she has no conflicts of interest.
Human and Animal Rights and Informed Consent
All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000 (5). Informed consent was obtained from all participants for being included in the study.
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Sirois, F.M. Is procrastination a vulnerability factor for hypertension and cardiovascular disease? Testing an extension of the procrastination–health model. J Behav Med 38, 578–589 (2015). https://doi.org/10.1007/s10865-015-9629-2
- Heart disease