The role of gender in the association between personality and task priority in older adults' dual-tasking while walking.

BACKGROUND: Falls are a major problem for older adults. Many falls occur when a person's attention is divided between two tasks, such as a dual task (DT) involving walking. Most recently, the role of personality in walking performance was addressed; however, its association with DT performance remains to be determined. METHODS: This cross-sectional study of 73 older, community-dwelling adults explores the association between personality and DT walking and the role of gender in this relationship. Personality was evaluated using the five-factor model. Single-task (ST) and DT assessment of walking-cognitive DT performance comprised a 1-min walking task and an arithmetic task performed separately (ST) and concurrently (DT). Dual-task costs (DTCs), reflecting the proportional difference between ST and DT performance, were also calculated. RESULTS: Gender plays a role in the relationship between personality and DT. Extraversion was negatively associated with DTC-motor for men (ΔR2 = 0.06, p < 0.05). Conscientiousness was positively associated with DTC-cognition for women (ΔR2 = 0.08, p < 0.01). CONCLUSION: These findings may lead to effective personality-based early detection and intervention for fall prevention.

A cross-sectional study of the association between mobility test performance and personality among older adults.

BACKGROUND: Falls among the elderly are a major public health challenge. The Timed-Up and Go (TUG) test is commonly used to identify older adults with mobility limitations. This study explored the association between TUG test results and personality among community-dwelling older adults. METHODS: This cross-sectional study included 85 older adults. Personality was evaluated with the Five Factor Model. Times to complete the TUG as a single task (TUGST) alone and also with an additional cognitive task i.e., dual-task (DT), were recorded. Ordinary least squares OLS regression models were used to examine the associations between personality factors and both single DT TUG. RESULTS: Extraversion was found to be inversely associated with time to complete the TUGST (ß = -.26, p < .05). Conscientiousness was inversely associated with TUGDT (ß = -.24, p < .01). CONCLUSIONS: Findings from this study highlight the relationship between personality and the TUG test. Specifically, older adults with high Extraversion completed the TUGST test more quickly than those who had lower measures of this trait and, people with high Conscientiousness completed the TUGDT tests more quickly. These findings may contribute to early identification of older adults at higher risk from mobility limitations and falls, and to developing personality-tailored interventions for fall prevention.

Increased insomnia symptoms predict the onset of back pain among employed adults.

BACKGROUND: Back pain is among the most prevalent pain disorders causing chronic disability among adults, and insomnia is a common co-morbidity. However, whether insomnia precedes back pain or vice versa remains unclear. The current study tested the temporal association between insomnia and back pain. METHODS: A longitudinal design was used to investigate whether changes in insomnia over time predict the onset of back pain and vice versa. The study was conducted on a cohort of active healthy working adults (N = 2,131, 34% women) at three time points (T1, T2, and T3) over a period of 3.7 years (range = 2.2-5.12) years. Logistic regression analysis was used to test whether increased insomnia symptoms from T1 to T2 predicted the onset of new back pain. Ordinary least squares regression was used to test whether the existence of back pain at T2 predicted an increase in insomnia from T2 to T3. RESULTS: The results indicated that after controlling for socioeconomic variables, self-reported health, lifestyle behaviors, and anthropometrics, a T1-T2 increase in insomnia symptoms was associated with a 1.40-fold increased risk of back pain at T3 (OR = 1.40; 95% CI = 1.10-1.71). No support was found for reverse causation; i.e., that back pain predicts subsequent increase in insomnia. CONCLUSIONS: Insomnia appears to be a risk factor in the development of back pain in healthy individuals. However, no evidence of reverse causation was found.

The reciprocal relationship between vigor and insomnia: a three-wave prospective study of employed adults.

Vigor is a positive affect experienced at work. It refers to feelings of possessing physical strength, emotional energy, and cognitive liveliness. Accumulated evidence suggests that vigor has a protective effect on health, but the mechanisms of this link remain to be discovered. This study focused on sleep quality as one possible mechanism. We used a full-panel, longitudinal design to investigate the hypothesis that changes in vigor over time have inverse effects on insomnia and vice versa. The study was conducted on a multi-occupational sample of working adults (N = 1,414, 70 % men) at three time points (T1, T2, and T3), over a period of about 3 years. Vigor was assessed by the Shirom-Melamed Vigor Measure, while insomnia was assessed by the Brief Athens Insomnia Scale. Results of SEM-analyses, controlling for neuroticism, and other potential confounding variables, offered a strong support for the study hypotheses, indicating cross-lagged reciprocal inverse relationships between vigor and insomnia. The results suggest that vigor has a protective effect on sleep quality and that vigor might positively influence health through this pathway.

Joint effect of chronic medical illness and burnout on depressive symptoms among employed adults.

