Can personality affect heart disease risk?

Negative traits such as anger and insecurity have been linked to heart-related problems. Taking steps to temper these tendencies may help.

Remember the Type A personality? First coined back in the 1950s, the term refers to people who are aggressive, ambitious, competitive, and time-conscious. But the notion that Type As were more likely to have heart attacks than their more laid-back counterparts turned out to be untrue, as numerous studies in the 1980s and 1990s revealed.

But in the early 2000s, another personality type — Type D for distressed — began getting more attention. Type D people are anxious, irritable, and angry; they also tend to feel ill at ease in social situations and are uncomfortable opening up to others. According to a 2018 review in Current Cardiology Reports, having a Type D personality is a risk factor for cardiovascular disease. The lead author, psychologist Johan Denollet, first described Type D and created a test for it (see "Type D personality test").