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Don't Worry, Be Healthy:

Personality and Heart Attack

Week of March 18, 2002

 

“Who of you by worrying can add a single hour to his life?” –  Luke 12:25

 

            No one, and it’s just as well.  I’d rather the meek inherit the earth than the nervous. 

            Doctors have long recognized a link between attitude and health.  I was first warned about the Type A personality 20 years ago while earning my degree in accounting, a profession staffed largely by pinstriped pressure cookers.  Type As, students were told, were driven, forceful high achievers, though unfortunately prone to heart attacks.  Type Bs on the other hand were serene, good-natured sorts who accomplished less but lived longer.  We were advised to seek balance, to work hard but take time to stop and smell the quarterly reports, or something like that. 

Guess which type everyone wanted to be.  Grades are golden and go on your resume; a cardiac arrest doesn’t and young people live forever anyway. 

I never felt I fit either category, and even the Type A wannabes didn’t slide neatly into that narrow box.  In recent years, however, doctors have identified a third classification that suits many better.

“Type D” personalities are negative thinkers who sweat the small stuff.  They aren’t clinically depressed and may not seem particularly anxious, but beneath the surface they fear the glass is half empty, dirty, and holds polluted water.  Type Ds are reluctant to open up and vent their stress, living like a soda bottle that’s been shaken hard:  Cool on the outside, fizzing with pressure on the inside. 

A Belgian study found Type Ds over four times more likely to suffer heart disease than positive thinkers.  Researchers at the University of Washington noted that some test subjects felt apprehensive even before they were placed in stressful situations, which consisted of soaking their hands in cold water or reading text printed in gaudy colors.  Such strain, doctors say, can impair the immune system and lead to health problems.

If I were designing a stress test I’m pretty sure I could dream up something more aggravating than a bowl of ice water.  I know it would be inhuman to make someone visit the DMV or watch an Adam Sandler movie, but anyone at risk for panic attacks from colored type is too fragile to be of much use as a test subject.

            I’d like researchers to get out of the lab and observe real life.  Scientists could wire up parents helping their kids with algebra homework or chaperoning a junior high school dance.  They might follow subjects to job interviews, though being escorted by doctors in white coats probably wouldn’t help one’s chances of being hired.  Heck, I’d be interested in my own galvanic skin response while bathing a 12-pound pug that seems to believe she’s a wolverine every time she hears running water.

            It is thought to be harder to change a Type D personality than to treat serious psychological conditions like depression.  A personality isn’t a disease and can’t be approached like one, though I know allegedly sane people who could have syndromes named after them.  A change might be good for the heart, but it’s tough enough to diet, exercise, quit smoking and so forth without having to swap your personality.

Yet people do change following a traumatic event like a heart attack.  There’s nothing like a good coronary thrombosis to inspire one to eat more veggies, take up Tae-Bo, and reconsider what is worth popping a blood vessel.

            There’s an old joke about a mule driver who clubs the beast with a two-by-four to get its attention.  Maybe a heart attack is a two-by-four of sorts, changing one’s focus when all else fails.  It might be easier said than done, but I think I’d rather work on that verse about not worrying.

 

 

 
 

 

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© 2002 Brent Morrison