OBJECTIVE: Chronic medical illnesses (CMIs) are prevalent in nearly half the working population and are associated with a two-fold risk for developing depression. Burnout is a chronic affective state comprised of symptoms of emotional exhaustion, physical fatigue, and cognitive weariness. It is an outcome of depletion of energetic resources resulting from prolonged exposure to work and life stresses. Building upon the Conservation of Resources theory (Hobfoll, 1989), this prospective study was designed to test the hypothesis that CMI interacts with burnout to facilitate the development of depressive symptoms. METHOD: Participants were 4,861 employed men and women, aged 19 to 67 years, who came for routine health examinations and were followed for 18 months on average. Forty-seven percent reported having one or more diagnosed CMIs. RESULTS: Burnout was found to predict an increase in depressive symptoms in apparently healthy individuals. Furthermore, the coexistence of burnout in employees with a CMI accelerates the process of developing depressive symptoms within a relatively short period. Burnout was also found to be associated with intensification of preexisting depressive symptoms in employees suffering from different chronic medical conditions (other than cancer), independent of medical comorbidities and other potent confounding variables. CONCLUSIONS: Among employees, coexistence of burnout and at least one CMI predicts an increase in depressive symptoms with time. Health care professionals should be made aware of such at-risk employees and follow and manage them closely.

The role of personality in predicting repeat participation in periodic health screening.

OBJECTIVE: Drawing on the Five-Factor Model of personality, the aim of the present study was to find out which personality traits predict health maintenance behaviors, reflected in routine participation in health screenings, over and above objective and subjective health status. METHOD: Participants were 2,803 employed individuals (61% men), free of background diseases, who underwent a routine health examination and were subsequently notified whether they were healthy or at risk. These participants were invited to repeat the examination within the next few years, as is medically recommended. RESULTS: Logistic and negative binomial regressions were used to predict participants' odds of returning for a second examination, within the next 7 years, as well as the number of consecutive visits, while controlling for sociodemographic factors, objective and subjective health, and length of follow-up. We found that both endpoints were positively predicted by Conscientiousness and negatively predicted by Extraversion and Openness. The association between Neuroticism and these endpoints followed a bell-shaped curve (i.e., individuals high or low in Neuroticism were less likely to return). CONCLUSIONS: The present findings suggest that personality traits should be taken into consideration in the planning and implementation of health-promoting interventions.

The relationship of the job demands-control-support model with vigor across time: testing for reciprocality.

We used a longitudinal design to investigate the hypotheses that the components of the Job Demands-Control-Support model and changes in their levels over time predict subsequent changes in levels of positive affect of vigor over time, and vice versa. Our study was conducted on a sample of adults working in a variety of occupations (N = 909, 68% men) at three points in time (T1, T2, and T3), over a period of about four years, controlling for neuroticism and other potential confounding variables. Job control at T1 and increase in its levels from T1 to T2 predicted an increase from T2 to T3 in the levels of vigor, whereas for social support, only its level at T1 predicted an increase from T2 to T3 in levels of vigor. An increase from T1 to T2 in levels of job demands predicted an increase from T2 to T3 in levels of vigor only for those rated low on neuroticism. Vigor at T1 predicted an increase from T2 to T3 in levels of job control and social support, but not changes from T2 to T3 in levels of job demands. The reciprocal causal relationship between job resources and vigor exists regardless of the demands of the work environment.

Work characteristics as predictors of diabetes incidence among apparently healthy employees.

The objective of this article was to investigate the associations of the Job Demand Control-Support (JDC-S) model's components, job demands, job control, and work social support, as well as their interactive terms, with the risk of Type 2 diabetes. Participants were apparently healthy 5,843 men and women who underwent routine health checks at two points of time, about 41 months apart from one another. New cases of diabetes (N = 182) during follow-up period were defined based on fasting glucose value ≥ 126 mg/dl or glycosylated hemoglobin value ≥ 6.5% or self-reported physician diagnosis of diabetes and taking medications to treat it. The measures for assessing workload (representing job demands), job control, and work social support were all based on validated scales constructed to test the JDC-S model. In testing the hypotheses, we used logistic regressions and controlled for well-established risk factors for diabetes, including sociodemographic, physiological, and behavioral risk factors. We also controlled for depressive symptoms. The hypothesis that the higher the baseline levels of work social support, the lower the risk of diabetes, was supported (Odd Ratio = .78, significant at the p < .05 level). In an exploratory analysis, workload was found to have a U-shaped relationship with diabetes risk. We did not find direct effects of job control nor of any interactive term including the JDC-S model components on diabetes risk. Work social support is a protective factor, reducing the risk of diabetes. Both underload and overload may increase the risk of diabetes.

The big five personality factors as predictors of changes across time in burnout and its facets.

We tested the effects of Neuroticism and Conscientiousness on burnout across time, controlling for age, gender, work hours, and depressive symptoms. Our theoretical model included both global burnout and its physical, emotional, and cognitive facets, consistent with the bifactor approach to modeling second-order constructs in structural equation modeling. Data were gathered from 1,105 respondents (63% men) who completed questionnaires at Time 1 (T1) and approximately 24 months later at Time 2 (T2). Neuroticism positively predicted T1 global burnout and negatively predicted T1 and T2 emotional exhaustion. Conscientiousness negatively predicted T1 global burnout and T1 and T2 cognitive weariness, and positively predicted T1 and T2 emotional exhaustion. Our gender-specific exploratory analysis revealed that for each gender, Neuroticism and Conscientiousness predicted different facets of burnout at T1 and T2. We recommend that future research test the possibility that the associations of Neuroticism and Conscientiousness with global burnout and its facets may be gender specific.

The across-time associations of the five-factor model of personality with vigor and its facets using the bifactor model.

We tested hypothesized across-time associations of personality traits with the affective state of global vigor and its physical, emotional, and cognitive facets. The study was carried out in the context of work, where vigor represents a discrete, positive affective response to one's ongoing interactions with specific elements of the work environment. Our model was based on the bifactor approach to modeling second-order constructs in structural equation modeling. Data were gathered from 1,217 reportedly healthy respondents who underwent a periodical health examination at Time 1 (T1) and Time 2 (T2), about 24 months apart. We found that, independent of T1 and T2 global vigor, agreeableness and conscientiousness predicted both T1 and T2 levels of vigor's emotional facet, and openness predicted vigor's cognitive facet at both T1 and T2.

Elevated burnout predicts the onset of musculoskeletal pain among apparently healthy employees.

Musculoskeletal (MS) pain is highly prevalent in the working population, often resulting in chronic disability. Burnout represents accumulated exposure to work-related stresses and therefore could predict the incidence of MS pain. We investigated prospectively the extent to which changes in the levels of burnout over time predict new cases of MS pain. Participants were 1,704 apparently healthy employed men and women who underwent periodic health examination at three points of time (T1, T2, and T3), over a period of about three years. We used the T1 to T2 changes in the levels of burnout, depressive symptoms, and anxiety to predict the onset of new cases of MS pain between T2 and T3, while controlling for possible confounders. Logistic regression results indicated that the T1-T2 change in burnout levels was associated with a 2.09-fold increased risk of MS pain (95% confidence interval = 1.07-4.10). No support was found for the possibility of reverse causation; that is, that MS pain predicts subsequent elevations of burnout levels. It was concluded that burnout might be a risk factor in the development of MS pain in apparently healthy individuals.

On the nature of burnout-insomnia relationships: a prospective study of employed adults.

OBJECTIVE: This prospective study was designed to test the hypothesis that burnout and insomnia predict each other's incidence and intensification across time. Burnout is conceptualized as representing individuals' unique affective response to their exposure to chronic stressors. METHOD: Apparently healthy respondents (1356) completed questionnaires during periodic health examinations undergone at two time points T(1) and T(2), about 18 months apart. Burnout was assessed by the Shirom-Melamed Burnout Measure, while insomnia was assessed by the Brief Athens Insomnia Scale. Depressive symptomatology, neuroticism, body mass index, age, gender, follow-up duration, and T(1) levels of the criterion were controlled. RESULTS: Burnout and insomnia were found to be only moderately associated at T(1). However, logistic regression results indicated that burnout significantly predicted the development of new cases of insomnia at 18-month follow-up [odds ratio (OR)=1.93; 95% confidence interval (95% CI)=1.45-2.58], even after adjusting for depression and other potent confounders. Likewise, insomnia significantly predicted the onset of new cases of burnout at 18-month follow-up (OR=1.64; 95% CI=1.30-2.08). Hierarchical regression results indicted that T(1) burnout significantly predicted an increase in T(2) insomnia (beta=.05, P<.05), and that T(1) insomnia significantly predicted an increase in T(2) burnout (beta=.07, P<.05). DISCUSSION: The results indicate that burnout and insomnia recursively predict each other's development and intensification over time, thus suggesting that either might be a risk factor for the other across time. Possible mechanisms of link between burnout and insomnia, as well as the clinical implications of the findings, were suggested.

A prospective study of the association between obesity and burnout among apparently healthy men and women.

The authors prospectively tested the hypothesis that obesity predicts burnout and the reverse-causation hypothesis that burnout predicts obesity. Respondents were 724 men and 340 women, apparently healthy employees, who underwent routine periodic health examinations at 2 points of time about 18 months apart. Obesity was assessed by body mass index, waist-hip ratio, and waist circumference. In regression analyses, done separately for men and women, the authors controlled for depressive symptomatology, sport activity, and Time 1 levels of the criterion. The hypothesis that burnout predicts obesity was not supported. The authors found that Time 1 measures of obesity predicted reductions rather than the hypothesized elevations of Time 2 burnout levels. The authors also found that for male respondents with relatively higher levels of Time 1 burnout, the higher their level of Time 1 obesity measure, the lower their level of T2 burnout.